Doctors and Pharmacies can now be sued by addicts in WV

Started by Dr Wario
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Dr Wario

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Did you hear about this in the news, I am quite interested in how the landscape will change in WV after this decision. I already having friends that practice there who state that they will strongly limit filling of controlled substances now.

http://www.insurancejournal.com/news/southeast/2015/05/18/368465.htm

West Virginia Supreme Court Rules Addicts Can Sue Pharmacies, Doctors
By John Raby | May 18, 2015

Pharmacies and doctors who negligently prescribed pain medication can be sued for enabling people’s addictions, the West Virginia Supreme Court ruled.

The ruling involved 29 people who were patients of Mingo County’s Mountain Medical Center. Most sought treatment for job-related injuries or injuries stemming from car accidents. They alleged they were prescribed controlled substances and became addicted because of criminal abuse of prescriptions.

According to court documents, the FBI raided and shut down the Mountain Medical Center in Williamson in 2010 and found evidence of improperly prescribed controlled substances.

Chief Justice Margaret Workman said a plaintiff’s wrongful or immoral conduct does not prohibit them from seeking damages as the result of the actions of others. The court wrote that a jury can decide the extent to which the actions of a person engaged in criminal activity contributed to an alleged injury.

“Without question, our citizenry is best equipped to weigh and speak to our society’s tolerance for the panoply of wrongful conduct presented herein on all sides,” Workman wrote.

The majority noted that most, if not all, of the plaintiffs admitted their abuse of controlled substances occurred before they sought help at Mountain Medical Center.

Justices Allen Loughry and Menis Ketchum wrote separate dissenting opinions in the 3-2 decision May 13.

“There are no even remotely innocent victims here,” Loughry wrote.

The decision “requires hardworking West Virginians to immerse themselves in the sordid details of the parties’ enterprise in an attempt to determine who is the least culpable – a drug addict or his dealer.”

Ketchum noted a “wrongful conduct” rule has been adopted in several other states and urged West Virginia to do the same “to prevent criminals from making a mockery of our judicial system by attempting to profit from their criminal activity.”

The plaintiffs had filed eight separate lawsuits against Tug Valley Pharmacy, Strosnider Drug Store, B&K Pharmacies, the Mountain Medical Center and four of its physicians.

One of the physicians, Dr. Katherine Hoover, was once West Virginia’s top prescriber of pain medications.

After the FBI raid, Hoover was accused of recklessly and illegally issuing hundreds of thousands of prescriptions for pain medications from the clinic. She never faced criminal charges and now lives in the Bahamas.

In 2013, a federal appeals court upheld the forfeiture of $88,000 imposed on Hoover by a federal judge in Charleston who cited an FBI analysis that traced the bank account’s balance to clinic proceeds.

Clinic physicians Dr. William Ryckman and Diane Shafer and office manager Myra Miller each were sentenced to six months in federal prison for their guilty pleas to conspiring to misuse a Drug Enforcement Administration registration number.

The clinic now belongs to the West Virginia State Police, along with more than $340,000 in cash proceeds forfeited by Miller.

According to a federal report released last year, doctors in West Virginia wrote the third-highest number of prescriptions behind Alabama and Tennessee.
 
Some days I just want to call the DEA and have them cancel my controlled substance permit.

The incriminating data here includes prescribing habits of doctors in relation to their peers. Is this data publicly available? Or only presented AFTER one has been charged a crime due to neglecting to take this mystery info into account?
 
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This is HUGE news. My friend notified me of this today and I was shocked.

I think what should happen is pain patients MUST see a specialist. Mandatory. A contract should be signed with that specific specialist and pharmacy. If that contract is broken once (doctor/pharmacy shopping, early fills...), it's a wrap.

It's going to make it harder on all sides (prescribers, pharmacists, patients) regardless.
 
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What gets me is, you know these people who are now suing, were the most abusive customers, the ones who cussed out their pharmacist and demanding their pain pills NOW. Nobody forced these people to "get addicted". Unless they can prove that they were blatantly misled (ie the doctor or pharmacist told them that Vicodin was non-addictive & that they could take as much as they wanted without any harmful side effects), then no, they should not get any legal reward for their own destructive behavior.
 
I don't see why people are making this ruling out to be a big deal. If your state has a PMP and you don't ID patients then how are you not responsible for their addiction?
 
Because addiction occurs at FDA approved doses.

But that's largely irrelevant. When there is negligence, there is liability. If you're being negligent by supplying pain medications to patients who doctor shop and pharmacy shop then you are liable.
 
But that's largely irrelevant. When there is negligence, there is liability. If you're being negligent by supplying pain medications to patients who doctor shop and pharmacy shop then you are liable.
"Negligently prescribed" not dispensed.
 
"Negligently prescribed" not dispensed.

I don't know the exact court case but pharmacists cannot cry "negligent prescribing" since we have a corresponding responsibility for the proper prescribing of medications. What you're trying to say is that the pharmacist doesn't have responsibility for the addiction and that is outrageous. Plain and simple.
 
The most simple solution is to not dispense and opiates and since controlled substances scripts don't count in metrics the chains should be completely ok with it.

Like I'd said previously. Id take a 10-15k pay cut to never touch another cs as a pharmacist again. The drama surronding them from patient hysterics and corporate/legal compliance is too much
 
I don't know the exact court case but pharmacists cannot cry "negligent prescribing" since we have a corresponding responsibility for the proper prescribing of medications. What you're trying to say is that the pharmacist doesn't have responsibility for the addiction and that is outrageous. Plain and simple.
If a patient convinces their doctor that they have lower back pain when they don't and give them an RX for 15-30 mg of oxycodone daily and you fill that prescription, that is negligent prescribing, not dispensing. And when that patient gets addicted to snorting their week's worth of oxy every Saturday, you think the pharmacist is at fault?
 
If a patient convinces their doctor that they have lower back pain when they don't and give them an RX for 15-30 mg of oxycodone daily and you fill that prescription, that is negligent prescribing, not dispensing. And when that patient gets addicted to snorting their week's worth of oxy every Saturday, you think the pharmacist is at fault?

That's for a judge to decide. The DEA has already said that pharmacists have a corresponding responsibility to fill legitimate prescriptions. If a doctor is prescribing fentanyl patches for hang nails, I don't think it's unreasonable to say that a dispensing pharmacist bears no liability.
 
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I think some people may be confusing criminal responsibility (ie responsibility to society) and personal, civil responsibility (responsibility to the individual). If you get addicted to something, obtain it in a criminal manner, you should not be able to receive any compensation for damages from your enablers because it was your choice to engage in that behavior.
 
I think some people may be confusing criminal responsibility (ie responsibility to society) and personal, civil responsibility (responsibility to the individual). If you get addicted to something, obtain it in a criminal manner, you should not be able to receive any compensation for damages from your enablers because it was your choice to engage in that behavior.
Note the "wrongful conduct" paragraph above.
 
If you take time to read the article you'll find that most of these people suing the pharmacies admit to criminal behavior. If you become a drug addict while breaking the law I fail to see how the pharmacist is responsible.

If you divert drugs, change the dosage and route (make it nasal or IV) contrary to the doctor's presrciption, or doctor/pharmacy shop you have no one to blame but yourself. The first step to recovery for an addict is taking responsibility for their own actions.

What will happen is these criminal addicts will take this money to fund their further criminal activities in the future.
 
Thank God for MICRA here in CA. lawsuits are allowed but the payout cap is $250k so no lawyer will even touch a case that requires $$$$ for expert witnesses and set up. There's a move to raise the cap, that's one way to combat excessive lawsuits, hopefully WV will consider that.
 
The court wrote that a jury can decide the extent to which the actions of a person engaged in criminal activity contributed to an alleged injury.

“Without question, our citizenry is best equipped to weigh and speak to our society’s tolerance for the panoply of wrongful conduct presented herein on all sides,” Workman wrote.
So these cases will go to a jury trial? I was on a jury panel once for an asbestos mesothelioma case. I was the only one with any sort of medical background. The rest were teachers, IT or office workers. We still came to a unanimous decision in favor of the defense (the asbestos manufacturer being sued) because there wasn't a "preponderance of evidence" to show that the manufacturer was negligent in preventing asbestos risks given the knowledge at the time.

Anyway, my point is even if these addicts sue pharmacies or doctors and it goes to a jury trial, it's far from a done deal. I have faith that the jury will use common sense and not find in favor of the plaintiffs.
 
Some days I just want to call the DEA and have them cancel my controlled substance permit.

The incriminating data here includes prescribing habits of doctors in relation to their peers. Is this data publicly available? Or only presented AFTER one has been charged a crime due to neglecting to take this mystery info into account?
Some days I just want to call the mafia on the DEA!

It's just Cowboys and Indians, cops and robbers, etc.
 
Juries are filled with individuals who are not smart enough to know how to get out of jury duty.
Was that a cheap shot at me? Seriously, I had no issues with doing jury duty. I still got paid my full pharmacist salary for the whole 2.5 wks to just sit and listen in the court, and there were plenty of other RPh to take care of my work while I was out. In fact, my older coworkers who have done jury duty many times say that's exactly why pharmacists and teachers often get picked. It was pretty interesting actually to learn how the justice system works and be a part of it.
 
Was that a cheap shot at me? Seriously, I had no issues with doing jury duty. I still got paid my full pharmacist salary for the whole 2.5 wks to just sit and listen in the court, and there were plenty of other RPh to take care of my work while I was out. In fact, my older coworkers who have done jury duty many times say that's exactly why pharmacists and teachers often get picked. It was pretty interesting actually to learn how the justice system works and be a part of it.

I don't take cheap shots...when I want to take a shot at you, you'll know it. 😉

And it is great that someone else could fill in for you while you were on jury duty- more power to you. For me, a 2.5 week jury duty would mean either (A) I've got 2.5 weeks of work to do when I returned, or (B) I've got 1.5 weeks of work to do when I returned, and only because I worked in the evenings to try not to fall too far behind.

Jury duty can work for some, and be a pleasant diversion from day to day drudgery. For others, not so much.
 
Was that a cheap shot at me? Seriously, I had no issues with doing jury duty. I still got paid my full pharmacist salary for the whole 2.5 wks to just sit and listen in the court, and there were plenty of other RPh to take care of my work while I was out. In fact, my older coworkers who have done jury duty many times say that's exactly why pharmacists and teachers often get picked. It was pretty interesting actually to learn how the justice system works and be a part of it.

Everywork place I've been at (both hospital and retail), only pay for jury duty if it falls during your scheduled shift (ie if you are working 2nd or 3rd shift, or even have a surgery schedule (like 5:00am), you are expected to work before or after your jury duty, and you are only paid for hours that you actually missed because of jury duty (ie you aren't paid for your driving time, you have to make that up.) That is excellent that you were actually paid for your jury duty, but most pharmacists can't expect the same.
 
It's amazing what people do when it comes to narcotics. Someone got into a heated argument with the pharmacist this week over a script that was denied. The funny part is that it was another CVS store that denied it and they just came in our store to b*tch about it to our pharmacist. They got pretty nasty.
 
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