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Doctors take time off over insurance costs

Thursday, January 02, 2003

By Gavin McCormick, The Associated Press

CHARLESTON, W.Va. -- Almost all surgeries were canceled at four hospitals in West Virginia's northern panhandle yesterday as more than two dozen surgeons began a protest of the high cost of malpractice insurance.

Similar stoppages had been threatened at some 20 hospitals in Eastern Pennsylvania, but they were called off after Gov.-elect Ed Rendell pledged to fight for $220 million in temporary insurance relief for doctors in 2003.

The West Virginia surgeons complain that their state has done too little to address their rising insurance costs.

The protest was in the form of leaves of absence, not a strike. At least 18 general, orthopedic and heart surgeons are beginning 30-day leaves of absence at various times this week from Wheeling Hospital, Ohio Valley Medical Center in Wheeling and from Reynolds Memorial Hospital in Glendale. Eleven others have asked for leave from Weirton Medical Center.

All four hospitals are keeping emergency rooms open. But with the exception of plastic surgeons, they have almost no emergency surgeons available, meaning most patients will have to be transferred 90 miles away to Morgantown or to hospitals in neighboring Ohio and Pennsylvania.

Dr. Gregory Saracco, 49, a general surgeon who started leave yesterday, said he had to borrow money twice last year to pay $73,000 a year for malpractice insurance -- $40,000 for a state plan and $33,000 to a private carrier. Those costs will go up next year to $100,000, he said.

"This is not a strike -- I'm not protesting anything," Saracco said. "I'm taking time to look at other options. But if I don't get some help to offset my premium costs, I can't operate in this state."

Saracco echoed hospital administrators in saying he and other surgeons would return to the operating room in an emergency.

"My job is to help people -- I couldn't drive past an accident on the road and not stop," Saracco said. "I don't know any doctor that could."

The West Virginia Medical Association is remaining neutral, saying the issue must be decided by local doctors.

One patient needing emergency surgery yesterday was transferred to Ruby Memorial Hospital in Morgantown, said Donald Hofreuter, Wheeling Hospital's chief executive officer. He wouldn't give details on the patient.

Officials at the three other hospitals said yesterday afternoon that no patients had been transferred but they were prepared to do so if necessary.

The surgeons want the state to make it harder to file malpractice lawsuits, which they say would eventually lower insurance premiums. They also want the state to seek help from insurance companies and other third parties to pay a larger share of their medical costs.

State Insurance and Retirement Services Director Tom Susman met yesterday with surgeons at Wheeling General but could not work out an immediate solution.

Saracco said West Virginia Gov. Bob Wise should seek a deal similar to the one proposed by Rendell.

"We see what Governor Rendell is offering to get from third-party payers, and our costs would be a lot lower than $220 million, I can assure you," Saracco said.

Susman said the governor would offer details of a malpractice insurance plan in his State of the State address Jan. 8.