Program abolished in California...more transparency in health care..doctors are people as well that have issues..BD

SAN FRANCISCO - Troubling cases in which doctors were accused of botching operations while undergoing treatment for drugs or alcohol have led to criticism of rehab programs that allow thousands of U.S. physicians to keep their addictions hidden from their patients.

Nearly all states have confidential rehab programs that let doctors continue practicing as long as they stick with the treatment regimen. Nationwide, as many as 8,000 doctors may be in such programs, by one estimate.

These arrangements largely escaped public scrutiny until last summer, when California's medical board outraged physicians across the country by abolishing its 27-year-old program. A review concluded that the system failed to protect patients or help addicted doctors get better. 

'Unconscionable' to hide truth from patients
No other state has followed California's lead. But the president of California's medical board, Dr. Richard Fantozzi, said that behind the scenes, regulators nationwide share his ambivalence toward such programs."To hide something from consumers, something so blatant ... it's unconscionable today," Fantozzi said.

Opponents of California's program have focused on the case of Dr. Brian West, a Long Beach plastic imagesurgeon who has been accused of negligence by the state medical board and is fighting to keep his license. 

In 1999, West performed a double mastectomy and breast reconstruction surgery on Becky Anderson. The procedure left her with gaping, infected wounds that wouldn't close and, ultimately, a grotesque lump the size of a melon caused by organs spilling through an unhealed hole in her abdomen.Weeks before performing his final, futile procedure on her, West was arrested for a drunken-driving accident. West ultimately flunked out of the treatment program after investigators uncovered a pattern of relapses, binge drinking and doctored urine tests that "demonstrate that he is a physician who has been long and chronically impaired by alcohol," according to a 2005 medical board complaint.

Doctors in rehab still practice - Addictions- msnbc.com

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