Search This Blog

Sunday, March 5, 2023

Hotel sex assaults rise as predators given access to women’s rooms in horrifying trend: law firm

 Horrifying cases of women being raped in their rooms at top hotel chains are taking place because staff are allegedly handing over keys to sexual predators unchecked, The Post can reveal.

Two separate cases in Texas claim men broke into women’s rooms after lying to staff to obtain keycards.

In an even more shocking incident, one man was allegedly able to convince police and hotel staff to deliver his victim to his own room at a Hilton-owned property.

One alleged unwanted entry was only foiled when a quick thinking woman slammed a door on an intruder’s hand — severing his finger clean off in the process. 

Outlining a December 2022 incident at a Holiday Inn Express & Suites, a lawyer representing a victim, who hails from Milwaukee, told The Post: “The woman was asleep and she woke up to the man crouched at the foot of her bed with his pants undone and a condom out.

A sexual predator at a Holiday Inn Express & Suites in Gonzales, Texas was able to enter a guest's room after convincing hotel staff to give him a key card.

A sexual predator at a Holiday Inn Express & Suites in Gonzales, Texas was able to enter a guest’s room after convincing hotel staff to give him a key card.
IHG

“She was able to scream and get him out of the room, and she immediately called down to the front desk. They admitted, ‘Oh yes, we did give a key to the man. He said he knew you.’”

The would-be rapist had allegedly followed the victim, who asked not to be named, back to her hotel in Gonzales before convincing the front desk to give him the key.

The accused attacker was arrested and arraigned on a felony charge of attempted sexual assault, in a case which is ongoing. 

Holiday Inn did not respond to The Post’s request for comment.

“Almost every hotel chain I’ve seen has a policy in place that says under no circumstance can you issue a key to someone’s room without verifying with an identification that that person is registered to the room,” said Anna Greenberg of Blizzard Law, who represented the victim. 

Hotel rapes surge as front desks unknowingly give room access to rapists.
Hotel rapes surge as front desks unknowingly give room access to rapists.
Getty Images

But time and again, staff have proven not to be vigilant enough. In a case centered around the $500-a-night Hilton Americas Houston hotel, Kathleen Dawson was unconscious after she had been out drinking and was lying in the street near her hotel.

A concerned citizen called 911 because a man was standing over her with his pants down, her lawyers explained.

Attorneys Ed Blizzard and Anna Greenburg, father and daughter, have or currently are representing victims who either were raped or could have been sexually assaulted at hotels.
Attorneys Ed Blizzard and Anna Greenburg, father and daughter, have or currently are representing four victims who either were raped or could have been sexually assaulted at hotels.
Blizzard Law PLLC

Hotel staff arrived to help at the same time as police, but according to a lawsuit filed by the victim, they followed the direction of the woman’s co-worker, who falsely claimed she was staying in his room.

Without checking the ID in her purse or her room number, hotel staff put Dawson in a wheelchair and rolled her up to the man’s hotel room, where she woke up with him raping her, according to her lawsuit.

The man accused of the rape was initially indicted on felony charges when it took pace in 2017, but those charges were ultimately dismissed.

However, in a civil suit Dawson was awarded $44 million damages from the hotel chain. 

The Hilton was forced to pay a rape survivor $44 million after a jury sided with the woman that the hotel's failure to follow its own protocols put her in harm's way.
The Hilton was forced to pay a rape survivor $44 million in November 2021 after a jury sided with the woman that the hotel’s failure to follow its own protocols put her in harm’s way.
Getty Images

“Although Hilton typically does not comment on legal matters, we respectfully disagree with the jury’s verdict and attest that our hotel team members acted at the direction of the Houston Police Department,” a spokesperson told The Post. “At Hilton, the safety and security of our guests is a top priority and we do not condone violence of any kind.

A third woman allegedly woke up in her Austin hotel in January when realized someone had a key to her room and was trying to open the door.

She could see a man’s hand pushing through the gap between the open door and the safety latch, trying to remove it, and promptly slammed it shut. 

“I ran as fast as I could, and closed the door…slammed it…and honestly said ‘Get the f—k out,” the woman, who only wanted to be identified as Mandy, told The Post. “I heard the gentleman say, ‘Oh f—k and scurry off.”

Terrified, Mandy locked herself in her room and called 911, unlatching the door only when the cops finally arrived.

“I realized that the finger was still in my door underneath the security latch,” she recalled.

Mandy told the Post the Austin Police Department has not shared the man’s identity with her, but described the scene as she left the hotel.

“We go to walk downstairs and there was blood everywhere from his finger,” Mandy recalled. “I was scared to death. I was like, ‘I don’t want him to see me,’ and thankfully, I poked my head around the corner and he was not in the lobby.

In court filings, her lawyers make the case that even though Mandy was not assaulted, staff at The DoubleTree Austin University Area Hotel had allowed the man to intrude into her room and had she not have had the door on the latch, things could have had a much different outcome.

She is suing hotel management company Aimbridge Hospitality, Pinnacle Hotels USA, DoubleTree by Hilton Hotel Austin – University Area and John Doefor over $1 million over the ordeal.

Charges against the man are pending with the Austin Police Department.

A different Austin hotel, the DoubleTree Northwest Arboretum, is currently facing a lawsuit in a fourth case.

A college student claims she was raped after her attacker found her lost key card.

The unnamed woman checked into the hotel last March to celebrate her 21st birthday and lost her key.

The DoubleTree Northwest Arboretum in Austin is being sued after a woman was raped after a predator found her lost key card.
The DoubleTree Northwest Arboretum in Austin is being sued after a woman was raped after a predator found her lost key card.

She reported it lost to the hotel, according to the filing, but the rapist — a man she’d had drinks with — used the misplaced key to get into her room and sexually assault her.

The lawsuit seeks over $1 million from the hotel management companies, Aimbridge, Pinnacle LLC and Pinnacle Inc, who could not immediately be reached for comment.

Her attacker, Zakary Nadzak, was arrested and charged with sexual assault, according to public records.

The Post’s request or comment to the management company handling the Doubletree properties did not receive a response.

According to Emilee D. Whitehurst of Houston Area Women's Center, sexual assaults in hotels are not a new trend.
According to Emilee D. Whitehurst of Houston Area Women’s Center, sexual assaults in hotels are not a new trend.
Houston Area Women's Center.

A Texas rape crisis center believes the cases uncovered in this article are merely the tip of the iceberg, noting staffers from the Houston Area Women’s Center regularly respond to victims in distress at hotels, but charges are rarely brought.

“The fact that this is coming to light, to me, does not indicate that it’s a new thing,” Emilee D. Whitehurst of Houston Area Women’s Center.

“I think this has been a long-standing Modus Operandi. I think what’s new is that survivors are willing to come forward and that the climate is changing so that perpetrators and systems are being held accountable.”

Other cases have taken place in different parts of the country. 

Christopher LaPointe pleaded guilty to third-degree sexual abuse and third-degree burglary and was sentenced to 20 years in prison, according to People.com
Christopher LaPointe pleaded guilty to third-degree sexual abuse and third-degree burglary and was sentenced to 20 years in prison, according to People.com.
Polk County Jail

An Embassy Suites in Iowa settled a lawsuit with a woman for an undisclosed amount after a rapist obtained a room key from staffers.

When the door’s safety latch stopped him from getting into the room he told the hotel he and his “girlfriend” had a fight and had them disable the lock, according to the Des Moines Register.

The victim was assaulted and beaten over several hours by Christopher LaPointe, who was later sentenced to 20 years in prison after pleading guilty to criminal charges.

The front desk had given him a key to the victim’s room without checking his ID or even verifying if he was a hotel guest, the newspaper reported.

For its part, the hotel told The Post it was under different management nine years ago when the incident happened.

“Current management has a strict policy to only provide keys to registered guests,” said a spokesperson.

In another case in 2017, a California jury awarded a woman $3.5 million after a two-week trial when a Holiday Inn Express she was staying at failed to check the ID of a man who requested a key to her room, according to her lawyers.

1of5
A California woman was awarded $3.5 million in a lawsuit after she was assaulted by Jonathan Padilla in 2017.
A California woman was awarded $3.5 million in a lawsuit after she was assaulted by Jonathan Padilla in 2017.
KERO-TV
Surveillance footage of Padilla in the hotel.
Surveillance footage of Padilla in the hotel.
KERO-TV
Advertisement
Hotel staff failed to check the assailant's ID when he requested a key to her room.
Hotel staff failed to check the assailant’s ID when he requested a key to her room.
KERO-TV
Advertisement

Jonathan Padilla was later convicted of sexual assault and served three years in prison, reported a local station.

The company that owns the hotel did not respond to The Post’s requests for comment.

Mandy, who travels frequently for work, said she has purchased additional security features which can be attached to hotel doors, adding she hopes her lawsuit forces hotels to take their guests’ safety seriously.

“Unfortunately, sometimes people and processes fail and you have to ensure that you’re protecting yourself,” she said.

However, the burden of keeping a hotel guest safe ultimately rests with the hotel itself, not the victim, said Whitehurst.

“I know the funds don’t erase the trauma, but they do give a sense of justice. A system was held accountable and there will be changes in policies and protocols at hotels because of a verdict like that.”

https://nypost.com/2023/03/05/hilton-holiday-inn-allegedly-let-predators-into-womens-rooms/

Sherrod Brown ‘not entirely satisfied’ with Norfolk Southern response to 2nd Ohio derail

 Sen. Sherrod Brown (D-Ohio) said he was “not entirely satisfied” with the response to the derailment of a Norfolk Southern train in Ohio on Saturday, following a derailment of one of the company’s trains in the state last month.

“I’m not entirely satisfied,” Brown told ABC’s “This Week.” “Because I want to know if there is some sort of remnants of something that might have been in those cars. Those cars were mostly empty. But I want to know if there are any contaminants sort of left in those mostly empty cars.”

About 20 cars belonging to a Norfolk Southern train derailed near Springfield, Ohio, over the weekend, making it the second train owned by the company to derail in the state in just over a month. But officials for the company said that there were no chemicals on board the second train. Ohio Gov. Mike DeWine (R) also said it was believed that there were no toxins on board.

No injuries were reported from the derailment, which left 1,500 customers without power and caused a short shelter in place for homes in the area.

Brown said that state and local officials were “pretty satisfied” with Norfolk Southern’s response, but he said he wanted more details. 

“The railroad’s got a lot of questions they’ve got to answer and they really haven’t done it very well yet,” Brown said.

Federal lawmakers have clamored for more accountability in the first train derailment on Feb. 3 as Brown and Sen. J.D. Vance (R-Ohio) have introduced a bill to increase fines and strengthen inspections for rail companies.

https://thehill.com/homenews/sunday-talk-shows/3884871-sen-sherrod-brown-not-entirely-satisfied-with-norfolk-southern-response-to-second-ohio-train-derailment/

‘No risk to public health’ after Norfolk Southern train derailment in Springfield, OH

 Clark County officials held a press conference that detailed the contents of the train cars, but assured that there was no risk to public health.

>> UPDATED STORY: Another Norfolk Southern train derails in Clark Co.; ‘No risk to public health,’ fire chief says

After analysis, four tankers were identified with non-hazardous materials. Two tankers contained residual amounts of diesel exhaust fluid, while the other two contained residual amounts of polyacrylamide water solution.

There were no spillages detected and officials claimed that there were no risks to public health, although the site remained “active.”

Another press conference was to be held Sunday at Clark County Fairgrounds Youth Building on South Charleston Pike at 3 p.m.

News Center 7 will be attending the event to inquire more about the incident and what exactly caused it. We will update you as we learn more.

UPDATE @ 1:05 a.m. (March 5):

Clark County officials have called a 1:20 a.m. news conference to provide updates on the Norfolk Southern train derailment.

This story will be updated with details as they are released.

UPDATE @ 11:47 p.m.

Clark County officials have not yet announced when they will be providing an update on what happened after Saturday’s Norfolk Southern train derailment in Springfield.

>>PHOTOS: Drone footage shows train derailment near Clark County Fairgrounds

No injuries have been reported.

A Norfolk Southern spokesperson said no hazardous materials were “involved” in the derailment.

This story will continue to be updated as we learn more.

UPDATE @ 10 p.m.:

Ohio Governor Mike DeWine confirmed he’s been in contact with federal officials including President Joe Biden and Transportation Secretary Pete Buttigieg after Saturday’s Norfolk Southern train derailment in Springfield.

>>PHOTOS: Drone footage shows train derailment near Clark County Fairgrounds

DeWine added that multiple state agencies including the Ohio Environmental Protection Agency, Ohio Emergency Management Agency and the Ohio State Highway Patrol were all on the scene as well.

>>‘It’s unacceptable;’ Ohio Senator expresses frustration after latest train derailment in Springfield

>>Power outages reported following train derailment in Clark County

“We don’t believe hazardous materials were involved,” DeWine said in the social media post.

This story will continue to be updated as we learn more.

UPDATE @ 9:30 p.m.:

A news conference to provide updates on the train derailment in Springfield Saturday is not expected until after 11:30 p.m., a Clark County spokesperson told News Center 7 crews.

Around 20 rail cars on a Norfolk Southern train derailed around 5 p.m. near the on the state Route 41 crossing, just north of the Clark County Fairgrounds.

>>‘I started noticing all the debris;’ Witness captures video of train derailment in Springfield

No injuries have been reported. A Norfolk Southern spokesperson said no hazardous materials were “involved” in the derailment.

>>Power outages reported following train derailment in Clark County

U.S. Transportation Secretary Pete Buttigieg said in a social media post that he was briefed after the derailment and offered federal support to Ohio Gov. Mike DeWine.

“I have been briefed by FRA leadership and spoke with Gov. DeWine to offer our support after the derailment today in Clark County, Ohio. No hazardous material release has been reported, but we will continue to monitor closely and FRA personnel are en route,” Buttigieg said.

We’ll continue to update this story as we learn more.

UPDATE @ 8:20 p.m.:

Around 20 cars of a Norfolk Southern train derailed Saturday night near the Clark County Fairgrounds, however hazardous materials are not “involved,” according to a spokesperson for the train company.

“This evening, approximately 20 cars of a 212-car Norfolk Southern train derailed while traveling Southbound in the vicinity of Springfield, Ohio. No hazardous materials are involved and there have been no reported injuries. Our teams are en route to the site to begin cleanup operations,” the spokesperson said in a statement to News Center 7 Saturday night.  

A shelter-in-place remains for people who live within 1,000 feet of the derailment, which happened near state Route 41 and Gateway Drive.

Norfolk Southern has been the subject of large regional and national scrutiny in the past weeks after one of its trains, hauling hazardous materials, derailed in East Palestine, Ohio in early February.

We have multiple crews on the scene and we’ll continue to update this page as we learn more.

UPDATE @7:05 p.m.

The Clark County Emergency Management Agency is asking residents within a 1,000 feet of the train derailment in Clark County to shelter in place, according to a post on the Clark County’s Government Facebook page.

People living in the area of State Route 41 near the Prime Ohio Business Park to shelter-in-place out of abundance of caution.

They are asking residents to avoid the area of State Route 41 and find alternate routes.

We will continue to provide updates.

INITIAL STORY:

The Clark County Sheriff’s Office have confirmed deputes are on scene of a train derailment late Saturday afternoon.

Deputies and medics responded to the area of State Route 41 and Gateway Boulevard near the Clark County Fairgrounds around 5 p.m.

Dispatchers confirm to News Center 7 they are on scene but no other information was available at this time.

Video sent from a News Center 7 viewer shows a couple of box cars derailed.

A hazmat crew is confirmed to be on scene, according to News Center 7′s Taylor Robertson.

The State Highway Patrol and Clark County Sheriff’s Office are also on scene.

https://www.whio.com/news/local/deputies-medics-respond-train-accident-springfield/KZUQMTBAKVD3NHMSCLICGXCGYE/

Employers Frequently Overlook Resumes Which Include "They/Them" Pronouns

 One of the apocryphal conspiracy theories floated in recent years is that the establishment's - and corporate America's - fascination with pushing an LGBTQ agenda while minimizing (and in some cases openly ridiculing) traditional family-focused Judeo-Christian values, is that this is a core spoke of the World Economic Forum's great reset. After all, what easier way to "depopulate" the world (as World Economic Forum participant Jane Goodall famously suggested in 2020 when she said “we can solve all the world’s problems if we reduce the world population to where it was 500 years ago”, at the 27 minute mark of the linked video) than to convince hundreds of millions to pair with a member of the same sex and thus avoid having children. One certainly wouldn't need World War 3 or even a global viral pandemic to achieve a depopulation outcome if enough people are L, G, B, T, Q, "they/them" and so on (at last check, over 7% of the US population now identifies as LGBTQ). One just has to wait a generation.

There now appears to be another potential twist to this: it appears that workers who identify as the cool du jour pronoun pair of "they/them" are being systematically ignored by potential employers, and face far fewer job offers compared to their less pronoun-sensitive peers.

According to a new report from Business.com, a business resource platform, over 80% of nonbinary people believe that identifying as nonbinary would hurt their job search. Similarly, 51% believe their gender identity has affected their workplace experience “very or somewhat negatively.” Why? Well, for those confused, a quick reminder: the Biden admin's "non-binary" hero is - or rather was - none other than Sam Britton, who worked as a nuclear engineer, or technically "deputy assistant secretary for spent fuel and waste disposition in the Office of Nuclear Energy", at least until it was revealed that he is a pathological liar and kleptomaniac with a penchant for stealing other people's suitcases (and then wearing stolen female clothing). Clearly a person with zero mental issues and pristine decision-making skills. In any case, Britton lost his job recently after his crimes were exposed, prompting a cascade a question about the mental stability of the "they/them" cohort.

Which is why even though Ryan McGonagill, director of industry research at Business.com and author of the report, said that the latest statistics show just how much "inclusive" work there is to do...

“We clearly have more work to do on several fronts. Over the past 10 years, DEIB efforts have been prioritized by many companies; however, the results of this study and past research show that teams in most industries aren’t proportionately representative of the U.S. population,” McGonagill tells CNBC Make It. “And worse, many people (like the nonbinary individuals we spoke with in our research) feel like they don’t belong.”

... perhaps employers have it right?

Rhetorical questions aside, CNBC notes that Business.com also went a step further by sending two identical phantom resumes to “180 unique job postings that were explicitly open to entry-level candidates” in an effort to test “whether or not the inclusion of gender-neutral pronouns impacts how employers perceive resumes.”

“Both featured a gender-ambiguous name, ‘Taylor Williams.’ The only difference between the test and control resumes was the presence of gender pronouns on the test version,” McGonagill said in the report. “The test resume included “they/them” pronouns under the name in the header.” She/her and he/him pronouns were not tested.

The phantom resume including pronouns received 8% less interest than the one without, and fewer interview and phone screening invitations.

According to the report, over 64% of the companies that received these resumes were Equal Opportunity Employers, something that made the results even more “worrisome.”

“The law makes it clear that you cannot base any employment decision (hiring, terminating, or otherwise) based on their gender identity,” McGonagill says. “It’s incredibly disappointing and unethical that many of the hiring managers in our study would disqualify a candidate for being authentic.”

What is probably funnier, although it wasn't analyzed, is that most of those hiring managers who overlooked the "they/them" stack also happen to be the most vocal virtue-signaling supporters of LGBTQ rights.... just not when it comes to their own company. In other words, a classic case of employment NIMBY: please hire all these wonderful folks... just don't make me hire them.

“It’s incredibly disappointing and unethical that many of the hiring managers in our study would disqualify a candidate for being authentic" said McGonagill. Oh, if only Ryan knew just how unethical some of the most vocal virtue-signalers are, he would be in a state of permanent shock. As for being "authentic"... well, there is this thing called Darwinian selection. If enough people realize that identifying as a "they/them" is not all that cool, perhaps we will finally have some return to normalcy after progressive identify politics have pushed society to the verge of collapse. Just like what better way to solve society's overpopulation problem than by encouraging the young and easily impressionable to join the growing LGBTQ cohort and avoid having any children. End result: widespread depopulation, just next generation not this one.

https://www.zerohedge.com/markets/employers-frequently-overlook-resumes-including-theythem-pronouns

Biden's Executive Order Nightmare: Government Will Track Every Dime You Spend

 by Lawrence Kadish via The Gatestone Institute,

When I was a sparring partner for professional boxers many, many years ago, I was taught to be wary of the jab. It is a tactic used to distract an opponent while setting him up for a devastating power punch that takes him down for the count.

Biden is throwing jabs.

The power punch is a little noticed Executive Order with the innocuous number 14067 and its title, "Ensuring Responsible Development of Digital Assets."

In a 21st Century world where cryptocurrency and cybercrime are now embedded threats to our collective financial security, this Executive Order would seem to address these issues. That is the jab.

In fact, this order includes language that allows the Federal Reserve System to "explore" the possibility of introducing digital currency into the United States. This means that your cash becomes so much colored paper. That would not be the only catastrophic impact on our society and the nation's economy. 

Under this new digital currency, any transfer of funds to family, friends, charities, or clients would be able to be tracked by the nation's central bank that issued this virtual money. Big Brother will be in your wallet every hour or every day. 

You will not be able to buy a stick of gum without a Federal Reserve computer knowing where, when, and to whom you just put down a buck.

Like any jab, its starts with a feint.

"At this stage, the Fed is just introducing the subject into the public debate and is weighing the options," according to Eswar Prasad, a Cornell University economics professor who was interviewed by the Associated Press in an Aug. 24 story.

Apologists for the White House insist that the Executive Order does not implement digital currency or give Washington the power to control it.

Assuming that is true, what it does accomplish is to introduce the possibility of even considering a currency move so radical, so profound, and so disruptive that it make George Orwell's "1984" nightmare novel a day in the park?

We should be rightfully concerned about inflation, energy independence, aggressor nations armed with nuclear weapons, and woke public policies that denigrate the very foundation of this great country.

But these are jabs compared to the enormous destructive power of a digital currency "option" slipped into Executive Order 14067.

Nations have risen and fallen far from the battlefield, their destinies determined by their economic policies.

We should bring our collective outrage to confront even the idea of introducing digital currency in America's future: if it becomes reality, we will not recognize our democracy.

https://www.zerohedge.com/political/bidens-executive-order-nightmare-government-will-track-every-dime-you-spend

Will Electronic Messaging Push Us Toward Concierge Medicine?

 Electronic messaging, via email and patient portals, has become an increasingly common method patients use to contact their physicians. Providers are often inundated with messages, frequently unable to keep up with the volume. These real-world frustrations

opens in a new tab or window have been voiced repeatedlyopens in a new tab or window by physicians.

A controversial question regarding electronic messaging has emerged in recent months: Should health systems or providers bill for responses to patient messages? Cleveland Clinic announcedopens in a new tab or window in November that it would begin billing for messaging consultation, headlining a list of health systems engaging in similar practices over the last year.

Though early billing practices have largely resembled fee-for-service models, some have proposed billing solutions involving charging patients a flat, capitated fee to cover all messaging. As some have suggested

opens in a new tab or window, this could be baked into the total cost of all healthcare provided -- such as in a concierge medicine model -- or could be a separate, narrower fee/subscription to cover more specific messaging needs between visits. Insurers may also develop compensation mechanisms (e.g., direct contracting) for messaging, particularly as messaging may be a sufficient and cheaper alternative for patients to consult their doctors while avoiding the overhead of in-person visits.

As the potential to charge for patient messaging looms, one question is clear in my mind: Will the proliferation of electronic messaging accelerate the trend toward concierge medicine?

Towards Concierge

Concierge physician practices, just like patient messaging, have become increasingly commonopens in a new tab or window. Most prevalent in primary care, concierge practices represent a model of care in which a suite of agreed-upon services are offered to patients under a subscription-based model. Patients pay a fixed-fee upfront to their physicians in order to cover all services rendered, typically over a year.

Physicians participating in concierge models often have smaller patient panels, a consequence of the guaranteed "subscription" revenue. As this physician notes

opens in a new tab or window, concierge medicine allowed him to earn more (while seeing fewer patients) and enjoy more meaningful relationships with his patients.

In theory, the concierge model offers patients greater access to their physicians, unconfined by traditional appointment scheduling and waitlists. Having fewer patients adds flexibility, allowing patients with acute needs to be seen more readily. Messaging and phone calls are often included as a benefit as physicians aren't constrained by fee-for-service office-based compensation structures. Messaging may be the preferred means of interaction in many situations as responses can be delayed and asynchronous in the same way one responds to their texts and emails throughout the day.

In an environment where healthcare worker burnout is rampant, uncompensated messaging with patients is unsustainable. Just like all healthcare, compensation will take the form of fee-for-service or bundled under a value-based or capitated model.

My prediction is that the trend toward concierge models, specifically in primary care, will be accelerated as a result of patient messaging becoming more prevalent. There will be an exodus of physicians from traditional practices who opt for concierge setups out of a desire to be less overburdened and better compensated. Primary care is most suited for concierge models given the first-line care and consultation they provide, though I also expect providers from specialties like pediatrics, psychiatry, cardiology, and endocrinology to experiment with concierge models in greater numbers.

Lingering Questions

Health system competition

As the trend toward private concierge models accelerates, health systems, with their extensive networks of outpatient practices, will be forced to find a way to compete financially. They will need to create a system for their providers to be compensated for messaging, whether that involves direct billing or not.

The likely solution is that there will need to be blocked-off, dedicated time in physician schedules to allow for time to respond to messages. Restructuring physician salaries would be necessary so that time spent responding to messages is accounted for in the baseline salary or in relative value units (RVUs). Given the current American insurer and payer apparatus, it won't be possible for the largest health systems to transition to a full concierge model; fee-for-service or other capitated arrangements would need to be made with payers to cover messaging compensation. More providers would also likely need to be hired (no easy task) to account for the lost clinical hours.

Patient equity

The expansion of concierge models will have consequences for health equity. While the wealthiest patients are already able to participate in concierge models, a significant increase in the market share of concierge practices will promote further inequity.

The premise of the concierge model is that physicians see fewer patients so they have time to field patient calls and messages. Primary care physicians are already limited in supply, so any attempts to decrease the census of a physician will only exacerbate the effects of shortages across the system. Over time, patients will be sorted and priced into concierge tiers based on their ability to pay, resulting in even more patients being funneled into already crowded practices that are more financially accessible to patients.

In Short

Responding to patient messages is an added responsibility for providers and is not presently sustainable. Though some systems are beginning to bill for messaging, physicians will want to be compensated for the digital care provided. Concierge practices represent an attractive model that can bake messaging into the compensation structure. Without sustainable solutions that balance the need for patient messaging with the time required for response, physicians will seek out concierge-like practice models, presenting unique challenges to the healthcare system.

Logan Choopens in a new tab or window is a medical student at the Icahn School of Medicine and an advisory board member of MedPage Today's "The Labopens in a new tab or window."

https://www.medpagetoday.com/opinion/second-opinions/103352