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Fatal Cure by Robin Cook. Chapter 26. EPILOGUE

“Rumor has it that you could profit from this matter,” Bradley said.

David and Angela again exchanged nervous glances.

“We have been offered a large amount of money for a made-for-TV movie,” David admitted.

“Are you going to take it?” Bradley asked.

“We haven’t decided,” David said.

“Are you tempted?”

“Of course we’re tempted,” Angela said. “We are buried under a mountain of debt from our medical training, and we own a house that we have not been able to sell in Bartlet, Vermont. In addition to that, our daughter has a medical condition and might develop special needs.”

Ed Bradley smiled at Nikki who immediately smiled back. “I hear you were a hero in this affair,” he said.

“I shot the shotgun at a man who was fighting with my mom,” Nikki said. “But I hit the window instead.”

Bradley chuckled. “I will certainly keep my distance from your mother,” he said.

Everyone laughed.

“I’m sure you two are aware,” Bradley said, resuming a more serious tone, “that there are people who contend that you have dreamed up this whole story to make the TV money and to get back at the hospital and HMO for firing you.”

“I’m sure that those who don’t want the true story out will do what they can to discredit us. But they really shouldn’t blame the messenger for the bad news,” Angela said.

“What about the series of rapes in the hospital parking lot?” Bradley asked. “Was that part of this plot?”

“No, they weren’t,” Angela said. “At one point we thought they were. So did the private investigator who lost his life investigating this episode with us. But we were wrong. The one indictment that has come out of this unfortunate episode is for Clyde Devonshire, an emergency-room nurse. DNA testing has proved he was responsible for at least two of the rapes.”

“Have you learned anything from this experience?” Bradley asked.

David and Angela said yes simultaneously. Angela spoke first: “I’ve learned that as health care is changed, doctors and patients better know all the rules of any supposed cost-cutting plan so they can make appropriate decisions. Patients are too vulnerable.”

“I’ve learned,” David said, “that it is dangerous to allow financial and business people and their bureaucrats to interfere in the doctor-patient relationship.”

“Sounds to me as if you two doctors are against health-care reform,” Bradley said.

“Quite the contrary,” Angela said. “We think health-care reform is desperately needed.”

“We think it’s needed,” David said. “But we’re worried. We just don’t want it to be a fatal cure like that old joke about the operation being a success but the patient dying. The old system favored over-utilization through economic incentives. For example, rewarding a surgeon according to how frequently he operated. The more appendixes or tonsils he removed, the more money he made. We don’t want to see the pendulum swing in the opposite direction by using economic incentives to under-utilize. In many health plans, doctors are being rewarded with bonuses not to hospitalize or not to treat in some specific way.”

“It should be the patient’s needs that determine the level and type of treatment,” Angela said.

“Exactly,” David said.

“Cut,” Bradley said.

The cameramen straightened up from their equipment and stretched.

“That was terrific,” Bradley said. “That’s plenty of material and. the perfect place to stop. It was a great wrap. My job would be a lot easier if everyone I interviewed were as articulate as you folks.”

“That’s sweet of you to say,” Angela said.

“Let me ask you guys if you think the entire executive committee was involved,” Bradley said.

“Probably most of them,” David said. “All had something to gain from the hospital if it thrived and a lot to lose if it shut down. The board members’ involvement wasn’t as altruistic as most people would like to think, particularly Dr. Cantor, the chief of staff. His Imaging Center would have folded if the hospital went under.”

“Damn!” Bradley said after he’d skimmed his notes. “I forgot to ask about Sam Flemming and Tom Baringer.” He called out to the cameramen he wanted to do a little more.

David and Angela were puzzled. These names were not familiar to them.

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Categories: Cook, Robin
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