Court of Appeals Decides Potentially Destructive Alternate Medical Care Case
A series of commissioners has held that when an authorized treating physician recommends treatment that treatment is deemed to be authorized under 85.27(4) of the Iowa Code. In Lynch Livestock v. Bursell, No. 14-1133 (Iowa App. May 20, 2015), the Iowa Court of Appeals turns this longstanding agency rule on its head and concludes that in the context of an alternate medical care proceeding, the claimant must demonstrate that the care offered by the employer is unreasonable, notwithstanding that the care sought is recommended by the authorized treating physician. The decision of the court of appeals could well sound the death knell of a large portion of alternate medical care proceedings by destroying the authorized physician rule. In Mr. Bursell's case, Dr. Cook, an authorized treating physician, diagnosed claimant with CRPS and referred him to Dr. Kelly, a vascular surgeon. Dr. Kelly recommended a lumbar sympathectomy. Defendants subsequently sent claimant to ot...