It’s Like Watching Sausage Being Made


A common saying for a distasteful process is that “it’s like watching sausage being made.” We can appreciate the end result, but we don’t necessarily want to see the inner workings.

I’ve had occasion recently to see the sausage being made as regulations are drafted for new Kentucky legislation:

  • Limiting medical benefits to 754 weeks in most cases;

  • Selecting and installing new treatment guidelines for medical providers to use in workers’ comp cases;

  • Installing a pharmaceutical formulary.

If this sounds like a lot to do in a short period of time, you would be correct.

All of these are mandated by statute and have different effective dates. Nevertheless, Commissioner Robert Swisher and Chief Administrative Law Judge Douglas Gott must act fast to get this accomplished. To assist them, they have formed two committees — one which will draft regulations, and the other which will advise on selection of treatment guidelines and drug formulary — and I was fortunate to sit in on their meetings yesterday. The committees include plaintiff and defense attorneys, various physicians, physical therapists, and claims and carrier representatives. All are well qualified to offer guidance germane to their areas of expertise, and Swisher and Gott are genuinely receptive to what they are hearing.

So, I have to tell you that watching this sausage being made isn’t so bad. With well intentioned, intelligent folks on all sides, this may work out after all.

Call us. We can do better.

William Faris, JD
Chief Executive Officer

Posted in OMCA