The Leg.Up Local, State and National News of Interest to the Physician Community January 8, 2014
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1/9/2014 Terry McAuliffe: Governor Sleepless? The Leg.Up Local, state and national news of interest to the physician community January 8, 2014 Mark B. Monahan, MD Virginia Urology Richard A. Szucs, MD Commonwealth Radiology Ritsu Kuno, MD Pulmonary Associates of Richmond In This Issue Terry McAuliffe: Governor Terry McAuliffe: Governor Sleepless? Sleepless? Gov.-elect Terry McAuliffe has been a busy man, reports Dr. Marcella Fierro in PBS The Washington Post, and though he's been "governor-in- Documentary waiting... He is no good at waiting. So he is hiring. Phoning. Ethics Reform Coming? Meeting. Schmoozing. Strategizing." Deeds Seeks Mental He typically only sleeps about four hours a night. Health Reform "I just wish I didn't ever have State Senate Balance of to sleep," he says. "But it is Power Uncertain what it is. It is the human Will Ocare Actually body." Increase ER Use? The man who will be sworn in Sebelius Says Ocare as Virginia's 72nd governor Working Saturday "has always been a Writing Contest for Med man in a hurry," starting a https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1116177826599&format=html&print=true 1/11 1/9/2014 Terry McAuliffe: Governor Sleepless? Students and Residents driveway-sealing business at 14, using an old truck that he wasn't legally able to drive. He reportedly has raised $1 Mental Health Webinar for million for Saturday's inaugural shindig. PCPs Chippenham Crisis Center Over the past week, he's been busy making cabinet Christened appointments, mostly of "experienced Richmond hands," including Anne Holton as Secretary of Education. Holton In Congress, Shrunken is the daughter of former GOP governor Linwood Holton, Ambitions the wife of Sen. Tim Kaine, and a former Juvenile and Domestic Relations Court judge in Richmond. Study: Rates Increase When Surgeons Sell While Judge Holton's appointment was praised by many Implants Democrats, the party's "left flank" has been upset with other IUD Comeback? Cabinet choices. This includes the decision to reappoint Dr. Bill Hazel, Gov. Bob McDonnell's secretary of health and Dave Barry's "Year of the human resources, to the state's top healthcare job. Zombies" What's Coming Up on RAM "Some abortion rights activists have bristled over McAuliffe's Calendar? choice because Hazel did not object to strict new abortion limits enacted during McDonnell's term," reports the Post. Click here to read for "things to watch in the 2014 General Assembly," especially how well McAuliffe's "charm offensive" will go over with Republicans. But even as he cobbled together his cabinet and senior staff, McAuliffe has "already gotten a lesson in legislative prerogative on the state budget," reports the Times- Dispatch. It seems that Del. S. Chris Jones, R-Suffolk, the next chairman of the House Appropriations Committee, "informed the incoming governor last month that the panel would not consider amendments proposed by the new administration to the two-year budget Gov. Bob McDonnell submitted on Dec. 16." Jones said this was based on an earlier precedent set by former Appropriations Chairman Lacey E. Putney, an independent from Bedford. Jones said this is "not anything new for McAuliffe," adding, "He seems fine with it." The two plan to meet soon, Jones said. But House Minority Leader David J. Toscano, D- Charlottesville, said Jones' decision is all about Republicans' flexing their "legislative prerogative." Neither the state constitution nor the state code obligates the General Assembly to consider budget amendments offered by the governor until the reconvened "veto" session that takes places after the assembly adopts a budget. The Times-Dispatch also reports that the 2014 General Assembly that starts today would be a "60-day sprint to adopt a two-year budget and make weighty policy decisions https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1116177826599&format=html&print=true 2/11 1/9/2014 Terry McAuliffe: Governor Sleepless? on issues ranging from expansion of Medicaid to changes in ethics, rules, mental health policy and the Standards of Learning." Despite the often fractious partisanship of last year's General Assembly, Republican state Sen. Thomas K. Norment, R-James City, told the Newport News Daily Press, "I think it's going to be a productive, civil session, with plenty of continuity from the McDonnell administration on issues involving jobs and the economy." Businesses are telling the Republican leadership "that they've got to moderate their image if they're going to continue to get business support," said Quentin Kidd, a political scientist at Christopher Newport University. PBS Documentary Features Dr. Marcella Fierro Dr. Marcella F. Fierro, a longtime RAM member and the former Chief Medical Examiner of Virginia, was among the experts interviewed in a new PBS documentary on the birth of forensic medicine. Set your DVR for 3 a.m. Thursday (Jan . 9) on WCVE/Channel 23 to record "The Poisoner's Handbook," part of the PBS series "American Experience." Click here to learn more. Based on Deborah Blum's 2010 book, The Poisoner's Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York," the L.A. Times hailed the documentary for offering "a fascinating look back at how the chemical age changed police work." Click here for Blum's blog on the show. Fierro, reached by phone today, gave the program two thumbs up. She said she was interviewed by its producers last spring in "a lovely old mansion on Long Island." "I thought it was very interesting," she said of the PBS program "because it talks about the early development of the medical-legal investigation of death in this country, which was previously carried out in New York by people who were not trained and were not physicians." At that time, "The death investigation did not revolve around establishing the true medical cause." This changed in Jazz Age New York under a crusading https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1116177826599&format=html&print=true 3/11 1/9/2014 Terry McAuliffe: Governor Sleepless? medical examiner, Charles Norris, and Alexander Gettler, who ran his toxicology labs. "This has powerful legal and preventive medicine aspects," Fierro explained, "because you can't develop strategies to prevent death if you don't know the true causes of death. You can't have a just criminal justice system without establishing the true causes of death." She also liked the PBS production because of its "terrific" archival film, its use of Blum's stories which "are really emblematic of not only criminal justice, but of public health," and how it tied in with the creation of the U.S. Food and Drug Administration. House Leaders Reach Ethics Reform Deal Virginia House Republicans and Democrats have brokered a "bipartisan ethics reform agreement that includes a proposed $250 individual gift cap for state legislators, and creates a state ethics advisory commission, along with other measures to tighten the Old Dominion's loose laws on gifting, the Virginian-Pilot reports. "Lawmakers of both parties are focused on reforming Virginia's ethics rules in the wake of a gift scandal that marred the final year of Gov. Bob McDonnell's tenure," the Pilot reports. Federal and state investigators continue to look into whether the governor sought to improperly aid a donor who was generous to him and his family. To date, however, no criminal charges have been filed. At Tuesday's press conference, the bipartisan effort began to take shape, reports the Virginian-Pilot. Like all bills, it comes with some fine print, including distinctions of the kinds of gifts that would be covered under the law, reports the Times-Dispatch. In a joint op/ed piece, Republican House Majority Leader Kirk Cox and Democratic House Minority Leader David Toscano make the case for ending the gravy train for lawmakers and state office holders. "This issue goes far beyond Republican or Democrats," the House leaders wrote in the TD Tuesday, "and far beyond the actions of any one individual. The citizens of the commonwealth must know without hesitation or qualification that their elected leaders can be trusted to execute their duties with the highest degree of integrity and virtue." An earlier Times-Dispatch editorial compared Gov. McDonnell's missteps to that of the ancient story of Damocles - the Greek courtier who was lavished with luxuries. A sword hung above his head, a reminder that https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1116177826599&format=html&print=true 4/11 1/9/2014 Terry McAuliffe: Governor Sleepless? "wealth and power often entail great peril." Deeds Back in Richmond with Mental Health Reform in Mind State Sen. R. Creigh Deeds "returns to the Capitol this week on a mission to fix the state's mental health system," reports The Washington Post. "Deeds (D-Bath) has proposed two bills intended to address what went horribly wrong in November, when his 24-year-old son, Austin, known as 'Gus,' stabbed the senator and then fatally shot himself." One of Deeds' bills (SB 260) would extend the period of time that authorities can hold a person under an emergency custody for up to 24 hours, up from the current maximum of six hours. Senate bill 263 would establish a real-time registry on psychiatric bed availability, while SB 287 would make it a felony to provide a firearm to someone who is prohibited from possessing one. "It is not clear if that bill has any connection to the tragedy, however," reports the Post, since police haven't revealed how his son obtained the gun with which he shot himself. Deeds later called the Post to say the gun-control bill has "nothing to do with my son's situation," saying the measure was in line with past efforts to close Virginia's "gun show loophole" which allows private sellers to transfer firearms without conducting the criminal background checks required of licensed gun dealers.