Tuesday, April 16, 2013

Fighting Fallgatter

     The worst thing that can happen to a person under attack is for the people who are supposed to be helping, and those who are being paid to advocate on behalf of that person, to become attackers, too.  Even worse, is when they pretend to be helping.  Maybe the world is divided into people who favor the winning team, no matter what, and those who root for the underdog.  You probably know, or can imagine, how it feels to be kicked to the ground, and then for someone in a position of power, posing as an ally, to stomp on your hands as you try to get yourself up.
     Fallgatter, you may recall, is a lawyer who came on the scene shortly after my clinic was raided and my bank accounts seized.  The first order of business, I told him, was to get my patients' charts back, the second to get the government to return working capital so I wouldn't be forced to shut the clinic down, and the third to find out why the government had raided my place of business.  All information about the raid was "sealed," but our plan was supposed to be to persuade a judge to require the government to unseal it--or at least to inform me of the nature of the criminal acts I was (purportedly) committing, so I could stop committing them.
     In less than five days, Fallgatter had run through the $20,000 retainer he had required as advance payment to proceed as my counsel.  Although his retainer agreement, which I signed, stated that he would inform me when the retainer had been exhausted, he failed to do this until two weeks had passed, at which time he claimed he had accumulated $46,000 in charges, and needed an additional $26,000 from me if he were to proceed with filing a document with the court, requesting an emergency hearing about the facts in my case.
     If this isn't extortion, I don't know what is.  I didn't have $26,000 more, and couldn't borrow it from the same person who had loaned me the $20,000 retainer.  I didn't have enough money to pay wages to my staff, or the insurance premiums for their health coverage, or the bills for supplies I used to treat patients.
     "You have the money, I know you do!"  was Fallgatter's oft-repeated contention, as though it were sufficient grounds for being paid, rather than the work necessary to liberate me.
     Last week I deposed Fallgatter, and discovered that his perception of his role in my emergency was markedly different from mine.  He believed it was his duty to "investigate" the causes of the raid on my clinic himself, even though our plan was to inquire of the court the nature of the charges being entertained--which would have obviated the need for a private, lawyer-led investigation.  Fallgatter double and triple-billed for multiple assistants in his enthusiastic--and expensive--determination to find out what might be on the government's mind.  He charged exorbitant amounts for what turned out to be secretarial tasks, and he required three employees, including a lawyer-associate, to read emails I sent because he said he required a primer on medical billing and coding, having little or no knowledge of the nature of a medical business.  I wish he had informed me, prior to being retained, that he would need an entire education in third-party billing in the medical industry.  Instead, he rode on the coattails of having prevailed in a lawsuit for a medical supply company, and pretended to me that this constituted proof of his familiarity with cases against medical establishments.  I soon found out that he was ignorant of medical billing and coding.  When he told me, two weeks into his representation of me, that I would have to pay him an exorbitant amount for continuing to retain him, I realized that he had decided to charge me for teaching him what he needed to know to proceed in my case.
     There is irony in the fact that I have spent more than $30,000 in legal fees to defend myself against the outrageous charges Fallgatter levied, in the middle of my crisis, without forewarning me.  There is a breach of ethics in Fallgatter's having refused to withdraw from my case, when I insisted he do so the night he informed me, on the phone, that he needed $26,000 more in cash to continue to represent me.  There was a breach of his contract, because he didn't let me know when he had run through the retainer, five days after being hired.  Fallgatter also failed to tell me, before being retained, about his upcoming vacation to attend his niece's wedding, scheduled for exactly when I would need a lawyer most, at my emergency hearing.  He knew I wouldn't have hired him if I had known he would be out of town three weeks hence. He would not allow his associate to stand in his place for the hearing.
     By the time I asked Fallgatter to stop representing me, at the two-week mark when he told me how much more money he wanted--he hadn't even entered an appearance in court in my case.  He didn't tell me this, nor did he need to withdraw--he simply had to back off and allow me to find other counsel.  Instead, he continued to accumulate charges for every minute he spoke with me, including the dispute about his charges, including when I told him to stop working for me.  He continued to claim he was "investigating" a case that didn't need investigation until after the court determined whether the affidavits could be unsealed or not.  He continued to "work" until he said he was owed $86,000, and then he sued me for the $66,000 he had not yet received.  He knew this was equivalent to stomping on my hands while I was trying to get up.  He didn't care.  He wanted money, and he wanted it immediately.
     "You have the money!  I know you do!  Give me a lien on your property, if you won't pay me cash!"  he insisted.  Meanwhile, I cut  my staff in half, closed the clinic for two weeks to reorganize and save on expenses, reduced the hours of operation from 98 hours per week to 45, and wondered how Fallgatter could witness this and continue to claim the clinic had funds to pay him. 
     I am fighting Fallgatter on principle, now.  It has undoubtedly been one of his intentions to "break" me by forcing expenditures for a legal defense against him that may come close in cost to his own exaggerated claims for money owed.  Is the entire legal profession immune from attack, and outside requirements for sane, humanistic, ethical behavior?  Is there anyone else in this country who charges for every portion of every six-minute segment of time he or she spent thinking about, or "reviewing" thoughts about, or emailing, or reading emails, a given task?
     I have been advised by four lawyers to file Bar complaints against Fallgatter and his associate.  Why have I held off on this?  I feel an inherent prohibition against attacking others in this fashion, or "reporting" them, or suing them.  It's the reason I'm in trouble with Fallgatter, I suppose.  He knows I'm a rabbit, a chicken, a mouse, defenseless at heart, because I don't have the apparatus for cruelty or hatred.  I can't attack, not in truly deadly ways.  I'm a humanist.  It's no excuse, I know, and probably I deserve to pay handsomely for this flaw, given that the world is a deadly place, full of attackers, full of liars and cheaters and greedy lawyers, no place for the meek, no place for people who think we should help one another.  No place for someone like me, whose best friends, these days, happen to be a bunch of gentle, skittish chickens.
     I think I'll go out to see my chickens now, and check for eggs.  Then, I'm off to the Pretrial Conference, in Jacksonville, preparatory for a hearing, next week, in which a judge--who used to be a lawyer and who has probably known Fallgatter and maybe even been pals with him for decades--will decide whether Fallgatter's demands for money and lawsuit against me are a travesty or not.  I wonder how that will go?

Wednesday, April 10, 2013

The Freedom of Information Act

     On Obama's first day in office he announced that his administration and the entire United States government would be committed to transparency. 
     "[My administration is] committed to creating an unprecedented level of openness in Government," he said.  He issued a Memorandum on Transparency and Open Government" saying that the government would "ensure the public trust, and establish a system of transparency, public participation and collaboration."  Specifically, he urged the attorney general to disclose all public records unless the Justice Department felt such disclosure would endanger public safety.  He reinstated the standard set by Ashcroft in 2001 which said that federal agencies should not exempt materials from the public record, and should "use modern technology to inform the public about what is known and done by their Government."  The only exemption for such transparency would be if an agency anticipated "foreseeable harm" from a disclosure.
     The Freedom of Information Act (FOIA) applies to every agency, including the FBI--including, in fact, the entire justice department.  It requires that government entities tell all of us citizens what it's doing on every front, by opening up documents that reveal how investigations are conducted, how money is spent, and why their agents spend their time doing what they're doing, including why they raid and ruin some of us, like me, because they think they know something, whether they can substantiate it or not.
     But what people say and what they do are two different things, as evidenced--on a large scale--by Obama's executive order instructing Eric Holder to withhold from the public information about all those guns the U.S. shipped to Mexico, and by the drones we Americans use to kill people (without charges, a trial, an opportunity for defense, or international agreement, and with significant collateral damage to innocent bystanders) all over the world. 
     And as evidenced--on a small scale--by my little case, the U.S. Government vs. Ona Colasante and Colasante Clinic case, which has remained "sealed" for going on three months, perhaps to safeguard "the public good."  Who knows?  I may be endangering public safety by attempting, via this blog, to uncover the truth about what's going on in my case.  I might be arrested for endangering public safety.
     Every three months the government is required to provide transparency about my case, and to return the funds it took unless it has a good reason for keeping them.  What's a good reason?  As it turns out, the standard isn't very high.  Every three months, Corey Smith, the prosecutor litigating my case (if doing nothing can be called "litigating"), issues a copy of the same document, a "Status Report" which states the following:

           COMES NOW, PLAINTIFF, BY AND THROUGH ITS UNDERSIGNED ASSISTANT UNITED STATES ATTORNEY AND PROVIDES THE FOLLOWING STATUS OF THE ABOVE-REFERENCED CASE TO THE COURT:
     1.  THE UNDERSIGNED HEREBY INFORMS THE COURT THAT WHILE THE CRIMINAL INVESTIGATION CONTINUES, IT IS IN THE BEST INTEREST OF THE CLAIMANT AND THE GOVERNMENT TO CONTINUE THE STAY IN THIS CIVIL CASE.
     2.  THE UNITED STATES WILL FILE A STATUS REPORT EVERY 90 DAYS UNTIL THE RESOLUTION OF THE CRIMINAL INVESTIGATION.  
                        PAMELA C. MARSH
                        UNITED STATES ATTORNEY 
 
       I can file a FOIA request, or even a lawsuit, requesting information on this case and claiming that opening the records will not endanger the "continuing criminal investigation" or the safety of my fellow Americans.  But will such a lawsuit stand up to the powerful rhetoric in the above defense for keeping the affidavits in my case sealed?  "WE'RE STILL INVESTIGATING," is the government's explanation for not providing the transparency Obama declared as the hallmark of his administration.  I don't know if my FOIA lawsuit can stand up to such a powerful argument. 
     But I'm going to take a shot at it, by filing a FOIA lawsuit pro se, because I still believe our executive branch means what it says, that Americans, including me, have a right to know what their government is doing.  
     Call me crazy, or naive, but you and I, who live down here in the peaceable kingdom of ordinary Americans, don't assume--and insist--that our government act according to the laws of reason, and common sense, and not default to its old habits of hypocrisy, then we're all in deep, deep trouble.

Tuesday, April 9, 2013

Dear United States Attorney Pamela C. Marsh:

Dear United States Attorney Pamela C. Marsh:
     What is going on with your federal prosecutors and FBI agents?
     Why did they raid my solo family practice medical clinic on June 6, 2011, and why haven't they yet told me what they're doing?  Do you know? 
     Why did these same agents remove all the money from my clinic and personal bank accounts, making it impossible for me to run my clinic's business?  Why are they refusing to communicate with my lawyers whom I've had to hire to find out what your agents are up to?  Are you doing this to other Florida citizens?  Has your agency gone mad?
     Please tell me:  What crime have I purportedly committed?  Because I'm baffled, and so are my lawyers.  My clinic was not one of the pill mills you're cracking down on--I prescribe controlled substances infrequently and with thoughtfulness.  I am meticulous about billing and coding.  I have been practicing medicine in Florida for twenty years, without incident, serving large numbers of patients from underserved areas.
     I took pleasure in my profession, until now. 
     Everyone knows our country needs family doctors, today more than ever.  I wonder why, therefore, you have allowed your prosecutors, Corey Smith and Bobby Stinson, and lead FBI agents Robert Murphy and Carissa Bowling to orchestrate a libelous raid on me, a family doctor, necessitating the closure of my clinic.  These agents used underhanded tactics, such as instructing Medicare to withhold payment for my services, to force closure of my clinic, because they didn't have the means to take my license or shut it down outright.  How could they?  I have done nothing wrong.
     Why have you not required them, after all this time, to answer to you, and to me?  The Freedom of Information Act requires that I be given an explanation for my plight.  I blame the prosecutors and agents, and you, and Attorney General Eric Holder, for the fact that I had to close my clinic. 
     Furthermore, why are you authorizing the unnecessary expenditure incurred by SWAT-type raids on businesses like my clinic, with dozens of armed agents and plenty of media attention--for what?   To obtain paper documents?  This is a misuse of the Patriot Act, and a waste of tax dollars.
     People who work in medical clinics are not armed or dangerous.  There was no need for the drama of a SWAT raid.  Why didn't your agents issue a subpoena?  Or simply ask me for the paperwork they wanted?  I would have been glad to comply.
     I am a taxpayer and a law-abiding citizen, and I want answers.  My profession and my life have been damaged, for no good reason.  My patients' charts were taken, and never returned, making it very hard for me, their doctor, to take care of them and placing me at increased malpractice risk.
     During the raid, which lasted eleven hours, my staff's and my constitutional rights were violated.  Even worse, it was reported to me that two agents pulled their guns on a patient and a medical assistant.  I find this reprehensible.
     This case has been "under investigation" for almost three years.  The raid on my clinic happened  two years ago, this June, and still-- only silence from your prosecutors.  I even had an emergency hearing on the case, but they would say nothing.  This looks bad, and is bad.
     Your website states that "Attorney General Bondi considers open government and transparency the linchpin of government accountability."  I am requesting transparency.  I am asking you for the "open government" policy you advocate.
     As a taxpayer and a contributing member of society, as a Board-Certified physician with a loyal following, a good reputation and a clean record, and as a human being, I want to know what is going on.  Please give me an answer.
                                           Sincerely,
                                                             Ona Colasante MD

cc:  Eric Holder, Attorney General
       Bob Goodlatte, Chairman, House Judiciary Committee
       John Conyers, Ranking Member, House Judiciary Commmittee
       Patrick Leahy, Chairman, Senate Judiciary Committee
       Chuck Grassley, Ranking Member, Senate Judiciary Committee
       Barack Obama, President
       Darrell Issa, Chairman, House Oversight Committee
       Elijah Cummings, Ranking Member, House Oversight Committee
       Nathan Crabbe, Editor, Gainesville Sun
       Op-Ed page (modified article), The New York Times
       FBI Headquarters, Washington, DC
       
      
       
       

   

Monday, April 8, 2013

Letter from a Friend

     The following are excerpts from a letter written by a long-time friend, also a healthcare professional with her own clinic.
     Thank goodness for friends and well-wishers.  I need all their moral support.  Being strong is not something a person does alone.

     I just keep sliding backwards, in this system.  Can't get out of debt, even though I work every day.  
     All these managed care companies are counting on collecting capitation, without paying providers for services.  They have no incentive for patients to receive treatment because they're paid by how many people sign up with their company.  One of the insurance companies has taken more than five months to pay me for routine services.  They "lose" documents repeatedly--it's a ploy, to keep from paying.  The goal is not to pay for patient care--what criminals they all are.
     I hope you have success in Washington, DC.  What a huge bunch of crooks and criminals you have to wade through.  I hope you get in touch with upstanding, honest, honorable leaders instead of the self-serving worms who pervade the government and any other place where power and money are to be had.  
     Just be careful, and don't let them hurt you for the rest of your life.  I know someone who got into real trouble by not being politically savvy.  There are small-minded, self-aggrandizing people everywhere, willing to kill, or steal your resources, or stymie your well-meaning efforts, or send you to jail to get you out of their hair.  
     I hope you get to the bottom of this mess soon, so you can get psychological and emotional relief.  Everything that's happened to you is a huge tragedy, as far as I'm concerned.  Why you?  Why do you have to go through this?  At least you're strong, and can handle it.  Most people would be crushed.
     Someone has to fight, and you're brave to be the one who's doing it.  Keep all your antennae up!  It's a corrupt system.  Maybe you can help make it right, for the rest of us.  

Three Ways to Sue the Government

     There are actions one can take when the government causes harm without good reason.  (Is there ever a good reason for causing harm?  I guess I've taken the Hippocratic oath seriously.)
     The statutes of limitations narrow the time frame within which a notice and lawsuit can be filed against anyone, including the government.  When a statute runs out, a legal claim is no longer valid.  In California, the statute for filing a claim against the government is six months--barely time to get one's bearings, after an attack.  Maybe it's good Florida is a "slow" state.  (Florida ranked #49 in average IQ compared with other states, according to a measure taken after G. W. Bush's reelection.)  Most claims in Florida have two to five-year statutes.
     Florida Statute Sec. 768.28 gives a person three years to file notice, and four years to file claims against government entities.  Tort claims against individuals are governed by Florida Statute Sec. 95.11 and are five years for breach of contract (such as leases) and four years for false arrest, negligence and fraud, and two years for slander.   Personal injury cases have a four-year statute.  But these are statutes for people suing other people, not the government.
     Some government cases have no statutes of limitations.  For example, the USA Patriot Act:  statues of limitations for indicting and prosecuting individuals who are considered a "threat" to the United States are unlimited.  This means that if the government has decided you're a threat to the country (recall that criteria for declaring someone a threat seem minimal-- belonging to a peace movement or advocating for labor unions was considered enough cause for agents to raid homes in the midwest, not long ago, under the Patriot Act) a federal prosecutor could indict you at any time for the rest of your life.
     There's a cloud over my head, since the raid on my clinic.  And the clock for some statutes hasn't even started ticking, I guess.  I can't know whether the statutes start running from the time a crime was (supposedly) committed, or from the date of an indictment.  Therefore, I've been thinking about how to file a claim against the government.  It's not easy:  the government, being all of us, in an idealistic sense, can't be sued because it would be be like suing oneself.  That's sovereign immunity.
     Still, there are three types of claims I could file: 
          1)  A Bivens complaint against specific agents, who raided my clinic and damaged my reputation without sufficient evidence--for violating my constitutional rights.
          2) A Freedom of Information Act (FOIA) claim, requiring that the government declare its reasons for the raid and forfeitures of my clinic, and for causing damages.
          3)  A federal tort claim for damages caused by the raid and by subsequent delays in providing information as to the predicates for an attack on my clinic and my professional reputation, which have caused substantial losses.
     Hmm.  What would it take?  What could I gain?  Is it better to do something, than sit around waiting for a government cloud to burst, raining down on me for who knows how long?
   

Saturday, April 6, 2013

Moravian Sugar Cake

My mother reminded me of this childhood dessert, which is standard fare wherever there are Moravians.  It can be found in grocery stores in Bethlehem, the Moravian town where I grew up.  The recipe is from Roberta Henderson of Schnecksville, PA, printed in Bethlehem's newspaper, The Morning Call.

1 cup mashed potatoes, hot or cold
1 tsp salt
1 cup sugar
2 eggs, slightly beaten
1 package active, dry yeast
4 or 4 1/2 cups flour
1 cup potato water, warm
1 stick butter, melted

2/3 cup butter, melted
1 cup brown sugar

Stir sugar into potatoes.  Dissolve yeast in potato water and add to potatoes.  Add melted butter, salt, and beaten eggs. Stir well.  Add flour and mix well.  Let rise until doubled.  Spread evenly into four greased 8-inch pans.  Let rice one hour.  Punch nine holes per pan through the dough at evenly spaced intervals.  Put a small bit of butter in each hole and sprinkle with brown sugar. Bake at 375 degrees for 15-20 minutes, until lightly browned.



Japanese Salad Dressing

The ingredients for this recipe were rattled off to me by a local friend and restaurateur.  I have heard that when great chefs give out their recipes, they leave out one ingredient.  If I had to guess which ingredient might have been "left out," I'd wager it's a clove of garlic, or a teaspoon of sugar.

Whisk all ingredients, and stir in scallions at the end:

6 Tbsp white miso
6 Tbsp rice vinegar
2 scallions, chopped
1/2 cup water
6 Tbsp toasted sesame oil
6 Tbsp peanut oil (or other vegetable oil)
2 Tbsp soy sauce
(1 clove garlic)
(1 tsp sugar)

Serve over tender greens with sliced water chestnuts, bean sprouts, and diced tomatoes.