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MDLinxSecret Recordings, Unlawful Billing Practices, and an $8.5 Million Settlement in this Malpractice Case

Legal and Ethical Quandaries in Medical Practice: The Case of a Prominent Surgeon

In a complex legal saga that has captured the attention of the medical community and beyond, Dr. James Luketich, a distinguished surgeon from the University of Pittsburgh Medical Center (UPMC), finds himself at the center of a multifaceted controversy. This case intertwines allegations of professional misconduct, substance use, and systemic issues within a leading healthcare institution. The resolution of this years-long legal battle sheds light on the intricate dynamics of accountability, ethics, and the pressures facing today’s medical professionals.

Key Points:

  • Dr. James Luketich, a renowned surgeon at UPMC, was implicated in a legal battle involving allegations of substance misuse and professional misconduct.
  • Recordings of Dr. Luketich containing racist remarks and discussions on narcotic use were made public, causing significant reputational damage.
  • The controversy began with a malpractice suit filed by Paul and Bernadette Fedorka, alleging Dr. Luketich performed surgeries under the influence of Suboxone.
  • A federal whistleblower complaint in 2019 accused Dr. Luketich of engaging in fraudulent billing practices, prompting a DOJ investigation.
  • In February 2023, UPMC settled with the DOJ for $8.5 million without admitting wrongdoing, agreeing to a corrective action plan for Dr. Luketich.
  • The legal disputes highlighted systemic issues within UPMC, including the handling of multiple surgeries by Dr. Luketich and the prioritization of profitable procedures.
  • Dr. Luketich stepped down as chair of the cardiothoracic surgery department after the public release of the recordings.

In a 2015 study, results showed 12.9% of male physicians and 21.4% of female physicians met diagnostic criteria for alcohol abuse or dependence. Abuse of prescription drugs and use of illicit drugs was rare.


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