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Public Health and the Law

“Gaming the System” During Public Health Emergencies

Published online by Cambridge University Press:  01 January 2021

Extract

Promoting and protecting the public's health in the United States and abroad are intricately tied to laws and policies. Laws provide support for public health measures, authorize specific actions among public and private actors, and empower public health officials. Laws can also inhibit or restrict efforts designed to improve communal health through protections for individual rights or structural principles of government. Advancing the health of populations through law is complex and subject to constant tradeoffs. This column seeks to explore the role of law in the interests of public health through scholarly and applied assessments across a spectrum of key issues. The first of these assessments focuses on a critical topic in emergency legal preparedness.

Type
JLME Column
Copyright
Copyright © American Society of Law, Medicine and Ethics 2012

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References

Committee on Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, Institute of Medicine of the National Academies, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response, Hanfling, D. et al. , eds. (Washington, D.C., 2012): 1–91.Google Scholar
Fernandez, J., “Hospitals Wage Battle Against Drug Diversion,” Drug Topics (February 19, 2007), available at <http://drugtopics.modernmedicine.com/drugtopics/article/articleDetail.jsp?id=405412>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
“Freight Watch Special Report US Cargo Theft: A Five-Year Review,” Freight Watch (April 27, 2011): At 15, available at <http://www.asisonline.org/toolkit/freightwatch.pdf>(last visited August 29, 2012); Perrone, M., “Drug Shipment Thefts Up Sharply Across Country,” Associated Press (March 18, 2010), available at <http://articles.boston.com/2010-03-18/business/29317513_1_freightwatch-international-prescription-drugs-drug-industry>(last visited August 29, 2012).(last+visited+August+29,+2012);+Perrone,+M.,+“Drug+Shipment+Thefts+Up+Sharply+Across+Country,”+Associated+Press+(March+18,+2010),+available+at+(last+visited+August+29,+2012).>Google Scholar
“Doctor Found Diluting Vaccines,” FDA Office of Criminal Investigations (2004): At 1, available at <http://www.fda.gov/downloads/iceci/enforcementactions/enforcementstory/enforcementstoryarchive/ucm091477.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Rohrlich, J., “Pharmaceutical Theft More Lucrative Than Robbing Banks,” Minyanville.com (January 19, 2011), available at <http://www.minyanville.com/businessmarkets/articles/shrink-age-pharmaceutical-theft-us-cargo-theft/1/19/2011/id/32271>(last visited August 19, 2012); 21 U.S.C. § 351(b) (2010).(last+visited+August+19,+2012);+21+U.S.C.+§+351(b)+(2010).>Google Scholar
FDA Issues Public Health Advisory Regarding Levemir Insulin, FDA (June 13, 2009), available at <http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm166358.htm>(last visited August 19, 2012).(last+visited+August+19,+2012).>Google Scholar
FDA Office of Criminal Investigation U.S. Department of Justice, Press Release, California Man Sentenced for Prescription Drug Diversion (June 2009), available at <http://www.fda.gov/ICECI/CriminalInvestigations/ucm277094.htm?utm_campaign=Google2&utm_source=fdaSearch&utm_medium=website&utm_term=diversion&utm_content=4>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Hamrick, S. J., “Is Looting Ever Justified?: An Analysis of Looting Laws and the Applicability of the Necessity Defense During Natural Disasters and States of Emergency,” Nevada Law Journal, no. 7 (2006–2007): 182211, at 183.Google Scholar
Hustmyre, C., “Fraud Finders,” New Orleans Magazine (May 2008), available at <http://www.myneworleans.com/New-Orleans-Magazine/May-2008/Fraud-Finders/>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Rough, G., “Nearly A Million Doses of H1N1 for Arizona,” AZ Central.com (September 16, 2009), available at <http://www.azcentral.com/news/articles/2009/09/16/20090916fluvaccine0916.html>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Burns, J., “Health Officials Frustrated by H1N1 Vaccine Shortage,” Wall Street Journal (November 4, 2009), available at <http://online.wsj.com/article/SB125735930128328447.html>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Centers for Disease Control and Prevention, “Vaccine Information for Clinicians and Health Care Professionals,” available at <http://www.cdc.gov/h1n1flu/vaccination/professional.htm>(last visited August 19, 2012).(last+visited+August+19,+2012).>Google Scholar
Steinhauer, J., “Anxious Crowds Meet Ad Hoc Swine Flu Police,” New York Times (October 27, 2009), available at <http://www.nytimes.com/2009/10/28/health/28flu.html>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Hennessy-Finke, M., “L.A. County Free H1N1 Vaccine Clinics Overwhelmed,” Los Angeles Times (October 28, 2009), available at <http://articles.latimes.com/2009/oct/28/local/me-swine-flu28>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
“Local Health Officials “Policing” H1N1 Supply,” CNN.com, available at <http://am.blogs.cnn.com/2009/10/29/local-health-officials-policing-h1n1-supply/>(last visited August 19, 2012); Steinhauer, , supra note 13.(last+visited+August+19,+2012);+Steinhauer,+,+supra+note+13.>Google Scholar
See Hennessy-Finke, supra note 14; Maugh, T. H. II Ellingwood, K., “Swine Flu Vaccine Production Running Behind by About 25%,” Los Angeles Times (October 17, 2009), available at <http://articles.latimes.com/2009/oct/17/science/sci-swine-flu17>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Peterson, L. Pear, R., “A Nation Challenged: Cipro; Anthrax Fears Send Demand for a Drug Far Beyond Output,” New York Times (October 16, 2001), available at <http://www.nytimes.com/2001/10/16/business/a-nation-challenged-cipro-anthrax-fears-send-demand-for-a-drug-far-beyond-output.html?scp=8&sq=anthrax&st=Search>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Patient Protection and Affordable Care Act, Pub. L. No. 111–148, 124 Stat. 573 (2010).Google Scholar
Joint Commission Standard MM.03.01.01, Joint Commission Resolution, 2010 Hospital Accreditation Standards MM – 9 (The Joint Commission, 2010); Joint Commission Standard MM.06.01.01, Joint Comm'n Res., 2010 Hospital Accreditation Standards MM – 19 (The Joint Commission, 2010).Google Scholar
21 C.F.R. § 1300 et seq. (1997).Google Scholar
21 U.S.C. § 801 et seq. (2012).Google Scholar
Vrabel, R., “Identifying and Dealing with Drug Diversion,” Health Management Technology (December 2010), available at <http://www.healthmgttech.com/index.php/solutions/hospitals/identifying-and-dealing-with-drug-diversion.html>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Pennsylvania Hospital & Surgery Center of Pennsylvania Hospital, Administrative Policy Manual, Policy Number HR23, available at <http://www.uphs.upenn.edu/pahedu/gme/policies/hr23.pdf>(last visited August 29, 2012); Carlson, S. Corsaro, A., “A Systemized Approach to Combat Drug Diversion,” Pharmacy and Purchasing Products Magazine (January 2012) available at <http://www.pppmag.com/article/1041/January_2012/A_Systematized_Approach_to_Combat_Drug_Diversion/>(last visited August 29, 2012).(last+visited+August+29,+2012);+Carlson,+S.+Corsaro,+A.,+“A+Systemized+Approach+to+Combat+Drug+Diversion,”+Pharmacy+and+Purchasing+Products+Magazine+(January+2012)+available+at+(last+visited+August+29,+2012).>Google Scholar
21 C.F.R. § 205 (1997).Google Scholar
Office of Diversion Control, available at <http://www.deadiversion.usdoj.gov/>(last visited August 19, 2012).(last+visited+August+19,+2012).>Google Scholar
Good Medicine, Bad Behavior: Drug Diversion in America, available at <http://www.goodmedicinebadbehavior.org/>(last visited August 19, 2012).(last+visited+August+19,+2012).>Google Scholar
“Roadmap to Controlled Substance Diversion Prevention,” Minnesota Hospital Association (2012), available at <http://www.health.state.mn.us/patientsafety/drugdiversion/divroad-map041812.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Tennessee Drug Task Force, available at <http://www.tndrugdiversion.org/>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
“HHS Pandemic Influenza Plan,” U.S. Department of Health and Human Services (Nov. 2005): At S6–5, S7–7, available at <http://www.flu.gov/planning-preparedness/federal/hhs*-pandemicinfluenzaplan.pdf>(last visited August 29, 2012); “Guidance on Allocating and Targeting Pandemic Influenza Vaccine,” U.S. Department of Homeland Security and U.S. Department of Health and Human Services, available at <http://www.flu.gov/images/reports/pi_vaccine_allocation_guidance.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012);+“Guidance+on+Allocating+and+Targeting+Pandemic+Influenza+Vaccine,”+U.S.+Department+of+Homeland+Security+and+U.S.+Department+of+Health+and+Human+Services,+available+at+(last+visited+August+29,+2012).>Google Scholar
Arizona Pandemic Influenza Response Plan, Arizona Department of Health Services, at 6–5 (July 2011), available at <http://www.azdhs.gov/pandemicflu/pdf/AZPandemicInfluenzaResponsePlan.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Pandemic Influenza Plan, Minnesota Department of Health, available at <http://www.health.state.mn.us/divs/idepc/diseases/flu/pandemic/plan/2006/7antivirals.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Pandemic Influenza Preparedness and Response Plan, Montana Department of Public Health and Human Services, available at <http://www.dphhs.mt.gov/influenza/documents/Fluplan.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Influenza Pandemic Plan Appendix 1, 5, New Jersey Department of Health, available at <http://www.state.nj.us/health/flu/documents/plan/vac_app_1.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Pandemic Influenza Plan, New York State Department of Health (2008): At 68, available at <http://www.health.ny.gov/diseases/communicable/influenza/pandemic/plan/docs/pandemic_influenza_plan.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
California State H1N1 Pandemic Influenza Operations, Be Prepared California, at 35, available at <http://www.cahfdownload.com/cahf/dpp/CDPH_NovelH1N1MassVaccinationOperationalPlan.pdf>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
“NCS Healthcare of Indiana Fined $7.85 Million for Record-Keeping Violations,” Pharmaceutical Records Incorporated (March 22, 2000), available at <http://www.deacompliance.com/ncs.htm>(last visited August 29, 2012); Dolan, M., “Hospital Fined Over Lost Doses of Painkiller,” Baltimore Sun (March 30, 2005) available at <http://articles.baltimoresun.com/2005-03-30/news/0503300196_1_outpatient-pharmacy-oxycontin-university-of-mary-land>(last visited August 29, 2012).(last+visited+August+29,+2012);+Dolan,+M.,+“Hospital+Fined+Over+Lost+Doses+of+Painkiller,”+Baltimore+Sun+(March+30,+2005)+available+at+(last+visited+August+29,+2012).>Google Scholar
Ariz. Rev. Stat. § 32–1401(27) (2012); R.I. Gen Laws § 5-37-5.1 (2007).Google Scholar
Ariz. Rev. Stat. § 32–1601 (2012).Google Scholar
Clark, C., “55% of Censured Docs Face No Licensing Action by State Medical Boards,” Media Health Leaders (March 17, 2011), available at <http://www.healthleadersmedia.com/page-1/COM-263817/55-of-Censured-Docs-Face-No-Licensing-Action-by-State-Medical-Boards>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
18 U.S.C.A. § 2314 (West 2009).Google Scholar
See Hustmyre, , supra note 9; 18 U.S.C.A. § 2112 (West 2009).Google Scholar
La. Rev. Stat. Ann. § 29:732 (2011).Google Scholar
56 N.J.S.A. §8–109; N.C. Gen. Stat. Ann. § 75–38.Google Scholar
18 U.S.C.A. § 1040 (West 2009).Google Scholar
Russo, T., “Fighting Disaster Fraud,” U.S. Department of Justice, available at <http://blogs.justice.gov/main/archives/952>(last visited August 29, 2012); National Center for Disaster Fraud to Coordinate Hurricane Irene Fraud Complaints, Press Release, FBI.gov, available at <http://www.fbi.gov/news/pressrel/press-releases/national-center-for-disaster-fraud-to-coordinate-hurricane-irene-fraud-complaints/>(last visited August 29, 2012); Deepwater Horizon BP Oil Spill Fraud, U.S. Department of Justice, available at <http://www.justice.gov/criminal/oilspill/about/ncdf.html>(last visited August 29, 2012).(last+visited+August+29,+2012);+National+Center+for+Disaster+Fraud+to+Coordinate+Hurricane+Irene+Fraud+Complaints,+Press+Release,+FBI.gov,+available+at+(last+visited+August+29,+2012);+Deepwater+Horizon+BP+Oil+Spill+Fraud,+U.S.+Department+of+Justice,+available+at+(last+visited+August+29,+2012).>Google Scholar
Hurricane Katrina Fraud Task Force Fifth Anniversary Report to the Attorney General, Department of Justice, September 2010.Google Scholar
See Hustmyre, , supra note 9.Google Scholar
See Hurricane Katrina Fraud Task Force, supra note 49.Google Scholar
“Local Health Officials ‘Policing’ H1N1 Supply,” CNN.com, available at <http://am.blogs.cnn.com/2009/10/29/local-health-officials-policing-h1n1-supply/>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
See Steinhauer, , supra note 13.Google Scholar
Chitale, R., “Not Pregnant? Cut in Line for H1N1 Vaccine,” ABCNews.com (October 29, 2009), available at <http://abcnews.go.com/Health/SwineFluNews/doctors-urge-h1n1-vaccine-screening/story?id=8941097#.UBbhiGh9nww>(last visited August 29, 2012).(last+visited+August+29,+2012).>Google Scholar
Barsky, L. et al. , “Disaster Realities in the Aftermath of Hurricane Katrina: Revisiting the Looting Myth,” Natural Hazards Center (February 2006).Google Scholar