番茄社区

Ming Lin, MD, the emergency physician who was fired early in the COVID pandemic for airing alleged safety concerns, has hired new lawyers to take his case to trial.

After parting ways with lawyers working for the American Civil Liberties Union (ACLU) because he didn't want to settle his case as they recommended, Lin selected the San Francisco boutique firm to represent him when he goes to trial in February 2024.

He said he's "lost a lot of sleep thinking about" taking on the risk of a trial, but that ultimately, he wants to try to make medicine better than when he found it -- particularly because his daughter has expressed interest in going to medical school.

"I think that's one of the main things, when I thought about this case. I can't just sit back and walk away with a settlement," Lin told 番茄社区. "I would really regret it, if I didn't at least try to change healthcare. If I can make even a small difference, I would feel much more satisfied."

Millstein Fellner is the same firm that the American Academy of Emergency Medicine (AAEM) is working with in against private equity-backed physician staffing firm Envision for allegedly violating California's ban on the corporate practice of medicine.

"This case perfectly illustrates the danger to the public of allowing corporations to control and influence physicians," David Millstein, JD, partner at Millstein Fellner, told 番茄社区. "The inherent conflict between medical professionals and the commercial interests of lay entities is recognized in law, enshrined in the Corporate Practice of Medicine bar. Physicians must be allowed to act in their patients' best interests, not to assist corporations in their duty to earn profits."

"Dr. Lin's advocacy for medical standards and maintenance of this suit is nothing less than a courageous exercise of his ethical duties to care for patients," Millstein added.

Lin provided more details to 番茄社区 about the early days of COVID-19 and the outspokenness that led him to lose his job of 17 years. He worked at PeaceHealth in Bellingham, Washington, as an employee of physician staffing firm TeamHealth.

Though he enjoyed his work, he said he had developed an itch to work on Native American reservations: "You get to an age in medicine where you say, I need to explore beyond my comfort level," he said. "[It] was my midlife crisis in medicine, I guess."

His first short-term assignment -- which he did between shifts in Washington state -- was at a reservation in South Dakota that began just as COVID was starting to hit the U.S.

When Lin arrived in South Dakota, he expected few resources to combat the virus, but instead he was "surprised that we were doing temperature checks. We were doing triage outside, treating patients in their cars. People were geared up thinking there was COVID out there."

That was more than what was happening back home in Washington state, he said, even though a nursing home not far from Bellingham was an early epicenter of COVID cases and deaths.

Lin was also calling other doctors in the northwest and California, asking them about how their facilities were trying to protect workers and patients from potential COVID spread.

"They confirmed what we were doing in South Dakota, restricting or limiting visitation, doing outside triaging, temperature checks, everything they can to protect themselves and their patients," he said.

He brought up his concerns with his superiors, but he said the concerns were not addressed, so he took to social media. Not long thereafter, Lin said the hospital asked TeamHealth to remove him from the schedule.

After he was terminated, Lin said he had "lots of lawyers contacting me," and he ultimately went with the ACLU-sanctioned team. But after 3 years, those attorneys "decided abruptly that we should settle, even though we have a court date set in February."

"They said, 'If you don't settle, we will have to consider walking away from the case,'" Lin said. "So they withdrew from the case."

He considered many alternatives, including representing himself at trial, before landing on hiring Millstein Fellner.

He knows the path ahead will not be an easy one: "When you're facing major corporations, especially one that's backed by a private equity company, it could be financially and mentally challenging."

He's now footing the bills for legal services, but in the future, AAEM and may help raise funds for him if necessary.

Still, he's adamant about taking on the problem of the profit motive in healthcare, which he blames for those early days of not doing enough to protect staff and patients against COVID.

"We need to take the greed out of medicine," he said. "There's no reason why CEOs should be making $10 to $20 million."

"You see your patients get charged an incredible amount of money for a simple suture, and you have no control over the billing," he said. "Physicians should know what our patients are being charged for what we're doing. If I knew I was charging somebody $2,000 for a suture, I wouldn't do it. I would find another way."

As long as administrators are incentivized by profit, he said, healthcare won't change: "People with business degrees do not see the complications of diabetes," he said. "Doctors and nurses see amputations, kidney failure, retinopathy, strokes, heart attacks. Someone with a business degree, all they see is a number."

Lin is currently working for , a company that helps place doctors on Native American reservations -- particularly those where tribes have gone through a process of self-determination and the tribes themselves manage the hospitals, instead of the Indian Health Service.

"He's a guy who you instantly like because he's humble and affable and well-meaning and has high integrity," John Shufeldt, MD, JD, MBA, founder and CEO of Tribal Health, told 番茄社区. "We send him to places that need his level of skill and diplomacy and expertise, and he crushes it every time."

"I think how he was treated really lacked foresight," Shufeldt said. "This is about being heard and setting the record straight."

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