medical

Physicians accuse Israeli Medical Association of remaining silent as Palestinian healthcare is systematically destroyed.

Hundreds of doctors have gathered outside the World Medical Association (WMA) summit in the Netherlands, calling for the suspension of the Israeli Medical Association (IMA) from the grouping of physicians.

On Saturday, 81 healthcare workers removed their scrubs and hung them in a line facing the WMA assembly in Rotterdam, each bearing the name of a Palestinian healthcare worker currently held in illegal Israeli detention.

It was part of a protest against the continued membership of the Israeli association in the WMA, “despite them breaching almost every ethical principle in the WMA’s Code of Medical Ethics”, the IMA Out! coalition that organised the demonstration said in a statement.

“These scrubs should not be empty. Our colleagues belong with their patients, not in Israeli prisons. Today, we literally placed their names at the WMA’s doorstep,” said Mejrem Ahmetaj, a general practitioner and member of IMA Out!.

Since October 2023, Israel’s genocidal war on Gaza has killed more than 1,700 Palestinian healthcare workers and destroyed nearly all the hospitals and healthcare facilities in the enclave.

The campaign accused the Israeli medical association of remaining silent as Palestinian healthcare has been systematically destroyed.

“The IMA is not a bystander. It defends these attacks and blocks international condemnation while Palestinian healthcare is being destroyed. That is not medical neutrality. That is complicity,” added Ahmetaj.

At a meeting of international doctors, medical leaders and human rights activists during the WMA summit on Thursday, the destruction of Palestinian healthcare and the responsibility of the international medical community were discussed, the campaign said.

“Our Palestinian colleagues are being killed and imprisoned, where they are starved and tortured. Their hospitals have been destroyed and patients driven out or murdered. The IMA has said and done nothing about these war crimes against health workers, patients and hospitals,” said a statement by Jonathan Fluxman on behalf of IMA OUT!.

“Thirty years of WMA dialogue with the IMA has done nothing but give the IMA a sense of impunity … It is time for national medical associations and the WMA to speak out and take action. Break your ties with the IMA and suspend the IMA from the WMA now,” he added.

The IMA OUT! campaign said it delivered a petition calling for the IMA’s suspension, signed by more than 6,500 health workers from around the world.

They also demanded accountability for the complicity of Israeli doctors in the starvation, torture and medical neglect of Palestinian prisoners.

Among those held by Israel is Dr Hussam Abu Safia, head of Gaza’s Kamal Adwan Hospital, whose unlawful detention has prompted an international outcry.

He was briefly held at the notorious Sde Teiman detention camp and has been subject to torture and medical neglect. Doctors protesting in Rotterdam held up placards demanding his release.

Abu Safia’s son Elyas, addressing a meeting organised by the campaign, said, “My father and all Palestinian detainees must be treated in accordance with medical ethics, and doctors must abide by the Hippocratic oath they have taken. Care cannot be given based on whose life is deemed worthy.”

80s rock legends rushed Deen Castronovo offstage mid-set after he suffered a medical emergency during gig on Thursday night.

The 62-year-old, who is the drummer for rock band Journey, had performed just two songs before he was rushed off stage at the BOK Center in Tulsa, Oklahoma.

According to Tulsa World, keyboardist Jonathan Cain made the crowd aware of the situation after performing their tunes Be Good To Yourself and Stone in Love.

He said to fans: “We’re going to see what happens as this progresses.

“It’s an unfortunate situation. We’re very sorry. We’re hoping it’s only a delay, but please — I’m sorry. Don’t worry.

“Have your prayers ready. Have your prayers ready for Deen Castronovo, everybody. Thank you.”

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Guitarist Neal Schon later returned and told the crowd that their band mate had been taken to hospital.

And according to Rolling Stone, when the group got back to performing, he told fans: “This concert is for Deen.

“I think he’s going to be fine.”

Journey has not addressed what has happened on social media.

The Sun has contacted the band’s representative for comment.

The band were performing as part of their Final Frontier Tour across North America when it happened.

Journey are set to return to the stage in San Antonio tomorrow night for one of their remaining shows.

Their tour is set to wrap up at the beginning of November.

The group currently consists of Neal Schon, Jonathan Cain, Deen Castronovo, Arnel Pineda, Jason Derlatka and Todd Jensen.

Journey was formed back in 1973 until 1987.

They reunited in 1995 and have been together ever since.

Some of the their best songs include Don’t Stop Believin’, Separate Ways, Faithfully and Open Arms.

Debris found off Nantucket island after the air ambulance disappeared while flying from Bermuda to Boston.

The United States coastguard has suspended its search for six people on board a medical transport jet that crashed while flying from Bermuda to Boston.

“Suspending a search is not an easy decision,” Rear Admiral Matthew Lake, commander of the ⁠coastguard’s Northeast District, said in a statement on Sunday.

The search was called off after teams spent about 66 hours covering 4,445 miles (7,150km) by air and sea and confirmed that debris found off the shore of Massachusetts’s Nantucket Island came from the aircraft.

The Gulfstream G100 carried two pilots, two medical staff, a patient and a relative, Clarence Togeretz, director of flight operations at Canada-based Latitude Air Ambulance, told Canada’s public broadcaster CBC.

The four crew members were Canadian, and the two passengers were Bermudian, according to authorities.

In a statement on Sunday, Latitude Air Ambulance said, “Given the information shared by authorities and the conclusion of ⁠the search-and-rescue phase, we must now face the heartbreaking reality that the four members of our Latitude team, our patient and the patient’s family escort, who were ⁠aboard Heartbeat 104, are presumed to have died.”

Attention has turned to what happened in the jet’s final minutes, when flight-tracking data showed a steep descent and air traffic controllers struggled to re-establish contact.

Authorities have not determined what caused the aircraft to come down.

The aircraft had flown to Bermuda to collect the patient and was heading to Boston Logan International airport.

The US Federal Aviation Administration alerted the coastguard at about 2am on Saturday (06:00 GMT) after contact with the jet was lost.

Lake said at a Sunday news conference that the water around the debris was about 80 to 90 feet (24-27 metres) deep.

He offered condolences to the families of those on board and thanked the agencies involved in the operation.

Latitude Air Ambulance specialises in medical evacuation and repatriation flights, carrying patients home from other countries.

The company says its missions are normally staffed by two pilots and medical personnel.

The California attorney general will help oversee healthcare giant Kaiser Permanente’s medical arbitration system to ensure it operates fairly under legislation Gov. Gavin Newsom signed late Sunday.

Patients, their families and lawyers have complained that Kaiser’s private and confidential system of handling medical malpractice complaints is designed to favor the health plan over those bringing the claims.

Under legislation known as Assembly Bill 1770, the attorney general will decide what actions justice officials should take to ensure private arbitrations required by any health plan are handled fairly and in line with state law.

To do that work, the state plans to add as many as four deputy attorneys general, a legal analyst and three legal secretaries, according to a legislative analyst’s report.

“We look forward to continuing to resolve claims through an independently administered system that provides a fair and efficient process for members and patients,” Kaiser Permanente said in a statement Monday.

Roughly 1 of every 4 Californians get healthcare from Kaiser. To join the plan, each one had to check a box, agreeing to use arbitration to settle any dispute.

Many companies and other organizations, including some hospitals and physician groups, require customers or patients to take their complaints to private arbitration rather than to court.

But unlike most other companies, which send claims to large arbitration firms, Kaiser created its own system.

Under Kaiser’s system, once a neutral arbitrator is selected, either party can opt to disqualify that person without cause. There is no limit on the number of disqualifications.

While the health plan designed the system to be fair, patients and their lawyers have alleged that Kaiser’s greater knowledge of arbitrators’ past rulings and its ability to veto arbitrators gives it an advantage to pick favorable judges.

Critics also say the hourly fees paid to arbitrators provide them with a financial incentive to rule in Kaiser’s favor so they will be selected for future cases. Most of the arbitrators are retired judges.

Kaiser has previously defended its arbitration system, saying it was fair for both patients and for the nonprofit.

The bill was authored by Assemblyman Robert Garcia (D-Rancho Cucamonga), a longtime Kaiser member.

Support for it was led by Stephen Martinez, a retired aerospace engineer from Bellflower, who with his wife, Lindalee Iverson, spent $350,000 to bring two arbitration cases against Kaiser. The arbitrator ruled against the couple in both cases.

Iverson died of cancer in 2023.

Martinez told legislators at a hearing this year how his wife had found a lump in her breast and asked for an appointment with her longtime caregiver at Kaiser to examine it. Instead she was sent to a physician assistant, who dismissed it, he said. Later, it was found to be cancer that had spread.

A chief breast surgeon at Kaiser and another surgeon who had retired from that job both testified that the Kaiser physician assistant failed to follow the health system’s guidelines.

Kaiser’s expert argued that the physician assistant did an appropriate exam and that his low suspicion of breast cancer was reasonable. The neutral arbitrator sided with the health plan’s expert.

Martinez has spent years trying to get legislation to make the system more fair.

“I’m elated,” Martinez said of Newsom’s signing of the bill, which was named Lindalee’s Law. “It’s been a long road.”

According to the annual report prepared by the independent administrator of Kaiser’s system, the “most common” complaint the office heard last year was about the neutral arbitrator.

“Most complained that the arbitrator was biased, partisan, unjust, and in Kaiser’s favor,” the report said.

The podcast series comes a week after a public inquiry reported on the case of former neonatal nurse Lucy Letby who was convicted of murdering seven babies and attempting to murder seven others at a hospital in Chester a decade ago.

While the circumstances are very different, Norris’ supporters also argue that his case hinges on disputed interpretations of medical evidence.

The story begins in 2002 when Norris, a 26-year-old nurse, originally from Glasgow, found Ethel in an hypoglycemic coma as she recovered from a broken hip.

Doctors took blood samples to find out what caused her blood sugar to drop so low.

The test results seemed conclusive – she had a massive amount of insulin in her blood.

She died 21 days later, sparking a murder investigation.

A nurse who had been on shift on the night Ethel was found told the police that Norris had predicted the 86-year-old might not last the night.

He quickly became the prime suspect.

The police operation trawled retrospectively through all the deaths on Norris’s wards, looking for potential murders that may have gone unnoticed.

They identified three other cases of unexplained severe hypoglycemic deaths and one where the patient recovered.

No blood tests had been taken from these cases at the time of their deaths to be able to prove insulin poisoning but experts for the prosecution said in court that their medical charts showed persistent and severe low blood sugar readings.

They said that because this was so rare in non-diabetics that it must be murder.

When it came to court in 2007, experts called by the defence said four of the five patients had died of natural causes.

But after a five-month trial and a deadlocked jury, Norris was convicted by a majority of 11-1 and told he would not be eligible for parole for 30 years.

After the verdict, Ethel’s son Stuart Hall said: “I don’t think he should come out again. He’s got the knowledge to commit murder but do it discreetly.”

SACRAMENTO — Three state bond measures are on California’s November ballot. You probably haven’t paid much attention to them. So here’s my read on these big-ticket proposals.

One is a no-brainer “yes.” It would help middle-class Californians buy a new home by allowing them to borrow most of the down payment. And it wouldn’t cost taxpayers a dime. That’s Proposition 37.

Another housing measure is probably worthwhile, but gives me pause because it accommodates too many interests in order to attract broad political support. And it burns a barrel of money. That’s Proposition 1.

The third proposal would fund important medical research. But I wince because it was written to largely benefit one institute that was co-founded and is headed by the measure’s chief backer. That’s Proposition 38.

Propositions 1 and 38 combined would add $18.4 billion to the state’s general fund bond debt, which already is about $80 billion, according to the nonpartisan Legislative Analyst‘s Office.

Plus, there is $40 billion in previously authorized bonds waiting to be sold. The new bond proposals would cost the state at least $1 billion annually for 20 to 25 years. Taxpayers are paying about $6 billion annually to retire state bonds.

Bonds are boring, but they’re also tax eaters. So we should pay some attention before voting on them.

“People think about bonds as free money. And, of course, they’re not,” says Mark Baldassare, polling director for the Public Policy Institute of California. “People don’t think bonds are going to raise their taxes.”

But most bonds are repaid by the state’s general fund, the main cash box that finances major programs such as education, healthcare, prisons and fighting wildfires. Bond debt has No. 1 dibs on the money. When revenue runs short — a common dilemma in Sacramento — other programs must be cut or taxpayers are hit harder. So bonds aren’t necessarily tax-free.

Baldassare released a PPIC poll last week that found a majority of likely voters supporting all three bond measures — especially Proposition 37 to ease homebuyers’ down payments.

The pollster noted that fall election campaigns are just starting and opposition arguments could reduce support for the measures.

But there’s no organized opposition to the two housing proposals. And although the medical research measure has some outspoken critics, there’s no money for an opposition campaign.

OK, a few specifics on each measure.

Proposition 37 is a taxpayer freebie, a $25-billion bond repaid solely by homebuyer beneficiaries. Here’s how it would work:

Middle-income people could pay 3% down on their home purchases rather than the normal 20%. They’d borrow the other 17% as a second mortgage and repay it along with the first mortgage.

The proposition defines middle class as household income that’s less than double the median for the area. Statewide, that income ceiling would be around $200,000 but would vary greatly by locale.

The purchased dwelling must be a brand-new home, whether stand-alone or a condo. That’s to increase the housing supply and create construction jobs. Politically, it gains the support of developers and unions.

No vacation home. It must be owner-occupied full-time. And the buyer must be a California resident.

The state’s sale of revenue bonds would create the down-payment pot. Regular lending institutions would arrange the loans and charge minimum fees. Loan repayments would replenish the pot and make it self-sustaining.

This was the brainchild of Bob Hertzberg, a former Democratic Assembly speaker and Senate majority leader from the San Fernando Valley.

Hertzberg tried several times to sell his proposal to the Legislature, but lawmakers wanted to juice it up with their own pet ideas. “I couldn’t get something just focused on the middle class,” he says. So he crafted this citizen initiative.

Proposition 1 proposes $11.25 billion in bonds for a smorgasbord of affordable housing.

This is the political establishment’s creation — Gov. Gavin Newsom, the Democratic-controlled Legislature and housing interests. There’s no organized opposition.

It was dressed up with $1.25 billion in popular CalVet loan bonds for military veterans. They repay their home loans through mortgages, costing the state nothing.

But the remaining $10 billion in bonds would be repaid through the state general fund, costing at least $500 million annually for 25 years.

The measure is mainly designed to generate affordable rentals for poor people. But to assure legislative passage, money was added for affordable student and farmworker housing, plus other goodies.

It’s a lot of money and makes only a small dent in California’s unaffordable housing plague. Moreover, it seems too scattershot.

But it could spare more people from becoming homeless — living in their cars or on sidewalks, ultimately costing taxpayers even more.

Then there’s Proposition 38, the problematic $8.4-billion general fund bond for medical research, including cures for cancer, heart disease and Alzheimer’s.

The hang-up for me and others is that the ballot initiative was crafted to virtually assure that half the bond money would go to one outfit, the UCLA-affiliated California Institute for Immunology and Immunotherapy. The institute was co-founded and is headed by the proposition’s originator and chief backer, billionaire Gary Michelson.

“I know opponents want to create a billionaire boogeyman, but isn’t curing cancer and other terrible diseases exactly what we want billionaires to spend their money on?” says Robin Swanson, a campaign spokesperson.

Sure. But being backed by a billionaire isn’t the problem. It’s being written to substantially benefit one research institute that’s led by the billionaire.

Two cancer survivors and political opposites — conservative consultant Jon Fleischman and liberal consultant Steve Maviglio — co-authored an op-ed that declared:

“Imagine either major political party proposing to borrow billions of dollars and writing the qualifications so narrowly that an organization founded and chaired by a principal campaign benefactor appears positioned to collect half the money. The other party would rightly howl. So should voters.”

They should at least be skeptical.

What else you should be reading

The must-read: California health clinics accuse influential union and its leader of racketeering in civil lawsuit
Danger zone: Newsom creates panel on AI safety regulation, suggests possible ‘kill switch’
The L.A. Times Special: Union power vs. MAGA politics in California’s schools superintendent race

Until next week,
George Skelton

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