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San Francisco sues Nevada over 'patient dumping' practices

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Updated: 9/10/2013 6:05 pm
The state of Nevada is now looking at a class action lawsuit over patient dumping practices at Rawson-Neal Hospital. The San Francisco city attorney is accusing the state of dumping mentally-ill patients in his city and now that city attorney wants half a million dollars. News 3's Antonio Castelan has the story and is here to say why San Francisco city officials think they deserve this money. This is all about getting back money the city attorney feels San Francisco is owed.

San Francisco City Attorney Dennis Herrera today filed a class action against the State of Nevada on behalf of California local governments to which indigent patients were improperly bused from the state-run Rawson-Neal Hospital in Las Vegas.

The lawsuit filed in San Francisco Superior Court this morning seeks a court-ordered injunction barring Nevada from similar patient discharge practices in the future, and reimbursement for San Francisco's costs to provide care to the patients bused there.

The litigation makes good on Herrera's legal threat in a formal demand letter to Nevada Attorney General Catherine Cortez Masto last month, alleging that Rawson-Neal improperly discharged and unsafely transported at least two-dozen patients by Greyhound bus to San Francisco between 2008 and 2013.

Herrera's investigation established that patients were transported without adequate food, water or medication, and without instructions or arrangements for their continued care when they reached their destination. Twenty of the patients required medical care shortly after their arrival in San Francisco--some within hours of getting off the bus -- at a cost of approximately $500,000 to city taxpayers for medical care, shelter, and basic necessities. Herrera said he hoped the suit would be a "wake-up call" to similarly errant medical institutions nationwide that they risk being held accountable for mistreating indigent and mentally ill patients.

"Homeless psychiatric patients are especially vulnerable to the kind of practices Nevada engaged in, and the lawsuit I've filed today is about more than just compensation -- it's about accountability," said Herrera. "What the defendants have been doing for years is horribly wrong on two levels: it cruelly victimizes a defenseless population, and punishes jurisdictions for providing health and human services that others won't provide. It's my hope that the class action we're pursuing against Nevada will be a wake-up call to facilities nationwide that they, too, risk being held to account if they engage in similarly unlawful conduct."

If successful, San Francisco's claim for reimbursement of the amounts it expended to care for indigent patients Nevada bused here would benefit all California jurisdictions by establishing a precedent for award of restitution to all jurisdictions able to demonstrate claims for damages and restitution substantially similar to San Francisco's.

In March, the Sacramento Bee first reported the story of 48-year-old James Flavy Coy Brown, a former Rawson-Neal patient who was sent on a 15-hour bus ride to Sacramento -- despite having never before visited there, having no friends or family members in the area, and with no prior arrangements for his care, housing or medical treatment.

The Nevada-run hospital had discharged Brown in a taxicab to the Greyhound bus station with a one-way ticket to Sacramento, snacks, and a three-day supply of medication to treat his schizophrenia, depression and anxiety. Brown was instructed to call 911 when he arrived. A Rawson-Neal physician reportedly recommended "sunny California" to Brown as a destination, according to the Sacramento Bee, because they "have excellent health care and more benefits than you could ever get in Nevada."

-- From news release


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