Dr Sidhbh Treasa Gallagher / "Dr Teetus Deletus" / Gallagher Plastic Surgery / Gallagher Med Spa / @drsidhbhgallagher/ @dr_sgallagher / @gendersurgeon - Sex change surgeon who uses TikTok to advertise her teet yeeting services to depressed children

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A quick search does not identify any obvious public sources for Gallagher opting out of malpractice insurance. I may go on a bigger / deeper hunt later. It seems like a very odd decision, unless I’m misunderstanding the role of said insurance. I can’t understand why any facility would provide facilities or support to someone who does not have such insurance, if there was any prospect that doing so could render them liable for damages. (And i can see serious problems with knowingly leading surgical facilities to someone known to have no insurance in the case of culpable bad practice).
 
Gallagher is mentioned in an article about influence and transitioning minors on the front page of Reuters today.

It mentions how a girl from a mobile home family saw Gallagher's tiktok videos and scrounged 10k together from her family to go to miami to receive Gallagher's services.


 
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This is crazy. Surely a doctor shouldn’t be allowed to practise without insurance? Because if insurance is a choice, wouldn’t every doctor opt out and make themselves immune from lawsuits?

I’m a Brit so may be badly misinterpreting the healthcare system though.
Let's start with a simpler issue: Florida law may not require malpractice insurance but it puts extremely strict rules on doctors who do not carry it. This website claims that Florida doctors who do not carry insurance must put some amount of their own money in an escrow account (as in, an account that can only be tapped under specified circumstances) to cover malpractice damages and prominently place a sign saying they are not insured. So even if Sneed really doesn't carry malpractice insurance (which I could not verify either), she is still required to have some ability to pay out if she loses a malpractice suit. If she doesn't have insurance or follow the rules for uninsured doctors she's risking investigation by the medical board or Attorney General, especially since social conservatives won all statewide offices in Florida by double-digit margins earlier this month. There are plenty of people in Florida government now who are willing and able to make an example out of SRS quack butchers.

Now for your actual question: Not carrying malpractice insurance does not make Sneed immune from malpractice suits or change the burden of proof on the plaintiff. What it does is make it much more difficult for a successful plaintiff to recover damages. With malpractice insurance the insurer commits to covering any settlement or judgment, so if Sneed had insurance and lost a malpractice suit getting the payout would be as simple as sending the insurer a copy of the court ruling. If Sneed does not have malpractice insurance and told the plaintiff "fuck you, not paying" after losing a malpractice suit then recovering money would become much more difficult: The plaintiff would have to go back to court to (1) prove Sneed has wages that can be garnished or assets that can be seized to satisfy the judgment and (2) prove they are not protected by Florida's very defendant-friendly laws surrounding garnishment and seizure. This is all compounded by the extremely high cost of legal representation ($100+/hour or a 4-figure flat fee is a typical starting amount unless the attorney agrees to waive up-front payment in exchange for a cut of any payout) even in trivial cases.

To your question of "well why don't all doctors refuse to carry insurance then?" it's because most hospitals require their doctors to carry malpractice insurance (not an attorney but it's probably to minimize the hospital's financial exposure from malpractice suits) and because a doctor who doesn't carry malpractice insurance and refuses to pay out will be in extreme legal risk for life - just structuring things to avoid garnishment or asset seizure would probably be a full-time job.
 
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Why does her TikTok look like this allovasudden?
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She's really on a "let's talk about trans women" kick, now.

Instagram is still up:
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Chewed gum nips:
 
Just spitballing here, but I wonder if med mal plaintiffs attorneys have access to some type of database that permits them to research coverage by doctor? Just because this information isn't publicly available doesn't mean someone can't pay to get it.

Also, there's at least some precedent for gender "doctors " going naked as they say in the trade. Curtis Crane, he of the 9 phailed phallo suits in one year, ran out his policy limits and decamped to Austin. I suspect that most of these gender docs are pretty well advised when it comes to protecting their personal assets.
 
Seems there's been a bit of a kerfuffle with Dr. Gallagher and how one of her patients feels about their brand new hole! Seems FTMs are way less happy about it than MTFs.
It seems Rylan had larger concerns recently. /pol/ is where I found this, someone with twitter can arcvhive directly. (Archive)(Twitter) I know dumb trannies going on about their brand new hole is a completely played out trope. Rylan's "blowhole" might be the first I've heard about on an FTM.
View attachment 3888633View attachment 3888636View attachment 3888639View attachment 3888642View attachment 3888645View attachment 3888648
 
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I love this response: justice for fat trans men! Poor surgical outcomes have nothing to do with being morbidly obese!

As for cutting your tits off being life saving healthcare, fucking hell…

Someone in the SRS thread pointed out that the wound dehiscence that caused Rylan's infection is far more common in obese patients. There's a reason there are BMI limits on surgeries! And none of these idiots ever catch on that the type of surgeon who is careless enough to ignore BMI limits is going to ignore other things as well, like massive infections.

These people live in a world of magical cult thinking in which any limits imposed by physical existence are purely the result of anti-trans bigotry and fatphobia.

Let's start with a simpler issue: Florida law may not require malpractice insurance but it puts extremely strict rules on doctors who do not carry it. This website claims that Florida doctors who do not carry insurance must put some amount of their own money in an escrow account (as in, an account that can only be tapped under specified circumstances) to cover malpractice damages and prominently place a sign saying they are not insured. So even if Sneed really doesn't carry malpractice insurance (which I could not verify either), she is still required to have some ability to pay out if she loses a malpractice suit. If she doesn't have insurance or follow the rules for uninsured doctors she's risking investigation by the medical board or Attorney General, especially since social conservatives won all statewide offices in Florida by double-digit margins earlier this month. There are plenty of people in Florida government now who are willing and able to make an example out of SRS quack butchers.

Now for your actual question: Not carrying malpractice insurance does not make Sneed immune from malpractice suits or change the burden of proof on the plaintiff. What it does is make it much more difficult for a successful plaintiff to recover damages. With malpractice insurance the insurer commits to covering any settlement or judgment, so if Sneed had insurance and lost a malpractice suit getting the payout would be as simple as sending the insurer a copy of the court ruling. If Sneed does not have malpractice insurance and told the plaintiff "fuck you, not paying" after losing a malpractice suit then recovering money would become much more difficult: The plaintiff would have to go back to court to (1) prove Sneed has wages that can be garnished or assets that can be seized to satisfy the judgment and (2) prove they are not protected by Florida's very defendant-friendly laws surrounding garnishment and seizure. This is all compounded by the extremely high cost of legal representation ($100+/hour or a 4-figure flat fee is a typical starting amount unless the attorney agrees to waive up-front payment in exchange for a cut of any payout) even in trivial cases.

To your question of "well why don't all doctors refuse to carry insurance then?" it's because most hospitals require their doctors to carry malpractice insurance (not an attorney but it's probably to minimize the hospital's financial exposure from malpractice suits) and because a doctor who doesn't carry malpractice insurance and refuses to pay out will be in extreme legal risk for life - just structuring things to avoid garnishment or asset seizure would probably be a full-time job.

I mentioned this in the Sideshows thread, but Rylan has a pre-surgery tweet about signing "a mountain of paperwork":

1.png

I have zero legal knowledge, but maybe something in that paperwork contributed to why she is being blown off by lawyers now, and not just Sneed's lack of malpractice insurance?
 
Now for your actual question: Not carrying malpractice insurance does not make Sneed immune from malpractice suits or change the burden of proof on the plaintiff. What it does is make it much more difficult for a successful plaintiff to recover damages. With malpractice insurance the insurer commits to covering any settlement or judgment, so if Sneed had insurance and lost a malpractice suit getting the payout would be as simple as sending the insurer a copy of the court ruling. If Sneed does not have malpractice insurance and told the plaintiff "fuck you, not paying" after losing a malpractice suit then recovering money would become much more difficult: The plaintiff would have to go back to court to (1) prove Sneed has wages that can be garnished or assets that can be seized to satisfy the judgment and (2) prove they are not protected by Florida's very defendant-friendly laws surrounding garnishment and seizure. This is all compounded by the extremely high cost of legal representation ($100+/hour or a 4-figure flat fee is a typical starting amount unless the attorney agrees to waive up-front payment in exchange for a cut of any payout) even in trivial cases.
It's really interesting to me that Sidbh not carrying insurance immediately stopped the ambulance chaser in his tracks. Pocket not so deep, law man not interested. Med mal suits get paid on contingency, right? If her strategy is to discourage lawyers from pursuing her thanks to no prospect of an insurance company's multi-million payouts... that makes her the smartest, most strategic bitch on this forum. It's extremely evil, but it's very impressive. She's perfect for America.
 
I have zero legal knowledge, but maybe something in that paperwork contributed to why she is being blown off by lawyers now, and not just Sneed's lack of malpractice insurance?
We can't know for certain but yes, it is possible that the paperwork included a malpractice waiver which is exactly what it sounds like - if she signed one she gave up any right to sue even if Gallagher's mistakes would otherwise be grounds for a lawsuit, with or without malpractice insurance (again, nobody in this thread has found hard proof she doesn't have it - let's not take a Twitter troon at her word).

Now for the lawsperging. The only way I can think of to invalidate the waiver and let a malpractice suit go to trial would be to argue that Sneed made a fraudulent misrepresentation, like overstating her competence or understating the risks, and the patient would not have signed the waiver if she had known the truth. This also explains why she dismissed the attorneys willing to hear her out as "anti trans" - the argument is predicated on either Sneed being a quack or SRS being quackery by definition, if she's unwilling to make one of those claims then she has no case.

Just to be clear this argument is not guaranteed or even likely to work, I just believe that any other argument (like calling the waiver unconscionable) would probably be rejected on the spot.

Edit to avoid double post:
When someone's username changes suddenly to userXXXX with a bunch of numbers it generally means the account was temporarily banned. The same thing happened to ALR's tiktok when she got banned last week.
Can you think of a reason Sneed would have been suspended? Her content has been the same for a while (and it's more sedate than a year or two ago when she was doing those silly dances with background music), and I wasn't aware of any recent changes in TikTok's moderation policies.
 
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Let's start with a simpler issue: Florida law may not require malpractice insurance but it puts extremely strict rules on doctors who do not carry it. This website claims that Florida doctors who do not carry insurance must put some amount of their own money in an escrow account (as in, an account that can only be tapped under specified circumstances) to cover malpractice damages and prominently place a sign saying they are not insured. So even if Sneed really doesn't carry malpractice insurance (which I could not verify either), she is still required to have some ability to pay out if she loses a malpractice suit. If she doesn't have insurance or follow the rules for uninsured doctors she's risking investigation by the medical board or Attorney General, especially since social conservatives won all statewide offices in Florida by double-digit margins earlier this month. There are plenty of people in Florida government now who are willing and able to make an example out of SRS quack butchers.

Now for your actual question: Not carrying malpractice insurance does not make Sneed immune from malpractice suits or change the burden of proof on the plaintiff. What it does is make it much more difficult for a successful plaintiff to recover damages. With malpractice insurance the insurer commits to covering any settlement or judgment, so if Sneed had insurance and lost a malpractice suit getting the payout would be as simple as sending the insurer a copy of the court ruling. If Sneed does not have malpractice insurance and told the plaintiff "fuck you, not paying" after losing a malpractice suit then recovering money would become much more difficult: The plaintiff would have to go back to court to (1) prove Sneed has wages that can be garnished or assets that can be seized to satisfy the judgment and (2) prove they are not protected by Florida's very defendant-friendly laws surrounding garnishment and seizure. This is all compounded by the extremely high cost of legal representation ($100+/hour or a 4-figure flat fee is a typical starting amount unless the attorney agrees to waive up-front payment in exchange for a cut of any payout) even in trivial cases.

To your question of "well why don't all doctors refuse to carry insurance then?" it's because most hospitals require their doctors to carry malpractice insurance (not an attorney but it's probably to minimize the hospital's financial exposure from malpractice suits) and because a doctor who doesn't carry malpractice insurance and refuses to pay out will be in extreme legal risk for life - just structuring things to avoid garnishment or asset seizure would probably be a full-time job.

Thanks for the explanation. I remember now that there was a reason why she set up her clinic in Miami.

Also found this;

1933E096-D187-4DBE-ABC5-3B929A559476.jpeg

I had no idea she didn’t accept insurance. I think this explains why she accepts the patients that no other surgeon would, and why she might sell “no-drain mastectomy” (as she did to “Rylan”) as a cheaper option to anyone who wants to get discharged as quickly as possible.
 
she should get sued and suffer personal consequences. i think the lack of insurance just means they can't negotiate a settlement or something and would have to high effort a trial. not to mention collecting if they win. these people can raise thousands of dollars to pay for their mutilation but not to pursue justice against their butchers.
 
As I said in the other thread, the "I have no malpractice insurance, good luck suing me lmao" tactic is more commonly found among shady alt med types like chiropractors and lay midwives. If you sue them you may get a verdict in your favor but likely walk away in debt. Surprising to see a surgeon getting away with that because most hospitals will not grant privileges without it, for obvious reasons.
 
It’s a long, long thread, so those are some of the terrible highlights. Still finds time to hate on TERFs saying “Well if this isn’t the consequences of gender ideology preying on mixed up heterosexual females”.
Bet she got plenty of advice from other resources about the dangers of surgery while obese and brushed them off. I don't think she'd be able to sue for mal even if it was an option when she willfully ignored all warnings. Maybe the rotting and shit would be handwaved away as expected complications idk.

Gallagher is kind of fascinating to me. She's a misanthropic psychopath able to practice openly due to the social climate and will probably never face justice, just like the other quacks. All the gnashing that she's a butcher, well if I was a guro lunatic that wanted to get paid to perform experimental surgery until I got bored halfway, I'd be fucking ecstatic about the troon epidemic. I get to lie, hurt people AND get positive attention for it? How would I hold all those cakes?
 
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As I said in the other thread, the "I have no malpractice insurance, good luck suing me lmao" tactic is more commonly found among shady alt med types like chiropractors and lay midwives. If you sue them you may get a verdict in your favor but likely walk away in debt. Surprising to see a surgeon getting away with that because most hospitals will not grant privileges without it, for obvious reasons.
From what I can tell Sneed is not affiliated with a hospital which sidesteps questions of getting privileges. She made a TikTok a year or two ago mentioning that she had been turned down by a hospital for unspecified "ethical reasons". Based on her appointment scheduler the new location for her practice is "Coral Gables Medical Plaza" ; I could not find a street address but located at 2601 37th SW Avenue, Miami, FL, 33133; Google search shows that it is a medical office building run by a property management company with no mention of hospital affiliation.

Now a question for Medi-Kiwis: Is it normal (or even legal) to do inpatient surgeries outside of a hospital? Most of Sneed's procedures are mastectomies which might be doable on an outpatient basis but I can't imagine that being possible for any sort of genital surgery.

Edit: Added the street address.
 
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Thanks for the explanation. I remember now that there was a reason why she set up her clinic in Miami.

Also found this;

View attachment 3890253

I had no idea she didn’t accept insurance. I think this explains why she accepts the patients that no other surgeon would, and why she might sell “no-drain mastectomy” (as she did to “Rylan”) as a cheaper option to anyone who wants to get discharged as quickly as possible.
Don't insurance companies usually have certain conditions before they will cover for a provider? I wonder if she doesn’t take insurance because insurance companies won't cover her because she's so sketchy and doesn't follow certain procedures like infection protocol and bmi restriction. Like maybe it's not entirely her choice to not take insurance with the way her practice currently runs. I imagine if she did take insurance, it would make things more profitable because then she'd have more patients who could afford her... unless she makes more money by cutting corners and taking advantage of people.
 
Don't insurance companies usually have certain conditions before they will cover for a provider? I wonder if she doesn’t take insurance because insurance companies won't cover her because she's so sketchy and doesn't follow certain procedures like infection protocol and bmi restriction. Like maybe it's not entirely her choice to not take insurance with the way her practice currently runs.
Yeah, she'd have to show she's following medical board/professional society guidance to get covered in the first place and sufficiently frequent or severe complications might get the insurance company to reconsider covering her as well.
I imagine if she did take insurance, it would make things more profitable because then she'd have more patients who could afford her... unless she makes more money by cutting corners and taking advantage of people.
Insurance is a mixed bag, my understanding is that it fixes the amount the doctor can charge as well as the insurance payout, takes a non-zero of time to arrange coverage in the first place, and then submitting the claims for reimbursement takes additional time on top of that. Some doctors have an (unadvertised) cash discount simply for saving their/their staff's time by not making them deal with insurers. It's generally not worth it unless the doctor is out-of-network but it's there.

If Sneed really does not take insurance that fits well with taking (and grooming) underage patients - a 13-year-old girl who sees her TikToks might insist on going to the funny dancing doctor and parents will have limited ability to shop around because Sneed might be the only quack butcher willing to take patients that young.
 
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