TxStHorn and I have been talking about this for years, and finally a media outlet is catching up with us. Link.
The story focuses on illegal immigrants, but the law wouldn't be any different for a US citizen who was working on the job site. The only reason it is arguably relevant is that illegals are willing to work under these conditions, while most US citizens are not.
What happens is builder wants a construction project but doesn't hire workers. They hire subcontractors. Some of them are reputable businesses that are insured, but huge numbers of them (the inexpensive ones) are not. They're often nothing more than a Mexican dude (who's usually legal and speaks some English) or sometimes a loser white guy who speaks some Spanish with a few hammers and a pick-up truck he can use to drive day laborers (who are usually illegal) to the job sites. They're employees of his. He pays them under the table, provides no benefits, and doesn't even know what workers compensation is.
Safety is lax, and not surprisingly, a guy gets seriously injured, usually by falling or having something or somebody fall on him. He gets rushed to the ER, requires immediate surgery, and walks out with a six-figure hospital bill (not to mention a surgeon's bill, a radiology bill, an anesthesiologist's bill, etc.).
If the subcontractor carries workers compensation insurance, the guy's bills are covered. (The reimbursements to the hospital and doctors might suck pretty badly and take a while, but they will eventually show up.)
However, if the sub doesn't carry workers compensation insurance, the worker's remedy is a lawsuit, to which a hospital could file a lien and get paid. In a perfect world, that's not a problem. These subcontractors don't give two squirts of piss about safety or whether they get hurt, and proving negligence and even gross negligence (opens up punitive damages) on them is usually a cakewalk.
The problem is that they usually don't carry liability insurance or if they do, the policy usually excludes injury claims by employees. They may have a little money of their own, but they can't even come close to covering medical bills in the tens or hundreds of thousands.
That leaves a lawsuit against the general contractor or builder. They are very powerful special interests and have big clout in the Legislature and flat-out own the Governor and the Texas Supreme Court. (Remember, Bob Perry was a home builder.) Accordingly, meeting the very onerous legal standards required to get at them is almost impossible. 99 out of a 100 times, they're going to walk away with no legal fault, even if they look pretty guilty to a layperson. Even if you can overcome the tough legal framework and get the case to court, the fault on the uninsured and insolvent subcontractor is usually so great that the jury puts most of the fault on them, not the general contractor or builder.
So where does that leave the hospital? It can scrounge around and try to get the taxpayer to cover the bill if the worker can somehow make himself eligible for government assistance (like Medicaid or in some counties (including Travis) the Medical Assistance Program). If that can't or doesn't happen, then it's left with writing off a colossal bill.
This is the kind of thing Tea Party types should care about. Lax safety and failing to carry basic insurance is ***-raping the taxpayer for huge money every time this happens, while some crooked business is making a lot of money hiring illegal aliens. However, I rarely hear much outrage from them about it.
The story focuses on illegal immigrants, but the law wouldn't be any different for a US citizen who was working on the job site. The only reason it is arguably relevant is that illegals are willing to work under these conditions, while most US citizens are not.
What happens is builder wants a construction project but doesn't hire workers. They hire subcontractors. Some of them are reputable businesses that are insured, but huge numbers of them (the inexpensive ones) are not. They're often nothing more than a Mexican dude (who's usually legal and speaks some English) or sometimes a loser white guy who speaks some Spanish with a few hammers and a pick-up truck he can use to drive day laborers (who are usually illegal) to the job sites. They're employees of his. He pays them under the table, provides no benefits, and doesn't even know what workers compensation is.
Safety is lax, and not surprisingly, a guy gets seriously injured, usually by falling or having something or somebody fall on him. He gets rushed to the ER, requires immediate surgery, and walks out with a six-figure hospital bill (not to mention a surgeon's bill, a radiology bill, an anesthesiologist's bill, etc.).
If the subcontractor carries workers compensation insurance, the guy's bills are covered. (The reimbursements to the hospital and doctors might suck pretty badly and take a while, but they will eventually show up.)
However, if the sub doesn't carry workers compensation insurance, the worker's remedy is a lawsuit, to which a hospital could file a lien and get paid. In a perfect world, that's not a problem. These subcontractors don't give two squirts of piss about safety or whether they get hurt, and proving negligence and even gross negligence (opens up punitive damages) on them is usually a cakewalk.
The problem is that they usually don't carry liability insurance or if they do, the policy usually excludes injury claims by employees. They may have a little money of their own, but they can't even come close to covering medical bills in the tens or hundreds of thousands.
That leaves a lawsuit against the general contractor or builder. They are very powerful special interests and have big clout in the Legislature and flat-out own the Governor and the Texas Supreme Court. (Remember, Bob Perry was a home builder.) Accordingly, meeting the very onerous legal standards required to get at them is almost impossible. 99 out of a 100 times, they're going to walk away with no legal fault, even if they look pretty guilty to a layperson. Even if you can overcome the tough legal framework and get the case to court, the fault on the uninsured and insolvent subcontractor is usually so great that the jury puts most of the fault on them, not the general contractor or builder.
So where does that leave the hospital? It can scrounge around and try to get the taxpayer to cover the bill if the worker can somehow make himself eligible for government assistance (like Medicaid or in some counties (including Travis) the Medical Assistance Program). If that can't or doesn't happen, then it's left with writing off a colossal bill.
This is the kind of thing Tea Party types should care about. Lax safety and failing to carry basic insurance is ***-raping the taxpayer for huge money every time this happens, while some crooked business is making a lot of money hiring illegal aliens. However, I rarely hear much outrage from them about it.