Medical WhistleblowerNovember 2008Volume 3 Issue 11 Medical Whistleblower’s Canary Notes Inside this issue: The White Coat 2 –3 Barricade The Cost to the Crimi- 3 Witness Intimidation nal Justice System What is Intimidation? 4 Witness intimidation involves witnesses cru- cial to court proceedings being threatened in order to pressure or extort them not to testify. The Stalking Resource Center The term “witness” is used to refer both to vic-The National Center For Victims of Crime tims and to bystanders who could provide in- formation to police. The term “victim” is used to denote the victim of the initial crime. The For Victim Assistance, please call refusal of key witnesses to testify commonly renders a case with inadequate physical 1-800-FYI-CALL M-F 8:30 AM - 8:30 PM EST, evidence void in a court of law. This is a significant problem that has many lawmakers or e-mail firstname.lastname@example.org considering tough penalties for intimidating a witness as in example the state of Kansas, where it is a criminal misdemeanor, or, if found to be aggravated a felony. From NPR How common is witness intimidation? It is difficult to know because the crime is greatly National Public Radio under reported and also when intimidation is successful neither the intimidation nor the http://www.npr.org/templates/story/story.php? original crime are reported. Many witnesses drop out of the investigation process long storyId=4628606 before an indictment or court appearance. Witness intimidation plays a role in manyMay 3, 2005 · Rep. Elijah types of crime. Witness intimidation, however, is not the same as repeat victimization.Cummings (D-MD), former Although in both cases the same offenders may be responsible for multiple events, theirhead of the Congressional motives are different. In witness intimidation, the intent is to discourage the victim fromBlack Caucus, talked reporting a crime to police or from cooperating with prosecutors, whereas in repeat vic-about his efforts to combatwitness intimidation. He timization, the motive is often acquisitive.promoted legislation toprovide $90 million to help Medical Whistleblowers who witness criminal activity or have been victimized by a crimelocal police forces protect are sometimes reluctant to come forward and report incidents to police or to assist in thewitnesses to crimes who prosecution of offenders. In the medical community there are generalized communityfeel threatened by the norms that discourage doctors, nurses and other medical professionals from cooperat-accused criminals. ing with a criminal investigation.
Page 2 Medical Whistleblower’s Canary Notes Volume 3 Issue 11The White Coat BarricadeWithin the nursing community this witness intimidation has led to what has been called theWhite Coat of Silence - nurses keeping silent about mistakes done by doctors or otherhospital staff. Within the doctor’s network which frequently includes upper management atthe hospital or administrative level of the organization or even collaboration with the StateMedical Board, this is called the White Coat Barricade because it entails also the authorityover medical licensing not just silence at the level of co-workers within the hospital. Manytimes the criminal offenders in the medical community have close social and professional ties with upper management ofthe hospital, the National and State Medical Associations, the State Medical Boards and even local and state govern-mental officials. Within the academic medical community threats against tenure or promotion are commonly used andin the medical research community the threats are often related to limiting grant funding or access to research facilities.Within a hospital or medical research setting intimidation can entail direct threats or violence to discourage a particular doctor, nurse or researcher from providing information to the investigators on a particular case. In cases of corruption of hospital management and direct fraud, through the hospital’s own bill- ing system, the intimidation can be a wide spread problem. In these types of cases the bullying and workplace hostility create a general sense of fear that settles over the work environment like a blanket and causes all hospital or research staff to be silenced. Even if the intimidation is nei- ther violent nor life-threatening, the very threat of a reprisal to a doctor can mean severe com- promise of his/her career. Medical professionals must work in an environment that demands pa- tients trust them. Anything that erodes that trust in the doctor-patient relationship will impair the nurse’s or doctor’s ability to practice.Threats are much more common than actual physical violence and are in fact just as effective in deterring cooperation.Some witnesses may experience only a single incident of intimidation, but others experience a pattern of intimidation ofescalating series of threats and actions that become more violent over time. The example of one person successfullyretaliated against, has a chilling effect on the cooperation of all other witnesses. Those who may hear of the intimidationmay then decline to cooperate because they fear retaliation. The removal of one doctor’s medical license or significantimpairment of his/her ability to practice, creates an atmosphere of fear will deter other medical personnel from cooperat-ing with law enforcement. Snitches Get Stitches Youth Gangs and Witness Intimidation in Massachusetts http://www.ncvc.org/ncvc/main.aspx? dbName=DocumentViewer&DocumentID=42548 Creating an Effective Stalking Protocol Developed by the National Center for Victims of Crime in conjunction with the U.S. Depart- ment of Justice Office of Community Oriented Policing Services for law enforcement agencies seeking to improve their responses to stalking. It focuses on the need to establish collaborative partnerships with the community and to develop protocols for early interven- tion, preventive action, and proactive problem-solving in stalking cases. http://www.ncvc.org/ncvc/main.aspx? dbName=DocumentViewer&DocumentID=32560 Stalking POP Guide Developed by the National Center for Victims of Crime and funded by the Office of Community Oriented Policing Services, U.S. Department of Justice, this Problem Oriented Policing guide contains practical, field-tested guidance on stalking preva- lence, prevention, and effective responses. http://www.ncvc.org/ncvc/main.aspx?dbName=DocumentViewer&DocumentID=35207
Medical Whistleblower’s Canary Notes Volume 3 Issue 11 Page 3The White Coat Barricade (Continued)Since many acts of intimidation are committed at a witness’s home, workplace, or school,or during the normal course of the witness’s daily activities, minimizing the opportunitiesand avenues by which witnesses come into contact with offenders can reduce the inci-dence of intimidation. This becomes extremely difficult if the Medical Whistleblower is re-porting someone on the staff, in upper management, or in a governmental position. Nui-sance phone calls are a particular problem for doctors and medical professionals, whoneed to be on call for their critical patients, or who need to have contact with the public intheir routine workday. Withdrawing from social contact may increase the witnesses’sense of safety but drastically alter their professional life and isolate them from emotionalsupport.Under the current system of Medical Quality Review in which any person can make ananonymous complaint against a doctor, nurse or medical professional, criminals oftenmake fabricated complaints and then have their own identity protected by immunity while Research in Brief, Thethe false allegations cause an undercover investigation of the medical witness. Thus the Rights of Crime Victims -very system supposed to protect the public from bad doctors has the exact opposite effect Does Legal Protection Make a Difference? You may alsoof protecting the criminals and intimidating the Medical Whistleblowers. Law enforcement request a copy of the Re-agencies always contact the State Medical Board regarding any criminal matter affecting a search in Brief, The Rights ofmedical professional, thus alerting anyone on the State Medical Board and their friends Crime Victims - Does Legal Protection Make a Differ-that an investigation is in progress, this is akin to the police dragging a witness in an inner ence? (NCJ 173839, 11city neighborhood out into the street and interrogating him/her in front of gang members. pages) from the National Criminal Justice Reference atThe Cost to the Criminal Justice System 1-800-851-3420. At this 800 number you can also use the automated NCJRS Fax-on-The costs of witness intimidation to the criminal justice system include wasting significant Demand service to have a copy faxed directly totime and resources spent by the police, inability to protect the public, suspects not being you. http://www.ncvc.org/charged, and cases abandoned or lost in court. In illegal drug trafficking, organized crime,gang, money laundering and violent crimes, intimidation is common. But it is also preva-lent in cases of hate crimes, domestic violence, sexual crimes, harassment, prostitutionand sex offenses. Intimidation has also been linked to drug diversion, substance abusetreatment fraud, guardian abuse, and large scale medical fraud. Intimidation is less likelyin property crime such as burglary. Intimidation usually takes place where law enforce-ment has little ability to do surveillance and protection such as at the witness’s home,while the witness is at school or at work, or while the witness is doing daily chores or go-ing to a social event. But witnesses are also intimidated at crime scenes, at the policestation and even on the witness stand. Once a suspect has been charged and arrestedthe likelihood of intimidation increases. So it is crucial to protect witnesses from intimida-tion in order to curtail crime.
Medical Whistleblower The information contained through the Medical Whistle- blower Canary Notes Newsletter is provided for general information only. The information provided by the Medial Dr. Janet Parker Whistleblower Canary Notes does not constitute legal or P.O. Box C professional advice nor is it conveyed or intended to be con- Lawrence, KS 66044 veyed in the course of any adviser-client discourse, but is Phone: 360-809-3058 intended to be general information with respect to common Fax: None issues. It is not offered as and does not constitute legal or E-mail: MedicalWhislteblower@gmail.com medical advice or opinion. It should not serve as a substitute for advice from an attorney, qualified medical professional, social worker, therapist or counselor familiar with the facts We are on the Web! of your specific situation. We encourage you in due diligence MedicalWhistleblower.googlepages.com to seek additional information and resources before making any decision. We make no warranty, express or implied, concerning the accuracy or reliability of the content of this newsletter due to the constantly changing nature of the legal Supporting the Emotional Health of All Whistleblowers and medical aspects of these issues . and their Friends, Supporters and Families. What is Intimidation?Legal Series Bulletins Created The courts have attempted to balance the witness safety ver-for the Office for Victims of sus a defendant’s Sixth Amendment right to cross-Crime, Office of Justice Pro-grams, U.S. Department of examination. Many court opinions have emphasized the rightsJustice, these bulletins provide granted to defendants by the Sixth Amendment of the Constitu-crime victims with clear and con-cise information about key legal tion. As many crime victims can attest, the criminal is oftenissues: afforded more rights by the justice system than the victim. Thishttp://www.ncvc.org/ncvc/ is even more evident in cases of being victimized in a medical workplace. The State MedicalStrengthening Antistalking Stat-utes Board presumes the public has the right to anonymity for any and all complaints against a medical practioner. In attempting to prove allegations against the whistleblower false, Medi-The Crime Victim’s Right To Be cal Whistleblowers run into a system that lack of Due Process protections at the level of PeerPresent Review or the State Medical Board. Medical Whistleblower intimidation can include:Enforcement of ProtectiveOrders Confronting witnesses verbally, Implicit Parking or loitering outside the homes of wit-Restitution: Making It Work threats, looks, or gestures nesses,Ordering Restitution to the CrimeVictim Explicit threats of violence, Actual physical Damaging witnesses’ houses or property, violence, property damage,Victim Input Into Plea Threatening witnesses’ children, spouses,Agreements Threats to revoke medical licenses, child cus- parents, or other family members, killing orPrivacy of Victims? Counseling tody or immigration status injuring pets, assaulting or even murderingCommunications witnesses or their family members. Making nuisance phone calls, Sending notes