By Ryan Yousefi
By Chuck Strouse
By Terrence McCoy
By Terrence McCoy
By Terrence McCoy
By Michael E. Miller
By Kyle Munzenrieder
By Michael E. Miller
Over the past twelve months, Dade County Commissioner Bruce Kaplan has asked officials at Jackson Memorial Hospital to treat at least six indigent patients from Bolivia. One of those patients, a fifteen-year-old girl suffering from cancer, cost Dade taxpayers more than $99,000. A thirteen-year-old boy with leukemia accounted for nearly $67,000 in medical bills, according to hospital records.
Kaplan's taxpayer-subsidized acts of charity may not have been entirely altruistic. For the past several years, Kaplan, an attorney, has represented clients in Bolivia and has lobbied Bolivian officials in an effort to develop private business opportunities in that country. One of the enterprises Kaplan attempted to launch in Bolivia was a phone-sex service, according to his former chief of staff and business partner Matias Farias.
The Dade State Attorney's Office is investigating whether Kaplan used his elected office to curry favor with Bolivian authorities for personal gain. It has also begun questioning former members of the commissioner's staff regarding his Bolivian business dealings and the patients he has referred to Jackson Memorial Hospital.
Kaplan argues that his efforts to help Bolivian citizens have been entirely selfless and appropriate. "I've gotten to know a number of elected officials in Bolivia who regularly request humanitarian aid," he says, "and my understanding is that if we can arrange it, we should. There is nothing more special than being able to save a life."
For years Kaplan has treated Bolivia as if it were part of his commission district. In May 1994 he sponsored a resolution establishing Santa Cruz, Bolivia, as one of Dade County's nineteen sister cities. He is also honorary chairman of the Santa Cruz Sister City Committee, which acts as a liaison between Dade and Santa Cruz. According to Leo DiBenigno, coordinator for Dade's Sister Cities program, the Santa Cruz committee consists of exactly one person: Bruce Kaplan.
In his role as honorary chairman, Kaplan has traveled to Bolivia at taxpayer expense on at least four occasions. In 1994, at Kaplan's urging, the Sister Cities program contacted administrators at ten Dade County hospitals to encourage them to donate surplus medical equipment and supplies to officials in Santa Cruz, located some 300 miles southeast of La Paz, the capital. He also arranged to have several aging ambulances donated to Bolivia. In 1996 he sponsored a measure that would have sent 25 used police cars to the country as well, but he withdrew the request when his fellow commissioners objected.
By the fall of 1996, Kaplan's efforts to aid Bolivia drew him to Jackson Memorial Hospital. As chairman of the commission's Health and Public Safety Committee, which acts as the county's liaison to the hospital, Kaplan has had regular contact with Jackson's president Ira Clark. At least a half-dozen times in the past year, Kaplan or members of his staff have sent memos to Clark regarding possible patients from Bolivia.
This past January, for example, Kaplan wrote to Clark: "Please be advised that [name deleted], the Bolivian child suffering from leukemia, will no longer need to be admitted to Jackson Memorial Hospital. While we were doing the arrangements with your hospital, the National Children's Leukemia Foundation approved his treatment and the family decided to go with that institution. Since you had already approved the treatment for the above-mentioned child, I would appreciate it if you could extend that courtesy to another child suffering from similar conditions. Also, there is another case of a woman suffering from severe eye trauma that is in need of humanitarian assistance as well."
In another memo to Clark, Kaplan wrote that seven Bolivian officials would be traveling to Miami and wished to arrange for "comprehensive physical examinations" at Jackson during their visit. The memo went on to explain that "they have requested the appointments be scheduled for Friday, January 24, 1997, with follow-up visits for test results on Monday, January 27, 1997." Kaplan then listed the individuals' names and "the types of specialists they desire appointments with in addition to the comprehensive physical examinations." The specialists included cardiologists, gynecologists, and gastroenterologists. Kaplan noted that, unlike his previous requests, these would be paying customers.
Clark confirms that he has received more requests for patient care from Kaplan in the past year than from any other elected official, and that he does feel the need to respond promptly to Kaplan's inquiries. "I have to get along with the county commission," he says. "They own me. They own this hospital."
And Clark admits he may even have expressed frustration at Kaplan's intercessions. "I'm a fairly emotional guy," he concedes. "I've been irritated by Commissioner Kaplan's requests on many issues." But, he stresses, he has never felt threatened or intimidated by Kaplan into accepting a patient when it was not appropriate or when the patient did not meet the hospital's criteria for humanitarian cases.
The exact number of patients who have been treated at Kaplan's behest remains unclear, as does the cost to Dade taxpayers. In addition to the boy with leukemia and the girl with cancer, two other Kaplan patients were eventually referred to the University of Miami's Bascom Palmer Eye Institute, where Jackson officials were unable to track costs.
Many of Kaplan's humanitarian cases were referred to him by the wife of Bolivia's then-Pres. Gonzalo Sanchez de Lozada, whose term in office expired two months ago. Kaplan asserts there was no conflict in his doing favors for the first lady of Bolivia as a county commissioner while also conducting business in Bolivia as a private citizen. "There is no conflict," he insists. "I have never asked her about any business. We don't talk business, we talk about saving lives. You can't give everything a sinister spin."