Health officials travel ethics
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Sponsor Our ArticlesIn the vibrant state of Louisiana, an intriguing situation unfolded earlier this year when five top health officials from the Louisiana Department of Health accepted a roundtrip flight on a private plane owned by a politically connected hospital executive. This trip has sparked discussions about ethics in public office and the relationships between government officials and the health care industry.
The journey, which took place on February 5, was courtesy of Rock Bordelon, the owner of Allegiance Health Management located in Bossier City. Bordelon not only provided the plane but also covered “ground transportation” expenses in Washington D.C. for the state officials as they attended a meeting with the U.S. Centers for Medicaid and Medicare Services (CMS), which plays a critical role in funding health care facilities across Louisiana.
The health officials who hopped on Bordelon’s flight included the Surgeon General Ralph Abraham, Health Secretary Michael Harrington, Deputy Health Secretary Peter Croughan, Health Undersecretary Drew Maranto, and General Counsel Nicholas Gachassin. Together, they ventured to the East Coast to engage in discussions that could have significant implications for health care funding in their home state.
According to Kevin Litten, a spokesperson for the health department, the team faced “logistical challenges” when trying to book commercial flights. They were informed that Bordelon had already arranged a flight that could accommodate the executive team. In the spirit of full transparency, the health department promptly disclosed this travel arrangement to the Board of Ethics.
The estimated total cost of this jaunt was around $17,150, according to the disclosure forms. It’s worth mentioning that Bordelon’s company manages 11 rural hospitals and a variety of other healthcare facilities in Louisiana, which heavily rely on publicly funded health programs. The private plane ride, though, has raised eyebrows about potential conflicts of interest.
Since 2016, Bordelon has been acquiring hospitals across Louisiana and has also made himself known as a significant political donor, contributing a hefty $291,000 to campaigns for various state officials, including the current governor, attorney general, and past governors. His connection with high-profile figures, including Donald Trump Jr., further solidifies his standing in Republican circles.
While the health department has not disclosed the specific topics discussed during the meeting with federal regulators, there appears to be a connection to broader issues involving Medicaid funding. Bordelon mentioned that attendees discussed Medicaid rates paid to physicians, an issue that ultimately impacts many health care businesses throughout the state.
Though public officials taking flights on private planes might raise some eyebrows, it’s not entirely uncommon in Louisiana. State law allows public employees to accept benefits from regulated entities under certain conditions, as long as it is justified as beneficial to the agency and disclosed properly.
However, experts in government ethics caution against these types of arrangements. Ann Ravel, a former chair of the Federal Elections Commission, expressed concern over public officials receiving financial benefits that could be perceived as conflicts of interest. There’s a fine line involved, especially when the benefactor is someone who might have a say in decisions affecting public funding.
In September, the Department of Health agreed to nearly double Medicaid daily bed rates at several hospitals, including Bordelon’s facilities. This significant increase could mean an added burden of about $22 million this fiscal year on state and federal budgets, making it imperative that such decisions are made transparently and without perceived biases stemming from personal relationships.
Ultimately, this unusual trip underscores the intricate dynamics at play in Louisiana’s health care system—a system that not only navigates the complexities of local health needs but also the political landscape that influences funding and services.
As state health officials prepare for future discussions and decisions with federal regulators, the question lingers: How closely should the public and officials monitor these relationships to maintain integrity in governance?
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