Guidelines:

I: Identify the Issue R: Identify the Rule: ((e.g., negligence, battery, invasion of privacy, defamation, sexual harassment, breach of warranty, etc.). Please document the language of the rule(s) and its elements. Provide the citation from the source of the rule language. Make sure that none of the facts from the case are included in the rule language. If the rule has more than one element, make sure to include and define each of the elements. Failure to completely define the rule will result in significant deduction of points. A: Apply the rule to the fact pattern C: Conclude with a recommendation to the physician, dentist, or yourself. Make sure to include any case law in your analysis. Write out the holding of the case and then describe how it is similar and informs the recommendation that you are making. Failure to include discussion of the cases will result in significant deduction of points

Scenario 2

In another case in Miami, FL, Euron Greyjoy, owns and operates a purported addiction treatment center and home for recovering addicts. He is the leader of a scheme involving recruiting addicted patients to move to South Florida for opioid abuse treatment. Mr. Greyjoy sends out patient recruiters to Emergency Rooms and Medication Assisted Treatment facilities throughout the US. The recruiters identify patients that seem to be 6 wealthy and paying for their treatment out of their own pocket or are covered by private insurance or Medicaid. The addicts are lured to South Florida with promises of permanent cures of their opioid addiction. They are shown flyers of beautiful large resorts with white sandy beaches where they will receive treatment. They were offered beach-side facilities with spa-like luxury. Amenities included golf therapy and rap music education. Some promise nearpainless detoxification from even the worst opiate addictions. All their travel expenses are covered to South Florida. They are urged to bring all insurance documentation with them and are met at the airport to be chauffeured to the "treatment" facility. The patients and the patient recruiters are then offered kickbacks in the form of gift cards, free airline travel, trips to casinos and strip clubs, and drugs. The patients never receive the promised addiction treatment services, but Mr. Greyjoy and his co-conspirators submitted claims to the federal government for $141 million in false billings for services including home health care, mental health services, and prescriptions. Mr. Greyjoy has come to you for advice regarding his business. What are your recommendations for Mr. Greyjoy and upon what law(s) are they based?

Scenario 1

In another scenario, you have graduated from Arizona State University and manage the emergency services department of Winterfell Castle. You are fully aware of the regulations under EMTALA (42 C.F.R. 413.65). Recently many persons in the surrounding countryside have suffered burns, or knife or sword wounds. They have been found just outside the doors of the ED or about 100 yards of the main doors. Clinical staff of the ED have not noticed those patients who are found about 100 yards of the doors and as a result many have suffered and died due to their injuries. Fortunately, those that stagger near the doors are brought into the ED and treated. Based on your knowledge of EMTALA and the Health and Human Services regulations, as the manager of the Winterfell ED, what would your policies and practices be regarding treating patients who are injured and found outside of the ED?