Quarantine works. Stay home!

Art by Grace Harrington

At last check, Australia has only 28 deaths from coronavirus. A friend down under told me that on WhatsApp today, and I had to check it before I believed it. The United States topped 7,000 deaths today. There are geographic, cultural, and quantitative-relative explanations for this differential, but they cannot account for it fully without considering differences in social and legal policy responses.

And then I read this, about the 1918 flu, from my friend Dan Harrington in the March 28 Providence Journal: "Australia enacted strict quarantine measures early on in the crises. It ... was spared."

Dan's op-ed is well worth reading.  It draws on the 1918 experience to conclude, "The lessons are all too simple. If governments had adopted quarantine measures and communicated them effectively, the reduction in death would have been significant."

Observe quarantine and, to the extent possible, stay home!

Doctor's blog briefs COVID-19, medmal, learned intermediary doctrine, and addiction in legal profession

Like you, likely, I am at home.  And one thing I can tell you about home:  This ain't Rwanda.  Where I was supposed to be.  Apologies in advance to students for the classes I will have to reschedule in upcoming semesters to make up some of my sabbatical research.  Or maybe the university will afford me some bonus away time, compassionately understanding the impact of the crisis.  ROTFL.

So here I sit with some time to catch up on reading, and I want to share some worthwhile items here on the blog.

For starters, I'm terribly excited about what my friend and former student Joseph Grillo, M.D., J.D.-nearly-complete, has been writing over at his eponymous blog.  Here are recent headlines, links, and snippets in reverse chronological order.  Did I mention that Dr. Joe (LinkedIn) is an infectious disease specialist?

You have a look-see, below, while I go refresh my Whole Foods delivery window window.

Or not.

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Image by Prawny from Pixabay

Coronavirus Disease 2019 (COVID-19) – The Available Evidence
March 19, 2020

There is currently a large amount of information being circulated on the COVID-19 viral pandemic. Much of it is inaccurate and some is hysteria – often fostered by the mainstream media. In my view, the best way to combat this virus is by having evidence-based information and acting accordingly. There is a significant amount of accurate information currently known, but there is also considerable information that remains unknown at this time. Presented below is a discussion of both. Please feel free to contact me with questions at jfgrillo1@gmail.com.  Read more.

Image by Gordon Johnson from Pixabay

The Effects of the Affordable Care Act on Medical Malpractice Claims
March 17, 2020

The seemingly interminable debates about the ACA and health care reform in the last few years have focused mainly on health care access, quality, and cost. Debates on the medical malpractice component of the issue have focused almost entirely on cost. The familiar arguments in favor of limiting liability include the financial and health costs of defensive medicine; decreased physician supply in certain specialties and geographic areas; excessive awards; and high transaction costs, including attorney and expert witness fees. The equally familiar arguments in favor of maintaining tort liability include the need to promote civil justice, deter substandard care, identify incompetent practitioners, and encourage systemic quality improvement. There is a complicated and nonlinear relationship between medical malpractice events, medical malpractice claims, and medical malpractice costs. [Footnotes omitted.]  Read more.

Image by Gordon Johnson from Pixabay

Editorial: The Edges of Physician Liability and The Learned Intermediary Doctrine
March 12, 2020

The Learned Intermediary doctrine paints an idyllic picture of patients’ total reliance on their physicians to choose drugs and of physicians choosing drugs that best promote patient welfare. These images, however, are increasingly out of sync with the present-day healthcare system. For instance, managed care and other cost control measures employed by insurance companies have altered the doctor-patient relationship.  Read more.

Image by congerdesign from Pixabay

Suffering in Silence – The Addiction Epidemic in The Legal Profession
March 10, 2020

A recent course required an oral presentation on a topic of our choosing. Unknowingly, I chose to research and present my findings on addiction in the legal profession. What I found is worth expounding. Also worth noting is that these findings were presented to the university administration. Their response was chilling. In short, they claimed to “have this.” I am certain of a few things – they don’t “have this,” that being stagnant is at the heart of the crisis, and the status quo continues – drugs continue to be sold and consumed, and law students are suffering in silence. Therein lies a microcosm of a crisis within the legal profession.  Read more.

Image by Alina Kuptsova from Pixabay

Urgent Care – an Emerging Source of Clients for Medical Malpractice Attorneys
March 4, 2020

Urgent care centers are increasingly becoming Americans’ go-to option for certain health problems according to a study in JAMA Intern Med. 2018. Visits to urgent care clinics increased by 119% among commercially insured Americans between 2008 and 2015. During the same time period, emergency room visits for low-severity conditions — like those treated at urgent care centers — decreased by 36%. The reasons for these trends are numerous, including the high costs and long wait times associated with ER visits. While there are certainly benefits to such clinics, there are potential pitfalls for patients.  Read more.

CFP: Law Against Pandemic

Calling contributors!

Scholars, students, practitioners, all disciplines, all nations, are invited to contribute articles, commentary, and other work to the new website and blog, Law Against Pandemic.  Student work is especially desired, so professors, please spread the word (at an appropriate social distance) in your schools.

Law Against Pandemic is a "[s]pace for debate on the legal aspects of pandemics as a tool of development and popularisation of the achievements of social sciences." The project states as its main goal, "Creation of a publishing platform for high quality articles on legal aspects of pandemics, in order to contribute to the discourse and the analysis of possible solutions."

"We will publish articles and commentaries on the interrelations between law and pandemics.  There is no character limit. We accept texts in English, French, German, and Polish."

Read more in Law Against Pandemic guidelines.

 

Follow Law Against Pandemic on Facebook and on Twitter.

 

 Email submissions.

Currently available from Law Against Pandemic:

Mikołaj Sołtysiak, SARS-CoV-2 a stosunki zobowiązaniowe [SARS-CoV-2 and contractual relations].  Mikołaj Sołtysiak is a third-year student in civil law at Jagiellonian University in Poland.  The article is in Polish; here is the abstract, my translation:

The epidemic state means a period of extraordinary circumstances affecting many contractual relationships. Civil law provides for certain constructs that will enhance the content of contracts in exceptional circumstances, but only to a limited extent. Many situations caused by SARS-CoV-2 do not qualify for the use of mechanisms such as rebus sic stantibus, or lack of liability due to force majeure, and yet, it seems axiologically inappropriate to be indifferent to such cases. Here the key role of the legislator is revealed.

While Sołtysiak contemplates a need for the exercise of legislative power, I contributed a piece to Law Against Pandemic on the need in the United States for the federal executive authority to step up to the challenges of the coronavirus crisis.

COVID-19 stresses United States on domestic borders; war analog might foster state solidarity upon federal power

Rhode Island Governor Gina Raimondo was recently
threatened with a lawsuit by New York Governor Andrew
Cuomo.  U.S. Air National Guard Photo
by Master Sgt Janeen Miller (2016).

I have just published at the new blog, Law Against Pandemic. Here is the abstract:

The coronavirus pandemic is stressing not only our healthcare systems, but our political and legal systems.  The pandemic has challenged our sense of identity in humankind, pitching us back and forth between a spirit of global solidarity and a competition of human tribes for resources and survival.  That tension plays out in our political and legal responses to the pandemic, manifesting the natural human temptation to tribalism in both international and intranational dimensions.

As policymakers struggle to respond to the pandemic and to curb the outbreak of COVID-19, I have been struck by the emergence of interstate tensions in the United States.  The pressure of the pandemic, aggravated by a slow and uncertain governmental response at the federal level, has been a brusque reminder that the United States are a plural: a federation of states that famously endeavored “to form a more perfect Union,” but that, like human governance itself, remains a work in progress.

Read more at the new blog, Law Against Pandemic

 

Report from Quarantine: Week 1

Since (and because) I returned from Africa via Jo'burg and Heathrow, my wife and I have been in self-quarantine.  Here is my self-absorbed, self-quarantine report, week 1.

What I'm Reading

Moshin Hamid, Exit West (2017) (Amazon).  Hamid is best known for his 2007 novel, The Reluctant Fundamentalist (Amazon), basis of the 2012 film.  This book offers an intimate character study of a couple who flees civil war in an anonymous homeland, as they experience displacement amid western cultures. I care for neither romances nor narrative demagoguery, but this book, colored with a shade of magic realism, is more complex than the former and more crafty than the latter. Thoroughly compelling recommendation from Dean Peltz-Steele.

Charles Serio, The Legend of the Blue Cloud (2019) (Amazon).  Shout out to my uncle, who authored this book.  London based, Charles Serio is an accomplished playwright and communication consultant.  His debut novel was the quasi-autobiographical The Lies I've Told (Amazon).  In this book, he fully embraces fiction, spinning the yarn of young adults in the American West who must combat an evil force that seeks to unleash itself on our earthly realm. The book might best be billed as a YA thriller, though its portrayal of the antagonist has a mature edge. Better than I could write, it's sometimes rough around the edges, but I was engaged to the end to find out what would happen to my heroes.

James D. Zirin, Plaintiff in Chief: A Portrait of Donald Trump in 3,500 Lawsuits (2019) (Amazon).  I started planning my Trump Litigation Seminar for fall 2020 before I knew this book was coming out.  My goal was to use Trump case stories as a vehicle to teach tort law and litigation skills.  Now I plan to assign this book, too, which adds a rich policy dimension to the subject.  What Zirin illustrates is frightening:  You be the judge of the President; what I find frightening is the sorry state of our justice system, for its vulnerability to exploitation by the ruthless.

Book of Judges (Bible Study Tools).  In my on-again-off-again flight from Africa, I admit, I lost the thread of my church's yearlong Bible-reading study.  But let's be honest, who hasn't lost the thread in Numbers?  I was back in the saddle for Joshua, and now, in Judges, Deborah has summoned Barak to the Palm.  No spoilers!

What I'm Watching

Toy Story 4 (2019) (IMDb).  It would have been hard to top Toy Story 3, and 4 does not.  That said, 4 is a well worthwhile frolic and welcome opportunity to see what became of our beloved characters after Andy.  Key and Peele are delightful additions to the cast as Ducky and Bunny, and Keanu Reeves is downright brilliant as Duke Caboom.  Yes, we Can-ada!

Star Trek: Picard s1 (2020) (CBS trailer, IMDb).  This worthy new entry in the history of the franchise shows Star Trek to be in good hands at CBS.  Patrick Stewart said he would not appear again as Jean-Luc Picard after Nemesis.  But even he could not resist the siren call of the pen of Akiva Goldsman and Michael Chabon, whose writing is inspired.  Make it so.

Avenue 5 s1 (2020) (HBO trailer, IMDb).  Not every joke lands, but those that do more than make up the difference.  Hugh Laurie is characteristically fabulous.  And I adore Nikki Amuka-Bird, who, as Rav Mulcair, steals every short scene she's in.  Fly safe, fly true.

Letterkenny s6 (2018) (IMDb).  I had tickets to the live show in Portland, Maine, in March: postponed indefinitely for coronavirus.  So I slowed my viewing to savor seasons 6 and 7.  Pitter-patter.

What I'm Eating

Crepelicious, Barrington, RI, USA.  A scrumptious ham, egg, and cheese crepe like this one could be yours for curbside pickup from locally owned Crepelicious.  Please, if you are in a position to do so, support your local restaurants and retail!

Whole Foods Market.  Guilty as charged.  In my defense, we're not breaking quarantine to go to the grocery store, which seems to me the weak link in the whole flatten-the-curve effort.

What I'm Drinking

Jamestown Coffee (Facebook).  Made in Ghana, fruit of my recent travels.  Smooth and tasty.

Highclere Castle Gin.  You watched the TV show and the movie; now try the gin.  A smooth London dry with a hint of lavender, it's made with botanicals from Highclere Garden and the imprimatur of real-life Lord and Lady Carnarvon.

What I'm Hoarding

We just received an aid package from my sister- and brother-in-law in Atlanta, where, apparently, this stuff grows on trees.  Before you get any ideas: My house is protected by Smith & Wesson.