58 Comments

Thank you, TC. Two months ago my partner died from neglect in a nursing home. The Republic is dying from neglect. It’s excruciating but this corruption needs to be seen. Thank you.

Expand full comment
author

I'm really sorry to hear that. fortunately, Jurate got the best care possible at the residential hospice.

Expand full comment

I am really sorry, and angry, to hear what your partner went through. For the past decade I have been working as a regional RN patient advocate for folks in nursing homes who also have mental health diagnoses. Even before COVID we saw the decline in care, especially the heartbreaking results of corporate buyouts of extended care facilities with the resulting staff cuts, increased resident patient loads, and lowered morale that followed. I reported one physician to the state who had boasted to me about how many patients he could see in an hour, and that Mrs. Smith was just fine. I had to help the family sneak Mrs. Smith out of the facility and take her to the emergency room, where she nearly died from the drug combinations that this physician had prescribed. Yes, this corruption needs to be seen, and stopped.

Expand full comment
author

And I'll bet "Dr. God" is a Republican. There are so many doctors who shouldn't be allowed within ten miles of the profession.

Expand full comment

And then there are phenomenal physicians and nurse practitioners who get overwhelmed by the caseloads. Our medical system needs excision of the profit motive.

Expand full comment

For profit health care is a freaking disaster, and a national embarrassment.

Expand full comment

jeez, Ally, you wouldn't be advocating "socialized medicine," would you?

seriously, the British have what is probably the most radically socialized medical program in existence, and over here, people love to tell horror stories about things like waiting lists for hip replacements. I've had the good fortune of being friends with a bunch of British doctors, and (despite their occasional complaints about understaffed hospitals, etc.) they all say the exact same thing, which is that "at its best, it works PERFECTLY." house calls and EVERYTHING. one of them did a psychiatric residency in NYC and has written some devastating things about his experiences here.

Expand full comment

As Jeri says, 'Like' isn't the appropriate response, but your action was well taken even if technically AMA.

Expand full comment

Thank you for your work, MP!

Expand full comment

Thank you, Mary Pat.

Expand full comment

I’m so sorry Alec. And I can personally identify with your pain and horror of the nursing home system. Last month we lost my uncle after only 3 days in an assisted care facility. He was receiving food and meds through a feeding tube, but an attendant looked up the wrong chart and gave him someone else’s meds orally.

When we visited that morning, we basically found him choking to death in his room and no one was doing anything. I had to yell at them for 10 minutes to call EMS. He was rushed to ER where he died 10 hours later.

I had heard how bad the healthcare system is, but actually living through such an experience and not being able to find a lawyer to take the case has been beyond anything I imagined.

Expand full comment
author

I hope you guys are now talking to an attorney and drawing up the papers to sue the shit out of those scumbags.

Expand full comment

We’re trying. You would not believe how many attorneys declined immediately.

Expand full comment
author

Oh, unfortunately I do believe. Georgia is one of those places that have "capped" malpractice judgements, which makes it virtually impossible for the attorney to recover their expenses in proving the case if they do win.

Expand full comment

a friend's 24-year-old niece, who was herself a nursing student at Stony Brook, was experiencing serious abdominal pain for quite a while and finally went to some doctors (her mother had recovered from esophageal cancer, which has a strong genetic component) to find out what the deal was. she and her parents visited the head of Hematology at Stony Brook, and he told them they were crazy, etc. he finally said "OK...FIVE MINUTES," and gave the kid a clean bill of health (remember that hematologists are ALSO oncologists).

she was dead in six months.

it looked like the most obvious malpractice case I'd ever heard of. everyone begged them to sue, but they just didn't want to deal with the trauma involved. now they're both gone as well.

they should have sued. I mean, the motherfucker was an ONCOLOGIST who refused to test for CANCER. and he's the head of the fucking DEPARTMENT in a MEDICAL SCHOOL.

ok, no more yelling.

Expand full comment

Sharon, I’m so sorry. What a horrific experience and a terrible loss. Why will no lawyer take the case? Are the nursing homes so well-funded and able to out-lawyer patients’ families, and proof of neglect and mistakes so hard to obtain against staff who cover up or refuse to testify, that patients’ families almost always lose? I bet that’s it. But you shouldn’t have to spend money and go to court! There should be an _effective_ watchdog government agency. I gather there’s no such thing. I’m so sorry for your uncle’s horrendous suffering and you and your family’s loss.

Expand full comment

Thank you Elizabeth. There really should be some kind of agency overseeing This industry. It is quite appalling. And furthermore, there should be some organization to help you go through all the death aftermath stuff. it took us a month to get a death certificate.

Expand full comment
Mar 3, 2023·edited Mar 3, 2023

Sharon, I am so so sorry for your loss, and all that your uncle and your family suffered through. There are agencies and organizations that oversee the industry, but vary from state to state. At the very least, your state's licensing bureau should be notified.

As far as medical lawsuits, here's info on Georgia:

"Georgia has a $350,000 cap in place on non-economic damages in any single medical malpractice claim against health care providers. For claims against a single health care facility there is a $350,000 cap on noneconomic damages, which bumps up to $700,000 if more than one facility is deemed liable.

https://www.nolo.com › georgia-me...

Georgia Medical Malpractice Laws and Requirements - Nolo

While a big legal practice might not take this on, a small or young one might because it is a cut and dried case with obvious error and consequence. But yes, the lawyers want their 33% and 33% of $350,000 seems like a lot to us, but not worth it to them. If the facility is part of a larger corporation. They may be willing to write the family a check without admitting guilt. Even the best of us have made errors, and the facility should have their own insurance to compensate families for these terrible outcomes. Like the airline industry, though, there is no room for error in healthcare systems. This facility's safety system needs state review now.

Expand full comment

Thank you MaryPat. I appreciate your kind words and your practical advice. There are actually were two facilities involved in his healthcare. He was at a Pruitt facility for nine weeks before being transferred to a small 15 bed assisted living facility. I’m pretty sure Pruitt did not have a doctor evaluate him before being transferred. In fact, the so-called social worker at Pruitt kept pushing this one facility and told us that hospice was not an option. I’m sure he got a kick back. I think they’re both culpable.

Expand full comment

Oh, this is so heartbreaking and infuriating, and probably impossible to prove. If someone contacts the state health department, though, your information could make a difference for other residents, and their families. Hugs.

Expand full comment

my impression is that there ARE such agencies, but their position is usually to favor the physician. and often, the burden of proof is HUGE.

Expand full comment

I'm so sorry to hear this.

Expand full comment

❗️ ❗️ ❗️

Expand full comment

I’m so sorry for your loss, Alec. Clearly nursing homes have patient loads that are too high per caregiver and per doctor, and too many of the caregivers are too low-paid, too rushed, and do not have the necessary skills and training to care for vulnerable elders with complex care needs. I am beginning to understand why my mother was adamant about caring for my father at home.

Expand full comment

Don’t like, but that is more common than many know. Just the turnover, and idiots at the top in some cases, requires constant vigilance. So sorry for your loss, helpless feeling.

Expand full comment

I’m so very sorry, Alec….

One of the plethora of stuff I’m furious about in Florida is DeSantis et al lowered standards for direct nursing care that residents must receive.😡

Expand full comment

Maybe I’m hallucinating, but I seem to recall that early in Obama’s admin, hearing that the FBI was halting many investigations into right-wing militias, etc. because they weren’t needed so much anymore. I remember being gobsmacked because I had just seen a poster in a gun shop calling Obama a skunk and had his pic in a bullseye. I thought then that he likely would not live thru his first term. He must have had a competent SS detail, because the threats multiplied like flies on a carcass.

Is it not ironic that the chief crook’s venom was directed at the agency that got him elected. Again I was gobsmacked. He should have kissed Comey’s arse. I guess it was because he failed to pledge loyalty, but really, chump. You owed the man. Two problems in the FBI. Those who were scared of his mob boss tactics and rolled over like our MSM later did, and those who bought his bull Schitt. Either way, Wray needs to go. Better yesterday, but tomorrow will do. If chump gets back in power, it won’t be America anymore.

Expand full comment
founding

This is my favorite quote tonight:

'Public corruption is the FBI's top criminal priority. The threat - which involves the corruption of local, state, and federally elected, appointed, or contracted officials - strikes at the heart of government, eroding public confidence and undermining the strength of our democracy.'

___James Comey, former director of the FBI

Expand full comment

Excellent piece about a real problem..... As the Romans used to say, "Who watches the watchman?" In the "Pool Shed Papers" affair at Mar-a-Lago, it appears that one of Trump's aides copied classified documents into her cellphone and uploaded them to cloud storage and then retrieved them later. To me, this was a deliberate attempt to hide those documents from the FBI during a search. It proves beyond any doubt that he was deliberately violating the law. The fact that the FBI was reluctant to investigate this is proof the organization is corrupt and needs a thorough house cleaning.

Expand full comment

🤯

Expand full comment

Tom, this is off-topic, but you must see this video - only a few minutes. It will blow your mind.....

https://www.youtube.com/watch?v=zH5_WL9kRao

Expand full comment
author

It blows my mind that people believe this crap. There are peer-reviewed high-quality studies that demonstrate animal-to-human transmission, yet everyone wants to believe a par of reports from non-medical professionals in the "intelligence" community that are stated to be "low quality" in their sourcing. Why can't we have a disease as deadly as Ebola, as easily transmitted as HIV, that's easily avoided by intelligent changes in one's activity, so we wipe out the morons and get a chance to start over with this worthless species Homo (no) Sapiens?

Expand full comment

I thought I had faith in, and could trust the FBI. What was I smoking?

Expand full comment
author

You couldn't do that 50 years ago, and you can't do it now, Karen. Sorry about that.

Expand full comment
founding

'To learn more about J. Edgar Hoover, and particularly his notable lack of interest in prosecuting the mafia and other organized crime syndicates — even as their power grew in American cities and they became intertwined with local governments, police, labor unions and other institutions — until the Apalachin meeting in the late 1950s forced his hand, I’ve picked up “G-Man: J. Edgar Hoover and the Making of the American Century,” by Beverly Gage. A friend recommended it to me as “the biography of J. Edgar Hoover but also the biography of the first 70 years of 20th-century America.”

'The essence of this kind of violent politics is that it happens at the local level, so I’ve also been reading about specific cities, and how their particular flavors of machine politics have sometimes opened up space for crime and corruption to flourish, encouraged state violence, or both.' (NYTimes,The Interpreter, AmandaTaug, 3/3/23) Sorry that I do not have gifting opportunity.

Expand full comment

it's said to be a very good book and has been universally well-reviewed (and then some!). but I can't bear the prospect of having to read (or listen to the audiobook of) anything THAT long about THAT guy.

Expand full comment

you're being a little hard on yourself. the FBI is still probably the premier law enforcement agency around. but it's always good to be very skeptical about law enforcement agencies in general.

the deal is that a lot of the worst human prospects for working in a place like the FBI are going to be the most eager ones to join it.

and I need to keep repeating (to everyone INCLUDING myself) that Wray was a Federalist Society pick.

Expand full comment
Mar 4, 2023Liked by TCinLA

I know, why hasn’t Biden replaced him?

Expand full comment
founding

Yes, Karen, some of us have been asking that question for more than a year!

Expand full comment

The FBI for too long has relied on TV and movie images from Efrem Zimbalist, Jr. through Kevin Costner to the current series on CBS to burnish their image. It's well past time for wholesale change and maybe some leadership from outside to keep the good parts that undoubtedly exist and cut out the rot that started with Hoover.

Expand full comment

SO FBI lounges and waiting rooms only play Fox News?

Expand full comment
Mar 3, 2023Liked by TCinLA

When The Fat man was president the only tv showing in my VA Medical Center was freaking Fox News.

Expand full comment
author

Same here, and I watched the old morons - who I could recall as the young morons they'd been - nodding along to that crap. But there hasn't been any Faux on at my VA the past 2+ years.

Expand full comment

more propaganda rule #1. I knew a former student who was back from Iraq about 10 years ago who said he watched Fox at his military base. He was a sad case before he enlisted, became a magat before there was such a thing.

Expand full comment

propaganda rule #1

Expand full comment

I'd argue a little bit over your phrase "have gone over..." it's pretty obvious to most of us that they were already THERE. Comey himself admitted in his book (obviously trying to deflect TFF's bullshit paranoid tweets) that most professional law enforcement people tend to vote Republican.

I've always been confused about this notion that Replugs are somehow "tougher on crime." they like to talk a good show, but when have they ever been able to claim real "results?" there have been reductions at various points, but they tend to be gradual and to exist as part of national or international trends. yeah, you can initiate vile policies like "stop and frisk" and do the kinds of horrible things these "elite units" seem to love (which we know lead to what are, effectively, lynchings). but I'm very suspicious...where did that famous "crime bill" get us? as usual, I welcome being corrected.

it's always on some level going to be the House That Hoover Built. the man who considered MLK to be "the most dangerous man in America."

I'm not sure I believe that he was ever REALLY a drag queen, but this image I just created of him doing a drag reading session might just keep me chortling through the weekend...

Expand full comment
author

There were all kinds of stories about him and Clyde Tolson.

Expand full comment

don't get me wrong...I assume the relationship wityh Tolson was exactly what people say it was, and he was DEFINITELY gay. but there were also stories about him liking to dress up in women's clothing. it's that LAST thing I was taking some exception to.

I mean Jesus...even Clint Eastwood's movie was endorsing that the guy was gay.

interestingly, David Halberstam always doubted that Hoover was gay, but guys of that generation tended to deny that public figures were gay. I know for a fact that my father had two or three close associates at work who were gay, but he ALWAYS denied it because in THAT ("greatest") generation, it just wasn't discussed.

Expand full comment

It's always been fascinating that the FBI could compromise so many people while its leader was compromised. But this goes to a point about Democrats. On the one hand, they should not stoop to the level of republicans (that would require them to commit treason, after all). But, on the other hand, they also cannot let republicans have control. I love Obama, but he tried to maintain the veneer or patina of bipartisanship far too long (he was well aware of what was wrong in Congress before I thought he was, actually), and that included the likes of Comey. Wray is both partisan and incompetent. He should be fired. Yesterday.

Expand full comment

I agree 100%. The FBI has utterly failed in its duty to protect this democracy from enemies both foreign and domestic. In fact, the RNC has become a crime syndicate in the hands of fascist billionaires. There is no Justice coming from the FBI and the Justice department just drags it’s feet, looking for an exit strategy. Cowards.

Expand full comment

Is there some way to get this piece pushed out to a much larger audience? I may send this onto Raskin’s office in a plea for help.

Expand full comment

TC, this seems unfinished, incomplete sentences, etc. As well as a homophobic zinger r/t J Edgar.

You ok?

Expand full comment
author

Do you know anything about his history.

Expand full comment