June 19, 2009

The word "Irrevocable" in a Trust is Not Enough to Protect Assets from Medicaid

A recent MA appeals court decision found that an irrevocable trust that states the trustees, under no circumstances, were to make distributions of principal from the trust to the settlor, may still count as a countable Medicaid asset exceeding the amount allowed under applicable law.
... we take this opportunity to stress that we have no doubt that self-settled, irrevocable trusts may, if so structured, so insulate trust assets that those assets will be deemed unavailable to the settlor. ... Muriel's trust is a carefully crafted, entirely appropriate estate planning device. But neither the trust's validity nor her good intentions determine the present question. In our view, Muriel's trust, as structured, allows the trustees a degree of discretionary authority that would, if sanctioned, permit Muriel to enjoy her assets, preserve those assets for her heirs, and receive public assistance, to, in effect, "have [her] cake and eat it too." ... Congress has declared a contrary intent, that Medicaid benefits be made available only to those who genuinely lack sufficient resources to provide for themselves. We perceive no reason in this case to deviate from that mandate.
MURIEL DOHERTY vs. DIRECTOR OF THE OFFICE OF MEDICAID, Essex Docket No. 08-P-939.

This case shows the importance of the entire trust document as a whole and the importance of not simply relying on certain provisions or words to protect assets.

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May 7, 2009

Privacy Law and Policy Blog Up

My new Privacy Law and Policy blog is underway. This blog examines privacy law issues that include:

  • Privacy Rights
  • Privacy Invasions
  • Security Breaches and Crimes
  • Open Government
I help individuals in civil and criminal matters and represents municipalities and businesses in privacy compliance matters, security breaches, commercial privacy infringements, cybercrimes, and crimes involving privacy issues.

You can also follow Kevin Whitaker on Twitter at http://twitter.com/kevinwhitaker

Massachusetts attorney Kevin Whitaker's new Privacy Law and Policy Blog is live.

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February 27, 2009

COBRA: What do I do to get new benefits?

After my last COBRA post, COBRA Insurance Relief Under the Stimulus Package: New Employee Benefit Issues for Employees and Employers, I've been getting quite few COBRA inquiries from people who have lost a job. People are asking, "What do I do to get these COBRA benefits?"

To learn if you qualify and what to do, first try contacting your former employer and then your former health insurance Plan Administrator.

If you don't get an informed response then here are some links from the U.S. Department of Labor (phone numbers are included, too):



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February 18, 2009

COBRA Insurance Relief Under the Stimulus Package: New Employee Benefit Issues for Employees and Employers

Last night during a budget meeting of the Weymouth town council, we discussed the Massachusetts Governor's recent 9C cuts and how we would handle the lost revenues during this fiscal year. While layoffs were discussed, we opted (although not unanimously) to avoid layoffs this fiscal year because we would only have about one fiscal quarter (after the notice period ran) to make the full $1,000,000 in cuts.

Despite my strong reluctance to use a one time nonrecurring revenue source to make-up the difference (we had funds available from the sale of a town owned property), I thought it better to spread the cuts over a full fiscal year should any become necessary as we move forward. Had we opted to act now, we were looking at laying off 120-140 employees next week.

In those cities and towns without an adequate reserve or a new revenue source, they may be forced into making tough choices on layoffs soon. For employees who are displaced due to job loss, there is some help in the stimulus package in the form of a 65% employer paid subsidy of COBRA premiums for nine months. The Employee Benefits Legal Blog has a good post, Employer Paid COBRA Subsidies in the Economic Stimulus Bill: Initial Action Plan and alert that applies to the employer side of this, but provides a good overview for employees, too.

Eligible employees who suffered an involuntary job loss or had a qualifying event (between September 1, 2008 to December 31, 2009) or qualified beneficiaries, should make sure they understand how this COBRA provision affects them and their insurance coverage options.  Covered employers, on the other hand, have the new challenges of dealing with this program and its requirements. While employers are eligible for a payroll tax credit for the COBRA premiums paid under the Act, this Act is a major change to COBRA law and administration and thus must be taken into consideration before making any reductions in the workforce.



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November 10, 2008

Massachusetts Legal Services a la carte -- Is Some Representation Better than No Representation?

Did you know there are lawyers in Massachusetts who are qualified for offering services in certain Probate and Family Courts on a limited basis?  This allows you to hire a lawyer to help you with some things but not others.  For instance, a lawyer could help you draft a complaint for divorce, a probate petition, a license to sell real estate, or coach you on evidence matters.  Some could even be hired for a day or part of day to attend a motion, deposition, conference, mediation, hearing, or trial. 

The goal of this program is to find ways for people to gain access to qualified attorneys on an as needed basis.  The philosophy is, some representation is better than no representation.  You can read more about this program at the Massachusetts Bar Association site or visit here for various orders from the SJC extending the program in certain counties through 2008.

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October 27, 2008

End of Life Decisions and Accountability for Medical Error or Failure to Properly Diagnose -- How Tort Reform Could Harm Patients and our Values

"Tort reform" sounds quaint, until you look under the hood and see what's really driving the engine.

Lawyers and the battles they fight on behalf of wronged clients are what often serves to keep the system accountable. Detractors say it's just about the money and greedy lawyers, but often the crux of the lawsuit isn't about money, it's about standing up for respect, integrity, and human decency.

Sure, sometimes this fight can only change an individual wrong, but other times fighting the good fight can change a broken system. Broken systems surround us and are out of balance -- medical care for the elderly is just one example that comes readily to mind.

It doesn't matter if you're from Massachusetts or Mississippi, end of life decisions will never be easy, but they should be made with proper medical evidence as this Mississippi case illustrates

The Mississippi Supreme Court recently upheld a $4 million award to the family of a woman who was misdiagnosed with pancreatic cancer and then given a lethal dose of painkillers.  An autopsy showed the woman never suffered from cancer.  The daughter best summed it up, 'a simple lab test could have stopped this from happening.' 

This should give you pause the next time you hear someone say, "we could run this lab test or that, but it's probably not going to show ..."  If there's an option, why not run the test?  Who is really being inconvenienced?  Is it wise to place all our faith and offer complete deference to the "professionals" making important medical decisions about care. A healthy dose of "prove it to me" isn't a bad thing, especially when we're talking about life and death. 

Sure it's easy to dismiss junk lawsuits, but cases like this above demonstrate that sometimes the only place to make a difference and force real change is to hit them in their pockets -- and hit them big.  Now maybe a few more life or death tests will get ordered, maybe it will take even more verdicts to send a lasting message. 

Of course, there are powerful interests that would like a limit on their economic liability -- they try to sell this in words like "reform," but it's really about protecting their profits and ignoring the pain caused to individuals who will undoubtedly suffer when greed and bonuses drive decisions over common decency and respect.

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September 7, 2008

Trial Law 2.0: Lawyers, Blog Comments and Evidence

Blogs, social networks, and the web extend well beyond Massachusetts borders thus it's often instructive to look around the country and consider how laws are developing elsewhere as they relate to blogging and cyberspace in general. Trial lawyers of both today and of the future will need to be well versed in the law and understand this evolving interactive arena that changes day-by-day. Blogger and California law professor Eric Goldman recently mentions a case involving blog postings being introduced as evidence in a trademark infringement lawsuit. He quotes the court's holding which excluded the blog's comments from evidence.

The Court declines to consider these postings in reaching its decision. The Court is concerned, on this record, that the blog entries lack sufficient indicia of reliability.FN4


Nothing is known about the persons who made the entries, about whether they are related in any way to either party or whether they are describing true events and impressions. Moreover, the authors' meaning and the import of the blog entries are far from clear.


FN4. This should not be construed as a ruling by the Court that entries on Internet blogs could not, on a different record, be reliable and admissible.

(The case was as consumer confusion case on whether "Mooo Tracks" ice cream infringes upon "Moose Track" ice cream. Blue Bell Creameries, L.P. v. Denali Co., LLC, 2008 WL 2965655 (S.D. Tex. July 31, 2008)).




You can look at this from two perspectives, the blog comments were kept out. On the other hand, there were some criteria listed for their exclusion. If these were met, would the comments be allowed into evidence here? It would seem so, why shouldn't they be? Look to the next round of cases to have greater foundations laid down concerning the inclusion of blog comments as evidence.




Like many attorneys I talk with, I'm already seeing more of my clients who are relying on blogs or websites for much of their news. The constantly dwindling size of my newspaper backs this up too. Some do believe, "If I read it, then it's true," but as we know, that's often not the case.

Reliability, validity, authenticity are continuing concerns of justice and in the short term, it seems the web won't make things easier in these areas. Here the law still has much to work out regarding how it's going to keep pace with the web, social media, web 2.0 or whatever name or thing is next. Smart trial lawyers will need to keep pace with these evidentiary possibilities as more and more communications and events are recorded somewhere someplace electronically. Appellate courts and lawyers should see interesting and intellectually stimulaing times ahead in this area of law. While some of the tools of proof may be new, the principles remain the same -- it may just take a little time to connect the two.



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August 28, 2008

Excuse Me Juror #6, What Medications Are You On?

Prescription.jpgAn interesting article on law.com recently discussed the issue of lawyers asking jurors about their medication use. With so much of the population on medication, is drug use something that should be questioned of potential jurors? If so, how far should questioning go? Do we ask a general question? Whether the use of medication will interfere with a juror's duties, or do we delve deeper into more specific questions about the person, their conditions, and their treatments? The article, by Julie Kay, offers pros and cons while raising issues likely to continue making headlines(juror falling asleep in murder trial, someone goes off their medications during trial...).

As an attorney-advocate there may be times when seeking this information makes sense for my client. As the lawyer for my client I have the duty the pursue what's in my clients best interests. Personally, however, I think when we start asking jurors to divulge what medication they're taking, we're crossing a finer line. We have to wonder if the jurors' themselves aren't thinking, "Who is actually on trial, here?" Of course there are going to be exceptions to every rule, but speaking from a policy perspective, I'd rather have privacy rights' invasions remain the limited exceptions and not become the standard rule.

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August 27, 2008

Legal Disputes and Massachusetts Mediation Opportunities, Uses, and Resolutions. Also, Introducing Our New MA Mediation Website

"Mediation’s Seven Deadly Sins - Avoiding the Seven Sure-Fire Ways to Torpedo Your Mediation, Upset Your Client and Enrich the Other Side" was the name of a discussion sponsored by the Section of Dispute Resolution held during the 2008 Annual American Bar Association Meeting in New York.

While mediation provides an opportunity to examine settlement, it also provides an opportunity to examine the other side, their case, and how a party may respond in court. One of the panelists, Joel Davidson, said

He sees the mediation process as a chance to get his point across in a specific way. He said he likes to show the person on the other side that I know the issue well.

... mediation provides the opportunity to examine how clients handle themselves. If a client does not come across rationally during mediation, I know that in advance of a trial...

Mediation, however, can also provide a receptive forum for an apology. Often parties want to apologize but are told not to apologize by their attorneys. The attorneys often fear an apology could be used as an admission of liability against them in court and/or reduce their bargaining position in settlement discussions. Handled properly, however, a sincere apology during mediation can sometimes go a long way towards resolving a a brooding conflict. Davidson notes mediation may,
... provide an opportunity for clients to either apologize for a wrong or acknowledge a misunderstanding. This simple communication may be enough to move a case toward settlement.

More and more, I'm finding people want to resolve their Massachusetts divorce, personal injury, or business case in mediation. There are a number of factors that contribute to this (control over the outcome, avoid formality of court, ease of scheduling, ...), but I'm sensing the Mass. economy is playing a role in this increase too.

People seem inclined to seek resolving their MA disputes fairly and quickly while avoiding the high costs and endless delays contentious litigation can sometimes bring. While not all cases can be resolved in mediation, many can. There's really nothing to lose in mediation. In the end, the parties have to agree on the ultimate solution in mediation (they can have an attorney review their agreement first or participate in the mediation with them).

I've been thinking about this more and more as I've begun to formalize our mediation practice offerings at Wilson & Whitaker, LLC. I've created a temporary website focusing solely on mediation as our Weymouth law firm continues to expand our mediation services. Let me know your thoughts and what questions you may have about mediation practices or disputes Massachusetts lawyers deal with.

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August 22, 2008

Big Brother Watching and Measuring? Today, How Deadly is Your Hospital? Tomorrow, How (fill in the blank) are you...

USA Today's article, Hospital death rates unveiled for first-time comparison, has tools that allow users to compare mortality rates for hospitals near you:

  • for heart attacks, heart failure, and pneuomnia on a map,
  • compare hospitals in or near certain zip codes,
  • or look at standouts (those with the highest and lowest death rates).

While data alone never tells the whole story, the use of statistics and measurement is growing across all fields and professions. The cultural change emerging with technology and collaboration will only continue to fuel this further. Law, politics, and other fields will not be far behind. Just look at sports as an example of how professionals and institutions are measured continuously. But is a focus on numbers alone good for us in the long run? How will this run into privacy concerns? Will Big Brother not only be always watching, but always measuring too? Time will tell how the law raises to these challenges and others.

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August 22, 2008

Will Contests: The Shifting Burden in Mass "Undue Influence" Cases, Trustees as Beneficiaries, and Offers of Proof

When a Massachusetts will is contested by lawyers in court for "undue influence", who has to prove what?

A recent Massachusetts Appeals Court case Germain v. Girard deals with a will, a trust, and issues such as: presumptions and burdens of proof (as well as offers of proof.) At the core of the case is a claim of undue influence and the status, if any, of a fiduciary. The case is interesting on its facts but also in the implications one can read from the decision.


 Factual Summary


 George had a will leaving everything to Theresa (Wife).  George gets sick but has a potential big lawsuit due to his condition.  Theresa has a daughter, Paula (Daughter), who is married to Alan.  Alan helps an aging George and Theresa over the years with various financial matters.  Alan become a trusted adviser to George. Alan contacts lawyers for George (about the potential lawsuit). George decides to change his estate documents based on the potential claim. Alan has lawyers draw up a new will and trust for an ill George.  An attorney (who had never spoken to George, only Alan) visits George in the hospital and the new estate planing documents are signed.  Under a new trust, instead of Wife getting everything (as she did under the old will), the anticipated significant settlement proceeds will be placed in a trust. Under the trust, Wife will have no control over the trust or the trust's funds.  Instead, Wife will be entitled to funds during her lifetime, however, these amounts are discretionary and decided solely by Daughter (in Daughter's role as the Trustee.)  Daughter, in addition to being a trustee, is also an interested remainder beneficiary.  That is, after Wife passes away, Daughter stands to receive a significant amount of money so long as it remains unspent during Wife's lifetime. While there are other facts involved, these give us a background for our general discussion on will contests and undue influence claims in Massachusetts


 
Review of Law as Examined by the Appeals Court:


In a will contest involving allegations of undue influence, the burden of proof ordinarily rests with the party contesting the will. … However, in cases involving a fiduciary, the fiduciary who benefits in a transaction with the person for whom he is a fiduciary bears the burden of establishing that the transaction did not violate his obligations. … [quotes removed]


Burden of Proof

Burdens of proof are topics people don’t think of much in civil cases but we always seem to think of them in criminal cases. We all know the mantra that the prosecution has the burden of proving the defendant’s guilt beyond reasonable doubt.  This means the prosecution has the affirmative burden of proving the defendant’s guilt. 
The defendant does not need to prove his or her innocence.  The question is not if the defendant is innocent, the fundamental question is, “Did the prosecution prove guilt?”  Here the court is saying when someone claims undue influence in a will contest, then the person making the claim usually has the duty to prove the charge of undue influence.  However, this does not apply when a fiduciary is involved and the fiduciary also benefits from the transaction.  In these cases, the fiduciary is assigned the burden of proof and the fiduciary must prove the transaction did not violate the fiduciary’s obligations.


Ultimately, Germain v. Gerad largely comes down to who has the burden of proving what.  The trial judge found the Wife had the duty, but the Appeals Court disagreed.  Instead the Appeal Court discussed the uncertain nature of “fiduciary” relationships and then concluded that the burden of proof falls upon Daughter to prove Alan did not exert undue influence over George.  In reviewing this area of law, the court states:


 "Although some fiduciary relationships, such as that between guardian and ward, are created by law, others arise from the nature of the parties' interactions.  The 'circumstances which may create a fiduciary relationship are so varied that it would be unwise to attempt the formulation of any comprehensive definition that could be uniformly applied in every case.'" … "Where the fiduciary relationship is not one created by law, the existence of the relationship ordinarily is a mixed question of law and fact for which the party asserting the relationship bears the burden.” …


The court found the,


 … [trial] judge's subsidiary findings leave no doubt that Alan stood in a fiduciary capacity toward George in the preparation of George's 2004 will and related documents.  The judge found that George placed his trust and confidence in Alan, based upon a close relationship over ten years.  George trusted Alan to manage his household affairs and expenses while George and Theresa were in Florida for significant portions of the year.  Of even greater significance with reference to the present case, George entrusted to Alan all responsibility for overseeing the preparation of his 2004 will and related documents, and George's deteriorating health left him wholly dependent on Alan's assistance toward that end.

There is likewise no doubt that Alan stood to benefit from the transaction in which he was involved.  Though Alan was not named a beneficiary under the will or the trust, his wife, Paula, was.  Under the principles enunciated in Cleary … his status as a fiduciary subjects his actions to heightened scrutiny.  Though Alan was not a party to the petition (by reason of the fact that he was not a beneficiary under the will), in circumstances where a fiduciary stands to receive a benefit indirectly we see no reason why the burden shifting prescribed by Cleary … should not be applied to the direct beneficiary (here Paula) from whom the fiduciary's (here Alan's) indirect benefit derives.  Accordingly, under Cleary, the judge should have placed on Paula the burden of establishing that Alan did not exert undue influence on George in connection with the 2004 will and trust.


 The court discussed 4 considerations that are usually present in a case of undue influence:


  1. unnatural disposition has been made,
  2. by a person susceptible to undue influence to the advantage of someone,
  3. with an opportunity to exercise undue influence, and
  4. who in fact has used that opportunity to procure the contested disposition through improper means.'" 

The court found:

George's rapidly deteriorating health, combined with the absence of any direct communication between him and the attorneys preparing his will, left him vulnerable to Alan's influence, and Alan's role in initiating contact with his own attorneys, and thereafter conducting all communications with them, clearly gave him the opportunity to exert such influence.

Because the trial judge placed the burden of proof on the wrong party, and because there was evidence to support a contrary conclusion, his conclusion that there was no undue influence cannot stand. 


 Other Matters and Practice Considerations:


Trustees as Later Beneficiaries

The court stated,

…Paula's dual roles as trustee and remainderman create an obvious conflict of interest which, though not improper per se, created an incentive for her to preserve rather than distribute the trust corpus.

What does this mean for estate plans? Often an adult child or children are named trustee(s) of the parent's trust during the parents' lifetime. Following the parents' deaths, the children become beneficiaries. How is this "obvious conflict of interest" to be handled under best practices?  Anyone considering becoming a trustee and a beneficiary may want to explore these issues in greater detail. 


Offers of Proof and Failures to Make Them Can Cost You Your Case

The Appeals Court discussed an evidentiary issue that all trial lawyers and pro se litigants (self-represented) need to take note of.  In this case, the Wife claimed the judge made an error by, “refusing to allow Dr. Howard Sachs [her expert witness] to offer his opinion regarding George's testamentary capacity to execute the 2004 will and related documents..." She did not, however, make an offer of proof at trial to indicate what this expert's testimony would have been.  The court held:

Absent an offer of proof, she cannot demonstrate that she suffered any prejudice as a result of the challenged evidentiary ruling.  … Her contention that the judge erred in finding that George possessed testamentary capacity fails as well; to the extent the contention rests on her assertion that Dr. Sachs's excluded testimony would have dictated a contrary conclusion, it rests on speculation (in the absence of an offer of proof) concerning what his testimony would have been.


What does this mean? The court is saying, if Wife wanted to rely on the Doctor’s expert testimony to prove something then she should have made an “offer of proof” (when the Doctor’s testimony was not allowed at trial.)  What’s this “offer of proof?”  It's basically the testimony or evidence that's being excluded or what would have been shown if it had been allowed.  As you can guess, failure to address this issue, that is, to make a timely offer of proof, can cost you a case.  Thus, since Wife’s argument rested on Doctor’s testimony, the argument fails because the testimony was not allowed.  In this case, you can’t appeal the suppression of an opinion when it wasn't declared what the opinion would prove.  There's an important lesson to be learned by all – make sure you make an offer of proof when the judge rules against you, because failure to do so may leave you with nothing to stand on down the road.


What Happens Next - Remand and The Role of the Different Courts?


So you ask, how does the story end? I don't know, at least, not yet. Following an appeal a case may be remanded. This means the case is sent back to trial court for additional actions based on the appellate court's opinion. This is an example of how in our judicial system appellate courts generally rule on questions of law, while facts are decided by judges or juries at the trial court. The situation can be tricky, however, when the line between the two is blurred or not well defined. Recall the court's word's from above:

 Although some fiduciary relationships, such as that between guardian and ward, are created by law, others arise from the nature of the parties' interactions.  The 'circumstances which may create a fiduciary relationship are so varied that it would be unwise to attempt the formulation of any comprehensive definition that could be uniformly applied in every case.' … Where the fiduciary relationship is not one created by law, the existence of the relationship ordinarily is a mixed question of law and fact... …

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August 18, 2008

SJC Rule Change Regarding Clients with Diminished Capacity Goes Into Effect September 1, 2008

The new MA rule will read:

Rule 1.14 Client With Diminished Capacity

(a) When a client’s capacity to make adequately considered decisions in connection with a representation is diminished, whether because of minority, mental impairment or for some other reason, the lawyer shall, as far as reasonably possible, maintain a normal client-lawyer relationship with the client.

(b) When the lawyer reasonably believes that the client has diminished capacity that prevents the client from making an adequately considered decision regarding a specific issue that is part of the representation, is at risk of substantial physical, financial or other harm unless action is taken, and cannot adequately act in the client’s own interest, the lawyer may take reasonably necessary protective action in connection with the representation, including consulting with individuals or entities that have the ability to take action to protect the client and, in appropriate cases, seeking the appointment of a guardian ad litem, conservator or guardian.

(c) Information relating to the representation of a client with diminished capacity is protected by Rule 1.6. When taking protective action pursuant to paragraph (b), the lawyer is impliedly authorized under Rule 1.6(a) to reveal information about the client, but only to the extent reasonably necessary to protect the client’s interests.

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August 8, 2008

Massachusetts Consumers and Businesses Beware of the Law: Think Twice Before Cutting and Pasting that Contract, Release, Will or Other Legal Document

Often it's tempting to take an legal document found on the internet (sometimes prepared by a lawyer), make a few changes, and recycle the attorney's language to create any number of legal documents. Massachusetts consumers and businesses are smart and think, "Why pay a lawyer in Massachusetts when it's available for free online?" In some cases perhaps they could be right, in others they could be disastrously wrong. The key is to know the difference and that's where consumers and businesses can often fail. Is it worth the risk? Can what you don't know hurt you? Some examples to consider before answering:

LANGUAGE ISSUES

Real Estate Law - A party signs a "Standard Form" Offer or "Standard" Purchase and Sale Agreement, but later learns there were some key changes made to a few important words in the "standard" agreement. Just because it says "standard" don't think it is.

Employment or Discrimination Law - A company fires an employee and offers a severance package. The employee signs the severance agreement and cashes the severance check. Later the employee sues for age discrimination on the basis that the Older Workers' Benefit Protection Act ("OWBPA") was not explicitly followed. Why? Because the severance agreement made reference to 154 employees being affected by the terminations when, in fact, only 152 employees were. A federal court case covered in a Labor & Employment Law Update, Peterson v. Seagate, No. 07-2502, 2008 U.S. Dist. LEXIS 42179 (D. Minn. May 28, 2008), dealt with these facts. Here the employee's release was void, the employee kept the severance money, and the employee could also sue the employer under the Age Discrimination in Employment Act ("ADEA").

Divorce Law - An unsuspecting spouse signs the divorce agreement with all kinds of technical language concerning taxes and other issues which the other spouse has had reviewed by his or her lawyer, but tells you he or she just got it off the internet.

PROCESS ISSUES

In other cases, it's not just the language but also the process that must be followed to insure your wishes are followed.

Will - A parent has two adult children: one is a loving caregiver and the other hasn't been heard from in years. The parent decides to make a will leaving everything to the caregiver. The caregiver signs the will as a witness. Did you know the caregiver could now receive nothing and the other child everything?

Business Law or Trusts - A couple forms an LLC or Trust but fails to follow the steps needed to treat the LLC or Trust as a separate legal entity. The LLC or trust may end up providing no protection and leading to liability which hadn't been properly planned for.

Real Estate Deed - A simple deed is taken from the internet or copied from the public records at the local Registry of Deeds. Names are substituted and the deal goes forward. Later the buyer learns a probate estate matter was involved and the government has a lien against the property. This would have been found if a customary title exam was conducted. Guess who may now be on the hook for the lien amount?

RULES VS. PRINCIPLES

Last night, after a quick run from Weymouth to Hingham and back, I was reading a Law Practice article discussing the difference between our legal system and the U.K.'s approach to electronic evidence and discovery issues ("e-discovery") ("electronic data discovery" or "electronic data disclosure" known as "EDD"). The article contained a comment that I found interesting:

All the interviewees agreed that in the U.K. EDD is principles based, whereas in the United States it's rule based. Everyone believed that this is the biggest difference-and that the principles-based system is better.
While this is a good theoretical point to consider in reviewing this new area of law, it's not a debate you want to find yourself dealing with in a case that involves your interests. As you can see from above, our rules-based laws can lead to results that may not always agree with your principles or your intent. Think twice the next time you cut and paste.  Often when a legal document is involved, there's something of real value at stake.  Most times when a client asks me to look at "something" they found on the internet, it has serious flaws when applied to their specific circumstances.  Luckily, we can fix this before it's too late.  Those who come in after the fact and seeking help -- they don't tend to make the same costly mistake twice.
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August 1, 2008

Massachusetts Medical Malpractice Law Now Includes Loss of Chance Doctrine -- SJC Provides a 5 Step Formula for Awarding Damages

A new area of medical malpractice law has arrived in MA and it concerns what is known as the "Loss of Chance Doctrine." The Boston Globe's, Denise Lavoie, writes:

The state's highest court ruled yesterday that doctors can be held liable for negligence that reduces a patient's chance of survival, even if the patient's prospect for recovery was already less than 50 percent.

The Massachusetts Supreme Judicial Court (SJC), in a decision written by Chief Justice Margaret Marshall, held:

Where a physician's negligence reduces or eliminates the patient's prospects for achieving a more favorable medical outcome, the physician has harmed the patient and is liable for damages...

The Court's opinion provides a 5 step method for awarding damages:

Deriving the damages for which the physician is liable will require the fact finder to undertake the following calculations:

  • 1. The fact finder must first calculate the total amount of damages allowable for the death under the wrongful death statute, G. L. c. 229, § 2, or, in the case of medical malpractice not resulting in death, the full amount of damages allowable for the injury. This is the amount to which the decedent would be entitled if the case were not a loss of chance case: the full amount of compensation for the decedent's death or injury.
  • 2. The fact finder must next calculate the patient's chance of survival or cure immediately preceding ("but for") the medical malpractice.
  • 3. The fact finder must then calculate the chance of survival or cure that the patient had as a result of the medical malpractice.
  • 4. The fact finder must then subtract the amount derived in step 3 from the amount derived in step 2.
  • 5. The fact finder must then multiply the amount determined in step 1 by the percentage calculated in step 4 to derive the proportional damages award for loss of chance.

EXAMPLE:

  • Step 1. Suppose in a wrongful death case that a jury found, based on expert testimony and the facts of the case, that full wrongful death damages would be $600,000;
  • Step 2. The patient had a 45% chance of survival prior to the medical malpractice;
  • Step 3. The physician's tortious acts reduced the chances of survival to 15%'
  • Step 4. The patient's chances of survival were reduced 30% (i.e., 45% minus 15%) due to the physician's malpractice; and
  • Step 5. The patient's loss of chance damages would be $600,000 multiplied by 30%, for a total of $180,000.

See the full case, Robin K. Matsuyama, Executrix of the Estate of Kimiyoshi Matsuyama vs. Neil S. Birnbaum & Dedham Medical Associates, Inc.

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July 24, 2008

Massachusetts Lawyer Discussing Laws Prohibiting Discrimination Against People with Disabilities

Massachusetts laws prohibiting discrimination against people with disabilities in Massachusetts disability cases, arising under Federal and MA Discrimination laws, may have different meanings in different contexts.

If you are being discriminated against due to a disability or perceived disability there may be a number of legal claims for you to consider to aid in protecting your rights.The enforcement of disability discrimination laws can involve different courts or commissions and may require various types of expert evidence and testimony.

The MA Disability Law Center offers a chart on Massachusetts laws prohibiting discrimination against people with disabilities and provides some examples of legal resources which may be available as a starting place.

Attorney John Parry has authored the book, Disability Discrimination Law, Evidence and Testimony. A Comprehensive Reference Manual for Lawyers, Judges and Disability Professionals, which covers a host of topics your lawyer or disability advocate may consider in handling your disability discrimination case.


Additionally, The Massachusetts Office on Disability (MOD) has prepared an online pamphlet to:

increase awareness of the rights of persons with disabilities, both by persons with disabilities themselves and by the larger community. Other goals of the Office include: the elimination of discrimination against persons with disabilities; the creation of a barrier free environment; the improvement of the state’s services delivery system for persons with disabilities, and the creation of fully integrated and accessible education, housing, transportation and employment in the public and private sectors.

Topics listed include: Attorney Kevin Whitaker serves as a town councilor and as an appointed member of the Town of Weymouth, MA Commission on Disabilities.
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July 23, 2008

Taunton, Massachusetts Foreclosure Victim Takes Her Life After Faxing a Note to Her Mortgage Company Just Hours Before the Auction

Boston.com article, "Mass. woman kills self before home foreclosure," reports:

A 53-year-old wife and mother fatally shot herself shortly after faxing a letter to her mortgage company saying that by the time they foreclosed on her house that day, she would be dead.
According the the article, her husband did not know the foreclosure was scheduled today because his wife took care of the bills and mail.  The article also indicates the woman may have thought that life insurance proceeds could be used to pay for the home -- this isn't true.  No life insurance company that I'm aware of is going to pay any amount of an insurance policy for a suicide claim.  Let me be clear, suicide in not a solution.  This tragedy does, however, speak to the problem being faced by many -- times are financially tough and many people don't know what to do.

I'm seeing more despair and anxiety in my Weymouth law office with both new and old clients.  Often I'm meeting with distressed individuals, families, and business owners who break down in tears as they tell their story.  Many are relieved just by talking to someone or by getting their problems off their chest.  Later, when they learn alternatives to bankruptcy and foreclosure may exist for them, they ask, "Why didn't I do this sooner?"

If you are feeling overwhelmed by debt, the harassing phone calls, and threatening letters, then you need to seek help. You deserve the opportunity to explore all of your available options and to do so with an objective adviser.  There should be no guilt, or shame, or judgment associated with doing this.  Getting help is the responsible thing to do and it can often put you on the path toward a fresh start.  A new beginning without the burden and distraction of constant worry and anxiety could be right in front of you without you even knowing it.

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July 16, 2008

Does Your Lawyer Get The Meaning of Your Empty Ice Cream Cone?

Massachusetts%20Lawyer%20Ice%20Cream%20Cone.jpgThis morning my daughter suggested we take the net (from that game where you hit the thing that looks like an empty ice cream cone) and use it to play volleyball.  I knew immediately she was talking about the net from the old badminton set because the "empty ice cream cone" was certainly the birdie we hit back and forth about a month ago.  In communication and in law context is everything -- both combined can lead to real value.

You shouldn't need to talk in legal mumbo jumbo to get your point across or to achieve the result you desire.  Find a lawyer who knows the law but also gets where you are coming from.  Seek out an attorney who will invest in building a relationship with you.  This is the foundation for providing value -- a real value that seeks to first understand and then meet your needs.  Anything else is just an empty ice cream cone...

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June 16, 2008

Prescription Medication Abuse - the New War on Drugs

While not a Massachusetts finding, the New York Times in an article entitled Legal Drugs Kill Far More Than Illegal, Florida Says, states:

An analysis of autopsies in 2007 released this week by the Florida Medical Examiners Commission found that the rate of deaths caused by prescription drugs was three times the rate of deaths caused by all illicit drugs combined.
...
The Florida report analyzed 168,900 deaths statewide. Cocaine, heroin and all methamphetamines caused 989 deaths, it found, while legal opioids — strong painkillers in brand-name drugs like Vicodin and OxyContin — caused 2,328.

The article also states,
The report’s findings track with similar studies by the federal Drug Enforcement Administration, which has found that roughly seven million Americans are abusing prescription drugs. If accurate, that would be an increase of 80 percent in six years and more than the total abusing cocaine, heroin, hallucinogens, Ecstasy and inhalants.

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June 15, 2008

Avoiding Swimming Deaths in Young Children

It's been a Happy Fathers' Day, made so by my children. We are preparing to go visit my father (and for a swim in his pool). I did a quick email check before we head out. An email I received from the Kingsbury Club in Duxbury states,

"Drowning is the #1 cause of death in children under the age of 5 in the state of Massachusetts."

Infant Swimming Resource is a comprehensive drown prevention swim program where a life saving technique and a swim skill are taught to children from age 6 months to 6 years.

Happy Fathers' Day but keep an extra eye on those kids when they're around water.

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June 9, 2008

EPA Report on the Environment (2008)

The U.S. Environmental Protection Agency (EPA) has released its 2008 Report on the Environment.

The document is public resource to enable understanding of trends and challenges to quality in air, water, land and human health. It seeks to measure progress toward protecting the environment and human health by providing data relevant to planning.

The EPA’s website states,

To accomplish its mission to protect human health and the environment, the U.S. Environmental Protection Agency (EPA) must pay close attention to trends in the condition of the nation’s air, water, and land, as well as related trends in human health and ecological systems. To meet this needs, EPA embarked on a bold initiative in 2001 to assemble, for the first time, the most reliable available indicators of national environmental and health conditions and trends that are important to EPA’s mission. EPA initially presented these indicators in its Draft Report on the Environment (ROE) Technical Document (TD), and its publicly oriented companion document the Draft Report on the Environment (ROE), both released in 2003. Since then, EPA has revised, updated, and refined the ROE in response to scientific developments, as well as feedback from EPA’s Scientific Advisory Board (SAB) and stakeholders. As a result, the EPA's 2008 Report on the Environment provides both an update and an improvement over the 2003 draft editions.

List of Regions for Regional Indicator Reports

Region One Indicators Report (Includes Massachusetts).

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June 5, 2008

Rolling Over In His Grave -- Another Lesson in Costly Beneficiary Form Mistakes

Imagine getting divorced, thinking the law states after divorce your ex is no longer your life insurance beneficiary. You don’t name a new beneficiary thinking the payout will go to your estate.

Maybe not...

Marla Presley in her firm’s website discusses a case in Penn, decided May 9, 2008 where the Penn. Superior Court ruled that the Employee Retirement Income Security Act (“ERISA”) preempts a state law that mandated the revocation of beneficiary designation upon divorce. The gentleman had filled out the beneficiary form listing his wife as the primary and his nephew as the contingent beneficiary. After his divorce he never changed the form. The ex got it all. Probably not the result that was intended.

Beneficiary designation forms are an often overlooked area of estate planning that can have dire consequences if not taken care of. I represented one person in a case where the beneficiary form was executed, put in an envelope, but never mailed. It became an expensive stamp.

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May 14, 2008

Get a Free Will for Taking a Bike Ride and Helping Fight Breast Cancer

Today was a great day for a bike ride and my four and a half year old daughter let me know it. We rode our bikes about ½ mile to Joe Fucile’s bike shop in Columbian Square. Our mission was to buy her a new helmet. Tweety bird may have been cool a couple of years ago, but now it’s time for an upgrade. While Joe was out today, we were pleasantly helped in finding her a new pink helmet with flowers on it. The outing was lots of fun. Although it can be difficult to keep pace with a flash of lightning on training wheels, I managed and the conversation was lots of fun.

A few minutes ago, I checked my email and found a funny reminder that the ½ Ironman triathlon I signed up for, Mooseman, is a few weeks away. The water temperature is measuring a brisk 51 degrees. As I contemplated the lack of time training I’ve put in recently, I began to wonder... Perhaps I can use my daughter’s training wheels for the bike portion. Meanwhile my wife, Sue, is walking in the Avon Breast Cancer Walk this weekend. Her, her two teammates, and many others will be embarking on a marathon walk on day one, sleep in a tent for the night, and finish with a half marathon walk on day two. My firm is a sponsor of her walk, and I’m very proud of her commitment. Sue walks in memory of her mother, Barbara, who passed away from breast cancer when Sue was thirteen. You can read an article Ed Baker of the Weymouth News wrote about Sue a few months ago.

My daughter and son are very proud of her too. They have been hard at work on their t-shirts to cheer on their mom. Unfortunately, I had used the wrong side of the iron-on decorations, which in turn ruined the iron. To her credit, I think Sue was impressed I knew how to turn the iron on -- I’m no longer allowed to use the clothes washing machine after a similar incident.

But anyway, here’s my limited time special offer

Some may find this an odd post to read on lawyer’s blog. As I was considering what to write about, it struck me that May is national bike month and The League of American Bicyclists is promoting Bike-to-Work Week from May 12-16 and Bike-to-Work Day on Friday, May 16. Having had a great bike ride with my daughter today, thinking about the bike ride I’m not looking forward to in a few weeks, and reflecting on our family’s pride in Sue’s efforts, I’ve decided to do something a little different in this post.

Many of our clients know we are active with many local causes and events. In fact, many of our clients are active too. I’d like to invite you to join us and to take action. If you live in Massachusetts and you send me a picture of you and your bike – with the picture postmarked before Sunday, along with a donation for any amount you decide upon payable to the Avon Breast Cancer Two Day Walk, I’ll prepare a simple will for you personally or for you and your spouse for free. That’s right, no legal fee whatsoever.

The donation amount is completely up to you and the amount will have no bearing on the offer. If you send me an email address, I’ll send you a questionnaire so we can get started or I can mail it to you if you prefer. After I receive your answers, I’ll call you if I have any questions or send you a draft will within one week. Once you’ve received the draft will, I’ll be happy to answer any questions you have at no charge. Next I’ll make any needed changes before sending you a final draft with instructions on how to execute it.

Since I do, however, want to strike while the iron is hot (in consideration of the iron I ruined), this offer is only open to the first ten people or couples who respond. If you’re number 11 or above, I’ll return your donation or forward it along, it will be your choice completely.

What do you have to lose? Simply:

1. Take a bike ride,
2. Send me a picture,
3. Make a donation to help fight breast cancer, and
4. Receive a free will prepared by a Massachusetts attorney.

Get pedaling…

Mail to:

Wilson & Whitaker, LLC
Attn: Avon Walk for Breast Cancer
53 Winter Street
Weymouth, MA 02188

p.s. To the skeptics out there, this isn’t some gimmick. I’ve done things like this before with other charitable events. Sue has already greatly exceeded her fundraising goal as have both her teammates. This is just frosting on the cake. What are you waiting for. Everyone wins.

p.p.s I'll make it even easier. Make a contribution on her donation site now, and I'll give you an extra week for you to send a picture of you and a bike. I can't, however, refund donations made through the site. If you're not donator 10 or under (since this was posted), you don't get the deal. Act now!

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May 14, 2008

How to Safeguard Your Credit and Prevent Collections from Doctors, Hospitals, and Medical Providers in a MA Motor Vehicle Accident. Massachusetts Motor Vehicle Accidents and Motor Vehicle Personal Injury Protection Insurance, MedPay, & Health Insurance

Whether you’re a passenger, driver, or pedestrian in a Massachusetts auto accident, the insurance issues can be tricky. It’s not uncommon for someoe injured in a car accident to go see a medical provider thinking their medical care should be covered by the person who caused their accident. If it’s not covered, they believe their medical insurance company should cover the bills. After all, that's why we pay so much for all this insurance, right? But did you know that thinking the insurance issues are simple and will take care of themselves could lead to receiving big bills for unpaid medical expenses?

The failure to take the right steps with insurance coverage in MA accidents can lead to a bill going unpaid and later ending up in collection. This is not a good result for someone who was injured by another in a car accident. Here’s a very basic overview for someone injured in an accident. (For simplicity sake, I’ll assume no time was missed from work, but that’s a bad assumption for lawyers to make in most serious car accidents.)

The first $2,000 in medical bills should be paid by your Auto Insurer’s Motor Vehicle Personal Injury Protection (PIP) insurance benefits. If you have health insurance, then your health insurance provider should pay for claims beyond the first $2,000 unless you have MedPay benefits under your auto insurance policy. If you have MedPay, a recent case confirms your health insurer may defer coverage to the MedPay insurer and the MedPay policy should pay until it maxes out its payments in accordance with the policy. Then, your health insurer would make the remaining payments. For the purposes of this post, I won’t get into how these issues also relate to settlements and trials.

No matter what, however, don't make the costly mistake of going outside your health insurance plan or you risk having to pay for the medical services out of your own pocket. “[E]ven when there is health insurance, PIP does not cover claims denied by a health insurance provider because the insured has failed to comply with the health insurance contract, for example by seeking out-of-network care.” Dominguez v. Liberty Mut. Ins. Co., 429 Mass. 112, 115-117 (1999).

If you don’t have health insurance, then your PIP benefits should pay the first $8,000 in claims and if you have MedPay benefits, it should pay until the coverage limit is reached.

The interplay of PIP, MedPay and Health Insurer issues was recently addressed with the Massachusetts Supreme Judicial Court (SJC) concluding there is “… nothing in the statutory language governing PIP or MedPay to prohibit health insurers from deferring coverage due to the existence of MedPay benefits...” Metropolitan Property and Casualty Insurance Company vs. Blue Shield of Massachusetts, Inc. SJC-09944 (slip opinion)

Justice Bostford, writing for the court, provides a statutory framework of the insurance issues raised.

Statutory framework. The Massachusetts "no-fault" insurance plan, adopted in 1970, originally provided for PIP benefits (up to $2,000) to be paid in place of tort recovery for injuries that caused less than $500 in medical expenses. See § 34A (defining "[p]ersonal injury protection"), as amended through St. 1970, c. 670, §§ 1, 2; G. L. c. 90, § 34M, inserted by St. 1970, c. 670, § 4; G. L. c. 231, § 6D, inserted by St. 1970, c. 670, § 5. See also Pinnick v. Cleary, 360 Mass. 1, 5-10 (1971). In 1988, in an effort to bring the statutory amounts in line with escalating medical costs and further to control automobile insurance premiums, the Legislature increased the tort threshold to $2,000 and increased PIP coverage to $8,000, but provided that PIP would pay only the first $2,000 in medical expenses in cases where the insured also had health insurance that would cover expenses above that amount. See § 34A, as amended through St. 1988, c. 273, §§ 15-16; G. L. c. 231, § 6D, as amended by St. 1988, c. 273, § 55. See also Creswell v. Medical W. Community Health Plan, Inc., 419 Mass. 327, 329-330 (1995). This "coordination of benefits" scheme providing for the sharing of costs between automobile and health insurers is expressed in two sentences in the final paragraph of § 34A:

"[P]ersonal injury protection provisions shall not provide for payment of more than two thousand dollars of expenses incurred within two years from the date of accident for [medical and funeral services] if, and to the extent that, such expenses have been or will be compensated, paid or indemnified pursuant to any policy of health, sickness or disability insurance . . . . No policy of health, sickness or disability insurance . . . shall deny coverage for said expenses because of the existence of personal injury protection benefits."

§ 34A, as amended through St. 1988, c. 273, § 16. Under these provisions, PIP only covers medical expenses above $2,000 if they are not covered by health insurance. Moreover, even when there is health insurance, PIP does not cover claims denied by a health insurance provider because the insured has failed to comply with the health insurance contract, for example by seeking out-of-network care. Dominguez v. Liberty Mut. Ins. Co., 429 Mass. 112, 115-117 (1999).

MedPay benefits are not part of the statutory scheme that established the no-fault system with its central feature of PIP benefits. Since 1943, G. L. c. 175, § 111C, has authorized, for various types of liability insurance policies, including automobile policies, optional endorsements to provide coverage for reasonable medical and related expenses. G. L. c. 175, § 111C, inserted by St. 1943, c. 375, § 1. Beginning in 1968, however, under G. L. c. 175, § 113C, automobile insurers doing business in the Commonwealth have been required to offer every person purchasing a policy the option of purchasing "medical coverage, so called . . . to a limit of at least five thousand dollars." G. L. c. 175, § 113C, as amended by St. 1968, c. 643, § 3. This obligation to offer optional medical, or MedPay, benefits is reflected in Part 6 of the standard Massachusetts automobile insurance policy (policy). In particular, Part 6 of the seventh edition of the policy, applicable to the accident in this case, provides in relevant part: "Under this Part, we will pay reasonable expenses for necessary medical and funeral services incurred as a result of an accident. . . . We must sell you limits of $5,000 per person if you want to buy them." Thus, it appears that G. L. c. 175, § 111C, authorizes automobile insurers to offer MedPay coverage, and G. L. c. 175, § 113C, requires them to do so. Accord Morin v. Massachusetts Blue Cross, Inc., 365 Mass. 379, 385 & n.5 (1974).
[Footnotes deleted]


In the end, it’s important to realize protecting your case (and your credit rating) is not simply about liability but also requires dealing with complicated insurance issues. Failure to take the right steps in a Massachusetts auto accident can lead to collections efforts against you and ultimately to you paying out of pocket for an injury (even when you were a passenger or completely blameless.)

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May 7, 2008

Students' Personal Injuries: Lawsuits & Settlements with Schools

A study entitled Legal Liability: The Consequences of School Injury in the Journal of School Health, May 2007, Vol. 77, No. 5, (Abstract only) examined cases involving schools, lawsuits, and injuries. Schools paid awards about 2/3 of the time, either by verdict (26.8%) or settlement (40.4%). The average case lasted just under 4 years from the time of injury to the case’s resolution by trial or settlement. Surprisingly, they found it difficult to predict the cases resulting in an award, stating: “this study found no difference on any case characteristics between cases that resulted in awards and those that did not.”

They authors concluded,

Many of the injuries documented in this study may have been prevented through better maintenance of school facilities, equipment and playing fields; addition of safety features and equipment; improved supervision of students; education of school officials, students, and parents; and enforcement of building codes and rules, especially during sports and recreational activity.
Award Range: $1 to $15,398,762; Mean: $562,915; Median: $50,000; 25th percentile: $9,750; and 75th percentile: $300,000.
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March 31, 2008

Massachusetts School Food Authorities affected by Beef Recall: List Published by United States Department of Agriculture (USDA)

Massachusetts has a number of schools (listed below) reported as affected on the USDA beef recall list. Records of beef purchased throughout the two years covered by the recall were reviewed. Note: not all School Food Authorities (SFA) listed had product remaining in inventory when the recall began and inclusion on the list does not necessarily indicate that any individual school within an identified SFA received any of the recalled ground beef products.

The recall followed after disturbing video shot by the Humane Society of the United States (HSUS) was released. On its site, the Humane Society states, “An HSUS investigation reveals one of the leading suppliers of the national school lunch program is permitting sick and injured dairy cows to enter the food supply.”

The list of Massachusetts schools taken from the USDA national list of schools reported by the beef recall includes:

Continue reading "Massachusetts School Food Authorities affected by Beef Recall: List Published by United States Department of Agriculture (USDA)" »

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February 26, 2008

MA Medical Malpractice Claims & Foreign Travel

Medical malpractice claims (or other claims) involving Massachusetts residents vacationing in a foreign country may need to be pursued in that foreign country. This issue was discussed in a Massachusetts woman's lawsuit (through her estate) involving her trip to the Dominican Republic. In Marilyn Gianocostats and George Gianocostas, Administrators of the Estate of Jennifer Gianocostas vs. Interface Group-Massachusetts, Inc. doing business as GWV International (SJC-10017, Slip Opinion), the court wrote,

"When... conduct occurs in a foreign country... [and] ... concerns medical services provided to travelers by residents of that country, our interests may have to bend to those of the foreign jurisdiction. The balance tips decisively in favor of a foreign jurisdiction when a primary issue to be litigated is the standard of medical care that may be (or has been) obtained there."

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January 23, 2008

Heath Ledger Dies, Drugs and the future of Massachusetts Probate

Actor Heath Ledger, 28, died, apparently drug related. Here's yet another story of a smart, funny, and talented performer being lost in the prime of his life. Drugs change people and ruin lives. The damage they cause may even reach beyond the grave. Could drug use and overdose fatalities form the basis for legal challenges in probate matters? Sure. Overdose and drug use could certainly be raised as issues concerning mental capacity. Drug use -- prescription or street -- may have a growing impact on probate matters.

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December 16, 2007

D.N.R. Orders in Massachusetts: Are your wishes known?

D.N.R. -- these three letters are an abbreviation for do not resuscitate but they hold vastly different meanings for different people. Regardless of one's beliefs, it remains a deep personal decision and one that should be known by family members and potential medical decision makers.

Have you communicated your preferences with both your family and your physicians? Perhaps these topics aren't easy to discuss, but they're unlikely to get any easier with the passage of time. A Boston Globe article recently addressed this in an informative way. See Patricia Wen's article,For many, Do Not Resuscitate' too painful to discuss.

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