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Rather than await federal reforms that may never come, the many state and local officials who have advocated for change can promptly translate their professed commitments into law and policy. This Article evaluates a range of state and local interventions, including the adoption of state law causes of action for constitutional violations, improved local budgeting and indemnification practices, and new litigation strategies that encourage government attorneys charged with defending civil rights litigation to take better account of the significant public interest in enforcing constitutional norms. But state and local officials share responsibility for the enforcement of civil rights and have underappreciated powers to adopt reforms of their own. Much of the attention has focused on federal-level reforms, including proposals to overrule Supreme Court doctrines that stop many civil rights lawsuits in their tracks. But my patience is wearing thin,” the attorney general added.Calls for change to the infrastructure of civil rights enforcement have grown more insistent in the past several years, attracting support from a wide range of advocates, scholars, and federal, state, and local officials. “This has been going on since yesterday and I was hoping the hospital would do the right thing. “I’m about to send law enforcement in and file unlawful restraint charges,” Knudsen wrote to Mark Taylor, who responded that he would make inquiries. An image of the exchange was included in the report. That complaint led to the involvement of Republican Attorney General Austin Knudsen, who texted a lobbyist for the Montana Hospital Association who is also on St. According to a November report by a special counsel appointed by state lawmakers, a family friend contacted Chief Deputy Attorney General Kris Hansen, a former Republican state senator, with multiple complaints: Hospital officials had not delivered a power-of-attorney document left by relatives for the patient to sign, she was denied her preferred medical treatment, she was cut off from her family, and the family worried hospital officials might prevent her from leaving. Peter’s Health, the hospital in Helena, with covid in October. Covid has made the problem worse, leading to hospital security upgrades, staff training and calls for increased federal regulation.Īn 82-year-old woman who was active in Montana Republican politics was admitted to St. industries in nonfatal workplace violence, according to the Bureau of Labor Statistics. But you’re going to have these outliers.”Įven before the pandemic, the health care and social assistance industry - which includes residential care facilities and child day care centers, among other services - led all U.S. “The vast majority of patients are completely compliant and have good, robust conversations with their medical care team. “You’re going to have this from time to time, but it’s not the norm,” said Rich Rasmussen, the president and CEO of the Montana Hospital Association. The three conflicts, which occurred from September to November, underline the pressure on health care workers to provide unauthorized Covid treatments, particularly in parts of the country where vaccination rates are low, government skepticism is high, and conservative leaders have championed the treatments.