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 "medical health care" ...
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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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HBO: NCAA Head Games
Five years into football’s concussions crisis, one group of athletes may be in more danger than any other: college football players. That’s because while leagues from the NFL down to Pop Warner have sharply reduced contact in practice to limit the amount of hits to the head, the NCAA has yet to mandate any rules. A six-month Real Sports investigation found that, over the course of a year, the average college football player is exposed to 70% more hits to the head than an NFL player. All these hits can add up and make it harder for the brain to function and do the work of being a student. In other words, young men going to college purportedly to improve their minds are often doing precisely the opposite—they are damaging them. Once these athletes leave college they’re on their own to deal with the potential consequences. The NFL provides long-term medical care for its football players. The NCAA does not.
Tags: broadcast; college football; athletes; concussions; health; NFL; NCAA; medical care
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Consumer Medical Investigations
CBS explored bogus health plans, one of the biggest consumer fraud issues to emerge from the economic recession.
Tags: medical care; haggling; consumer fraud; health care
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Brain Wars: How the Military is Failing Its Wounded
NPR and ProPublica investigated to see whether the government had kept its promise to improve health care for soldiers with brain injuries. The stories reveal that the military was not diagnosing most of the brain injuries and those that were diagnosed were not being recorded in the soldier's medical records.
Tags: brain injury; military; soldier; traumatic brain injury; diagnose
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Home or Nursing Home: America's Empty Promise to Give the Elderly and Disabled a Choice
"A new legal right gives the elderly and young people with disabilities in the Medicaid program the right to get their long-term health care at home, not in a nursing home. But the NPR investigation found that thise new right to choose one's care at home is largely denied to those who want it."
Tags: nursing home; elder care; disabled; long-term care; medical care; community-based care; Department of Health and Human Services; American with Disabilities Act; Olmstead Decision
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"Brain Wars: How the Military Is Failing Its Wounded"
NPR and ProPublica teamed up to investigate the "medical system for America's troops and veterans." Brain damage caused by "shock waves" from roadside bombs have become the "signature wounds" of the wars in Iraq and Afghanistan. The military promised to improve the health care for this type of injury, but reporters found a lack of diagnosis and treatment for the brain damage, as well as "bureaucratic indifference."
Tags: Iraq; Afghanistan; roadside bombs; military; Walter Reed Army Medical Center; TBI; brain injury; Fort Bliss; Pentagon; Building 805
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Medicating the Military
The stories looked at the nature and scope of the use of prescription drugs in the military community, with a focus on psychiatric medications and painkillers. The reporting found that use of psychiatric medications has risen dramatically in the past several years and some doctors suggest it may be a factor in the military's suicide epidemic of recent years. Reporters found that many psychiatric drugs - including powerful anti-convulsants and anti-psychotic medications - were being used "off label", or in ways not formally approved by the FDA. Reporters found that many troops were taking up to 10 medications at a time in so-called drug cocktails that experts say are untested and unproven in these combinations. Reporters also found that deaths caused by accidental drug overdoses had tripled during the past several years and that the Army's specialty care units were quietly conducting internal investigations and making significant changes to hospital protocols to reduce risk of accidental deaths. Finally, they found that psychiatric drug usage was also up significantly among military children.
Tags: Military; Army; Veteran; Health; Wellness; Medicine; Drugs; Pain killers; Psychiatric Medication; Mental Health; Suicide; Depression; Military Children; Hospital; Prescription
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First, Do No Harm
This investigation focused on lax supervision of doctors-in-training, patient harm and alleged billing fraud at Dallas' premier medical school complex and its primary teaching hospital, which are financed largely by taxpayers. It also examined more broadly questions about medical training, patient care and healthcare fraud at teaching hospitals around the United States.
Tags: doctor training; patient harm; patient care; Medicare fraud; health care; healthcare; Dallas; medical school; hospital; billing fraud; surgery