Turmoil ensnares GIMC official

Turmoil ensnares GIMC official

There are 11 comments on the Gallup Independent story from Apr 27, 2008, titled Turmoil ensnares GIMC official. In it, Gallup Independent reports that:

“Dr. Escudero has always been unfair and has mistreated every good physician that has come through GIMC”

For the second time in less than a year, Gallup Indian Medical Center's Medical Director Gary Escudero MD, is under investigation for allegations made against him by employees. via Gallup Independent

Join the discussion below, or Read more at Gallup Independent.

Solidarity

United States

#1 May 16, 2008
Dr. Escudero represents the thinking modality of many IHS clinics and hospital directors. You have no idea the unethical behavior of Dr. David Downing, Medical Director of FDIH toward his staff. For example in staff meetings, Dr. Downing will blatantly and openly diminish and offend women staff members calling then "little providers" and using sexist remarks such as making direct open comments such as "women should stay at home and not work" and "professional medical work is not intended for women". How do you think that any staff member (man or women) will feel in the presence of this type of leadership and type of remarks?Is this clear discrimination or prejudice? Of course it is discrimination. And also a well accepted trend. Dr. Gary Escudero is just a "baby" in comparison with the bigotry, sex discrimination, and racial discrimination behaviors demonstrated by other IHS medical directors in the area. Medical staff should take action once and for all, and actively form a commitee on ethics to address unacceptable and illegal behaviors of medical directors such as Dr. David Downing and Dr. Gary Escudero. Tribes should take control and clean the IHS of this bad leadership. There are good capable people in IHS willing to do their job much better for the IHS and the American Natives! It is time to remove Dr. Escudero and Dr. Downing of their positions of power! If a class action is the solution so be it!
solidarity

United States

#2 May 19, 2008
The first steps to becoming a really great manager are simply common sense; but common sense is not very common in Dr. Gary Escudero. In general, Dr. escudero is always trying to put people in a box, as he is the typical tyrant in his own ego-management world. Diminish people,rule by fear and intimidation and to steamboat anyone on his way is a common methodology in his ill served administration. As a rule,Dr. Escudero acts in bad faith in most situations, when failing to offer meaninful concessions to solve his own created turmoils.Management is about pausing to ask yourself the right questions so that your common sense can provide the answers. When there is no intention to use common sense, management becomes a real nightmare for all involved, even for himself. Management is to deliver not less than the best and just and fair management possible. IHS do not deserve less, the native American people do not deserve less, and the dedicated staff of GIMC do not deserve less than this. Dr. Escudero should be removed now from his administrative position for delivering less than what is expected from a leader in his management position.At this point, He is a disservice for the GIMC and the IHS by not representing our best interest of fairness, sensitivity, leadership and justice.
Solidarity

United States

#3 May 21, 2008
Regarding violations of Indian Preference Act, this is a very severe Federal Law violation and should be taken seriously. The law was designed to precisely prohibit what Dr. Escudero is doing, that is taking opportunities away from the available Natives American healthcare workers, and granting Native American work privileges to non-indian civil servants. Any budget approved by Congress for the Native Americans is to fund the provision and optimization of health services for the IHS. Management administration is one vital aspect of this optimization of budget resources. Not providing optimal management services represents a disservice to IHS. Lets make this point clear.IHS is not the servant of the Civil Servant serving the IHS. The Civil Servant is the servant of the IHS. Mediocre managers can not replace, ignore, and undermine the Native American worker resources and the Federal Indian Preference Act. Decisions should not be made to protect and pamper Civil Servants that as a personal agenda, bend all rules in order to serve themselves (their own personal interests). IHS gave the opportunity to Dr. Gary Escudero once to serve the Native Americans as Civil Servant. This was a privilege that should not be taken for granted. In the event that Dr. Escudero is loosing touch with reality, it is time for this reality to take over and effectively remove him as administrator.
solidarity

United States

#4 Jun 10, 2008
Symptoms of degradation of authority, incredible poor leadership, substandard and decadent management patterns, and law suits are numerous during Dr. Escudero decades old decadent administration. As example,in a recent internet research, we can find a law suit from 1993 where Dr. Arron (Anesthesiologist) sues Gallup Medical Center and Dr. Escudero for wronful discharge, personnel mistreatment and abuse of authority, and other claims.Here is an example from this action in 1993: "The Gallup Center operates under the purview of the Indian Health Service, which is a component of the Public Health Service and the United States Department of Health and Human Services. Arron alleges that while he was employed at the Gallup Center, the Center was badly mismanaged and provided substandard care to its patients. Arron alleges that he refused to provide substandard care and "[m]ade various reports" about the mismanagement and care problems at the Gallup Center. Appellant's App. in First Action at 13 (Compl.); Appellant's App. in Second Action at 43 ( Am.Com pl.). He contends that because of his refusal to provide substandard care and because he reported the mismanagement and care problems, he was wrongfully terminated on June 5, 1993" (CITED FROM THE FEDERAL LAW SUIT filed in 1993 by Dr. Arron))

It is clear that this situation (abuse of authority)under investigation now is not new for Dr. Escudero and the IHS, and that Dr. Escudero should be removed as it is suggested at this point and time. His removal from his position is overdue.
solidarity

United States

#5 Oct 22, 2008
One point to make clear here is that as administrator, Dr. Escudero can always use his best judgement to manage people and make the best use of his power. What he can not do is use his authority to indiscriminately and constantly "run over" people under him (or make the wrong use of his power), just because he is administrator and in a position of power and others are "under him". That is "abuse of power". As power is given or granted, it is also taken away if not used wisely or used without the necessary prudence and responsibility that having that power requires. The main problem with abuse of power is the creation of an environment of hostility, and this negative environment could escalate to a point of making dangerous to practice or to provide health services to the patients. With that in mind, it should be zero tolerance for abuse of power behaviors in administrative positions such as his. It is also evident that Dr. Escudero is an "intolerant" administrator. However, there is also a risk of legalities that are always involved in management behaviors that are not considered "accepted" under legal norms, and are obviously more pronounced under the Federal Government umbrella.
Retired

Santa Fe, NM

#6 Aug 28, 2010
None of you crybabies could make a pimple on Dr. Escudero's butt. Most of the IHS physicians are prima donnas who forget they are salaried employees like everyone else. Maybe they should be in private practice where they don't have to answer to a higher authority. Sadly though, most of them can't cut the mustard in private practice.
solidarity

Plano, TX

#7 Sep 26, 2010
MR PIMPLE: None of your comments here could make a pimple on any of our butts either. However, exposing the truth, apparently made a pimple on yours, since it looks to us that you are in a minority situation on this blog, and you are defending the tyrant. Just for your info. Dr. Escudero is in the IHS due to the fact that he can not, repeat, can not practice with much success in private practice. But worse than that,he can not even practice with success (leadership and management efficiency and decency) in the IHS either. However, it depends what you can call success. With his high grade of mediocre management and mediocre medical practice, he can not make it in private practice not even for a week. That is a reality and a clear and huge pimple in the butt that nobody can deny, including your own pimple in your head, that apparently reflects in your butt. Having said that, it must be very uncomfortable to have a pimple in your butt that also impairs the clarity of your thinking abilities.
solidarity

Plano, TX

#8 Sep 28, 2010
About the subject of boss and butts, that reminds me an old indian story about this subject. Once upon a time, after the creation of complex living organisms, such as humans, the brain, heart and other organs had a meeting for their supremacy or to be a boss. They had to finally decide who would be the "boss" of the human body. Most of other organs, such as the liver, pancreas, lungs, and others, also participated. At the end of the race, only the brain and the heart became the finalists for the elections primaries. However, a new candidate, the "ass", arrived from nowhere and declared himself a candidate for the "supremacy of the organs". Each finalist presented their case consisting in why they should be the boss. The brain claimed, that a brain dead organism, is legally dead, and the heart claimed that without the blood flowing, all organs will die including the brain. However, all claims were valid for the judges, but finally the "ass" said that without his participation and leadership, or without the process of defecation, the living organism could not sustain life. And he went to prove his point. The "ass" suspended all intestinal functions, stop the defecation process for 14 days, and finally the body functions of all organs stop operating and died. The "ass" finally was able to prove his supremacy. So, the "ass" became the boss among other candidates such as the brain and even the heart. The lesson to learn here is that: to be a boss, you do not have to be a brain, but just an "ass".
rogueprovider

Bangor, ME

#9 Nov 17, 2011
as one who has lived, and lost, under Mr. Escudero's "fine" leadership, all that has been said it true.
I lost everything because I stood up for others who were getting a raw deal from him. The reward for trying to keep good physicians around.
rogueprovider

Bangor, ME

#10 Nov 17, 2011
Retired wrote:
None of you crybabies could make a pimple on Dr. Escudero's butt. Most of the IHS physicians are prima donnas who forget they are salaried employees like everyone else. Maybe they should be in private practice where they don't have to answer to a higher authority. Sadly though, most of them can't cut the mustard in private practice.
Are you Gary writing with an alias? Defending yourself? Again, he is a tyrant. And most of the IHS physicians are NOT prima donnas as you state. They are caring, giving individuals who would rather earn a little less and provide care to those who really need it. Are there prima donnas in IHS? Sure there are, just like everywhere. But not most in IHS
solidarity

Opa Locka, FL

#11 Feb 19, 2012
Yes, this is Solidarity lone-ranger here again! Good point rogueprovider! Most IHS physicians are healthcare heroes (healthcare angels) and caring and giving individuals, as they are the true physicians in a nation of "medical gluttony" private healthcare. True medicine is the medicine provided to the needy. Physicians are not true doctors until they first treat a poor child, or a poor mother, or a poor indian elderly woman. IHS gives this professional satisfaction to medical practice. This service was always my pride. It was the great privilege of a lifetime to care for the underserved native American population. I always called my team "healthcare angels".

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