In a shocking exposé by The Daily, speakers Sabrina Tavernise, Katie Thomas, and Lauren Lavelle, along with Yulia Navalnaya, divulge the disturbing trend of unnecessary and potentially harmful medical procedures being carried out by doctors for financial gain. This investigation, conducted by The Times, sheds light on how compensation structures within the healthcare system are incentivizing doctors to perform more surgeries, thereby putting profits over patient well-being, as seen at Bellevue Hospital's controversial bariatric surgeries.
The troubling revelation is further personified by the painful journey of a Boise family, whose baby girl, June, experienced serious complications following a tongue-tie procedure. With an emphasis on medical ethics and the exploitation of patient trust, this episode highlights the lack of stringent oversight that allows such dangerous practices to flourish, and questions the effectiveness of legal deterrence in the face of the lucrative business of medicine. Join The Daily for a deep dive into these murky waters of the healthcare industry, revealing a domain where the line between healing and harming becomes dangerously blurred.
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The Times has conducted an investigation revealing a significant increase in unnecessary and harmful medical procedures carried out by doctors for profit. These practices are not only endangering patients but also lining the pockets of healthcare providers. Doctors' compensations are often linked to the volume and complexity of the procedures they perform, creating a financial incentive to conduct more surgeries. Bellevue Hospital has been spotlighted for its high rate of bariatric surgeries, often on patients who may not fit the criteria for such an intensive medical intervention.
Medical device companies are accused of encouraging unnecessary surgeries to boost sales of their products. They provide loans for equipment and sponsor events to recruit doctors into performing profitable surgeries. For example, a Boise dentist is using a laser from a device company for tongue-tie procedures, raising ethical concerns over medical decision-making. Misinformation and fear of litigation also contribute to this trend, as seen with Dr. Jihad Mustafa, a proponent of atherectomies. His advocacy and practice have led to numerous patients experiencing severe outcomes such as limb loss, igniting debates on the need for stricter regulations and oversight.
Lauren Lavelle from Boise experienced distressing complications with her baby June after being advised by a lactation consultant and a dentist to undergo a tongue-tie procedure. Following unsatisfactory breastfeeding, lactation consultant Melanie Henstrom diagnosed June with a tongue-tie and recommended a deeper cut with a dental laser. Dr. Samuel Zink then performed the procedure, also diagnosing June with a lip tie, leading to the baby's severe mouth sore and further feeding issues.
Despite the alarming outcome and a $600 expenditure for treatment, Lauren's concerns were not adequately addressed. Henstrom defended her practices by citing satisfied customers but evaded further inquiry. Dr. Zink did not respond to requests for comment and stated to the Dentistry Board that the procedure on June was uneventful, contrasting the complications that June suffered.
The increase in surgeries for profit demonstrates a concerning exploitation of the lack of oversight and the trust patients place in their doctors. There is often an assumption that doctors have the necessary and appropriate training for the surgeries they perform; however, the reality is that oversight and regulation of this training is not as robust as many expect. Furthermore, while the threat of medical malpractice lawsuits is thought to hold doctors accountable, limitations within the legal system, including statutes of limitations, weaken this form of deterrence.
Even when doctors such as Dr. Jihad Mustafa are held accountable, the financial penalties they face, like a $25,000 fine, may be insignificant compared to the profits generated from the surgeries they promote and perform. Such nominal fines pose a limited financial deterrent relative to the income these procedures can yield, potentially encouraging healthcare providers to continue unsafe medical practices driven by profit rather than patient care.
1-Page Summary
An investigation by The Times has highlighted a worrying trend in the medical field where doctors are performing unnecessary medical procedures that not only harm patients but also generate substantial profits for the physicians and hospitals involved.
The probe revealed how financial incentives are playing a critical role in the uptick of unwarranted medical procedures. A problematic pay system ties doctor's compensation to the volume of procedures, their complexity, and ultimately their profitability.
Specific instances include Bellevue Hospital, which has been likened to an assembly line for bariatric surgery, a serious surgical intervention designed for weight loss. Despite claims by Bellevue Hospital that their practices are extending care to patients who would otherwise not have access, findings show the program processes an unusually high number of surgeries, including on patients who do not meet the qualifications for the procedure.
Medical device companies are also implicated in the push for unnecessary surgeries. They stand to benefit significantly by creating a demand for procedures that require their products, thereby boosting their sales. Tactics used by these companies include offering loans to doctors for surgical equipment purchases and funding clinics to expand the services they offer. On the marketing front, companies sponsor trainings and conferences like "Tongue Ties and Tequilas" to educate and recruit dentists into performing lucrative procedures.
In Boise, a dentist has taken to using a laser obtained from a device company to perform tongue-tie procedures. These practices raise serious questions about the ethical underpinnings of medical decisions and the integrity of patient care.
In addition to financial incentives, misinformation and fear of l ...
Doctors increasingly performing unnecessary, harmful medical procedures
A lactation consultant and a dentist were involved in a tongue-tie procedure for a Boise family's baby, leading to serious complications.
Lauren Lavelle from Boise sought help from a lactation consultant named Melanie Henstrom for her baby June's difficulty breastfeeding. After a simple initial procedure suggested by a pediatrician didn't improve June’s breastfeeding, Henstrom diagnosed over the phone that June needed a further tongue-tie procedure involving a deeper cut using a dental laser. The consultant claimed that not correcting the issue could lead to a multitude of health problems.
The Lavelles were then advised by Henstrom to visit Dr. Samuel Zink, a dentist who diagnosed June with not only a severe tongue tie but also a new issue, a lip tie. Dr. Zink insisted that both needed to be cut with the laser surgery.
Post-procedure, Lauren Lavelle noticed June was inconsolable, screaming, and gagging, which Lauren instinctively feared. Despite paying $600 for the treatment, Ju ...
Story of Boise family whose baby endured harmful tongue-tie procedure
The financial incentives and prevalence of surgeries pose concerns about doctors potentially exploiting both a lack of oversight and patient trust in the medical community.
Despite hospitals sometimes having rules about the required education for doctors performing surgeries, there tends to be less regulation and vetting of the training materials they use than is commonly expected. This discrepancy may give rise to situations where trust in a doctor's qualifications and the assumption of thorough oversight might not be as well-founded as patients believe.
The fear of medical malpractice lawsuits is often believed to hold doctors accountable for their actions. However, this accountability is not always realized due to factors such as statutes of limitations, which can undermine the effectiveness of legal deterrents. Consequently, clinicians may continue practices that are not in the best interest of patients without facing significant repercussions.
When accountability does occur, such as in the case of Dr. Jihad Mustafa being fined $25,000 by state investigators, the penalty ma ...
Doctors exploit lack of oversight and patient trust
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