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(c) 2010-2024 Jon L Gelman, All Rights Reserved.

Wednesday, January 14, 2015

Workers' comp case traps Alabama nurse in Bakersfield for 3 years

Today's post was shared by CAAA and comes from www.bakersfieldcalifornian.com

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    By Felix Adamo / The Californian

    Althea Hart and her husband, John Hart Sr. make their way to the conference room at the law offices of Leviton, Diaz, and Ginochio to meet with her attorney and a reporter.

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    By Felix Adamo / The Californian

    Althea Hart points to her right eye, which she says is partially blind from a fall while working at Bakersfield Memorial Hospital in 2011. She sustained other injuries as well and is still fighting for care.

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    By Felix Adamo / The Californian

    Keith Gilmetti, attorney for Althea Hart.

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BY COURTENAY EDELHART The Bakersfield Californian cedelhart@bakersfield.com

Alabama nurse Althea Hart didn't anticipate she'd still be in Bakersfield three years after agreeing to work here in 2011 under a 13-week contract with optional renewals.

In that time five of her relatives have died, her husband has had a heart attack and three of her five grandchildren have been growing up without their MawMaw.

Hart, 62, is, for all intents and purposes, trapped.

She's stuck because of a pending workers' compensation claim related to a 2011 fall on the job while working for Fastaff US Nursing, which supplies temporary nurses to Bakersfield Memorial Hospital, among others.

Doctors in her native Loxley, Ala., wary of red tape and low reimbursement rates, won't take a California workers' compensation case. So Hart is forced to see local doctors in...

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A Threat to Unionize, and Then Benefits Trickle In for Players

Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

BOULDER, Colo. — College football has gone on a roll that would bring a giggle to the lips of King Midas.

On New Year’s Day, more than 28 million Americans watched the playoffs, and more still probably watched Ohio State’s 42-20 victory over Oregon in the championship matchup on Monday night. And, good God, that glorious cascade of cash: College conferences expect to pull in hundreds of millions of dollars; ESPN executives take daily baths in their riches; professional gamblers are beside themselves.

The coaches, those fellows in sweatpants and headsets, are experiencing a hedge fund moment as their salaries make joyful, geometric leaps upward. Jim Harbaugh experienced a down year in the N.F.L., but no worries: The University of Michigan, a public institution wrestling with budget cuts in a fiscally straitened state, recently agreed to pay him $5 million next year, with millions of dollars of incentives.

Athletic directors are paid like potentates. University presidential suites at stadiums serve lamb roast and Cristal.

What, I asked Kain Colter, to make of this glorious bacchanal?

We sit in his living room on a high plains ridge outside Boulder. A lean, athletic 22-year-old man, he has the Cowboys-Packers game on the television and workout equipment around him. He made the Vikings’ practice squad this season and hopes to join the team next season.

He also organized a players union movement at Northwestern, where he played quarterback for four years.

...

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Monday, January 12, 2015

Feds, Michigan crack down on shoddy asbestos removal


DFP asbestos (5).JPG
Joseph Goeddeke checks paper insulator backing
from where a heater once stood.
(Photo: Ryan Garza Detroit Free Press)
Today's post is shared from freep.com/

It was dark and bitterly cold inside the former Utica Trim Automotive Plant in Shelby Township when the crew showed up to remove asbestos from the abandoned factory. There was no running water, no heat, no light. Workers wore disposable suits so thin you could see through them.

Using 25-foot lifts to cut away asbestos insulation covering pipes along the ceiling, they tossed the debris to the floor as their bosses yelled "let it fly" or "let 'er rip." By day's end, they were covered with the cancer-causing dust.

Four years after that botched job, the property owner, Indiana Metal LLC of suburban Chicago, agreed this fall to pay the state penalties of $67,500. A second company, Northern Boiler and Mechanical Contractors of Muskegon, has paid the state $30,000. Federal prosecutors, who launched their own investigation, charged four men criminally and one got prison time.

The case is part of a stepped-up effort by the Michigan Department of Environmental Quality and federal prosecutors against contractors and property owners who violate the...


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Regulators Take Action Against Delinquent Mines

Today's post is shared from npr.org/

Two weeks after NPR and Mine Safety and Health News reported nearly $70 million in delinquent mine safety penalties at more than 4,000 coal and mineral mines, federal regulators suddenly revived a rare approach to enforce mines to pay.

They cited a delinquent coal mine for failing to pay $30,000 in overdue penalties and gave the mine's owner two weeks to pay. He didn't, so the Mine Safety and Health Administration (MSHA) shut down the mine. Within 40 minutes, mine officials agreed to a payment plan and the mine reopened.

It sounds like a straightforward and tough response, but it might not stand up to legal scrutiny. Federal law doesn't give MSHA the authority to shut down mines simply because they haven't paid their safety penalties. But the agency can force a mine to fix safety violations. In this case, the failure to pay penalties is considered an unfixed violation.

Response From the Mine Safety And Health Administration

The following is the agency's response to the NPR/Mine Safety and Health News series on Delinquent Mines.

Mine operators have the primary responsibility under the Mine Act to prevent the existence of unsafe and unhealthful working conditions. When they fail in their responsibility for compliance with the Act and its standards and regulations, MSHA uses the enforcement tools it has at its disposal. As a result of, and immediately after the Upper Big Branch Mine disaster, those tools now include an enhanced enforcement program to provide a more effective means...


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DuPont forming spinoff to clean up its Superfund sites in Pompton Lakes and elsewhere

Today's post is shared from northjersey.com/

The federal government is seeking damages for the pollution caused by the munitions plant DuPont operated in Pompton Lakes for decades.
The federal government is seeking damages for the pollution caused by the munitions plant DuPont operated in Pompton Lakes for decades.CHRIS PEDOTA/staff photographer

DuPont plans to create a spinoff company that would take on the environmental liability for about 190 contaminated sites across the country, including DuPont’s former munitions facility in Pompton Lakes, one of its most costly cleanup sites.

The change is not expected to slow progress on cleanups in the short term, state and federal officials said. But it raises longer-term questions about whether the move could insulate DuPont from future cleanup and natural resource damage claims, particularly if the spinoff, called the Chemours Co., developed financial problems.

DuPont said in recent filings with the Securities and Exchange Commission that the new company would be financially sound. It said the environmental liabilities for the 190 sites is estimated at nearly $300 million, including $87 million in expected cleanup costs for Pompton Lakes. Those costs are not expected to have much impact on the new company’s financial position, liquidity or ability to operate, DuPont said.

But DuPont also cautioned that “expenditures are subject to considerable uncertainty.” The company acknowledged that cleanup and other liability costs could climb to more than $1 billion.

Other spinoffs in the nation have indeed failed under the...


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Sunday, January 11, 2015

CES 2015: Quell Promises Pain Relief with New FDA-Approved Gadget



Quell
Quell is a new gadget that promises pain relief. It attaches to a user’s
calf and emits electronic signals that boost the body's opiate production.

(Photo : Business Wire)


Today's post is shared from techtime.com/

A new gadget revealed at CES 2015 promises to provide pain relief through technology. The device, dubbed Quell, attaches to the user's calf and stimulates the body's opiate production to relieve pain from various ailments.

When most people think of pain relief, they think of some sort of pill ingested internally, such as aspirin, ibuprofen, naproxen, or similar over the counter product. For more serious pain, there are prescription medicines available, but they can be highly addictive, have many serious side effects, and have a large potential for abuse.

Quell promises an external source of pain relief. The unit attaches to the user's calf, which the makers of the Quell consider a "virtual USB port," and electrodes stimulate the wearer's body to release pain-relieving opiates. The sensory nerves it stimulates send neural pulses to the brain that trigger the release of endogenous opioids, the pain-relief response that blocks pain signals in the spine. The process is called Transcutaneous Electrical Nerve Stimulation technology, also known as TENS. There are already over-the-counter TENS systems such as the one made by Icy Hot, but these are very low-powered and low-tech compared with Quell.

Quell is also much more expensive, but manufacturer NeuroMetrix, a health-care company that develops...


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Congressman Sam Farr Honors N. Michael Rucka

The late N. Michael Rucka was honored by Congressman Sam Farr in remarks before the US Congress. A tribute to the late N. Michael Rucka whose unending devotion to the cause of helping injured workers will remain a living legacy. The following appears in the Congressional Record.

N. Michael Rucka
1939-2014


IN HONOR OF N. MICHAEL RUCKA
HON. SAM FARR of California in the House of Representatives 
Monday, September 8, 2014 

 Mr. FARR. Mr. Speaker, I rise today to honor N. Michael Rucka, an important community leader whose entrepreneurial spirit, tenacity, and ethical standards enriched the lives of his family, law partners, friends, and clients. Mike was a dear friend and wonderful mentor. He was the very essence of life, compassion, generosity, and curiosity. World affairs and domestic politics were always on Mike's mind and he was never shy about sharing his thoughts with me. Mike passed away on July 28, 2014, after struggling with cancer. His passing has left a huge empty space in those of us who knew and loved him. But what we will remember the most is the way he enriched so many lives and made the Monterey Bay Area, and indeed the world, a better place.

Mike was born on October 3, 1939 in Brooklyn, New York. His parents, Nettie and Arthur, soon moved to Los Angeles and then settled in San Francisco. Mike graduated from Lowell High School before attending the University of California, Berkeley. Following his graduation from UC Berkeley and the University of San Francisco School of Law, Michael relocated to the Monterey Peninsula in the 1970s. There, he worked ambitiously alongside his friends Emmet O'Boyle, Alfred Lombardo, and J. Andrew McKenna to develop the Rucka, O'Boyle, Lombardo, and McKenna Law Firm in Salinas, California.

Mike devoted every day to representing injured parties in matters of workers compensation and Social Security disability. Mike won the Granado Case before the California Supreme Court, thus establishing the rule that temporary disability and medical treatment are not subject to apportionment. Thanks to his work, this rule has benefited all injured workers since..

He also served as the President of the California Applicant's Attorneys Association from 1975 to 1976. In 1993, Mike received the Eugene Marias Lifetime Achievement Award.

Mike was uniquely respected both in this community, throughout California, and by his peers throughout the country. In a small block of marble in his office is a short handled hoe, presented to Michael in honor of his instrumental work and help in getting the back-breaking short handled hoe banned from the agricultural fields of California. He donated his time, resources and energy to organizations that are committed to advancing the rights of injured workers and others who need a voice.

Mr. Speaker, I know I speak for the whole House in honoring Mike's lifetime of achievement and in extending our heartfelt condolences to his friends, and family members, including his wife Corry, daughter Brandy, sons Greg and Nick, and his grandchildren.

[Congressional Record Volume 160, Number 127 (Monday, September 8, 2014)] [Extensions of Remarks] [Page E1343] From the Congressional Record Online through the Government Printing Office [www.gpo.gov]


High Compensation Medical Costs Raises Concern in New Hampshire

Medical costs now constitute a huge percentage of every workers' compensation claim. A recent editorial published in New Hampshire asserts that soaring and unequal medical costs have broken the workers' compensation system. Today's post is shared from concordmonitor.com/

Lawmakers should make 2014 the last year that doctors and other health care providers are guaranteed payment no matter how much they charge when a worker is injured on the job. The workers’ compensation system is broken.

The state, and the employers who pay into its workers’ compensation fund, have been paying two and three times the going rate for medical services when the patient is a workers’ compensation recipient. On average, surgeons charge 156 percent more, according to a report by the state’s Department of Insurance. Bills for radiology are 107 percent higher, 95 percent higher for occupational therapy and for something as simple as an ice pack, 300 percent more.

The extra paperwork required to document workers’ compensation cases and perhaps the added severity of the average injury, probably explains some of the price difference. But, human nature being what it is, it’s likely that, when the bill has to be paid no matter what the provider charges, the temptation to pad it can be irresistible, especially when providers can rationalize the surcharge by using it to offset underpayments in areas such as Medicare or Medicaid.

Saturday, January 10, 2015

New Drugs to Treat Hearing Loss and Ear Disorders

A multitude of workers have occupational hearing losses induced by either sudden trauma or prolonged occupational exposures to loud noise. Some workers have hearing losses associated with age and fail to address the issue and create a potential safety concern in the workplace. In the past many have gone undetected and/or treated.

Workers' Compensation insurance provides for benefits for hearing losses and disorders associated with both traumatic (sudden) and occupational (exposure to loud noise) hearing losses occurring in the workplace. The insurance also allows workers to obtain hearing aids, treatment and  medication(s).

Many of these conditions are not diagnosed or treated at an early stage for lack of attention. This is changing because of  recent changes in medical delivery associated with the Affordable Care Act and Medicare. The new laws will afford millions a new opportunity to be diagnosed and treated.

Recent developments in pharmaceutical medicine may allow for restoration of hearing losses as well elimination of associated tinnitus, commonly known as ringing in the ears. Today's post is shared from nytimes.com/

Friday, January 9, 2015

Florida medical marijuana and the 2016 Election Cycle

The medical marijuana initiative may have a major effect n the future of not only the nation'a presidential outcome but also of the fate of workers' compensation in the State of Florida. As goes Florida in the 2016 election cycle so probably will the nation, because of the mechanics of the National count of electoral college votes. 

The medical marijuana ballot question lost last off-year cycle because the liberal turnout was so low. The initiative could spur more voters to the poles and impact not only the Florida presidential count but also the local and state candidates. 

Ironically, a large voter turnout will result in the election of more liberals into office in Florida will ultimately liberalize the state leadership and its present negative thoughts on benefits. The upcoming election may ultimately impact the pending judicial cases involving the constitutionality of Florida's workers' compensation act.

Today's post is shared from reuters.com/

TALLAHASSEE, Fla. (Reuters) - The push to legalize medical marijuana in Florida continues with a two-pronged campaign, supporters said on Friday, sharing plans to mount another ballot drive in 2016 as a way to pressure state lawmakers to consider legislation permitting prescription pot.

A constitutional amendment to legalize medical marijuana in Florida last year fell just short of the 60 percent approval needed to pass in the state.

Morgan, who spent about $4 million on his United for Care campaign last year, said he has revised the ballot language to...
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Read more about medical marijuana and workers' compensation:

Workers' Compensation: Florida: Legalizing Marijuana Fails ...
Nov 05, 2014
Copyright. (c) 2014 Jon L Gelman, All Rights Reserved. Wednesday, November 5, 2014. Florida: Legalizing Marijuana Fails to Pass. Amendment 2. Amend Constitution to legalize medical marijuana? ANSWER, VOTES, PCT.
http://workers-compensation.blogspot.com/

For Marijuana, a Second Wave of Votes to Legalize
Oct 29, 2014
As the libertarian movement in the Republican Party has gained force, with leaders like Senator Rand Paul, Republican of Kentucky, supporting decriminalization of marijuana and others going even further, an anchor of the ...
http://workers-compensation.blogspot.com/

Workers' Compensation: Marijuana and Workers' Comp
Sep 08, 2014
There are some who believe medical marijuana and the workplace are a potent mix just waiting to be stirred as increasingly more states approve the herb and its derivatives for medicinal use. Not only are states approving the ...
http://workers-compensation.blogspot.com/

Court Rules Workers Comp Must Cover Medical Marijuana
Sep 22, 2014
"Indeed, medical marijuana is a controlled substance and is a drug,” the court wrote. “Instead of a written order from a health care provider, it requires the functional equivalent of a prescription - certification to the program.
http://workers-compensation.blogspot.com/

Gelman on Workers' Compensation Law is Now Available on PROVIEW™ as an eBOOK Edition

Now you can have Workers’ Compensation Law, 3d (Vol. 38-39A, NJ Practice Series, available conveniently on your mobile device. Stay current with all the exclusive West-Thompson Reuters  information contained in the hard bound edition, and supplements, available at your fingertip with even more power. Never be at a loss for information, analysis or data in Court, in the office or on-go. 

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Add color-coded notes and highlights anywhere in the book; plus, your annotations transfer to every new edition

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Find the nugget of information you're looking for in one simple search across all your downloaded eBooks.



And coming soon the 2016 Update……

Thursday, January 8, 2015

Rubio signals his thoughts about benefits: Votes NO on TRIA

Today's post is shared from tampabay.com

Sen. Marco Rubio was one of only four members of his chamber to vote today against a federal terrorism insurance program, which had earlier passed the House by a near unanimous vote.

As the Associated Press describes it, “The program provides a backstop in which the government steps in to cover the bulk of losses after the first $200 million in damages from a terrorist attack, up from $100 million previously.”

It was the first bill to clear the 114th Congress and President Obama is expected to sign it to law.

So why did Rubio join liberals including Bernie Sanders and Elizabeth Warren?

“The Terrorism Risk Insurance Program has become just another big corporate welfare handout,” Rubio spokeswoman Brooke Sammon wrote in a statement. “Senator Rubio had hoped that more would be done to reform this program and allow the private market to evolve. Thankfully, the insurance program has never been triggered. It’s his hope our nation continues to be protected from another terrorist attack by the brave men and women serving America and that the six year authorization will never have to be utilized.”

Congress Passes Measure to Cover Terrorism Risk

Today's post is shared from nytimes.com/
WASHINGTON — The Senate on Thursday gave overwhelming final congressional approval to a revamped federal backstop to terrorism insurance, just eight days after lawmakers allowed it to lapse. Businesses had pleaded for the bill, saying it was necessary to avoid losing some important investments.

But to win passage, Democrats had to grudgingly assent to an easing of regulations on exotic financial instruments, known as derivatives, by some users.

The first bill to pass the Republican-controlled 114th Congress offered a glimpse of how Republicans will try to chip away at President Obama’s agenda over the next two years.

The bill passed the Senate 93 to 4, a day after the House approved it 416 to 5. President Obama is expected to sign it.

Developers, insurance companies and real estate firms were growing increasingly anxious after Congress allowed federal terrorism insurance to lapse at the end of the year. Within days, about 750,000 private insurance policies were canceled, following clauses that said they could exist only if the federal government were prepared to shoulder some of the costs in the event of a catastrophic attack.

Many other policies had 30-day or 60-day notification clauses, so continued congressional inaction would have resulted in growing costs. But those costs would not have been clear unless terrorists actually struck.

“It was the equivalent of everyone deciding they’re not going to be inoculated against measles,” said Robert P....


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Extension of terrorism insurance program clears Congress

Today's post is shared from politico.com/

The new Congress on Thursday secured an early bipartisan achievement when the Senate sent a bill to the president that would extend the federal government’s terrorism risk insurance program after it was surprisingly allowed to lapse at the end of last year.

The Senate cleared the legislation reauthorizing the Terrorism Risk Insurance Act through 2020 on a 93-4 vote after the House passed the bill on Wednesday on a 416-5 vote. The president is expected to sign it into law.

Extending the program has been a top priority for the business community, which has warned that commercial development projects, like new skyscrapers and sports stadiums, could be at risk because it would be difficult to secure funding for these projects without the government backstop in place.

Congress first enacted the program in 2002 following the Sept. 11 attacks to help cover insurance industry losses stemming from a terrorist attack that wrecks buildings and other commercial properties.

The program was allowed to expire on Dec. 31 after a series of year-end disagreements unrelated to the terrorism insurance program prevented enactment of the legislation despite broad support for the program — a move that shocked the business community.

But Republican leaders pledged to quickly move a bill this year and opted to stick with a deal crafted late last year by House Financial Services Committee Chairman Jeb Hensarling (R-Texas) and Sen. Chuck Schumer (D-N.Y.) to ensure a smooth process.

The Senate...

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State store manager robbed at gunpoint wins workers’ comp

Today's post is shared from observer-reporter.com/
PITTSBURGH – Robberies at state liquor stores in the Philadelphia area might be fairly common, but not so much that a former store manager left emotionally traumatized by one should be denied workers’ comp benefits, an appeals court ruled.
Gregory Kochanowicz, 60, of Philadelphia, managed a state store in suburban Morrisville when a masked robber put a gun to the back of his head and duct-taped him to a chair during an April 2008 robbery – the only one Kochanowicz experienced in more than 30 years on the job.
Kochanowicz has been off work ever since, collecting Social Security disability benefits for the post-traumatic stress disorder resulting from the robbery.
He had to fight for workers’ compensation payments because the Liquor Control Board and its insurer argued that robberies were a “normal working condition” and, therefore, his resulting PTSD shouldn’t trigger the benefits.
“Ironically, if he got shot and injured he’d be entitled to workers’ comp, but because he followed procedure and saved himself and his co-workers from harm, he got nothing,” said Alfred Carlson III, Kochanowicz’s attorney.
Among other things, the liquor board noted there were 99 robberies at state stores in the Philadelphia area from 2002 to 2008, and that board officials include how to respond to robberies and other emergencies as part of employees’ normal training.
Robert Baker, the...
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Senate renews terrorism insurance program

Today's post is shared from usatoday.com/

WASHINGTON — The Senate voted Thursday to revive a federal terrorism insurance program to help protect American companies from devastating losses in potential terrorist attacks.

Senators voted 93-4 to renew the program, which expired on Dec. 31 after efforts to extend it were blocked by then-senator Tom Coburn, R-Okla., who is now retired. The program's expiration raised fears by commercial developers and the owners of sports and entertainment companies that they would no longer be able to obtain the terrorism insurance they are required by their lenders to have.

Insurance companies have been reluctant to offer terrorism insurance without the federal backstop, which is now designed to help reimburse businesses for catastrophic losses above $200 million.

The program previously would kick in when losses exceeded $100 million, but lawmakers wanted to reduce the potential burden for taxpayers. They also increased the percentage that insurers must pay above that threshold from 15% to 20%. The program has never had to pay out since it was created in 2002 in the wake of the 9/11 terrorist attacks.

Developers credit it with reviving commercial development in New York City and throughout the nation.

A new Congress convened this week and made renewal of the program one of its...

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Trucking Insurance Minimums Must be Raised to Make Our Roads Safer

Today's post is shared from justice.org/

Washington, DC—The Federal Motor Carrier Safety Administration (FMCSA) is currently considering new regulations that would raise the federal minimum insurance requirements for trucks and buses.

“This rulemaking is extremely important to help improve accountability and safety for all motorists,” said American Association for Justice President Lisa Blue Baron. “Increasing insurance minimums will help restore justice for all Americans injured by trucks.”

Nearly four thousand people die in truck crashes each year. A fatal truck crash often costs over $4.3 million, but truck drivers are only required to maintain insurance policies of $750,000. This insurance requirement was set over 30 years ago and has never been adjusted, not even for inflation.

“Outdated insurance requirements allow trucking companies to skirt responsibility and leave injured motorists and taxpayers to pay the difference,” added Baron.

Earlier this year, FMCSA, in its own study to Congress, concluded the costs of injuries and fatalities arising from crashes far exceed the minimum insurance levels interstate operators are required to carry. Additionally. the American Federation of Labor and Congress of Industrial Organizations (AFL-CIO) has noted the minimum insurance requirements have languished for decades and need to be improved.

In this Advanced Notice of Proposed Rulemaking (ANPRM), the FMCSA has asked 26 questions to commenters,...


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“A less friendly, less comforting place”: Steve Greenhouse on the end of an era in labor reporting

Today's post is shared from salon.com

Flush as it is with talent and experience, it’s inevitable that a round of buyouts at the New York Times will feature at least a few (and often more than a few) beloved journalists either retiring altogether or moving on to new pastures.

Even still, when the Times’ longtime labor and work reporter Steven Greenhouse announced on Twitter near the end of last year that he was accepting a “generous buyout offer” from the Grey Lady and bringing an end to a whopping 31 years at the Times, the news was greeted with dismay not only by people in the media, but by readers who’ve long enjoyed his clear-eyed and celebrated work. For his part, Greenhouse said in a memo sent around to Times staff that accepting the buyout was “one of the toughest decisions of my life” but that he couldn’t refuse both the Times’ offer as well as the chance to slow down after spending more than three decades writing at a crisp, tireless pace.

Because Greenhouse was one of the most influential and respected labor reporters left in traditional media, and because his buyout came during an era when organized labor is in worse shape than it’s been in perhaps as much as a century, Salon decided recently to speak with him over the phone about his decision to step down, his plans for the future, the ways the American workplace has changed in the past generation, and what he expects from the media on workplace and labor issues in the future. Our...


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What’s Wrong With This Picture?

Today's post is shared from fbgslaw.com/
The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today continued its “What’s Wrong with this Picture?” series with an Infographic showing that workers’ compensation insurance companies pay just twenty percent of the costs of on-the-job injury claims, shifting eighty percent to taxpayer-funded public health programs like Medicare, Medicaid and Social Security, and other disability funds, private group health insurance and injured employees and their families. The infographic is based on a national study by University of California, Davis, Professor Paul Leigh that was published in the Journal of Occupational and Environmental Medicine. Professor Leigh said in releasing the study’s findings, “Cost shifting affects everyone, because we’re all paying higher Medicare and income taxes to help cover that 79 percent.”
“Why should taxpayers, private health insurers and injured employees pay eighty percent of the costs that insurance companies are paid by employers to cover?” asked CAAA President Bernardo de la Torre. “Insurance carriers are spending hundreds of millions of dollars delaying and denying their own doctors’ recommended medical treatment. When insurance carriers delay and deny medical care and disability compensation for work-related injuries, they shift those costs onto others. There are no meaningful penalties in...
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Wednesday, January 7, 2015

Data from nurses’ study finds link between night shifts, higher mortality risk

Today's post is shared from http://scienceblogs.com/
A new analysis of data from the world’s largest and longest-running study of women’s health finds that rotating night shift work is associated with higher mortality rates. The new findings add to a growing awareness that long-term night shift work comes with serious occupational health risks.
Published this month in the American Journal of Preventive Medicine, the study found that all-cause and cardiovascular disease-related mortality were significantly increased among women who worked more than five years of rotating night shifts when compared to those who never worked the night shift. In addition, the study found that working 15 or more years of rotating night shifts was associated with a modest increase in lung cancer mortality. Previous research has also found a link between working the night shift and serious health risks. In fact, in 2007, the World Health Organization designated night shift work as a probable carcinogen, as it disrupts the physical, mental and behavioral changes that follow a daily cycle — otherwise known as circadian rhythms. Study authors Fangyi Gu, Jiali Han, Francine Laden, An Pan, Neil Caporaso, Meir Stampfer, Ichiro Kawachi, Kathryn Rexrode, Walter Willett, Susan Hankinson, Frank Speizer and Eva Schernhammer write:
The circadian system and its prime marker, melatonin, are considered to have anti-tumor effects through multiple pathways, including antioxidant activity,...
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GOP Majority’s Agenda Includes Fast Action On Health Law Issues

Today's post was shared by Kaiser Health News and comes from kaiserhealthnews.org

News outlets report that Mitch McConnell, R-Ky., the Senate's new majority leader, plans to take action to undo some parts of the health law, but he acknowledges that a full repeal is unlikely. Also, some reports examine goals of other Republican congressional leaders
The Washington Post: New Senate Majority Leader’s Main Goal For GOP: Don’t Be Scary
Mitch McConnell has an unusual admonition for the new Republican majority as it takes over the Senate this week: Don’t be “scary.” The incoming Senate majority leader has set a political goal for the next two years of overseeing a functioning, reasonable majority on Capitol Hill that scores some measured conservative wins, particularly against environmental regulations, but probably not big victories such as a full repeal of the health-care law. McConnell’s priority is to set the stage for a potential GOP presidential victory in 2016. (Kane, 1/4)
The Associated Press: New GOP Senate Chairmen Aim To Undo Obama Policies
Republican senators poised to lead major committees when the GOP takes charge are intent on pushing back many of President Barack Obama's policies, ... Tennessee's Lamar Alexander, 74, is a former education secretary under President George H.W. Bush, governor and president of the University of Tennessee. … He's called the health care law a "historic mistake" and supports repealing it. He's also said modernizing the National Institutes of Health and Food and...
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Tuesday, January 6, 2015

Selecting the right surgeon is a big deal

Workers' Compensation was designed to provide the best available medical treatment possible. A good surgical results benefits all stakeholders. The patient has a better outcome, the employer gains an employee who is productive in the workplace, and the insurance company ultimately pays less indemnification by way of permanent disability and a reduced cost for medical follow up care.

Over the decades since its original enactment 1911, the issue of cost of medical care has come to the forefront. Some states, such as New Jersey, prohibit an employee's free selection of a medical provider. Additionally, some employers and their insurance companies have contractually negotiated a best price fee with medical providers and have an established medical care networks, consequently restricting the employee's free selection.

A recent article authored by Peter Scardino is the chief of surgery at Memorial Sloan Kettering Cancer Center (MSK) focuses on the need to select the best surgeon in order to obtain the best outcome.


“You can think of surgery as not really that different than golf.” Peter Scardino is the chief of surgery at Memorial Sloan Kettering Cancer Center (MSK). He has performed more than 4,000 open radical prostatectomies. “Very good athletes and intelligent people can be wildly different in their ability to drive or chip or putt. I think the same thing’s true in the operating room.”

The difference is that golfers keep score. Andrew Vickers, a biostatistician at MSK, would hear cancer surgeons at the hospital having heated debates about, say, how often they took out a patient’s whole kidney versus just a part of it. “Wait a minute,” he remembers thinking. “Don’t you know this?”

“How come they didn’t know this already?”

In the summer of 2009, he and Scardino teamed up to begin work on a software project, called Amplio (from the Latin for “to improve”), to give surgeons detailed feedback about their performance. The program—still in its early stages but already starting to be shared with other hospitals — started with a simple premise: the only way a surgeon is going to get better is if he knows where he stands.

Vickers likes to put it this way. His brother-in-law is a bond salesman, and you can ask him, How’d you do last week?, and he’ll tell you not just his own numbers, but the numbers for his whole group.

Why should it be any different when lives are in the balance?


Weather Alert: Workers' Need to Prepare for Cold Weather Exposures

The United States weather bureau has predicted bitter cold for a vast segment of the nation. Workers who  maybe exposed to frigid weather conditions should consult with the Centers for Disease Control and the National Institute for Occupational Safety and Health information in order to protect themselves from cold weather exposures. Such exposures may result in compensable injuries and illnesses for which workers' compensation benefits may be available.

Short Range Forecast Discussion NWS Weather Prediction Center College Park MD 358 PM EST Tue Jan 06 2015 Valid 00Z Wed Jan 07 2015 - 00Z Fri Jan 09 2015

***Bitterly cold temperatures from the Dakotas to the Northeast

***Lake effect snow continues downwind of the Great Lakes

***Mild and dry for the western part of the country

*** The weather pattern over the next few days will feature a massive surface high settling southward from Canada to the Great Plains on Wednesday, following by another large surface high by the end of the week. 

Both of these features are of Arctic origin, and will bring bitterly cold weather from the western High Plains to the Mid-Atlantic and Northeast U.S. Widespread subzero overnight lows are forecast for the Dakotas, Upper Midwest, Great Lakes, and interior New England. Wind chill advisories and warnings are in effect for many of these same areas, with some of the coldest wind chill readings in the -25 to -45 degree range! 

Some record low temperatures are also possible. In addition to the frigid temperatures, the cold air advection over the Great Lakes along with upper-level shortwave energy moving over the region is expected to produce significant lake effect snow downwind from the Great Lakes through midweek. The heaviest snow is likely to occur east of lakes Erie and Ontario, where local amounts will easily exceed one foot. 

Some upslope snow is likely in the central and northern Appalachians as well. The western U.S. is expected to remain dry with mild temperatures through the end of the week. Graphics available at www.wpc.ncep.noaa.gov/basicwx/basicwx_wbg.php

Monday, January 5, 2015

Asbestos Judgement Final: Second Circuit confirms asbestos judgment against Travelers

Congratuations to Motley Rice for successfully concluding a long and arduous fight on behalf of asbestos victims.

U.S. COURT OF APPEALS FOR THE SECOND CIRCUIT CONFIRMS ASBESTOS JUDGMENT AGAINST TRAVELERS
Insurer must finally pay $500 million in asbestos-related settlements 

MT. PLEASANT, SC – (January 5, 2015) – Today the U.S. Court of Appeals for the Second Circuit, by denying a request for rehearing and a rehearing en banc, confirmed that the Settlement Agreements Travelers agreed to in 2004 were binding and enforceable contracts between the parties, that all conditions had been satisfied, and that, in an attempt to avoid its obligation to thousands of asbestos victims, whatever Travelers’ “private hopes and dreams were,”  they were not supported by the language of the agreement.

“Travelers now has to finally live up to its commitment and provide rightful compensation to asbestos victims who waited more than a decade for this to be settled and done with,” says Motley Rice co-founder Joe Rice. “We are gratified that perseverance by all involved has resulted in this positive, and now, final ruling.” 

Attorneys with Motley Rice LLC have played a central role in the litigation against Travelers for its alleged breach of duty to the injured asbestos victims for more than 20 years. This litigation was spearheaded out of the consolidated asbestos litigation in West Virginia State Court and then transferred...

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NJ Medical Costs Per Claim Increase

NJ is a jurisdiction where the employer has exclusive control over the selection of medical providers for workers' compensation claims. NJ also has no medical fee schedule. Neverthe less, WCRI report that medical costs per claim are increasing above the national average.

The report, CompScope™ Medical Benchmarks for New Jersey, 15th Edition, found medical payments per claim grew less than 3 percent per year from 2010 to 2012―about half the annual rate of the prior three years.  

The study cited changes in both key components of medical payments per workers’ compensation claim: the price paid for each service rendered and the number of services performed in each claim (generally called utilization).  

The study found a decrease or little change in utilization of many nonhospital services─a key factor in the recent slower growth in medical costs because payments for nonhospital care accounted for roughly two-thirds of medical payments in New Jersey. Slower growth in hospital outpatient payments per service was also a factor. Payments for hospital inpatient treatment continued to rise though. 

The recent trends coincided with an increase in the use of networks in caring for injured workers. States  that do not regulate reimbursements for medical care through a traditional fee schedule (like New Jersey) often use medical networks to help control medical costs through the management of claims and negotiated payment discounts.

Despite the recent slower growth, medical payments per claim in New Jersey remained higher than most of the 16 states WCRI studied, primarily due to higher prices paid for medical care. 

In several states, WCRI researchers saw slowdowns in claims growth similar to what they found in New Jersey, namely growth of 3 percent or less from 2010 to 2012, after growth of 4 to 8 percent a year, on average, from 2007 to 2010. Reasons for the slowdown differed by state, the study said. 

The Cambridge-based WCRI is recognized as a leader in providing high-quality, objective information about public policy issues involving workers' compensation systems.   

Click on the following link to purchase a copy of this study:http://www.wcrinet.org/result/csmed15_NJ_result.html

Vancouver, WA Road Paver Charged with Unregistered Contracting

Today's post comes from guest author Kit Case, from Causey Law Firm.

A Vancouver, WA man faces criminal charges that he operated as an unregistered contractor while paving driveways for Clark County residents. Some Clark County customers claimed his work was shoddy or never finished.

The Washington Attorney General’s Office has charged Salvador Rodriguez, 44, with six counts of unregistered contracting, a gross misdemeanor. He also faces two felonies − one count each of doing business without workers’ compensation insurance and failing to report or pay workers’ comp premiums. His business goes under the name Chava Paving.

The prosecution stems from a Department of Labor & Industries (L&I) investigation and multiple encounters between Rodriguez and L&I construction compliance inspectors.

 

Ridgefield consumer paid $33,000

The charges cover at least seven jobs Rodriguez’s company performed or agreed to perform from September 2012 through June 2014. In several of the jobs, consumers told L&I that Chava Paving did shoddy work or never finished, but Rodriguez refused to provide refunds or complete the jobs.

In one instance last June, a Ridgefield, WA property owner paid $33,000 in advance for the company to build a retaining wall and parking pad, and spread gravel on a road. The owner said that after five days on the job, the crew’s work was so poor and incomplete that he cancelled the contract. Rodriguez wouldn’t repay any of the money, which the property owner had paid in checks written to Salvador’s 17-year-old son, court documents said.

L&I recommends that consumers never pay contractors in full until the job is completed to their satisfaction.

Along with leaving unsatisfied customers, L&I found that Rodriguez wasn’t paying workers’ compensation for his employees. He employed three to 10 workers, depending on the job, without paying workers’ comp. In one case, at a Vancouver, WA mobile home park in July 2013, one worker even filed a wage complaint, contending that he was never paid; L&I retrieved the back pay for the employee.

 

Admits working without license

During an October 2013 interview with L&I staff, court documents said, Rodriguez admitted he and his workers were performing paving jobs without a contractor’s license or workers’ compensation account. He said he had to keep working to pay his bills.

Rodriguez originally registered Chava Paving in 2005. L&I suspended his contractor registration in May 2009 when his insurance and bond were cancelled, and revoked his workers’ comp coverage in October 2010 for failing to pay premiums. Since 2009, L&I inspectors have issued Rodriguez a dozen civil citations for unregistered contracting; none has been paid.

 

Check out prospective contractors

State law requires construction contractors to register with L&I. To register, contractors must have liability insurance, a business license and a bond to allow for some financial recourse if the project goes awry. Consumers can check whether a contractor is registered by going to www.Verify.Lni.wa.gov or calling 1-888-811-5974.

 

Photo credit: Steve Snodgrass / Foter / CC BY

Friday, January 2, 2015

Communicating Uncertainty — Ebola, Public Health, and the Scientific Process

The Ebola epidemic highlights the need to balance: uncertainty, fear and risk, in such a manner that health care workers can continue to perform their services. Today's post is shared from nejm.org/

The levees of the Red River in Grand Forks, North Dakota, are built to withstand 51-ft water levels. In 1997, the National Weather Service predicted a flood, but despite a 35% margin of error for previous estimates, it emphasized that the river would crest at 49 ft at most. When the waters rose to 54 ft, wreaking havoc on the area, local inhabitants were shocked and angry. Why had forecasters projected such confidence in their prediction? According to Nate Silver, who describes the incident in The Signal and the Noise, “The forecasters later told researchers that they were afraid the public might lose confidence in the forecast if they had conveyed any uncertainty in the outlook.”1

In hindsight, it's easy to criticize the forecasters. Not only were they wrong, but their unwillingness to admit to uncertainty had grave consequences. Silver suggests that the flood was largely preventable: sandbags could have augmented the levees, and water could have been diverted from populated areas. Looking back, it's hard to see any downside to admitting that the prediction could be off by 9 ft either way. But forecasters faced a trade-off: communicating uncertainty often undermines perceived expertise, but if you don't communicate uncertainty and end up being wrong, you risk losing even more credibility. Management of the Ebola “crisis” in the United States has crystallized this dilemma.

Click here to read the complete article, "Communicating Uncertainty — Ebola, Public Health, and the Scientific Process," by Lisa Rosenbaum, M.D., N Engl J Med 2015; 372:7-9 January 1, 2015DOI: 10.1056/NEJMp1413816