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Matthew D. Kaplan

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As we head into the New Year’s Eve weekend one of the nation’s largest cellphone companies is taking a proactive stance against distracted driving. AT&T has released an 11-minute video documentary, entitled “The Last Text,” to raise awareness of the dangers of texting behind the wheel as we head into the final weekend of the holiday season.

The video can be viewed at both of the source links below, as well as on YouTube. It is part of a broader anti-texting publicity campaign sponsored by AT&T under the umbrella title “It Can Wait.” The documentary “features stories about people whose lives were adversely affected by texting behind the wheel,” according to a report in USA Today.

Oregon, of course, has had a distracted driving law in place for almost exactly one year. That law makes texting by drivers illegal under pretty much any circumstances but, as I noted in a post just last week evading the ban is relatively easy and the fine for getting caught ($90) is relatively low. The Oregon distracted driving law is still too new for any significant body of data to have been gathered concerning its enforcement.

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In looking at ways to contain the ever-rising cost of health care in America tort reform – a fancy way of saying ‘making it harder to sue bad doctors’ – is often cited as a quick fix. A recent article in the New York Times, however, underlines in the most harrowing ways possible the consequences that can arise when a legislature lets the urge to cut doctors costs outrun its concern for patients rights.

As the article details, in 2003 Texas changed its tort laws with the goal of making it “more difficult for patients to win damages in any health care setting, but especially emergency rooms.” The state’s big idea was to cap damage awards with the goal of bringing down doctors’ insurance rates: noneconomic damages in Texas are now limited to $250,000 from each health care provider and $750,000 overall.

The legislature also, however, sought to provide extra protection to emergency room doctors, on the grounds that they must often make split-second life-or-death decisions and, thus, should be insulated from frivolous lawsuits. It is a laudable goal in theory: reform that makes life easier for the hardest-pressed doctors and, in the process, lowers their insurance rates. To achieve this, however, the legislature used sweeping language, declaring that emergency room doctors cannot be sued at all unless a victim can show the doctor acted with “willful and wanton negligence”. In practice, as the Times notes, that standard has proven virtually impossible to meet.

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Earlier this month New Jersey Governor Chris Christie signed wide-ranging legislation designed to protect student-athletes in his state. As reported by the website Safe Kids New Jersey, the bill will require the state’s Department of Education “to develop an interscholastic athletic head injury safety training program to be completed by school physicians, coaches and athletic trainers” in both public and private schools.

The website goes on to note that the New Jersey program will include teaching school personnel how to recognize “symptoms of head and neck injuries,” how to judge when an athlete should be allowed to return to the field and when someone requires further treatment, including hospitalization. As the organization notes, “currently, there is no uniform method of handling suspected concussions in interscholastic sports.”

As I have noted in previous posts looking at both football and hockey, concern over concussions and other traumatic brain injuries at all levels of competition is rising here in Oregon and nationwide. Parents as well as coaches and trainers are becoming more and more aware of the dangers improperly diagnosed or treated head injuries can pose, especially to younger athletes. Below you’ll find a link to an especially helpful checklist of questions every parent should know to ask when talking to a doctor treating a child for a suspected head injury (the list is compiled by the federal government’s National Institutes of Health).

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A crowd turned out on Barbur Boulevard last night to remember Angela Burke, according to an account posted on the Bike Portland website. Burke, 26, was killed last week by what The Oregonian, quoting police and witnesses, described as a speeding car (reportedly doing 75 in a 35 mph zone) traveling barely on the edge of control.

The Oregonian reports that the driver who allegedly struck Burke was arraigned last Friday “on allegations of negligent homicide and driving under the influence of intoxicants.” He was reported to have significant amounts of both alcohol and marijuana in his system at the time of his arrest, shortly after the Portland fatal pedestrian car crash that killed Burke. The suspect has another court date scheduled later this week.

As both the newspaper and Bike Portland noted, the stretch of Barbur where Burke died is notoriously difficult for Oregon pedestrians and cyclists to cross safely, especially at rush hour. Even those going to last night’s vigil were urged to take safety precautions.

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A terrible story from California this week reminds all of us that distracted driving laws – be they here in Oregon or elsewhere – cannot, by themselves, stop some people from behaving destructively. To be effective, the laws require enforcement by police and the accountability provided by courts.

According to a report by the Los Angeles TV station KTLA, a 20-year-old Glendale woman now faces vehicular manslaughter charges “after allegedly running a stop sign and killing an elderly pedestrian while texting on her cell-phone.” The station reports that the pedestrian, an 80-year-old man, was thrown into the air and died of the head trauma suffered as he landed on the sidewalk. The accident took place in September. Police arrested the driver a few days ago after concluding a three-month investigation.

California’s laws on cellphone use by drivers are similar to Oregon’s (in some respects they are actually stronger: California explicitly bans cellphone use by school bus drivers in all circumstances, a provision the Oregon distracted driving law omits). Like California, the Oregon distracted driving law also allows for “primary” enforcement, meaning that offenders can be pulled over solely for breaking the ban on using a handheld phone or texting while driving. The question we have to ask is how often this actually happens (texting, in particular, is relatively easy to hide by simply holding the phone low enough that it is difficult or impossible for an officer glancing through the driver’s window to see).

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The City of Portland is scheduled, this week, to pay out $338,477 as part of the settlement of a lawsuit filed by an 80-year-old woman struck by a police car while crossing the street. According to an article in The Oregonian, the accident took place when the officer driving the patrol car looked away from the road to check his onboard mobile computer for messages from the police dispatcher.

The accident is a reminder of one of the loopholes in the much-talked-about Oregon distracted driving law, which went into effect nearly a year ago: the blanket exemption for on-duty law enforcement and public safety personnel. Obviously police, firefighters, EMTs and other people who protect our lives deserve our respect and support. Equally obviously, their use of computers and other on-board electronic equipment designed to help them do their jobs is a far cry from a commuter texting in downtown traffic.

That said, the suit the city has just settled is a reminder that the on-board computers that are now standard in police cars and other public service vehicles are far more complex – and potentially far more distracting – than the hand-held two-way radios of old. As The Oregonian rightly notes, “The case points to a growing tension: While police are expected to use increasing technology in the field t obtain information quicker, the distractions also have the potential to cause accidents.”

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A newly released government study examining hospitalizations resulting from dog bites lays out some attention-grabbing data: between 1993 and 2008 the number of people hospitalized nationwide as a result of dog bites nearly doubled. Reporting the data the New York Times noted that this “increase vastly exceeded population growth, and pet ownership increased only slightly during the same period.” The study was conducted by the Agency for Healthcare Research and Quality, a unit of the Department of Health and Human Services.

As an AHRQ news release notes, those under the age of 5 or over 65 are in the greatest danger for dog bites. The most common form of hospital treatment required is for “skin and underlying tissue infection”, though in a small number of cases much more serious conditions – such as multiple fractures or blood poisoning – can develop following a serious dog attack.

The study notes that around 4.5 million people are bitten by dogs each year and that only a fraction of these incidents require hospitalization. Still, as the study’s author, Dr. Anne Elixhauser, told the Times, referencing the huge increase in injuries serious enough to require hospitalization: “It’s really kind of frightening, and, unfortunately, we’re at a loss to explain it.”

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Nine months after an explosion in a West Virginia coal mine left 29 mine worker dead, the Wall Street Journal reports that many families torn apart by the tragedy remain unsure of their next legal steps forward. Their stories contain many lessons for Oregon families thrown into similarly tragic circumstances as the result of an Oregon wrongful death or industrial accident.

As the paper reports, within days of the mine explosion the board of Massey Energy Company, one of the largest and most powerful companies in West Virginia, offered each family a settlement: $3 million in compensation for the death, lost wages and lost companionship of their loved-one, in exchange for giving up any right to sue the company. The Journal reports that, at present, only seven families have agreed to the company’s settlement, and that “in at least two cases family members are at odds and plan to let a court decide which path they should take.”

For the families the choice is a painful one. As the Journal quotes one victim’s father, himself a miner, saying: “I don’t think it’s justifiable that they want to put a dollar sign on my boy.” As the article notes, the families of workers involved in other industrial accidents often face similarly agonizing choices.

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A scathing statement released Tuesday by the National Transportation Safety Board cites “a series of improper actions” by a Grant’s Pass, Oregon contractor leading up to a 2008 crash that killed nine firefighters in California. According to a report in The Oregonian, the NTSB’s chairwoman found some actions by the company, Carson Helicopters, “so distressing that the NTSB has alerted the Department of Transportation’s inspector general to investigate in more detail, looking for possible criminal wrongdoing.”

The NTSB statement (see link below) paints a devastating picture of corporate negligence and deception. Referring to Carson, whose helicopters were contracted out to the US Forest Service for firefighting purposes, the NTSB writes: “The contractor’s actions included the intentional alteration of weight documents and performance charts and the use of unapproved performance calculations.”

Though the NTSB also found fault with actions by both the Forest Service and the Federal Aviation Administration, “Carson’s actions were so egregious – so egregious – that they have to go first,” NTSB member Robert Sumwalt told The Oregonian.

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With recent statistical reports demonstrating that elder abuse is a rising problem here in the United States, media reports here in Oregon indicate that officials at the state Department of Human Services fear our state may have become part of this disturbing trend.

According to a recent article published in The Daily Astorian, “national studies estimate 3 to 5 million seniors, aged 65 and older, have experienced abuse – but only 1 in 5 cases are reported.” Adult Protective Services agents are asking family members to keep an eye out for signs of trouble, particularly as we enter the holiday season.

Elder Abuse can take many forms, and need not be physical in nature. As an information page at the Oregon Department of Human Services’ website (see link below) outlines, Oregon elder abuse can take many forms. These may involve Oregon medical malpractice or nursing home neglect, but can also include financial exploitation or psychological and emotional trauma.

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