There aren't too many great days for patient safety in state capitols, where the medical establishment tends to rule the roost through the power of its political giving and tentacles. But Monday was a great day for patient safety in Sacramento, when powerful testimony reminded legislators of the human cost of inaction.
The medical establishment is now on the defensive. A Medical Board overhaul is in the air. Debate is turning to the government not protecting patients enough.
Will the clarity these courageous families brought to the failure of California's laws to protect patient safety grow or wither in the coming days? It's up to us, but I think it will grow.
Carmen Balber and I asked in an opedin Monday morning's San Francisco Chronicle whether it wasn't time to pull the plug on the current physician-run medical board. We wrote:
For decades, the medical board has failed to identify dangerous practice patterns, such as over-prescribing, which should trigger investigation. In fact, the board only acts on complaints by consumers, and then rarely. Once an investigation is begun, it takes years to resolve, too long for patients who may be at imminent risk of harm.
When prosecuted, an enforcement case can stagnate in five layers of review. Sadly, little other deterrence exists to medical negligence.
Those listening to the tragic stories in Sacramento this week could not help but understand the human consequences of such inaction. Sons, daughters, brothers, uncles lost. Preventable deaths.
All because the California Medical Association and the state medical board it controls won't agree to a $9 increase in physician license fees -- the cost of two cappuccinos -- for workers to find overprescribing doctors in a state database. And due to the grip of this medical establishment over our regulators and the legal system -- where families who lose nonwage earners to dirty doctors cannot get legal representation due to a 38 year-old cap on their recovery.
We called for these changes in Monday's Chronicle.
A true overhaul of physician discipline would move complaint investigators into the attorney general's office to work hand in hand with prosecutors and would create a public-member majority on the medical board.
Real reform should also include mandatory random drug testing of high-risk surgeons and physicians - as is mandated now for bus drivers, college athletes and pilots. Finally, the state's 38-year-old limits on the rights of injured patients need to be revisited, too. It's time for the public to take the power back for itself.
It's Wednesday morning. Eyes are wide open. And we are a lot closer to patients taking power back than we were before.