The Healthcare Crisis A True Story

 

This is a true story that Greenberg & Bederman is sharing that happened to a colleague of ours to illustrate yet another reason our country is in a healthcare crisis.

Back in 2003, I got sick.

I know that isn’t the most earth-shattering of statements. Everybody gets sick, after all. But I got VERY sick.

At the time, I had just gotten out of college and was struggling to find a job. In order to pay the bills I began substitute teaching, which meant that every day I was sent into a different classroom full children, with the age ranging anywhere from 5 to 17. On occasion I would end up in a high school, but for the most part my duties would involve looking after grade school students.

Young children, as many of you who are parents may know, are quite susceptible to illness and infections. And considering that I was a bachelor in his twenties, I can tell you with great certainty that my immune system wasn’t exactly operating at its peak performance. So within three weeks of starting my substitute teaching duties, I got a sore throat.

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DC Metro Lawsuits Filed Too Soon?

 

The immediate aftermath of an accident might not seem to be the best time to be patient. After all, the hospitals certainly aren’t patient when sending out their medical bills, nor does the bank holding your mortgage note seem very patient about not getting its monthly payment because you couldn’t work.

But it is important to understand that hardly any accidents are simple affairs. Even a car accident can take a long time to unravel. One driver will swear that the accident occurred a certain way while the other will swear something different happened, and in the meantime there are multiple witnesses who are all contradicting each other.

There are also other things to consider. What condition were the roads in? Was it raining? Did the accident happen at night? Was it a driver error or a mechanical error?

These are all aspects of an accident that should be determined with great certainty before moving forward with an injury case. While it might seem to be a good idea to move forward in the immediate aftermath of a highly publicized accident, filing a lawsuit before all the facts are in could prove very detrimental to your case.

For instance, if you are at a stoplight and a car slams into you from behind and injures you, your initial thought would be to sue the other driver. But if you file the lawsuit immediately and it turns out that the reason the car slammed into you was because a mechanic did a poor job on servicing the brakes, the opposing counsel could successfully have the case thrown out before it even gets to the jury stage.

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What if Metro Accident Were In Maryland?

 

The entire D.C. region is still coming to grips with the horrible accident that occurred on Metro’s Red Line on Monday. With the death toll at nine, and with 80 people injured, it’s the worst accident that DC transit has ever seen.

There seems to be a lot of stories involving fate with this crash. We have heard stories of people who managed to get through the crash unscathed while passengers who were sitting one car forward suffered horrible injuries. We have heard stories of people who were initially angry that they missed the train, only to be profoundly relieved once they found out that missing that train might have saved their lives. An event like this brings home the random uncertainty of daily existence, which, as accident attorneys, we are reminded of on a daily basis.

One random element of the crash was its location. The two cars collided just outside of the Fort Totten Metro stop, which is approximately 3,000 feet within the borders of Washington, D.C. Had the train been on the green line heading east, or if the crash had happened two stops away in Silver Spring or three stops away in Forest Glen, the accident would have occurred within the state of Maryland.

On the surface, that might not seem to be that big of a deal, but if you consider the differences between the laws of D.C. and Maryland, the site of the metro crash makes all the difference in the world.

The best way that we can put it is that under Maryland law, the victims of the crash are only really recognized as numbers, while in D.C. they are recognized as people.

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Andrew Bederman Quoted in Washington Times

June 24, 2009

Metro braces for crash lawsuits
By Michael Drost and S.A. Miller
 

Metro officials are bracing for tens of millions of dollars in lawsuits likely to be filed against the cash-strapped transit system by those injured in Monday's crash and the families of the deceased.

Nobody yet knows who - if anyone - is at fault in the train wreck. But injury lawyers and Metro officials say the lawsuits against the agency are a sure thing.

"It is an accepted reality," said Metro Board Chairman Jim Graham. "As a lawyer, I understand how these things work. It is something we are going to see in the future."

The litigation likely will come not only from the more than 70 injured and the families of the nine dead in the train pileup, but also from many of the other passengers on the subway cars who were frightened or otherwise traumatized.

"It will quite easily be tens of millions of dollars," said Michael I. Krauss, a law professor specializing in torts at George Mason University School of Law.

That's a financial hit Metro can ill afford. The Washington Metropolitan Area Transit Authority (WMATA) has been struggling with a revenue shortfall projected earlier this year at $154 million. Officials had proposed slashing 900 jobs and reducing services to balance the $1.3 billion operating budget.

Metro officials were unable to immediately determine how much of any potential liability would be covered by insurance.

Mr. Graham said the transit system's finances or the potential legal bills are not of concern right now. He said they are focused on ensuring the "safety and security" of the Metro system.

He also said the threat of lawsuits also was not related to the agency's decision to set up a $250,000 relief fund for victims who need immediate assistance.

Still, Metro angled to pre-empt some lawsuits Tuesday by asking crash victims to make claims directly to WMATA's risk-management department, which will assess and manage the claims as an alternative to litigation, Metro officials said.

Andrew Bederman, a prominent local plaintiff's lawyer with offices in Silver Spring, said he anticipates many of his colleagues are out trying to round up clients among the crash victims.

"My suspicion is that given the severity of the disaster and the sheer number of the people who were injured ... that you are going to see a lot of this occurring," he said. "Knowing D.C. as I do, I know it is going to happen or is happening already."

He said he had already taken on two clients with less-severe injuries from the crash.

It is illegal in the District for lawyers to solicit clients by such means as tracking down accident victims or trolling emergency rooms. However, Mr. Bederman said lawyers can pay to have their firms prominently displayed on Google when keywords like "train" or "crash" are searched.

The agency has paid out big awards in the past when people were injured or killed by trains and buses.

Last year, Metro agreed to pay a $2.9 million to the family of Sally D. McGhee, 54, and $2.3 million to the family of Martha Schoenborn, 59, to settle lawsuits filed after the two women were run over and killed by a Metrobus.

The women, who worked together at the Federal Trade Commission, had just left work and had a "walk" signal as they crossed Pennsylvania Avenue but the Metrobus came around the corner and struck them.


 

Reprinted from The Washington Times, in the "news/local -- Local" section.

DC Metro Train Accident

 

“The Metro train car that slammed into another on the Red Line yesterday evening was two months past due for scheduled maintenance on its brakes, and the car was an older model that federal officials had recommended be replaced because of concerns about its safety in a crash, officials said today.”Washington Post, 6/23/09

There isn’t a lot to say about this just yet. The National Transportation Safety Board is still examining the wreckage of the two trains at the time of this writing, so we don’t know whether or not the two months lateness on the brakes of the car was a factor or not.

In fact, the reports are varying. In this morning’s Washington Post, staff writer Lyndsey Layton wrote the following:

“Experts familiar with Metro's operations focused last night on a failure of the signal system and operator error as likely causes of yesterday's fatal Red Line crash….Metro was designed with a fail-safe computerized signal system that is supposed to prevent trains from colliding. The agency's trains are run by onboard computers that control speed and braking. Another electronic system detects the position of trains to maintain a safe distance between them. If they get too close, the computers automatically apply the brakes, stopping the trains.”

It seems obvious now that the “fail-safe” system was anything but. And we still don’t know what role driver error had in the crash. The operator of the train that hit the stopped car was killed, but the driver who stopped is scheduled to be interviewed at the time of this writing, so there might be some answers there.

But in the meantime, what everyone in the D.C. area has to contend with is the fact that nine people are dead, among them a former Commanding General of the D.C. National Guard. There is also the fact that seventy-six people were injured, in ways ranging from minor to critical.

The best that we can hope for right now is that the people who were injured are able to make full recoveries as soon as possible. And we also hope that whatever recommendations that the NTSB comes up with after their investigation are fully implemented.

Insurance Company and Your Injury

 

In the twenty five years since we began our practice, one constant that we hear quite often from many of our injury victim clients are worries about “Pre-existing conditions.”

The style and syntax of the worries vary from person to person, but if we were to average them out into one sentence it would be this:

“The insurance company says that they won’t pay for the needed treatment because they say that the reason the injury was so bad was because of a pre-existing condition.”

If that seems a little hard to follow, here is a more concrete example.

Mr. X is driving down 395 at fifty miles an hour. A car in the lane to his right suddenly swerves into his lane without signaling. Mr. X’s car is sideswiped and is sent careening into the highway divider. Mr. X suffers a dislocated shoulder when his body slams up against the seatbelt.

Mr. X already has a particularly weak shoulder due to the fact that he used to be on the wrestling team in high school and suffered from a torn rotator cuff. Because of this previous damage, it will take surgery and physical therapy in order to get Mr. X’s shoulder back to normal.

The insurance company of the driver that hit Mr. X tells him that they will only pay for a pre-determined amount, which is usually an “average” of what they think a similar injury would cost. As far as they are concerned, the costs of the extra surgery and the physical therapy are not their problem, because these conditions were “pre-existing,” or, Mr. X had these problems before the accident occurred.

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Obama Speech in Chicago to AMA

 

On June 15th, President Obama gave a speech to the American Medical Association in Chicago. Considering that a big part of the President’s agenda involves health care, it can be assumed that he attached a great deal of importance to this speech. Any kind of health care reform would be very difficult to pull off without the support of the biggest and most influential medical advocacy group in the country.

Right off the bat, Mr. Obama offered a real example as to the realities of our health care system when he described the working day of a doctor in New Hampshire:

“Our costly health care system is unsustainable for doctors like Michael Kahn in New Hampshire, who, as he puts it, spends 20 percent of each day supervising a staff explaining insurance problems to patients, completing authorization forms, and writing appeal letters; a routine that he calls disruptive and distracting, giving him less time to do what he became a doctor to do and actually care for his patients.”

He also gave an example as to how things were going among those of us who have to pay for the premiums:

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John J. Sellinger Voted 2009 DC,MD Superlawyer

 

John J. Sellinger a Super Lawyer

Super Lawyers, an independent magazine adhering to a selection process that is objective and independent of any advertising or payments to nominate its candidate, has named John J. Sellinger a Super Lawyer in its Maryland and Washington DC 2008, and 2009 editions. Lawyers were asked to nominate the best lawyers they've personally observed, were not allowed to nominate an internal lawyer without nominating an external lawyer, and lawyers were not allowed to vote for themselves. This evaluation led to a final selection of our medical malpractice attorney, John J. Sellinger. Congratulations on a job well done!

To learn more about our medical malpractice attorney, John J. Sellinger, read about John or watch his medical malpractice video on Utube.  To learn more about medical malpractice law in Maryland, read our Medical Malpractice FAQ, or contact Greenberg & Bederman for a free medical malpractice case evaluation.

 

High Cost of US Healthcare

There doesn’t seem to be much you can do to avoid the high cost of health care these days.

In 2008, total spending on health care was $2.8 TRILLION. In case you aren’t sure how much that is, it’s enough to pay for all the goods and services produced in Australia in one year. It’s enough to fund the military of every country in NATO combined. It’s more than the value of every stock on the Toronto Stock Exchange.

It is, in short, a whole lot of money.

For those of us who have health insurance, that $2.8 trillion doesn’t just factor in the trips you make to the doctor or the deductibles that you have to pay. It also factors in your monthly insurance premiums, and any prescriptions that you have to have filled. Those of us without health insurance are also contributing a great deal to the overall total.

The vast majority of us in this country aren’t too thrilled about this, but we can tell you with great certainty that HMO’s, pharmaceutical companies and insurance companies are as pleased as they could possibly be with those numbers.

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Frivolous Law Suits

The odds are that you have never heard of a woman named Janine Sugawara. And the odds are that after a few months, her name will completely slip your mind.

But it is entirely probable that her recent lawsuit will put her in a somewhat notorious pantheon of “frivolous lawsuits,” which means that she will be given a title rather than a name by tort reform organizations. And she can expect this title to be bandied about for the rest of time.

As a bit of background, Ms. Sugawara recently filed a class action lawsuit against the Quaker Oats Company. Her gripe was that after four years of purchasing and eating Crunch Berries brand cereal, she discovered that there was no actual fruit involved.

Through the law firm that took her case, Ms. Sugawara’s intention was to collect damages not just for herself, but for everyone else who was bamboozled at the breakfast table. It should be noted the law firm that she was working with had previously filed an unsuccessful suit against the Kellogg’s corporation over the lack of actual fruit in Fruit Loops.

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