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Will Louisiana’s opioid lawsuit make a difference? A realistic case for big pharmaceutical companies to emerge as winners

Posted in Corruption, Courts, DHH, Ethics, Guest Columnist, Health Care, House, Senate, Lawsuits, PACs, Politicians on January 5, 2018| 5 Comments »

By Morgan Statt, Guest Columnist

It’s 2005, and the National All Schedules Prescription Reporting Act (HR 1132) is on President George W. Bush’s desk ready to sign. With one fell swoop he signs the bill into law, and it grants all states $100 million in funding to aid prescription drug monitoring services. Shortly after, former Louisiana representative Billy Tauzin abandons his post in the House of Representatives and accepts a job as President and CEO of PhRMA, a major lobbying group for pharmaceutical companies. Instead of celebrating the bill being signed into law, Tauzin finds a way to dismantle the allocation of funding.

Now, let’s bring it back to present day. Today, there is an almost daily snippet of news on America’s opioid epidemic, one that has ravaged nearly every area of the country. In 2016, more than 63,600 opioid overdose deaths were reported, the highest number ever, and new reports show that the crisis is lowering the average American life expectancy.

What’s being done to combat the crisis that either directly or indirectly affects millions of Americans?

For one, states are strengthening their prescription monitoring programs, the very thing Rep. Tauzin dismantled funding for in 2005. Although these programs have been in place for a number of years, only a limited number of providers have taken advantage of their ability to detect and deter abuse. Additionally, cities and states across the country have filed lawsuits against pharmaceutical companies for their role in the crisis.

And Louisiana is one of them.

In September 2017, the Louisiana Department of Health filed a lawsuit against 16 drug manufacturers, among them OxyContin maker Purdue Pharma, at the 19th Judicial Court in Baton Rouge. The suit claims that the named companies used aggressive marketing tactics and encouraged physicians to prescribe opioids under the guise that they were not addictive.

Louisiana Attorney General Jeff Landry has said that “Louisiana is one of eight states that has more opioid prescriptions than residents.” Despite the fact that Big Pharma played a role in the opioid epidemic, will these lawsuits actually make a difference? Even if there was an astronomical payout, will these lawsuits help to end the crisis and prevent future epidemics?

The short answer is: no.

Big Pharma is like that rich, popular kid in high school we all knew. They used their money and status to manipulate peers and played off students’ desires to be a part of their inner circle.

Similarly, Big Pharma uses status and influence to get what it wants. Its targets for manipulation span multiple areas of the industry, which include the current regulations in place and clinical trials.

Before we can even have a sliver of hope that a hefty payout will change its ways, we have to tackle the pharmaceutical industry’s influence head-on to see any real impact on its actions. We can start by addressing these two areas of influence.

Drug companies have the ability to fund clinical trials.

Imagine you come out of surgery and are placed on a blood thinner to prevent any clotting from happening once you’re off the operating table. You’ve been told of the internal bleeding side effects, but there just so happens to be no known antidote on the market yet to serve as treatment if such complications arise.

This was the case for the anticoagulant Pradaxa. In 2010, the medication was met with FDA approval and put on the market without an antidote. But then severe internal bleeding incidents took place, and over 1,000 people died as a result of being prescribed the medication. Since then, manufacturer Boehringer Ingelheim has had a slew of Pradaxa lawsuits filed against it for its role in patient harm.

I bring up Pradaxa as an example because it points to issues with the clinical trial process that exist today. In a recent study conducted by Johns Hopkins University, clinical trial funding that has been traditionally provided by the National Institute of Health has fallen dramatically over the years. To supplement the lack of funding, pharmaceutical companies sponsor the trials. But, this presents the opportunity for companies with financial interest in the trial outcomes to favor positive results over any negative side effects that could occur.

In the case of Pradaxa, its industry-funded clinical trial RE-LY was met with criticism from drug safety groups for generalizing the medication’s potential population and failing to be carried out as a double-blind study. Skewed trial results led to hasty FDA approval and ultimately the creation of a $650 million settlement fund in 2014 that Boehringer Ingelheim used to settle over 4,000 claims.

Laws & regulations favor Big Pharma.

Despite legislators’ best attempts to protect consumers, certain laws & regulations currently in place often aid pharmaceutical companies’ business ventures, rather than prioritizing patient safety. One such law that has faced criticism in recent years is the 21st Century Cures Act, which loosened regulations on the drug and medical device approval process.

Although put in place to encourage innovation and quicken the ability for life-saving drugs to get to market, critics argue that the real winners of the bill were the drug companies. As part of the “loosening” of regulations, Big Pharma can now get away with using only “data summaries” instead of conducting full clinical trials to get drug approval. They’re also now able to promote off-label uses for their medications, enabling them to expand their markets – and their profits.

Ironically enough, drug companies aggressively promoted the off-label use of opioids and contributed to the rise in addictions across the country. Look no further than Insys Therapeutics’ push for non-cancer patients to take Subsys, a “powerful, fentanyl-based liquid” originally marketed for cancer patients with pain that couldn’t be treated with any other option.

As much as we’d like to pretend that lawsuits against Big Pharma can play a role in solving the opioid crisis, this isn’t the case. Drug companies’ influence stretches far and wide, and it may be time to strip that influence away little by little.

Let’s scrutinize the laws and regulations in place that give Big Pharma the upper hand. Let’s consider alternative funding sources for clinical trials that would allow little room for bias. But most importantly, let’s find a way to ensure that lawmakers, lobbyists, and other government officials are committed to doing what’s best for the American public rather than chasing that dollar sign.

(Morgan Statt is a Health & Safety Investigator for Consumersafety.org, a consumer information organization which strives to provide information about recalls and safety-related news about drugs, medical devices, food, and consumer products.)

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First Circuit Court of Appeal to hear oral arguments on closure of Pineville’s Huey P. Long Hospital on Nov. 7

Posted in Boards, DHH, Governor's Office, Health Care, Layoffs, Politicians, Privatization, Senate on October 24, 2017| 3 Comments »

Oral arguments are scheduled to be heard on Nov. 7 in the First Circuit Court of Appeal in Baton Rouge on a three-year-old matter that a layman unfamiliar with the way in which judges can manipulate and interpret laws to keep the meter running would think should have been settled two years ago.

But settling cases quickly and decisively is not the way the courts work and because of that, the case involving the unconstitutional closure of Huey P. Long Medical Center (HPLMC) in Pineville in 2014 rocks on, continuing to rack up fees for contract attorneys for the state—all paid for thanks to the generosity of Louisiana taxpayers.

Meanwhile, the fate of some 570 employees has been held in abeyance since the hospital’s closure on June 30, 2014.

And the manner in which its closure was approved prompted the lawsuit by plaintiffs Edwin Ray Parker, Kenneth Brad Ott and the American Federation of State, County, and Municipal Employees (AFSCME).

Here’s the way it all went down:

At 4:07 p.m. on April 1, 2014, a notice of the April 2 meeting at 9 a.m. of the Senate Health and Welfare Committee to consider Senate Concurrent Resolution (SCR) 48 which “Provides for legislative approval of and support to the Board of Supervisors of Louisiana State University for the strategic collaboration with the state in creating a new model of health care delivery in the Alexandria and Pineville areas.”

A “new model of health care delivery” was a clever way of wording the SCR so as not to tip the hand of the Jindal administration’s intent to shutter the doors of HPLMC. Who could possibly be expected to discern from that goony-babble that in less than 24 hours, the decision would become final to close the facility?

There were only two key things wrong, either of which should have been sufficient grounds to stop closure of HPLMC.

First, the Senate’s own rules promulgated in accordance with the Louisiana Open Meetings Law LA 42:19(B), which says that notice of all such meetings must be posted no later than 1:00 p.m. the day prior to the meeting and if notice is posted after 1:00 p.m., the agenda item may not be heard the next day. (emphasis added)

Second, in a 1986 case, the U.S. Supreme Court held that:

A concurrent resolution…makes no binding policy; it is ‘a means of expressing fact, principles, opinions, and purposes of the two House (House of Representatives and Senate).” (emphasis added)

Attorney J. Arthur Smith, III of Baton Rouge argues that Article III, Paragraph 14 of the Louisiana Constitution provides that the style of a law “shall be ‘…enacted by the Legislature of Louisiana’” and Paragraph 15(A) which says rather bluntly, “The legislature shall enact no law except by a bill introduced during that session…” (emphasis added)

Smith said, “The Legislature cannot amend Louisiana statutes by resolution” because an enacting clause “distinguishes legislative action as law rather than a mere resolution” as held in First National Bank of Commerce, New Orleans v. J.R. Eaves in that “failure to include a significant portion of the enacting clause renders the law unconstitutional.”

To put all that in plain English, Smith is simply pointing out case precedents which hold that a concurrent resolution is not the same as a legislative bill and therefore, is not binding.

That’s pretty straightforward and something that a first-year law student should be able to comprehend.

Yet, when the state appealed the ruling of State Judge Pro-Tem Robert Downing of June 23, 2014, which granted plaintiff’s request for a preliminary injunction because the Senate committee violated the Open Meetings Law and provisions of Article III of the Louisiana Constitution, the First Circuit managed somehow to overlook the violations.

Instead, it ruled the state’s appeal as moot since HPLMC closed on June 30, 2014, seven days after Downing’s ruling and the First Circuit did so without even bothering to address the issues on which Downing’s ruling was based.

Moreover, the state appealed directly to the Louisiana Supreme Court on the basis of the declaration of the unconstitutionality of SCR 48. On Jan. 13, 2017, the Supreme Court denied the state’s appeal as moot but on Feb. 24 of this year, granted a rehearing to the First Circuit.

So now, a three-judge panel comprised of Judge John Michael Guidry, Judge John T. Pettigrew and Judge William J. Crain will hear arguments on the constitutionality of SCR 48 and of violations of the Open Meetings Law.

Interestingly, the state argues that notices to the public “need not contain anything other than a bill number” and that the Senate “has no obligation to inform the public of the nature or substance of the legislative proposals it will be considering.”

Now that’s a damned interesting concept. Who knew we, the public, had no right to be informed of what our elected representatives are up to? Who knew the people we elect and send to Baton Rouge have “no obligation” to let us know what they’re cooking up in the House that Huey built? Who knew the Bobby Jindal administration could push a concurrent resolution through the Senate and call it a law? Who knew such upright public servants as Jindal and members of the Senate committee would flim-flam us?

Louisiana R.S. 42:24 authorizes the courts to void “any action taken in violation” provided a lawsuit to void any action “must be commenced within 60 days of the action.”

The Baton Rouge firm of Taylor, Porter, Brooks & Phillips is representing the State in the HPLMC litigation.

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Jindal truly the gift that keeps on giving; judge rules 2014 closure of Rapides’ Huey P. Long Hospital ‘Null and Void’

Posted in Courts, DHH, Earl Long, Huey Long, Ethics, Governor's Office, Health Care, Jobs, Judges, Lawsuits, Layoffs, Legislature, Legislators, Privatization, Senate, Transparency on June 15, 2016| 10 Comments »

By Robert Burns

After Louisiana’s FYE books were closed on June 30, 2013, the Jindal administration touted the fact that 2,340 hospital employees had been laid off during that fiscal year. Nevertheless, one hospital, the Huey P. Long Hospital in Pineville, was proving particularly vexing for Jindal’s administration.

With much fanfare, Jindal’s folks called a news conference to announce that the hospital’s operations would be transferred to England Airpark with an estimated $30 million required to renovate the facility which was closed in the early 1990s. The money was said to come from $5 million pledged by the England facility and the remainder from state-issued capital outlay bonds issued during FYE ’13.

Despite all of the hoopla associated with the announcement of the transfer, the proposal ended up fizzling out, and Jindal’s administration had to conjure up a “Plan B.”

That turned out to be another iteration of the public/private partnerships for which the Jindal administration essentially could have qualified for a patent on crafting such arrangements. In this instance, the public/private partnership would entail Rapides Regional Medical Center and Christus St. Frances Cabrini Hospital taking over much of the workload of Huey P. Long.

Of course, the whole proposal had the

gnawing obstacle that it needed approval from those darn folks at the Legislature, and that’s where things got interesting.

To accomplish the goal, Senator Gerald Long obediently introduced

Senate Concurrent Resolution (SCR) 48 in the regular session of the 2014 Legislative Session. On March 31, 2014, the Senate Committee posted an agenda for its meeting of April 2, 2014; however, that agenda was devoid of any reference to SCR-48.

On April 1, 2014 at 4:07 p.m., a revised agenda was posted in which SCR

-48 was posted and itemized to include a notation entailing its subject matter: “creating a new model of health care delivery in the Alexandria and Pineville area.” Amendments were added to SCR-48, and it ultimately passed both the House (66-28) and Senate (26-11).

Baton Rouge attorney Arthur Smith, III,

filed litigation on behalf of affected employees of the hospital and others alleging violations of Senate Rules of Order 13.73 and 13.75.

Also alleged was a violation of Louisiana’s Open Meetings Laws

, and relief was sought to have SCR-48 declared null and void (a relief available under Louisiana’s Open Meetings laws) based on that violation and also an assertion that SCR-48 was unconstitutional. A preliminary injunction was also sought to block the closure of the hospital with the ultimate goal of obtaining a permanent injunction.

The trial court granted the preliminary injunction, but it simultaneously suspended enforcement of the

preliminary injunction upon the defendants (the Louisiana Senate, LSU, and the State of Louisiana) perfecting an appeal.

It was initially believed that the Louisiana Supreme Court (LSC) would decide the matter because of the issue raised of the constitutionality of SCR

-48. However, the Supreme Court quickly refused to hear the matter in stating that it was “not properly before this Court.” The Supremes (no, not the singing Supremes) elaborated by ruling that it could consider only matters which had been declared unconstitutional in a court of law.

Since the trial court’s reasons for judgment only made reference to the

potential unconstitutionality of SCR-48 without making a definitive declaration that it was unconstitutional, the Supreme Court denied writs.

Meanwhile, the hospital was closed, and Smith took his case to the First Circuit Court of Appeal. That appeal was dismissed based

upon the fact there was no active injunction to prevent the hospital from being closed. That was the case because, expecting (wrongly) the Supreme Court to rule on the matter, Judge Robert Downing suspended the preliminary injunction. With no injunction in place to prevent the closure, the hospital was padlocked.

The First Circuit issued its decision on September 15, 2015. That ruling notwithstanding, the

declaratory judgment aspect of the lawsuit could proceed forward, and that led to a hearing in 19th JDC Judge Don Johnson’s courtroom on Monday, June 13, 2016.

During that hearing, much of what has been elaborated above was rehashed, but then co-counsel for the day’s proceedings, Chris Roy, Sr., of Alexandria, took center stage and converted what had been basically a snooze fest into a fireworks display.

Prior to Roy beginning testimony, Judge Johnson interjected a few points of his own into the arguments. First, Johnson indicated that, while he was a student at Southern University, he experienced a significant health issue and went to Baton Rouge’s local charity hospital

, Earl K. Long, and he said, “I sure was glad it was there to treat me.”

Earl K. Long was also shut down by the Jindal administration and subsequently demolished. Emergency room treatment of indigent patients was initially taken over by Baton Rouge General Midtown. But Baton Rouge General closed its emergency room more than a year ago. That forced low-income charity patients in the northern part of East Baton Rouge Parish to travel a much further distance to Our Lady of the Lake Medical Center in South Baton Rouge for treatment. That point was not lost on attorneys for the defendants who claimed that care would continue to be provided for the underprivileged, but such care would simply now take place under the new public/private venture.

Roy said that the closure of the

Huey Long Charity Hospital caused an enormous level of anxiety among the community’s population and also with the employees of the hospital. Johnson acknowledged that fact and said, “I’m aware of that fact. They didn’t like it at all.” Roy stressed that “125 employees lost their jobs and $11 million in wages were lost as a result of this episode.”

Roy focused most of his arguments on the fact that, contrary to defense attorney claims, the whole issue

of SCR-48 is not now “moot.” He emphasized that ordinary citizens are provided with only one mechanism for making their sentiments known about proposed legislation and that is through “showing up and testifying at committees and subcommittees of the Legislature.”

Roy then rhetorically asked how they were supposed to do that w

hen the Senate would engage in such a “flat-out violation” of posting an addition to the agenda at 4:07 p.m. the day before a hearing when the clearly-established deadline was 1 p.m. for such an addition. Roy then stressed his age, and even poked fun at the relative youth of one of his opposing counselors (who appeared to be in his late 20s at most), in indicating that he, Roy, was one of the participants in the formation of the present Louisiana Constitution.

Roy said, “One of our main objectives was to try and make everything as transparent as possible because there had been a prior governor, whom I won’t reference by name (a thinly veiled reference to Huey Long), who sought to keep the public from knowing

anything that was transpiring.” The irony of the subject matter of the suit being the closing of a hospital named for him seemed not to be lost on anybody in the room.

“Your Honor,” Roy continued, “the Senate basically said ‘to hell with the Constitution. We are the Senate of the State of Louisiana, and we decide what we will do and won’t do.’” Roy then emphasized that opposing counsel could not simply argue that the whole matter was “moot,” and assert a defense along the lines of “we won’t do it again.” Roy then emphasized that Louisiana Senate President John Alario is a good man with integrity and a close personal friend of his, but he then asserted that what Alario allowed to transpire in this instance was just “wrong.”

The State sought the granting of a Motion for Summary Judgment (MSJ) to dismiss the case, and the plaintiffs sought the granting of an MSJ declaring SCR-48 to be null and void. In the battle of the MSJs, Johnson ruled in favor of the plaintiffs: “SCR-48 of the 2014 Regular Session is declared to be Null and Void. The Plaintiff’s may seek attorney fees, costs, and expenses through post-hearing motion. The Joint Motion for Summary Judgment filed by defendants is denied.”

Now all that remains to be seen is whether the state will have to pay salaries and benefits retroactive to the hospital’s closing date to those 125 employees (the amount given was $11 million saved by closing the facility) or if there will be yet another appeal of a 19th JDC judge’s ruling to the First Circuit.

The smart money is on an appeal.

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DHH Secretary’s ‘personal issues’ reason given for missing legislative committee hearing turns out to be spring break

Posted in Budget, DHH, Ethics, Finances, Governor's Office, Health Care, Legislature, Legislators, LSU, Politicians on March 30, 2016| 8 Comments »

The timeliness of Tuesday’s observation about holding our public officials accountable has come into play less than 24 hours after the post went up.

Today’s (March30) Baton Rouge Advocate revealed that only two of Bobby Jindal’s nine public-private partnership hospital contracts will be funded in the next fiscal year, a move that is certain to adversely affect low-income residents seeking medical care. http://theadvocate.com/news/15333761-70/seven-out-nine-public-hospitals-unfunded-in-next-years-budget-including-baton-rouge-and-lafayette

As severe as the projected cuts are ($58.4 million to Our Lady of the Lake Medical Center in Baton Rouge and $51.2 million to Lafayette General Health Center alone), Gov. John Bel Edwards appointee Department of Health and Hospitals Secretary Dr. Rebekah Gee has been AWOL at hearings before the House Appropriations Committee and the Joint Legislative Committee on the Budget.

The latest crisis is, of course, directly attributable to the short-sightedness of Bobby Jindal and his obsession with privatizing everything in state government that moved—even to the extent of having his lap dog LSU Board of Supervisors approve a contract turning over medical facilities in Shreveport and Monroe to private concerns which contained 50 blank pages.

As things now stand, it appears the only hospitals to be spared the knife (if you will pardon a terrible pun) are the LSU Medical Centers in New Orleans and Shreveport and they survived only because they house LSU medical schools.

The fiscal year 2017 budget calls for a 10 percent funding cut for DHH. That comes to $283 million right off the top but the number escalates to $750 million when the loss of federal matching funds are factored into the equation.

Besides OLOL in Baton Rouge and Lafayette General, other public-private hospitals impacted by the cuts include those in Alexandria, Monroe, Houma, Bogalusa and Lake Charles.

LSU Health Sciences Center Chancellor Dr. Larry Hollier testified that he was worried about the prospect of seeing the public-private arrangements go belly up. OLOL, he said, has 150 residents in training and Lafayette has 82. In all, LSU has about 800 residents scattered about the state.

State Rep. Ted James (D-Baton Rouge) noted that residents of north Baton Rouge, a predominantly black area, have lost both inner community hospitals when Earl K. Long was closed and later torn down and when Baton Rouge General-Mid City closed down its emergency room a year ago Thursday (March 31).

So with all this bad news swirling about, where was the DHH secretary?

Sure, DHH Undersecretary Jeff Reynolds testified but was unable to give clear cut answers to legislators’ questions about how funds saved from Medicaid expansion might be used to offset the DHH shortfall.

But Gee was still MIA. Reynolds said she was absent because of personal issues but that lame excuse was quickly shot down by DHH spokesperson Bob Johannessen told LSU’s Manship School News Service that Gee was spending spring break with her family.

Johannessen’s candor could get him in hot water. The boss never likes it when a subordinate reveals something that puts him or her in a bad light. And face it, this is a pretty bad light. He did recover some lost ground, however, when he added that legislators who were critical of her absence were “grandstanding.”

Well, yeah. That’s what politicians do. So why make it so easy for them?

Rep. Bob Hensgens (R-Abbeville) said he doesn’t recall seeing Gee at any Appropriations Committee or Joint Legislative Committee on the Budget meetings.

Rep. John Schroder (R-Covington) was even more critical. “It’s getting a little troublesome that the secretary doesn’t come,” he said. “The taxpayers want to hear from the boss when we start talking about these kinds of dollars.” http://www.thenewsstar.com/story/news/local/2016/03/29/millions-dollars-cut-state-hospitals/82402336/

Spring break? Whiskey Tango Foxtrot? (the new polite way of saying WTF?)

Edwards appointed Gee, a professor of health policy and management in obstetrics and gynecology at LSU, to head DHH in early January. http://new.dhh.louisiana.gov/index.cfm/page/7/n/55

We just had a DHH secretary (Kathy Kliebert) whose brother-in-law got into hot water with the Louisiana Board of Ethics (does anyone have any idea how difficult that is to do after Jindal revamped the ethics board in 2008?) because he failed to disclose his employment by state Medicaid contractor Magellan Health Services. http://www.theneworleansadvocate.com/news/11707352-123/brother-in-law-of-state-health-secretary

We just got rid of a governor who for eight years steadfastly refused to be held accountable for his action (or inaction, as the case may be).

Her appointment was described as “among the most important appointments Edwards will make in his new administration” by NOLA.com back in January.

At the time of the announcement of her appointment, she said, “I pledge to you I will use all of the skills I’ve used as a physician, a patient, a parent, and a policymaker to do everything I can to improve the lives and health of people in this great state.”

http://www.nola.com/politics/index.ssf/2016/01/john_bel_edwards_dhh_secretary.html

Dr. Gee, those noble words might mean a little more to the taxpayers of this state if you would take your position more seriously and appear at important committee hearings. A public face on an agency in crisis mode is more than important: it’s critical.

It’s all about accountability.

We’ve already had one agency head (Kristy Nichols) to duck out on a committee hearing to attend a boy band concert in New Orleans. We don’t need an encore of that performance. https://louisianavoice.com/2014/10/06/kristy-kreme-knows-one-direction-ducks-out-on-legislative-committee-for-boy-band-concert-at-n-o-smoothie-king-arena/

Going on spring break at a time when the low-income residents of this state are staring at having to overcome even greater hurdles to obtain decent health care sends the wrong message—a message that we’ve become all too familiar with over the past eight years.

And that message is arrogance.

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DCFS funding slashed, necessitating ‘driveway visits,’ but overworked caseworker is arrested for falsifying records

Posted in Budget, Campaign Contributions, Civil Service, DHH, Ethics, Fraud, Governor's Office, Health Care, Jobs, Layoffs, Legislature, Legislators, Lobbyist, PACs, Politicians, Taxes, Uncategorized on March 13, 2016| 21 Comments »

(You may enlarge the type by clicking on the plus (+) sign above the image and moving the bar at the bottom to the right to read the entire text.)

On Feb. 15, an arrest warrant was issued for a north Louisiana employee of the Louisiana Department of Children and Family Services (DCFS) following an investigation of more than two months by the Office of Inspector General.

Kimberly D. Lee, 49, of Calhoun in Ouachita Parish, subsequently surrendered to authorities and was subjected to the indignity of being booked into East Baton Rouge Parish Prison on Feb. 17 after being accused of filing false reports about mandatory monthly in-home visits with children in foster care.

As is often the case, however, there is much more to this story.

A month earlier, on Jan. 10, LouisianaVoice received a confidential email from a retired DCFS supervisor who revealed an alarming trend in her former agency:

“I served in most programs within the agency, foster care, investigations, and adoptions,” she wrote. “Over my career I witnessed the eight years of (Bobby) Jindal’s ‘improvements.’

“Those ‘improvements’ endanger children’s lives daily. The blight is spread from the Secretary to the lowliest clerical worker in the agency. People are overworked and underpaid but it’s not just that. People are so distraught from the unrelenting stress that children are in danger. Add to that the inexperience of most front line workers and their supervisors’ inability to properly train new staff.”

She then dropped a bombshell that should serve as a wake-up call to everyone who cares or pretends to care about the welfare of children—from Gov. John Bel Edwards down to the most obscure freshman legislator:

“In the Shreveport Region, the regional administrator (recently) told workers that they may make ‘drive-by’ visits to foster homes, which means talking to the foster parents in their driveway. Policy says that workers will see both the child and the foster parent in the home, interviewing each separately (emphasis added). A lot of abuse goes on in foster homes. Some foster families are truly doing the best they can but they need counseling and guidance from their workers. The regional administrator’s answer to that one? Have the foster parent call their home development worker—another person who can’t get her job done now.”

She wrote that she had heard of two separate incidents “where a child new to foster care was taken to a foster home and left without paperwork, without contact information for the person in charge of the case and without knowing even the child’s name.”

Moreover, she said, vehicles used in the Shreveport Region “are old, run-down, and repairs are not allowed. The last time new tires were bought was in 2014. When one (of the vehicles) breaks down, they just tow it away. No replacement is ordered.”

Could those factors have pushed Lee to fudge on her reports? Did the actions attributed to her constitute payroll fraud or did budgetary cuts force her into cutting corners in order to keep up with an ever-increasing caseload? Lee says yes to the latter, that she was told by supervisors to get things done, “no matter what.” Child welfare experts said her actions and arrest shone a needed light on problems at DCFS: low morale, high turnover, fewer workers handing greater numbers of caseloads, and increasing numbers of children entering foster care.

http://theadvocate.com/news/14909284-31/louisianas-child-protection-system-understaffed-and-overburdened-after-years-of-cuts-child-advocates

To find our own answers, LouisianaVoice turned to a document published on Jan. 5 of this year by the Child Welfare Policy and Practice Group of Montgomery, Alabama.

The 77-page report, entitled A Review of Child Welfare, the Louisiana Department of Children and Family Services, points to:

  • A growing turnover rate for DCFS over the past three years from 19.32 percent in calendar year 2012 to 24.26 percent in 2014;
  • A 33 percent reduction in the number of agency employees to respond to abuse reports;
  • A 27 percent cut in funding since fiscal 2009, Bobby Jindal’s first year in office;
  • An increase in the number of foster homes of 5 percent;
  • An increase of 120.5 percent in the number of valid substance exposed newborns, from 557 to 1,330;
  • A trend beginning in 2011 that shows 4,077 children entered foster care but only 3,767 exited in 2015;
  • A 19 percent decrease in the number of child welfare staff positions filled statewide from 1,389 in 2009 to 1,125 in 2015.
  • Of the 764 caseworkers, 291, or 38 percent had two years’ experience or less and 444 (58 percent) had five years or less experience.

Moreover, figures provided by the Department of Civil Service showed that of the agency’s 3,400 employees, 44.5 percent made less than $40,000 a year and 19 percent earned less than $30,000.

In 2014 (the latest year for which figures are available), the median income for Louisiana for a single-person household was $42,406, fourth-lowest in the nation, as compared to the national single-person median income of $53,657.

http://www.advisorperspectives.com/dshort/updates/Household-Incomes-by-State.php

“The stresses within the system are at risk of causing poorer outcomes for some children and families,” the report says in its executive summary. “…Recent falling outcome trends in some of the areas that have been an agency strength in the past are early warnings of future challengers.”

Despite years of budgetary cuts under the Jindal administration, Louisiana has maintained “a high level of performance in achieving permanency for children in past years and currently is ranked first among states in adoption performance,” the report said.

The budget cuts, however, “have negatively affected the work force, service providers, organizational capacity and increasingly risk significantly affecting child and family outcomes” which has produced a front-line workforce environment “constrained by high caseload, much of which is caused by high turnover and increasing administrative duties and barriers that compromise time spent with children and families.”

And it is that threat to “compromise time spent with children and families” that brings us back to the case of Kimberly Lee and to the email LouisianaVoice received from the retired DCFS supervisor who cited the directive for caseworkers to make “drive-by” visits to foster homes, leaving children with foster homes with no paperwork, contact information or without even knowing the children’s names, and of the state vehicles in disrepair.

It’s small wonder then, in a story about how Jindal wrecked the Louisiana economy, reporter Alan Pyke quoted DCFS Secretary Marketa Garner-Walters as telling the Washington Post if lawmakers can’t resolve the current budget crisis, many Louisiana state agencies will see budget cuts of 60 percent. http://thinkprogress.org/economy/2016/03/07/3757416/jindal-louisiana-budget-crisis/

As ample illustration of Bobby Jindal’s commitment to social programs for the poor and sick, remember he yanked $4.5 million from the developmentally disadvantaged in 2014 and gave it to a Indy-type racetrack in Jefferson Parish run by a member of the Chouest family, one of the richest families in Louisiana—but a generous donor to Jindal’s gubernatorial campaigns and a $1 million contributor to his super PAC for his silly presidential run.

Well, thanks to the havoc wreaked by Jindal and his Commissioner of Administration Kristy Nichols, the legislature did find it necessary to pass the Nichols’ penny tax (not original with us but the contribution of one of our readers who requested anonymity) to help offset the $900 million-plus deficit facing the state just through the end of the current fiscal year which ends on June 30.

Were legislators successful? Not if you listen to Tyler Bridges, one of the more knowledgeable reporters on the Baton Rouge Advocate staff. “Legislators were neither willing to cut spending enough, nor raise taxes enough nor eliminate the long list of tax breaks that favor one politically connected business or industry over another,” he wrote in Sunday’s Advocate (emphasis added). http://theadvocate.com/news/15167974-77/a-louisiana-legislature-that-ducked-tough-budget-decisions-during-its-special-meeting-convenes-again

As is all too typical, most of the real “legislation” was done in the flurry of activity leading up the final hectic minutes of the special session, leaving even legislators to question what they had accomplished. In military parlance, it would be called a cluster—.

But that should be understandable. After all, 43, or fully 30 percent of the current crop of legislators, had to work their legislative duties around their busy schedules that called upon them to attend no fewer than 50 campaign fundraisers (that’s right, some like Neil Riser, Katrina Jackson, and Patrick Connick had more than one), courtesy of the Louisiana Oil and Gas Association, the Beer Industry League, CenturyLink and a few well-placed lobbyists. http://www.nola.com/politics/index.ssf/2016/03/louisiana_special_session_fund.html

It is, after all, what many of them are best at. (Seven of those were held at the once-exclusive Camelot Club on the top floor of the Chase Bank South Tower. We say “once-exclusive” because last week the Camelot announced that it was closing its doors after 49 years. Restrictions on lobbyists’ expenditures on lunches for legislators was given as one cause for the drop in club membership from 900 to 400. Not mentioned was the fact that Ruth’s Chris and Sullivan’s steak restaurants in Baton Rouge have become favorite hangouts for legislators and lobbyists during legislative sessions. One waiter told LouisianaVoice during the 2015 session that one could almost find a quorum of either chamber on any given night during the session—accompanied, of course, by lobbyists who only wanted good government.) https://www.businessreport.com/article/camelot-club-closing-afternoon-can-no-longer-viable-club-owner-says

LEGISLATORS’ FUNDRAISERS

Bridges accurately called the new taxes that will expire in 2018 “the type of short-term fix” favored by Jindal and the previous legislature “that they had vowed not to repeat.”

Can we get an Amen?

In the meantime, he observed that Gov. John Bel Edwards and Commissioner of Administration Jay Dardenne, because the legislature still left a $50 million hole in the current budget, will have to decide which state programs will be cut—again.

Emphasizing the risks to children, Garner-Walters told legislators in a committee hearing during the just-completed special session that state DCFS staff numbers 3,400, down a third from the 5,100 it had in 2008. “You can’t just not investigate child abuse,” she said.

Former Baton Rouge Juvenile Court Judge Kathleen Richey, now heading up Louisiana CASA (Court Appointed Special Advocate), a child advocacy non-profit, has expressed her concern over the budgetary cuts that make DCFS caseworkers’ jobs so much more difficult.

“Our political leaders need to understand that while infrastructure represents a physical investment in our future, our children represent an intellectual investment in our future,” she said. “We have to protect innocent children who have no one else to stand up for them.”

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