Acknowledging Dr. Salomon Melgen made some mistakes as he struggled to treat more than 100 patients a day at clinics from Delray Beach to Port St. Lucie, his attorney spent more than three hours Tuesday trying to overcome what federal prosecutors called “staggering” evidence that the ophthalmologist bilked Medicare out of as much as $105 million.The 62-year-old Harvard-educated retinal specialist should not be found guilty of 76 charges of health care fraud for sloppy record-keeping, attorney Matthew Menchel told a federal jury in closing arguments. Further, he said, the doctor shouldn’t be sent to prison for trying innovative measures to help patients who were told their vision loss was hopeless.While nationally renowned ophthalmologists testified during the nearly two-month trial that they were appalled by Melgen’s methods, Menchel insisted they had “agendas.” The people the jury should listen to are the patients, he said.“It’s the patients who are experts in blindness,” Menchel said “It’s the patients, not the doctors, who are experts.”Patients who testified — both for and against the wealthy physician who faces corruption charges in New Jersey with Democratic U.S. Sen. Robert Menendez — didn’t hold any animosity toward Melgen, he said. “Patients smiled warmly at him for a reason,” he said.
The reason, Assistant U.S. Attorney Roger Stefin countered, was that they that they had no idea he was using them as “props” to rake in millions from the federal insurer.“He wasn’t just aggressive,” Stefin said, using Menchel’s word for Melgen’s tactics. “He was abusive. He took advantage of patients in many cases — people who were elderly, people who were sick, people who were trusting.”Melgen subjected patients — some who had prosthetic, blind or shrunken eyes — to dozens of unnecessary and sometimes painful tests to “line his pockets with millions and millions of dollars,” agreed fellow Assistant U.S. Attorney Alexandra Chase.
The SDFLA Blog is dedicated to providing news and notes regarding federal practice in the Southern District of Florida. The New Times calls the blog "the definitive source on South Florida's federal court system." All tips on court happenings are welcome and will remain anonymous. Please email David Markus at dmarkus@markuslaw.com
Wednesday, April 26, 2017
Mistakes or Fraud?
The issue has been framed as "mistakes vs. fraud" in the Melgen trial, which is now with the jury. From the PBP:
Tuesday, April 25, 2017
Gotta love this story
Justice Breyer's cell phone went off in Court today. Of course it's no big deal and things happen. But can you imagine if that happened to a lawyer instead of a judge. Woah, the sky would fall. Here's the WP on the incident:
In local courts, the Melgan trial is wrapping up with closings today.
Some questions about today’s incident remain unanswered. Breyer’s ringtone was not the usual sounding one, but reporters couldn’t make out exactly what it was. And it is unclear whether a justice’s black robe has pockets.
In local courts, the Melgan trial is wrapping up with closings today.
Federalists and privacy
The Federalist Society will be discussing cell tower data and privacy this Friday. I will be debating the Florida Solicitor General, Amit Agarwal, who was my opponent in the en banc cell tower case of U.S. v. Quartavious Davis. It's being moderated by Judge Raag Singhal. Should be fun:
Monday, April 24, 2017
How many innocent people are in federal prison?
Ninth Circuit Judge Alex Kozinski told 60 Minutes that about 1% or over 20,000 innocent people are in federal prison. "That's a lot of people!" The number is almost definitely higher and yet many federal judges aren't doing as much as Kozinski to check the executive. And boy do we need a strong judiciary right now with AG Sessions.
We should have our U.S. Attorney nominee this week. It will be interesting to see if that person is willing to stand up to Trump/Sessions or whether they will go back to the old ways where there is limited discovery, no exhibit lists, etc. etc.
It appears that in the Ft. Lauderdale shooting case that the prosecution is handing over all of the evidence. From Paula McMahon:
We should have our U.S. Attorney nominee this week. It will be interesting to see if that person is willing to stand up to Trump/Sessions or whether they will go back to the old ways where there is limited discovery, no exhibit lists, etc. etc.
It appears that in the Ft. Lauderdale shooting case that the prosecution is handing over all of the evidence. From Paula McMahon:
Prosecutors handling the case against a man accused of fatally shooting five people and wounding six others at Fort Lauderdale’s international airport are still turning over massive amounts of evidence to the defense, they said in court on Friday.It also appears that Haitian coup leader Guy Philippe will plead guilty today.
In the coming weeks, they plan to hand over electronic evidence from computers and phones used by Esteban Santiago before the Jan. 6 mass shooting.
Both sides said they are still interviewing numerous potential witnesses who may have information about the shooting and Santiago’s state of mind.
The defense team, from the Federal Public Defender’s office, said Santiago, 27, is continuing to take medication for schizophrenia and schizoaffective disorder. They said his condition appears to have stabilized and he remains legally competent to stand trial.
Thursday, April 20, 2017
Dave Barry to speak at the District's Bench & Bar conference
It looks like a good conference, with lots of our judges speaking and participating. It's Friday May 12 and there are interesting panels. It should be revealing to hear what the judges have to say about topics like criminal sentencing and legal writing. And Dave Barry is always great.
Wednesday, April 19, 2017
Melgen trial winding down
Dr. Salomon Melgen's trial is winding down... It's in week 7 and closing arguments are expected next week. From the AP:
The Medicare fraud trial of a prominent Florida eye doctor tied to corruption charges against New Jersey Democratic Sen. Bob Menendez wound toward its conclusion Tuesday with his lawyers portraying him as an innovative physician who didn't give up on his hard-to-treat patients.
Dr. Salomon Melgen is charged with 76 counts for allegedly stealing up to $105 million from Medicare between 2008 and 2013 by performing useless tests and procedures on elderly and disabled patients.
But Dr. Dana Deupree, testifying Tuesday for the defense, disagreed with the prosecution's contention. Going through numerous patient records, he testified that Melgen's treatments may have been the only hope many patients had for saving their sight. The Clearwater, Florida, ophthalmologist said that although some of the tests performed by Melgen and his staff could have been done better and that he might have performed different procedures, Melgen's work was medically sound.
Deupree, who is expected to be the final defense witness, testified that Melgen's attorneys have paid him $135,000 over several years to consult on this case and prior civil lawsuits.
Monday, April 17, 2017
What's next for Trump and the Judiciary?
Justice Gorsuch takes his seat today on the Supreme Court. But there are still a ton of vacancies around the country at the District and Circuit levels (as well as U.S. Attorney positions). David Lat at Above the Law takes a look at what's going to be happening:
The main potential stumbling block to progress on lower-court nominees: “blue slips.” As explained by prominent conservative commentator Hugh Hewitt in the Washington Post:
The blue slip is simply the piece of paper that is sent to the senators from the home state of every judicial nominee. If a senator has no objection to the nominee, the blue slip (so named for the color of the paper) is sent back to the Judiciary Committee chairman with an indication of approval. If the senator objects, the paper is either sent back indicating disapproval or not returned at all.Under current Senate practice, if the blue slip isn’t returned, the nominee doesn’t move forward. Hugh Hewitt isn’t a fan of this de facto veto power enjoyed by home-state senators; he condemns it as “simply and obviously deeply anti-democratic,” and wants Senate Judiciary Committee Chairman Chuck Grassley (R-Iowa) to, well, give blue slips the nuclear treatment.
Senator Grassley recently told Roll Call that his Committee remains “committed to” current blue-slip practice, but noted that blue slips aren’t sacrosanct. This strikes me as totally reasonable: blue slips can be honored for now, and used by senators to stop truly unqualified nominees. But if the Democrats abuse blue slips by using them to stop qualified nominees whose ideology they just don’t like — basically what Republicans did to the eminently qualified Merrick Garland, and what Democrats tried to do to the eminently qualified Neil Gorsuch — then it might be time to shred the blue slip.
Friday, April 14, 2017
So who is going to be the next U.S. Attorney
This Politico article by Marc Caputo says the favorites are John Couriel and Jose Felix "Pepi" Diaz, with Jon Sale very much still in the mix. The article does not mention that Sale has Rudy Guliani's support as well as strong national political support:
This is a pretty important post for Trump considering how much time he and his colleagues spend down here. Many have said that he has taken a personal interest in who is going to get the gig. Good luck to all.
Two young Cuban-American Republicans from Miami are leading contenders to be South Florida’s top federal prosecutor in what, sources tell POLITICO, is one of the most important federal jurisdictions to Donald Trump because it covers his home away from the White House, Mar-a-Lago.Roy Altman also emerged as a leading candidate -- he was interviewed today in DC.
Both state Rep. Jose Felix "Pepi" Diaz, 37, and John Couriel, 39, have interviewed with the Justice Department and were recommended, along with longtime attorney Jon Sale, for the Southern District of Florida U.S. Attorney post by Florida Sen. Marco Rubio, said sources familiar with the process. They say Trump, who has allowed too many federal vacancies to remain open, wants to make a choice soon.
Diaz is seen by some as a slight favorite because he has had a personal relationship with the president since 2006 when he was a contestant on Trump’s TV show, “The Apprentice.”
But others point out that Couriel has a strong backer in Arkansas Sen. Tom Cotton, Couriel’s longtime friend and old Harvard classmate who was an ally of U.S. Attorney General Jeff Sessions when he served as Alabama senator. He has Federalist Society and top administration lawyers advocating for him.
This is a pretty important post for Trump considering how much time he and his colleagues spend down here. Many have said that he has taken a personal interest in who is going to get the gig. Good luck to all.
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