If you’ve ever wondered why patients can be permanently harmed by a preventable medical error and still struggle to find answers, accountability, or justice—this episode is for you.

In Episode 12 of AdvoKAYte: Holding Healthcare Accountable (Part 2 of our conversation from Episode 11), Kay Van Wey sits down again with healthcare executive and patient safety expert Anne Roberts to talk about what the system doesn’t want to say out loud:
Texas tort reform made it financially impossible for many injured patients to bring legitimate cases.

And the National Practitioner Data Bank (NPDB), which is the federal reporting system meant to flag dangerous doctors, has loopholes so wide that some hospitals avoid reporting altogether.
Kay breaks down what “tort reform” really did in Texas, why so many families are told “we can’t take your case,” and how that erodes trust in both medicine and the legal system. Then Kay and Anne walk through the NPDB: what it’s supposed to do, why it hasn’t meaningfully evolved since the 1980s, and how hospitals can use technicalities to keep bad actors moving quietly from one facility to another.

In Episode 12, we cover:
Texas tort reform and how damage caps shut most patients out of court
Why the “lawsuit crisis” narrative took hold and what Kay says was actually happening
The Healthcare Quality Improvement Act (HCQIA) and why the NPDB still operates on outdated rules
NPDB loopholes: how reporting can be avoided (and why it matters)
The enforcement problem: penalties exist… but they’re not used
Why Dr. Death (Christopher Duntsch) wasn’t the end of the story, but the warning!

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💬 Question for you: Should hospitals be fined when they don’t report dangerous doctors to the NPDB?
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