NPR

Kentucky Lawmakers Limit Black Lung Claims Reviews Despite Epidemic

There's a change in Kentucky law that puts diagnoses of the deadly coal miners' disease black lung mostly in the hands of physicians who typically work for coal companies.
Severe black lung disease deeply scarred the lung of a 61-year-old West Virginia coal miner, which was removed as part of a lung transplant.

A measure signed into law in Kentucky this past week would prevent federally-certified radiologists from judging X-rays in state black lung compensation claims, leaving diagnoses of the disease mostly to physicians who typically work for coal companies.

The new law requires that only pulmonologists — doctors who specialize in the lungs and respiratory system — assess diagnostic black lung X-rays when state black lung claims are filed.

Up until now, radiologists, who work in evaluating all types of X-rays and other diagnostic images, had been allowed to diagnose the disease as well.

Just six pulmonologists in Kentucky have the federal certification to read black lung X-rays and four of them routinely are hired by coal

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