The Case of the Double-dipping Dimwit . . .


Here’s a case that was taking place in Oregon exactly 10 years ago . . . .

In the city of Gresham a physician who had sex with a patient on multiple visits and then dutifully charged the state $5000 for his special “treatments,” has been jailed for 30 days and embarrassed by the local TV news.

Doctor Randall J. Smith, age 50 at the time of his arrest, had medically counseled an unnamed adult patient that massaging her vaginal “trigger points” would ease her lower back pain, and who was she to debate treatment modalities with a doctor, for heaven’s sake?  This would involve sexual intercourse, he explained patiently. But thank goodness we have physicians in this world willing to take on serious sacrifices for their citizens in need.

All in the wacky world of medicine

All in the wacky world of medicine

Smith, who holds a doctorate in osteopathy, would then direct his office staff to methodically bill the Oregon Health Plan for these 45-minute, wonders-of-nature encounters, all of which were performed at the Adventist Health Medical Clinic.

I know you can't resist

I know you can’t resist

And if they had just left him alone all would have been peachy. It was, after all, a win-win formula. The doc got happy and the doc got paid and the patient thought it was cool enough to tell other people all about her special treatments. What could possibly go wrong?

Alas, upon learning of these therapeutic passion-sessions, the state insurance provider, Oregon Health Plan,  became considerably less affectionate than was Doctor Randall Smith himself.  In fact they raised hell.

Anyway, after his 30-day jail time for insurance theft, Smith was sentenced to perform 200 hours of community service. (no word if he had any say in what kind of service) He was ordered to pay the whopping sum of $1,105 in fines. He was put on probation for 18 months and had his medical license revoked by the state.

“Licensee’s conduct exploited the vulnerability of a mentally and financially disadvantaged patient. Licensee used his position as a physician to exploit the trust, knowledge, emotions or influence of this patient derived from his position as a physician for his own selfish ends. In addition, Licensee billed Medicaid for the office visits that he scheduled with Patient A for the purpose of having sex. The above- described conduct is the nadir of unprofessional and dishonorable conduct.” (State Medical Board of Ohio, in denying Smith a license to practice in that state)

Although he pleaded guilty to submitting false health care claims, which happens to be a felony, Smith maintained that sex with the 47-year-old woman was consensual.

We suspect it probably was consensual, because when typical, medicine-worshipping patients find themselves in a closed room with a doctor, they tend to go along with just about anything – up to and including the preposterous. There does in fact exist – after all – an unwritten, immutable law of the cosmos:

When in the presence of a lab coat – for God sakes, stop thinking.

So now you know, and here’s a look at what happened when this particular stethoscope stud crossed state lines to start over, which is what the typical doctor in deep doo-doo does:

*          *          *


2 thoughts on “The Case of the Double-dipping Dimwit . . .

  1. S.A. native says:

    30 days in jail for a felony is hard time for a doctor! Many doctors convicted in sex-related matters face no jail time at all. Why do you suppose doctors are held to such a low standard and why is there so little outrage at their “predatory” (as Oregon put it) behavior?

    Ar least Ohio did the right thing and permanently denied him licensure.

  2. S.A. native says:

    Here’s one who’s actually going to do a little time: 3 whole years!

    There have been several high profile cases recently where doctors have been combining the video/photo activities with their work.

    Others, like the urologist in NY caught doing up skirt video on the subway escalators, just practice their voyeurism in their spare time.

    Here’s another example of the latter, according to police in Florida:

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s