Monday, September 13

Tom Coburn Hypocrit and Theocrat

Part two of an analysis of a Republican Senatorial Candidate from Oklahoma, who should not, under any circumstances, be elected. For background look one post below.
We are now going to look at the involuntary sterilization. Again from Salon.

Unsurprisingly, in proposing this legislation Coburn was careful not to raise his own case involving Medicaid fraud.

In the early hours of Nov. 7, 1990, Dr. Coburn was summoned to Muskogee Regional Medical Center to attend to a pregnant patient who had been admitted with severe pains. The patient was a 20-year-old woman in her third pregnancy. After each of her first two pregnancies, she had asked Coburn to perform a tubal ligation to ensure that she would not have any more children, but he had refused, according to his testimony, telling her that Medicaid did not cover elective sterilization for women under 21. "I told her that she was too young, that it was irreversible, that she needed to wait," Coburn recounted telling the patient in December 1989. "I also told her that [Medicaid] wouldn't cover it."

In this case it would appear that Coburn was the embodiment of a good country doctor showing all the concern he could for his young patient. It is clear that he was only interested in what was best for her, insofar as medicaid was not yet ready to pay for it. So the good doctor might be forgiven for the next chapter of the story
Coburn found that she had an ectopic pregnancy, in which a fertilized egg is implanted somewhere other than the womb. In this case it was in her left fallopian tube. Coburn operated, removing both the left tube and the unaffected right one. The woman subsequently filed a malpractice suit, charging that he had tied her healthy tube without her permission.

Coburn found that she had an ectopic pregnancy, in which a fertilized egg is implanted somewhere other than the womb. In this case it was in her left fallopian tube. Coburn operated, removing both the left tube and the unaffected right one. The woman subsequently filed a malpractice suit, charging that he had tied her healthy tube without her permission.

In his Feb. 27, 1992, deposition in the case, Coburn insisted that the woman had repeatedly asked him to remove the second tube. In fact, she had signed a written consent form for the operation to deal with the ectopic pregnancy, but had not signed a consent form for the second procedure. Coburn testified that he had asked a nurse to obtain that form and that he did not know why it had not happened.

The woman may very well have asked on numerous occasions to be sterilized, but hearsay cannot be notarized, and without the consent form you can not perform the procedure in this case and not be exposed to a lawsuit. And of course it is always nice if you have an underling or two to blame for your breech of practice. But as long as we can slip one past the goalie and get paid, right? And thank god that the woman did not show up so the case could be dismissed, and this whole thing just brushed under the rug.
"I did not dictate [the second procedure] because of her Title 19 status," he testified. "If I had dictated both, it would have been a sterilization procedure and she wouldn't have had it covered."
when the mans says did not dictate, what he means is that "I did not report that procedure, because if I did, medicaid would have not covered the procedure, and I might not have been payed the easy money." "Besides, she got what she wanted all along anyway, not that she had a chance to actually make the final decision, and possibly change her mind about sterilization, hell and I got paid right?"
After the operation Coburn admonished both the woman and her mother not to discuss it. "She asked me, since she was under 21, how did I tie her tubes -- since I told her I wouldn't and Title 19 wouldn't pay for it," Coburn said in the deposition. "I said I did it anyway and that she shouldn't talk about it because ... I did a procedure that was not recognized under Title 19 reimbursement." Thus Coburn admitted he had tried to silence his patient because he knew he was billing Medicaid illegally.
A man has gotta do what an entitled man must do. All those fancy things aren't cheap. The country club dues, car payments, the opulence that shows that you have arrived are part and parcel of the status attained, and if the rules have to be fudged to benefit my bank account, well come on, what is your complaint. I earned that money.

Salon could not reach Coburn for comment. His campaign manager, Michael Schwartz, said that he was not familiar with the case and that it was "way off the radar screen" because the case happened 12 years ago.

And this last statement "way off the radar screen" is priceless. So what he was caught with his hands in a government cookie jar as an adult male professional, but that should have no bearing whatsoever on his fitness to be an elected official. I mean after all, this guy was a three term congressman (who's constituents at the time where unaware of his criminal past). this is classic "It's OK as long as you are a republican.
One of the great legacies left behind by our dear leader is the idea that you can be a colossal fuck up for the majority of your life (Kerry has been in the Senate longer than george has been off the booze-If you buy his story) and it doesn't really matter because you can pawn off the entire decade of your thirties as a period of youthfull indescretion, of course as long as you are Republican.
Coburn, meanwhile, continues to spout off. Last week, he declared Oklahoma lagging in economic development because "you have a bunch of crapheads in Oklahoma City that have killed the vision of anybody wanting to invest in Oklahoma." His spokesperson could not explain who or what Coburn was talking about. What's more, Coburn proclaimed the Senate race a "battle of good vs. evil."
Now isn't that nice, I guess when you put it in those terms I can understand. You don't drop the E-Bomb on your opponent, unless, you know, he's the embodiment of evil. I guess that a good doctor with such a nuanced understanding of the world really should be sent to washington to grease the wheels of government and punish those freely elected "crapheads" that are keeping the good state down. Oklahoma please spare yourself the embaressment and send Rhodes Scholar Brad Carson to the senate, and send doctor cookie jar back to his medical practice.