The IRE Resource Center is a major research library containing more than 23,250 investigative stories — both print and broadcast. These stories are searchable online or by contacting the Resource Center directly (573-882-3364 or rescntr@ire.org) where a researcher can help you pinpoint what you need. Browse or search the tipsheet section of our library below. Stories are not available for download but can be easily ordered by contacting the Resource Center:
Search results for "health" ...
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America's Great State Payroll Giveaway
A state-employed psychiatrist in California made $822,000 by clocking in 17 hours every day last year, including Sundays and holidays. An employee cashed out with $609,000 for unused vacation when she retired, claiming she never took vacations in a 30-year career. A highway patrol officer collected $484,000 in salary, pension and leave payments. The chief money manager at a Texas pension fund got $1 million in salary and bonuses while posting investment returns that trailed those of peers who earned a quarter as much. Bloomberg News used freedom-of-information laws to obtain 1.4 million payroll records from the 12 largest states and show how taxpayers funded these out-of-control expenses and more, while at the same time states cut funding for universities, public safety, health care, schools and services aimed at the neediest residents.
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Bad to the Bone
When four executives of a medical-device company called Synthes went to jail for illegally marketing a bone cement—five patients had died after it was injected into their spines—Mina Kimes knew there had to be a compelling saga behind a case that had generated little coverage beyond local news articles. So she began digging, first with FOIA requests for never-before-published government documents, and then assembling hundreds of pages of court transcripts and internal company e-mails and reports. She used that foundation to begin the harder challenge: persuading Synthes employees, many of them terrified by the criminal case and the company’s intimidating chairman, to talk to her. With six months of grueling, old-fashioned reporting, Kimes succeeded, and “Bad to the Bone” is the masterful result. Not only did she persuade more than 20 current and former company employees to speak, but she also revealed a story whose disturbing breadth far exceeded the case presented in court. Her tour de force reporting raises profound new questions about the culpability of a key figure who wasn’t charged: Hansjörg Wyss, the reclusive and controlling Swiss founder and chairman—one of the richest people in the world—who made crucial decisions about how to sell the bone cement. This is a classic tale of corporate malfeasance: Warned by the government not to sell its bone cement for use in the spine, Synthes ignored the admonition despite clear evidence of lethal danger—a pig had died within seconds when the cement was tested on it—and encouraged surgeons to use the cement on people, five of whom died soon afterward. But “Bad to the Bone” isn’t just an exposé. It opens a window into a broader issue: how the medical system actually runs. Readers see how salespeople with no medical training advise surgeons—inside the OR during operations—on how to use their devices. They experience the tale of one surgeon who continues using the cement even after two of his patients died. Oh, and what sort of justice does Synthes itself receive? Wyss sells it, for $20 billion, to health care giant Johnson & Johnson, which praises Synthes’s “culture” and “values.” Corporate crime. Death on the operating room table. Secret e-mails. Surgeons on the edge. An imperious multibillionaire CEO. It’s a mesmerizing article, and Kimes’s reporting takes readers on a deeply unsettling journey that ensures they’ll never look at the medical system the same way again.
Tags: Medical devices; bone cement; Synthes
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Cracking the Codes
Cracking the Codes documented how thousands of medical professionals have steadily billed Medicare for more complex and costly health care over the past decade – adding $11 billion or more to their fees – despite little evidence elderly patients required more treatment. The series also uncovered a broad range of costly billing errors and abuses that have plagued Medicare for years – from confusion over how to pick proper payment codes to apparent overcharges in medical offices and hospital emergency rooms. The findings strongly suggest these problems, known as “upcoding,” are worsening amid lax federal oversight and the government-sponsored switch from paper to electronic medical records.
Tags: Medicare; health care; billing; medical offices; hospitals; government; medical records
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Los Angeles VA Has Made Millions on Rental Deals
This story is about one of the most fought-over pieces of property in Los Angeles, the 400 acre Veterans Affairs Medical Center campus in West Los Angeles. It’s in an affluent neighborhood and has been a target of developers. But with many unused buildings, it’s also been coveted as a place to house some of L.A.’s 8,000 homeless veterans. That was the original use of the land, which was donated for an Old Soldiers’ Home in the late 19th century. The VA has not acted on plans announced in 2007 to begin rehabbing unused buildings there for housing for homeless vets. Meanwhile, it’s rented out land and buildings to commercial enterprises. There is no public accounting for this income. Through FOIA and other documents, we found that the VA is renting out the property using a law intended for sharing health care resources, though the renters are non-health related commercial enterprises. We were also able to estimate that the VA has taken in at least 28 million and possibly more than 40 million dollars over the past dozen years, far more than the cost of re-habbing a building to house homeless vets.
Tags: Property; neighborhood; land uses; veterans
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Hospital at Risk
My investigation of the Minnesota Security Hospital, a state-run facility that provides psychiatric treatment to nearly 400 adults deemed "mentally ill and dangerous," uncovered high rates of violence and injuries of employees and patients at the facility, a critical shortage of psychiatrists, and widespread confusion among employees about what to do when a patient becomes violent. I found that much of confusion was the result of the abrasive, threatening management style of head administrator David Proffitt, who was hired in 2011 to reform the facility. I began investigating Proffitt and found he was hired without a basic background check. I uncovered many troubling details from Proffitt's past, including domestic violence, a PhD from a now-defunct online degree mill, a forced resignation from his previous job as the administrator of a private psychiatric hospital in Maine, and other failings. The state ordered Proffitt to resign and the Minnesota legislative auditor began an audit of the department's hiring practices. The assistant commissioner of the Department of Human Services who led the hiring search also resigned. The governor proposed $40 million in renovations to address safety concerns. Regulators from the Occupational Safety and Health Administration visited the facility for the first time in 21 years. The facility also implemented new training for employees to reduce violence. My investigation of the facility continues.
Tags: Psychiatrists; domestic violence; injuries
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Frac sand mining booms in Wisconsin
An ongoing series looking at the recent growth in Wisconsin’s sand mining industry to meet the increased demand from oil and gas drillers. The frac sand industry has created jobs and economic development in Western Wisconsin, but many residents worry that the industry is not properly regulated. Concerns remain about the impact of the mining on human and environmental health, transportation, and land use.
Tags: Sand mining; oil; gas; human health; environment; transportation; land use
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Questionable Coverage
“Questionable Coverage” was a hidden camera investigative report about systematic health insurance scams affecting victims in nearly every state. As a direct result of our reporting, two companies ceased operations, a third has been sanctioned, and insurance regulators in Georgia and New York have launched their own investigations into the fraud.
Tags: health insurance; scams; fraud; hidden cameras
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Bad Neighbor Banks: How Big Lenders Spread Blight
Across South Florida, on block after block, homes abandoned in the foreclosure crisis have become eyesores, depressing property values, and posing health and safety hazards for nearby families. The Sun Sentinel investigated and found who was responsible for letting these homes rot: some of the world’s largest banks.
Tags: Hazards; property; banks; public health; public safety
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CHE: Scientists Shilling for Beef Industry
Agriculture school scientists are singing the praises of drugs that supersize beef cattle-- even though the resulting meat is tough and tasteless. The drugs' effects on animal health, human health, and the environment are even less appetizing. Guess who is sponsoring their research.
Tags: agriculture; beef cattle; meat; animal health; food safety
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Health Care Hustle
It is one of the biggest and most overlooked factors in the rising cost of health care. According to government estimates, fraud in programs like Medicare and Medicaid costs taxpayers $80 billion a year, with some estimates as high as twice that amount. Doctors, pharmacists, home health care providers, and even patients are hustling the system. Who's paying the tab? You Are.
Tags: Health care; fraud; Medicare; Medicaid; taxpayers; government authorities; patients