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Date Posted: 08:05:51 02/22/03 Sat
Author: rujane
Subject: Re: Do you think that this might have something to do with the high cost of medical malpractice insurance?
In reply to: zuwahrah 's message, "Do you think that this might have something to do with the high cost of medical malpractice insurance?" on 13:54:09 02/21/03 Fri


The case involved the daughter of an immigrant couple who paid a smuggler to get them into the US illegally so that they could try to access medical care that was not available to them in Mexico. They had heard that the best opportunity for a transplant was at Duke. A local man heard about their situation and raised the money for the transplant. The nature of accessing transplanted organs (you basically don't get a lot of notice when one is becoming available) is quick and apparently a clerical error was made in the blood type, which did not match the girl's. I don't think this was a physician error, since the surgeon and his team may have already been in the OR when the organ arrived. It may have been a hospital error (if the error was made on the receiving end and not the sending end). The hospital was very forthcoming about the error, but the prime initiator of media coverage has been the man who raised the money for the surgery.
I think there are a lot of questions to be asked here, and not all of them are medical ones. I suspect we have to wait for someone like Michelle Malkin to give us the whole story, since the media has been picking and choosing it's details.

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Replies:

[> [> Re: "Botched" -- rujane, 08:11:34 02/22/03 Sat

An addendum: the use of the term "botched" in the AP release implies that the surgery was mishandled. Actually, the operation itself was not "botched", it was the rejection of the organs that caused the problem, a rejection that was the result, not of the surgery, but of the misidentifying of the blood type. And, unfortunately, organ rejection is not uncommon, even when types match.


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[> [> [> Did anyone hear BoHannon's take on this story? -- talkonline, 10:34:55 02/22/03 Sat

JIMBO said that the family had illegally immigrated to the USA, and he brought up ???? about should the family be allowed to sue since they are criminals?? I personally know someone who came to this area from a different country for the sole purpose of recieving two slightly used kidneys.

They lived here for about 11 years, the family was on every type of government assistence the whole time. They had a real disdain/attitude for everything about this country,and as soon as the person had,not one but two kidneys,they couldn't wait to go back to their homeland.



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[> [> [> [> Snipped from world-net,(I must be having a MICHAEL SAVAGE moment) -- my prayers are hoping that this girl recovers also!, 10:53:59 02/22/03 Sat


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Rolling up the medical welcome mat

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Posted: February 21, 2003
1:00 a.m. Eastern


© 2003 WorldNetDaily.com


No one can deny that the plight of Jesica Santillan, the sick teenager who mistakenly received organs at Duke University from a donor with a different blood type, is a sad one.

But we cannot ignore the tough public-policy questions in Jesica's case that the sob-story writers at the New York Times prefer to paper over:


When resources are scarce, as the supply of voluntarily donated organs notoriously are, why shouldn't U.S. citizens get top priority?

According to national figures, 16 patients die in the U.S. each day while waiting for a potentially life-saving transplant operation. How many American patients currently on the national organ waiting list were denied access to healthy hearts and lungs as a result of Santillan's two transplant surgeries? Who will tell their stories?

Finally, if Jesica recovers from the second heart-lung transplant, will any federal immigration authority have the guts to enforce the law and send her and her family back home to Mexico?
According to Times reporter Denise Grady, "Ms. Santillan's family moved from Mexico to North Carolina three years ago in hopes that she could be treated at Duke for restrictive cardiomyopathy, which caused an enlarged, weakened heart and damaged lungs."

But as other media outlets have more accurately and honestly detailed, Santillan's family didn't just "move" here. They came here illegally by paying a coyote $5,000 to smuggle Santillan and her mother across the border for the express purpose of obtaining medical care and circumventing long wait times in Mexico.

A North Carolina businessman, Mack Mahoney, founded a private charity to raise funds for Santillan's transplants. But the charity cannot replace the organs that were used in Santillan's surgeries. Those hearts and lungs are not fungible.

In all likelihood, taxpayers will be on the hook for Santillan's post-operative care one way or another. Transplant patients must take immunosuppressant medications for the life of the transplanted organs, for example. Typical costs of post-transplant drugs may be as much as $2,500 per month in the first year alone. And as we all know, Santillan's botched operation was far from typical. Her illegal immigrant parents will probably sue Duke University, adding further to this case's surgery-related costs.

The United Network for Organ Sharing, the non-profit group that coordinates the nation's transplant system, has established a policy that no more than 5 percent of the organs transplanted at any hospital are allowed to go to illegal immigrants or foreign nationals. But when medical facilities have tried to deny organ transplants to illegal aliens, they have been met with a political and media uproar. Last summer, for example, the Cleveland Clinic was pressured by a local Hispanic city councilman into admitting an illegal immigrant from Guatemala for a liver transplant after initially turning her away.

The costs of illegal-alien health care are crippling hospitals across the country. In North Carolina, where Santillan's family has settled, a Medicaid emergency services program averages 221 new cases every month involving immigrants, many of them illegal, at a cost of about $32 million. As the Washington Times reported recently, dozens of hospitals in the 28 counties along the U.S.-Mexico border in Texas, New Mexico, Arizona and California have either closed their doors or face bankruptcy because of losses caused by uncompensated care given to illegal immigrants.

Scripps Memorial Hospital in San Diego was forced to close after losing more than $5 million a year in unreimbursed medical care, much of it for illegal immigrants, Times reporter Jerry Seper noted. The Southeast Medical Center in Douglas, Ariz., is on the verge of bankruptcy because of uncompensated care to undocumented aliens; the Cochise County, Ariz., Health Department spends as much as 30 percent of its annual $9 million budget on undocumented aliens; and the University Medical Center in Tucson will spend up to $10 million this year providing uncompensated alien health care.

New York medical providers have performed dozens of organ-transplant operations – and even sex-change operations – to illegal aliens. The costs of such "charity" care typically are shifted to insured patients, resulting in higher health insurance premiums.

In a world of scarce resources, compassion must have limits. We cannot afford to be a medical welcome mat to the world.



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Michelle Malkin's column is syndicated by Creators Syndicate and appears in about 100 newspapers nationwide. Her book, "Invasion: How America Still Welcomes Terrorists, Criminals and Other Foreign Menaces to Our Shores," is a national best seller and now available at ShopNetDaily. All copies of the book sold at ShopNetDaily are personally autographed.


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[> [> [> [> Re: More Stats -- rujane, 11:16:05 02/22/03 Sat


This was a HUGE topic of discussion this morning on 770AM (around 9-10). Several interesting facts came out. There are about 100,000 potential organ recipients every year and only 20,000 donations, so there are supply-and-demand issues that lend themselves to manipulation of who gets priority. Under Clinton appointee, Donna Shalala the standard was changed for priority from the patient who was most likely to survive long-term to patient who was the sickest. Unfortunately, the sickest patient is often the least likely to survive long term and the one to have negative side effects to the transplant (organ rejection, etc). This also means that medical standards are determined by the federal government, not by physicians, who can indicate that a patient needs a transplant, but who cannot choose which patient gets one.
Most of the callers to this show were VERY angry that two sets of organs that came from a US citizen, and very expensive medical care that predated the actual surgery, were given to a non-citizen.


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