August 23rd, 2016

Should Trump’s Doctor Be Sanctioned for Fraud?

Dr. Harold Bornstein

Dr. Harold Bornstein

With the health of the two presidential candidates, aged 68 and 70,  in the news, it’s worth revisiting the statement given out by Donald Trump’s gastroenterologist, Dr. Harold Bornstein. You may remember this from last December for its comical and very Trumpian statement:

“If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency”  (Full letter)

Yeah, that Harold Bornstein. Dr. Jen Gunter did a full, line-by-line, deconstruction of the letter at the Huffington PostI’m A Doctor. Here’s What I Find Most Concerning About Trump’s Medical Letter.

Well, it turns out the letter was even worse than Dr. Gunter thought. And that is because of the signature block, where Dr. Bornstein signs his name with “F.A.C.G.”

Bornstein Signature block

That stands for Fellow of the American College of Gastroenterologists. In order to be a Fellow, one must be board certified and pay your dues to the organization. And being board certified is a very big thing for doctors, since it entails taking a grueling test to show that you have the knowledge to be an expert in your field.

The gastroenterology boards are a subspecialty of internal medicine.

But as Rachel Madow learned, after being tipped by one of her viewers, that membership in ACG actually lapsed in 1995 — 21 years ago. And according to the American College of Gastroenterologists, he shouldn’t be claiming he is a member of the organization if he is no longer a dues paying member of the organization.

Yet Dr. Bornstein continues to use those initials after his name.

Dr. Bornstein, incredibly, responded to Madow’s request for comment and said that:

F.A.C.G. is a title that they sell for a fee; in reality it has no value.

He then went on to explain to Madow that he would continue to use this title that “has no value.”

Now that I have given you the past, let me stand on the shoulders of Gunter and Madow to go further with some facts and opinion: What he is doing is fraud.

The website for the New York State Department of Health, gives examples of medical fraud:

Examples of Medical Fraud

  • False and intentionally misleading statements to patients.
  • Submitting false bills or claims for service.
  • Falsifying medical records or reports.
  • Lying about credentials or qualifications.
  • Unnecessary medical treatment or drug prescription.

You can see the one that I highlighted. I posted all of the ones listed so that you can see the significance of the infraction. Not significant to me as someone tossing around opinions, but to the Department of Health.

Is this something that the Department’s Office of Professional Medical Conduct (OPMC) should be investigating? Maybe.

I called Douglas M. Nadjari for an opinion, he being an attorney who represents physicians primarily involving matters of professional misconduct before the Office of Professional Medical Conduct and the Office of Professional Discipline.

While not discussing Bornstein/Trump in particular, since he doesn’t have knowledge of the facts, he said that investigation and charges of professional misconduct could theoretically be pursued regarding a physician with a false credential for:

  • False advertising; and
  • Practicing the profession fraudulently
  • Lack of moral fitness

If the doctor were indeed board certified, OPMC would not pursue discipline unless it received a complaint or if a patient was injured.  If one of those two things happened, he would likely be asked to consent to an interview and be asked to change his ways.

The kicker for me, though is that he apparently already knows what he is doing is wrong. And has refused to change it.

 

 

February 17th, 2012

Medical Ethics and Law

This question comes courtesy of Houston criminal defense attorney Mark Bennett at Defending People:

When can a doctor perform a nonconsensual and medically unnecessary sedation and proctoscopic exam on a criminal suspect? The question is not academic, but comes from the Fifth Circuit Court of Appeals in US v. Gray.

The police got a search warrant on Gray, believing he’d concealed cocaine in his rectum. The Court found that “the search was unreasonable but that the evidence should not be suppressed because the police acted in good-faith reliance on a valid search warrant.”

But a question lingers. Why did the doctor, a hospital’s trauma medical director, do it? And did he violate his Hippocratic oath in the process? He performed a medical procedure on a patient without his consent, that was not medically necessary and not medically beneficial.

I’m not sure how many docs are still part of my readership, but it sure would be interesting to see their views on this….maybe Kevin, M.D., Grunt Doc, Movin’ Meat or Dr. Wes (or anyone else) might want to weigh in.