Why Is There Only One NCI Cancer Center in Louisville?

In Reporter Michael McKay’s account of the UofL Board meeting earlier this month when progress towards the University’s 2020 Plan was summarized, and when the post-fraud “Audit” was formally presented; President James Ramsey commented on the University’s failure to earn a National Cancer Institute (NCI) designation for its James Graham Brown Cancer Center. Dr. Ramsey stated that it was unlikely that UofL would receive an NCI designation because the UK program is so close. (The Markey Cancer Center at the University of Kentucky was designated as an NCI Comprehensive Cancer Center in 2013.) Dr. Ramsey is said to have implied that UofL had been in talks for some sort of “partnership” with UK before that institution went on its way alone. These comments sound more to me like excuses than explanations. I found nothing in the NCI application documents that would indicate that distance from another center would be a factor. Indeed, depth of collaborations with other research and clinical centers is highly desirable if not essential.

Continue reading “Why Is There Only One NCI Cancer Center in Louisville?”

Recognition of Legal Same-Sex Marriages Now [Briefly] the Law in Kentucky.

What will KentuckyOne Health and other employers do?

For a single day following Judge G. Heyburn’s historic court order requiring Kentucky to recognize legal same-sex marriages from out-of-state, such couples were legally able to do things that many of us take for granted such as changing names on drivers licenses. Sadly, there are reports that despite having two weeks to prepare, some clerks turned people away yet again. Confusion about what to do seemed the socially acceptable and perhaps even understandable excuse. This was the justification offered by the Attorney General’s office in requesting a 90-day stay of the Judge’s order so that the Commonwealth could prepare for an orderly implementation of the new law, and to minimize confusion.

The Judge balanced the lack of any strong argument that the Commonwealth would be harmed by moving forward, against the further injustice of enforcing unconstitutional policy. He may also have been influenced by information presented at Friday’s hearing that some married couples would in fact be harmed by a further 90-day interval. In the end, Judge Heyburn stayed his order of February 27 for 20 days until March 20 to allow the state “proper time to administratively prepare for compliance with the Order.”

Will or won’t the Commonwealth appeal?
A decision of whether or not the Commonwealth will appeal the underlying Order within the allowable 30 days will apparently be made soon. The basis for such an appeal would likely be that the Attorney General has a responsibility to enforce state laws and policy. Of course that is a justification used in the past to suppress the civil rights of minorities. I believe that our Governor and Attorney General will not appeal, even without the cover provided by the United States Attorney General advising that states’ Attorneys General need not defend unconstitutional laws, or last June’s US Supreme Court’s United States v. Windsor decision that turned gay-rights marriage law on its head. This high-drama matter will play out in Kentucky and several other states as it will. In the meanwhile, it is not only the Commonwealth of Kentucky that must prepare for compliance with the new law, but other public and private institutions that have used Defense of Marriage- type laws to support their choice not to recognize legal same-sex marriages. I predict much squawking and maneuvering to avoid doing the right thing as occurred following other civil rights actions in the past.

Here in Kentucky, one of the most prominent actors who will have to change their spots is KentuckyOne Health, the hospital corporation that manages several facilities around the state including in Louisville: Jewish, Sts’ Mary and Elisabeth, Our Lady of Peace, and the University of Louisville Hospitals. Currently in these hospitals, the legal marriages of same-sex families are not recognized for the purposes of employee healthcare and other benefits. In the case of University Hospital, and following the directives of its Catholic parent company, benefits that same-sex partners earned from the previous manager of the hospital were taken away by KentuckyOne Health.

What will KentuckyOne Health do? What should it do? Continue reading “Recognition of Legal Same-Sex Marriages Now [Briefly] the Law in Kentucky.”

Order to Recognize Same-sex Marriages in Kentucky is Stayed for 20 Days.

Breaking News!
4:26 p.m

Kentucky must recognize all legal out-of-state marriages regardless of the mix of the sexes involved by March 20, 2014.

On February 27, 2014, Federal Judge John G. Heyburn, II issued a historic final order declaring null and void, Kentucky’s statutes and Constitution forbiding the state to recognize legal out-of-state marriages of same-sex couples. In an earlier Memorandum & Opinion on February 12, the Judge found that no state purpose was served by such discrimination. The carefully reasoned and sensitively written memorandum is destined for the history books.

Immediately following the final order, the Office of Kentucky’s Attorney General filed a request for a 90-day stay in order to give the Commonwealth time to consider whether or not to appeal the judgment and to allow time to prepare for implementation of that order. In a hearing today at the Federal Courthouse in Louisville, Judge Heyburn granted a short stay. For all the happily married same-sex couples, the doors are opening wide to all of the rewards, civic, financial, and emotional, of their commitment. The order granting stay can be viewed here. Continue reading “Order to Recognize Same-sex Marriages in Kentucky is Stayed for 20 Days.”

KentuckyOne Health Financial Woes Leading to Staff Layoffs.

University of Louisville Hospital to share in the employee cuts.

Breaking Information. 6:00 p.m.

It is no secret that KentuckyOne has been losing money continuously across the state. Contacts have told me that the amounts are as much as $70 million per quarter and growing. Little wonder then  that KentuckyOne and Catholic Health Initiatives (CHI) may not have transferred the funds they promised to the University of Louisville and to the Governor to seal their deal to take over University Hospital. The remaining shoe has finally dropped. Continue reading “KentuckyOne Health Financial Woes Leading to Staff Layoffs.”