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Ohio doctor under investigation after dozens of patient overdose deaths

February 20, 2019 CNA Daily News 0

Columbus, Ohio, Feb 20, 2019 / 04:36 pm (CNA).- A doctor at a Catholic health system in Ohio has been fired after being accused of prescribing excessive doses of drugs to at least 30 ailing patients, some near death and some not. The accusations have also prompted the suspension of 20 hospital staff and over a dozen lawsuits alleging wrongful death.

Mount Carmel Health System fired Dr. William Husel from his job on Nov. 21, 2018, accusing him of prescribing excessive pain medicine to 34 patients in the intensive care unit. All of the patients died over the period of 2015-2018, the Columbus Dispatch reports.

“We are sorry for this tragedy, and we will continue to investigate how we responded to this report and whether there is any other information that should have led us to investigate sooner into Dr. Husel’s practices,” Edward Lamb, president and CEO of Mount Carmel Health System, said Jan. 24.

In a previous Jan. 14 statement, Lamb said the doctor’s actions were “unacceptable and inconsistent with the values and practices of Mount Carmel, regardless of the reasons the actions were taken.”

“We take responsibility for the fact that the processes in place were not sufficient to prevent these actions from happening,” he said.

The hospital said it received a formal report about the apparent behavior on Oct. 25 of last year. An employee reported the behavior out of safety concerns. The hospital said it knows of three deaths that took place from the time it received the report about Husel to the time it fired him.

Of the 34 patients who received overdoses of the drugs under Husel, 33 died at Mount Carmel West primary care hospital in Columbus, while one died at Mount Carmel St. Ann’s in Westerville. The hospital believes a few of these deaths were not caused by the overdoses.

Mount Carmel Health System is the second-largest non-profit Catholic healthcare system in the state. It is a member of the Michigan-based system Trinity Health.

Husel treated patients taken to the ICU for various reasons, including respiratory problems, infections, and gallstones. Some families said their loved ones were not terminally ill and they would have questioned the use of the medication administered under the doctor’s orders.

The Franklin County Prosecutor’s Office and Columbus police are investigating but no formal charges have been filed, NBC News reports.

The Ohio State Medical Board suspended Husel’s medical license in January.

Many of the details of the alleged victims come from lawsuits, court filings, and plaintiffs’ attorneys.

In one case, lawyers with the Leeseburg & Valentine law firm said, the doctor ordered a large dose of fentanyl – an opioid – and midazolam – a sedative – to be administered to 57-year-old Michael Walters just minutes before the patient died.

Walters had resided at a nursing home for several years after a stroke. He was admitted to the hospital on Oct. 6, 2017 suffering from respiratory failure and brain swelling, and was placed on a breathing machine. Late on Oct. 10, his family was persuaded to change his status to do-not-resuscitate. He died the next day.

The family members of Janet Kavanaugh, 79, have filed a lawsuit against the doctor and the hospital. They said she received a lethal dose of fentanyl and pronounced dead 18 minutes later.

Lawyer Gerry Leeseberg, who filed the suit on behalf of Kavanaugh’s estate, said she had not consented to the high dose. He was not aware whether she had previously been given the drug for pain relief, NBC News reports.

“We’re concerned some of these families were misled into granting a do-not-resuscitate order,” Leeseberg said.

CNA sought comment from the Diocese of Columbus but did not receive a response by deadline.

The hospital released a statement and an apology on Jan. 14, the same day a patient filed a lawsuit. It removed 20 employees from patient care pending the results of its investigation, including nurses who administered the drugs and pharmacists.

Lamb, the health system head, said Jan. 24 that based on the initial report, the hospital system “should have begun a more expedited process to investigate and consider immediate removal of Dr. Husel from patient care at that time.”

More patients might be discovered as the investigation continues, he said.

According to Lamb, clinicians must provide “complete and clinically accurate” information about a patient’s condition, potential treatments, likelihood to recover and options for care. The investigation will determine whether this was the practice for the treatment of each of the patients.

“These events are heartbreaking,” said Lamb. “We are committed to being open and honest about what happened and what we are doing to ensure it never happens again.”

He pledged to respect the privacy and rights of those involved in accordance with privacy laws and to continue to cooperate with law enforcement and other relevant authorities.

For many of the patients, the doctor was able to use emergency overrides to bypass safeguards in the medication system. He was also able to avoid required pharmacist pre-approval.

A review from the Ohio Department of Health faulted the two hospitals for failing to ensure a system to prevent overrides that access large doses of “central nervous system” medications, the Columbus Dispatch reports.

The reports have already caused federal authorities to tell two hospitals in the health system they were non-compliant with Medicare standards for pharmaceuticals. They warned that the hospitals’ Medicare provider agreement would terminate on Feb. 24. Hospital leaders later agreed to a corrective plan and state oversight to ensure compliance.

 

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Supreme Court rejects appeal to make Texas bishops release abortion communications

February 20, 2019 CNA Daily News 0

Washington D.C., Feb 20, 2019 / 06:30 am (CNA).- The Supreme Court has rejected an appeal in the case Whole Woman’s Health v. Texas Catholic Conference et al, in which the abortion provider sought to force the Catholic bishops of Texas to hand over all internal communications related to abortion.

 

The Feb. 19 decision was the last in a series of setbacks for Whole Women’s Health as they tried to compel a massive disclosure of in-house documents by the Church in Texas, in response to the bishops’ support for a law which would require the burial or cremation of all aborted children.

 

In a statement released to CNA, the Texas Conference of Catholic Bishops welcomed the decision by the Supreme Court which, they said was a vindication of their religious freedom rights.

 

“The bishops are very grateful the Supreme Court has upheld the ruling of the Fifth Circuit, which protects the private religious communications of the bishops from a fishing expedition by abortion providers seeking access to our ministry information,” said the statement.

 

A 2017 law passed in Texas required that the remains of unborn children must be buried or cremated rather than disposed of by other means, including be flushed into the sewer system or sent to landfills.

 

At the time the law was passed, the Texas Catholic Conference of Bishops (TCCB) voiced their support for the legislation and offered free burials for the remains of aborted babies.

 

Whole Woman’s Health responded by subpoenaing the bishops and demanded access to all internal communications regarding abortion, including any theological and doctrinal debates on the issue. The subpoena was filed despite the bishops not being party to the suit.

 

The Texas bishops released more than 4,000 pages of external communications on abortion, but applied for emergency relief to preserve their private correspondence.

 

In July 2018, a three-judge panel of the Fifth Circuit Court of Appeals overruled the trial court’s application of the subpoena, and the full court declined to hear the case in August. Whole Women’s Health then applied to the Supreme Court, which rejected the appeal on Tuesday.

 

In the Fifth Circuit Court’s decision, the judges described the subpoena as going “to the heart of the constitutional protection of religious belief and practice as well as citizens’ right to advocate sensitive policies in the public square.”

 

The court said that the Catholic bishops were left with a “Hobson’s choice” of either “retreating from the public square or defending its position.”

 

The Becket Fund for Religious Liberty, which represented the Texas bishops in the case, released a statement praising the outcome.

 

Eric Rassbach, vice president and senior counsel at Becket said in the statement that the court “saw this appeal for what it was: a nasty attempt to intimidate the bishops and force them to withdraw their offer to bury every child aborted in Texas.”

 

“Abortion groups may think the bishops ‘troublesome,’ but it is wrong to weaponize the law to stop the bishops from standing up for their beliefs,” he said.

 

In an earlier comment on the Fifth Circuit’s decision, Rassbach noted that “Constant surveillance of religious groups is a hallmark of totalitarian societies, not a free people.”

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Notre Dame rescinds McCarrick’s honorary degree

February 19, 2019 CNA Daily News 1

South Bend, Ind., Feb 19, 2019 / 05:52 pm (CNA).- The University of Notre Dame has rescinded the honorary Doctor of Laws (LL.D.) degree it conferred on former Cardinal Theodore McCarrick in 2008, becoming the latest of a growing number of schools who h… […]

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Notre Dame rescinds McCarrick’s honorary degree

February 19, 2019 CNA Daily News 0

South Bend, Ind., Feb 19, 2019 / 05:52 pm (CNA).- The University of Notre Dame has rescinded the honorary Doctor of Laws (LL.D.) degree it conferred on former Cardinal Theodore McCarrick in 2008, becoming the latest of a growing number of schools who have rescinded honorary degrees from the defrocked former archbishop.  

“The Vatican has announced the conclusion of the adjudicatory process against former Cardinal Theodore McCarrick, finding that he transgressed his vows, used his power to abuse both minors and adults and violated his sacred duty as a priest,” said the University of Notre Dame in a statement posted to its website on Saturday, the day McCarrick was laicized, or removed from the clerical state.  

“In accord with University President Rev. John I. Jenkins’ statement of Aug. 2, 2018, the University of Notre Dame is rescinding the honorary degree conferred in 2008.”

In August, Jenkins said that the school would revoke the degree if McCarrick were found guilty at the conclusion of his canonical process, but would hold off on a decision until that point.

McCarrick, who was Archbishop of Washington until his retirement in 2006, was found guilty on Saturday of charges of sexually abusing adults and minors, as well as soliciting sex from the confessional. Prior to his laicization, he was forbidden from public ministry and had been sentenced to a life of prayer and penance while the canonical process was ongoing. He is currently living at a friary in Kansas.

In July 2018, he resigned from the College of Cardinals after the Archdiocese of New York received two credible and substantiated claims that he had abused minors.

After these allegations were made public, it was revealed that the Archdiocese of Newark and the Dioceses of Metuchen and Trenton had paid two settlements to men who had been abused by McCarrick when they were adult seminarians in New Jersey. More people came forward throughout the summer of 2018 to describe a culture of abuse and sexual harassment that permeated seminaries in New Jersey while McCarrick was the Bishop of Metuchen and Archbishop of Newark.

During his time as a bishop, McCarrick was awarded honorary degrees by more than 30 colleges and universities from around the world. Since June, a number of universities have rescinded honorary degrees they had conferred upon McCarrick.

His honorary degrees from Fordham University, Catholic University of America, College of Mount Saint Vincent, Siena College, University of Portland, and University of New Rochelle were all rescinded in 2018 after he resigned from the College of Cardinals. Georgetown University is currently reviewing whether or not to rescind the Doctor of Humane Letters it conferred on McCarrick in 2004. Providence College has rescinded the degree it gave McCarrick in 1987. St. John’s University, which conferred an honorary degree in 1974 did not respond to CNA’s request for comment in time for publication.

Until Monday, the only other honorary degree that the University of Notre Dame had rescinded was an LL.D. the school conferred on comedian Bill Cosby in 1990. The school rescinded the degree after Cosby was convicted on numerous sexual assault charges in 2018 and sentenced to 3-10 years in prison.

 

Ed. note: CNA initially reported that Providence College did not respond to an inquiry regarding McCarrick’s honorary degree. Subsequent to publication, Providence confirmed to CNA that it had rescinded McCarrick’s degree.

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Why the USCCB is speaking out against payday loan rule rollbacks

February 19, 2019 CNA Daily News 0

Washington D.C., Feb 19, 2019 / 04:43 pm (CNA).- The Consumer Financial Protection Bureau on Feb. 14 officially proposed to rescind a rule to protect borrowers from predatory lending, prompting concern from Christian groups nationwide that the CFPB may weaken existing protections against loan sharks.

Catholic Charities USA and the United States Conference of Catholic Bishops joined a coalition of Christian groups to sign a letter last week expressing concern that rescinding the so-called “small dollar lending rule” could harm low-income borrowers.

“We encourage you to take this opportunity to strengthen, not weaken, the rule,” the letter reads, penned by the group Faith for Just Lending.

“The rule as finalized seeks to protect vulnerable individuals and families in time of financial crisis from debt traps designed around their inability–as opposed to ability–to repay their loan…We believe that the rule was a step in the right direction, but more must be done.”

The “small dollar lending” rule, which the financial agency announced in Oct. 2017, was designed to protect financially vulnerable consumers from annual interest rates of up to 300 percent on so-called payday loans and auto title loans. The bureau announced Feb. 6 that it seeks to delay the rule’s implementation until 2020 and remove key requirements on lenders.

Though an estimated 12 million customers use small-dollar loans each year, the agency has long chronicled the risks these loans pose to the vulnerable. Faced with having to repay a loan along with high interest and fees, borrowers risk “defaulting, re-borrowing, or skipping other financial obligations like rent or basic living expenses such as buying food or obtaining medical care,” according to the CFPB.

Many borrowers will end up repeatedly rolling over or refinancing their loans, racking up more debt in the process and possibly running the risk of having their vehicle seized, the bureau says.  

The new rule would have required lenders to conduct a “full-payment test” to determine upfront that borrowers can afford to repay their loans within two weeks or a month without re-borrowing. It also would have capped at three the number of loans that could be given in quick succession, the CFPB said in its Oct. 2017 release.

The U.S. bishops’ conference and others said that the finalized rule would have also contained a loophole to allow customers to take out six successive 300% interest loans under certain conditions.

“This sanctioning of usurious loans not only contradicts our own faith traditions, but also contradicts the CFPB’s own reasoning laid out in its rule,” the Feb. 15 letter says.

“The CFPB recognizes in its proposal the harmful consequences of unaffordable loans, such as defaulting on expenses or having to quickly re-borrow. By the CFPB’s own reasoning, allowing six loans in a year in rapid succession, as exceptions to the assessment of a borrower’s ability to repay, is too many.”

The letter notes that Scripture provides guidance for “honorable lending and borrowing,” which includes the principles of not taking advantage of the weak, not charging usurious interest, and seeking the good of the other person.

The Catechism of the Catholic Church condemns usury as theft and a violation of the Seventh Commandment, specifically mentioning the “forcing up prices by taking advantage of the ignorance or hardship of another.”

“A business that targets vulnerable people with a product that leaves most of its customers worse off does not contribute to the common good,” the letter says.

Bishops throughout the U.S. have decried the use of payday loans, and have backed legislation which would restrict the effect these loans on have on the borrowers.

In November of 2013, Bishop Stephen Blaire of Stockton, then-chair of the committee on domestic justice and human development for the U.S. bishops’ conference, wrote the head of the Consumer Financial Protection Bureau about payday lending abuses, calling such lending immoral because it “preys on the financial hardship of poor and vulnerable consumers, exploits their lack of understanding, and increases economic insecurity.”

Bishops elsewhere have fought for payday loan reforms, like in Texas, where the state’s Catholic Conference has pushed for regulations at the state legislature.

Dr. Robert Mayer, a professor of political theory at Loyola University Chicago, told CNA in a 2016 interview that regulations on payday lenders could successfully curb lending abuses, but they could also carry adverse consequences for some people needing a fast line of credit, including perhaps those who have successfully paid off such loans in the past without incurring large amounts of debt.

This is where the Church and faith-based organizations could step in to help those who need emergency cash at a low cost, including local St. Vincent DePaul societies and Catholic Charities branches.

Local Catholic Charities in places like Salina, Kansas already have offices that can help customers refinance their debt after falling into a cycle of predatory lending. Catholic Charities in Kansas started a program in 2016 that provides small, low interest loans, with a maximum of a $1000, so that people who do have an immediate need are able to borrow funds.
 

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