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Doctors Sue Patients for Online Complaints

Carl Bialik writes "'Several Web sites have sprung up that encourage patients to post anonymous reviews of doctors and dentists. Some frustrated patients have even created entire Web sites to criticize specific physicians. The Wall Street Journal Online is reporting that some doctors are, in turn, defending their reputation by suing the online critics."

26 of 462 comments (clear)

  1. Just the facts, maam by BWJones · · Score: 5, Interesting

    Awww, they should toughen up. Spending time posting on Slashdot should help out with that as no interesting or informative post here goes without some sort of pain.

    Seriously though, if the patients are reporting on their experience, then that is not slander. Just stick to the facts and they should be fine. However, when you start crossing the line into statements that cannot be substantiated, then that is dangerous water. It is of course important to have resources like Slashdot where comments past a certain date cannot be modified. They become a part of the historical record that documents both protection for and against issues of speech.

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    1. Re:Just the facts, maam by kevin_conaway · · Score: 5, Funny

      Verified? Its the internet. Reminds me of a quote from The Simpsons:

      Lisa:Dad, you can't post that on the internet, you don't even know if its true!

    2. Re:Just the facts, maam by Zeinfeld · · Score: 4, Interesting
      The main problem is that the sites had names like drsmithfraud.com not medicalreviews.com. If someone has a site with a name like that it is probably not a dis-interested review, it is more like publishing a hit piece on the subject.

      On the other hand the doctors involved are interestingly similar. They are all promoting elective surgery for cosmetic or quality of life reasons, one at least is a heavily advertised brand that does frequent infomercials. These are not your usual doctors.

      Folk who bring libel suits often have something to hide. Robert Maxwell successfully supressed criticism of his theft-in-progress of the Mirror group pension fund using libel writs. Only after he committed suicide did the massive fraud come out. Jeffry Archer got away with millions until he was found out and jailed for perjury. The US libel laws are not quite as idiotic but a successful defendant can't get costs of the plaintif and so the SLAPP potential of libel suits is much higher.

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    3. Re:Just the facts, maam by MoralHazard · · Score: 4, Insightful

      Seriously though, if the patients are reporting on their experience, then that is not slander. Just stick to the facts and they should be fine.

      There are two kinds of factual statemnts:
              1) true statements, and;
              2) false statements.
      Unless the statement is inherently contradictory, there's no way to know whether a factual statement is true just by looking at it, on (for instance) a website devoted to doctor's reviews of patients.

      You can't have meaningful, productive free speech with perfect anonymity, because there's no accountibility possible in that scenario. People must be ultimately accountible for their statements, if those statements are aired in public. Even though it rarely comes up on the Internet (most of what we say is nonsense, wnayway), an aggrieved party still needs to have the ability to unmask you in order to sue you for libel. If the big, bad mean doctors are protected, so are the rest of us good folks.

    4. Re:Just the facts, maam by dfn5 · · Score: 5, Informative
      There are two kinds of factual statemnts:
      1) true statements, and;
      2) false statements.

      Here is an example of a statement which is not factual because a fact is, by definition, true.

      --
      -- Thou hast strayed far from the path of the Avatar.
    5. Re:Just the facts, maam by networkBoy · · Score: 5, Informative

      The domain name is usually considered protected speech so long as the content is not actionable (slander/libel, (C) infringement, TM infringement, etc.)

      For example: http://farmersreallysucks.com/ is a website about my experience with Farmers Insurance. All I say is either factual, or commentary. In the case of factual information, it is not actionable, in the case of commentary, that too is protected speech, even if inflammitory, so long as it is not represented as fact.

      I can say: I think/believe/feel/am of the opinion/[any other qualifier] that Farmers is a bunch of scum sucking aholes, the bottom of the insurance barrel. I would believe it if you told me they ate their children and sacrificed policy holders in satanic rituals.

      What I can not do is: Farmers, an insurance company, is comprised of asshats that eat children.

      The former was a statement of opinion, the latter of fact (and not accurate, making it libel).

      Take a moment and visit the takedown notice: http://farmersreallysucks.com/cgi-bin/QAD_CMS.pl?p age=E1_First_Takedown.html and you can read all the claims that the lawyers used to attempt to force the site down. All the counterclaims are in red, and while IANAL, I did have one read my response and he did greenlight it as accurate.
      Cheers,
      -nB

      --
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  2. Dr. Kevorkian by SpaceAdmiral · · Score: 5, Funny

    That reminds me. . . I'm not entirely satisfied with my family physician.

  3. First Amendment versus Sanctioned Legal Monopoly? by dada21 · · Score: 5, Interesting

    Doctors are already a protected class of citizens, who have enormous power over the average person. They've got sanctioned monopoly powers, have a huge amount of leeway in treatment quality, and generally don't come close to the quality of service that they did a generation ago.

    It is in everyone person's right to criticize bad service, and the threat of libel lawsuits should not be as powerful. When you have a State-sanctioned power to treat others, it shouldn't stop you from giving your best, especially in life or death situations.

    I have a great doctor who has been retired for probably 15 years. He's old school and treats me and my family with respect and friendliness. He's available 24/7 by phone (home, office, cell, pager) and he's called me back at bizarre times when I've had problems. All my friends are blown away by the stories I have of his service.

    I've been to other doctors and wish I had the time to complain. Dirty exam rooms, gossiping about other patients, staff that works more like DMV workers than health professionals.

    I guess these people should just shut up and take what the State spoonfeeds them. Just wait until we have Nationalized Healthcare if you really want to see things get worse.

    The American Dental Associations is no better.

    First Amendment restrictions on our Federal and State governments should be re-visited. "No law" means no law. Especially when a doctor is free to blog their side of the story. I'm not sure why it is in anyone's power to curb the speech of others on a private or public forum.

  4. Re:IMANAL.. well.. not really.. by philbert26 · · Score: 5, Insightful
    Well, IANAL, but doesn't this somehow interfere with getting out the Truth(tm) and that whole Free Speach(tm) thing that everyone is always getting worked up about? I realize that this may be hurting their business, but if they suck so much that people feel the need to complain, don't they have the right to complain?

    Free speech does not give the right to libel. It never has, and that has not changed with advent of the Internet.

  5. Sue them until they like you. by RealAlaskan · · Score: 4, Funny

    Sue your customers until they love you. It's working for the RIAA, after all!

  6. Why is this surprising?! by Anita+Coney · · Score: 4, Insightful

    Remember the last election? We had "free speech zones." People who disagreed with the politicians' (both Right and Left) point of view were told to go somewhere else to protest. And furthermore, it was illegal for the press to enter those areas.

    We no longer have real free speech in our country. Sure we can open a titty-bar. Sure we can show boobies on HBO. But if the status quo doesn't want the truth to be said, be it the government or the medical establishment, they'll stomp it out. Get used to it. The 60s are over folks.

    --
    If someone says he and his monkey have nothing to hide, they almost certainly do.
    1. Re:Why is this surprising?! by Anita+Coney · · Score: 4, Insightful

      Yes, it COULD be true that the claims were false or misrepresented. But more likely than not the lawsuits were filed to shut people up.

      --
      If someone says he and his monkey have nothing to hide, they almost certainly do.
    2. Re:Why is this surprising?! by VolvoFreak · · Score: 4, Informative

      I believe the poster is refering to the following: http://www.yale.edu/ypq/articles/oct97/oct97c.html

  7. The Last Resort by Nom+du+Keyboard · · Score: 4, Insightful
    Suing is always a last resort for those who can't refute complaints with truth.

    Sounds like more states need anti-SLAPP laws.

    --
    "It's the height of ridiculousness to say for those 9 lines you get hundreds of millions."
  8. What about the other way around? by alan_dershowitz · · Score: 5, Interesting

    It wasn't that long ago that there was a big stink over a doctor-run web site that blacklisted malpractice plaintiffs so that doctors could deny them future coverage, regardless of who won the case. Google cached link I guess it's not so funny when someone does it to them.

  9. Buy insurance before you criticize anyone publicly by bigtallmofo · · Score: 5, Interesting

    For an average of $300 per year, just about anyone can get Umbrella Liability Insurance. Such insurance shields you from many things including slander and libel claims.

    That way, the evil corporation or incompetent doctor that wants to shut you up with a frivilous lawsuit will really be suing your multi-billion dollar insurance company. $1 Million worth of coverage is typically around $300 per year. Multi-million policies are frequently available for not much more.

    --
    I'm a big tall mofo.
  10. I'm all in favor of public online complaints by kf6auf · · Score: 4, Insightful

    If what they are saying is not factual then it should be very clearly presented as nothing more than an opinion. The free flow of information like this is an integral part of capitalism.

    IANAL but while I believe that the doctors can sue for false information posted online that can be shown to cause damages they would have to file a suit, prove that the information posted online is false and not solely an opinion. They have no grounds to prevent people from posting their comments and can only file a suit after the fact (that is, prior restraint is not allowed). Imagine if M$ decided to sue for every "Windows Sucks" or other anti-M$ comment on slashdot.

    Unfortunately, lawsuits are expensive, but the most likely result will be some sort of disclaimer or the site simply removing the offensive (whether true or not) comments.

  11. Re:First Amendment versus Sanctioned Legal Monopol by Zigg · · Score: 5, Funny

    So let me get this (lewrockwell.com) straight. What you're saying (lewrockwell.com) is that (lewrockwell.com) doctors (lewrockwell.com) are pure evil (lewrockwell.com)?

  12. Respond in kind? by peacefinder · · Score: 4, Interesting

    It's bound to come up, so let me head this question off at the pass:

    Q: Why don't the physicians post their side of the story and let the public decide who is more correct?

    A: The docs cannot simply post their side of the story on a patient's blog in response to the complaints. HIPAA's privacy provisions generally prevent physicians and their staff from doing so.

    In the court of public opinion, only patients have a voice. It's little wonder that some docs might choose to reply via the official court system, because they have no other recourse.

    --
    With reasonable men I will reason; with humane men I will plead; but to tyrants I will give no quarter. -- William Lloyd
  13. Re:Doctors smockters by Just+Some+Guy · · Score: 5, Informative
    I'm always late to a doctor's "appointment". Why should I have to wait for them after I already made an appointment?

    Congratulations, asshole: now everyone after you has to wait even longer.

    My wife schedules each patient a reasonable amount of time for the problem that they're calling to see her about. On occasion, some of those problems turn out to be more complex and urgent than they expressed over the phone. Given that her alternatives are:

    1. Spend the extra required time to treat that patient, or
    2. Tell them, "sorry, your allotted time is up. Please see the receptionist about scheduling more next month."
    Which would you pick, and why? Would you give the same answer if your problem was the one that's taking longer than expected?

    Believe it or not, the vast majority of doctors would really like to stay on schedule. Given that the nature of their job is troubleshooting systems owned by users who aren't experts at explaining their problems (which anyone reading Slashdot should understand), that just isn't always possible.

    In short, don't be a dick and make matters worse. A lot of the doctors I hang around with have an "n strikes" rule: screw them over n times without a legitimate excuse, and suddenly expect to find that all your appointments are at 6:30am or 7:00pm, whichever is least convenient for you. Is that really a battle you want to fight, particularly since if you weren't already sick you wouldn't be seeing them in the first place?

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  14. Re:Use the existing system for settlement of claim by spadefoot · · Score: 4, Insightful

    I'm not a lawyer, and I'm not a doctor, but I'm pretty sure that the Non-Disclosure agreement is entirely a one-way contract.

    The Doctor is bound to not disclose information to 3rd parties (except within the pre-defined bounds of their privacy policy). The patient is certainly free to discuss the details of his or her healthcare with anyone they wish.

    I really don't understand what non-disc agreement would ever be in place that would stop a patient from discussing his medical care with 3rd parties. The patient OWNS that information.

  15. anti-SLAPP by www.sorehands.com · · Score: 4, Informative

    In some states (USA) there are anti-SLAPP statutes that permit a defendant to dismiss quickly and receive attorney fees and costs.

    The anti-SLAPP motion (generally) requires the case be brought as a result of a right to petition (ie. complaint to a court or government) or an issue of public concern and that there is not a great likelyhood of success. For more information go to www.casp.net or http://www.barbieslapp.com./
    SLAPP stands for Strategic lawsuit against public participation.

  16. Re:How Else Can You Decide Which Doctor to Choose by Flying+Purple+Wombat · · Score: 4, Informative

    The best way to find a good physician is to ask a nurse for a referral. Nurses in hospitals work with many physicians, and have definite opinions about them. And they share those opinions with fellow nurses. This method has never failed to help me find a good, intelligent, caring physician, whether a specialist or general practitioner.

    --
    If God had meant for man to see the sunrise, He would have scheduled it later in the day.
  17. Re:How Else Can You Decide Which Doctor to Choose by Karma_fucker_sucker · · Score: 4, Interesting
    I have a family member in medical. And they come home sometimes complaining about a Doc's incompetence. I said, "I know you and I can check up on another doc with you. What's the average Joe supposed to do?"
    Answer: "They're fucked."

    I think it's really shitty that the average person can't go and check ratings of healthcare workers and institutions. Believe me, a lot of shit isn't reported. A lot of incompetence is hidden. And unless the AMA starts weeding docs better, the only recourse the average Joe has is to gamble with his health and sue if need be.

    --
    Evil people don't think they're evil. - George Lucas, Making of Ep III
  18. Sued and lost by jmichaelg · · Score: 5, Funny
    I had cancer in my right thigh muscle that was beginning to invade the bone. The oncologist tried radiation but it didn't help. The oncologist refered me to a surgeon to remove my right leg. Only problem was the surgeon's right was my left and the surgeon took the wrong leg. He had to go back and take the diseased leg. Hell of a thing to wake up to.

    I sued and lost. Judge ruled I didn't have a leg to stand on.

  19. Something to think about... by stam66 · · Score: 4, Insightful
    I am a physician and find this discussion intriguing...
    Are patients allowed to "badmouth" their doctors online? How is this different (apart from scope) from "word of mouth"?
    Are doctors not allowed recourse to protect they "good name", particularly those with private practices where this would essentially equate to their livelihood?

    There is merit to most of the comments made above.

    However, keep in mind that there are many factors that are not immediately obvious to many of the posters here:

    1) Medicine *is difficult*. You cannot become a doctor simply by memorising rules for 4 years (or 6 years in most countries). Unfortunately, human minds and bodies refuse to obey fixed rules and often there are more exceptions than there are rules. While many illnesses may be both straightforward and easy to diagnose and treat, invariably one has to deal with patients where things are not clear, where the diagnosis is not obvious, where the standard treatment for specified condition may do more harm than good; being supremely skilled at invasive procedures does not guarantee that a patient may not come to harm from a complication.

    There is no "black or white", no definitive test to diagnose everything, not golden therapy to treat everything.Situations like these can only be dealt with using knowledge and drawing from personal and collective experience. That does mean unfortunately that it's not always possible to get it right - wrong diagnoses are made, wrong treatments are given, complications may occur from a procedure - but that does not necessarily make a doctor "bad". For the patient though this may be catastrophic, something which doctors are acutely aware of.
    But if an error occured in good faith, should that doctor be splattered on a web page?

    2) As with any profession, there are people in it for the money only and will stop at nothing to get it. However, in most cases this is not what affects patients. In many european countries (i can't speak for the USA) doctors are put in a position where they have to deal with rare and serious conditions outside of their expertise and/or are made to do so in extremely stressful environments (long hours, being paged by 6 different people simultaneously etc). Medical and para-medical staff do their best to cope, in most cases successfully, but occasionally problems will arise from this.
    Just think: If you were trying to calculate your taxes after working for 36 hours and people kept phoning you and knocking on your door and your 3-year old kept screaming - how well do you think you'd do?

    3) A surprising number of patients seek medical attention without any real physical disease; anxiety is a common theme and can lead to great problems in the patient-doctor relationship. It is tough for medical/nursing staff to deal with very anxious people, as they are treated as emotional punching bags and it can be tough for these patients as anxiety often cannot be "talked away"; they really feel unwell and cannot understand why. At the same time this does not mean that there is nothing wrong with the patient. To put it bluntly - just because they're mad doesn't mean there's nothing wrong with 'em.
    But not infrequently it is people with high degree of anxiety that are the most vitriolic against medical staff, in spite best efforts from both nurses and doctors.

    These are just a few points from a medical perspective. One of the greatest problems in patient-doctor relationships is communication. Problems here are what frequently will lead to litigation for various reasons. But the problem may not necessarily lie with the doctor, as communication is a 2-way street (for example, i make it common practice to repeat myself ad nauseam as it can be startling what some people just don't retain or refuse to take in [denial]).

    Of course, there are doctors not up to the task and perhaps should not be practising medicine for whatever reason. But I believe that these should be investigated by a professional body to assess their