U.S. government admits medical negligence in cancer death

LOS ANGELES—The federal government has acknowledged it was negligent in the death of an immigrant whose cancer went undiagnosed for nearly a year while he was in custody.

The government last week acknowledged medical negligence, an allegation contained in a lawsuit filed by the family of 36-year-old Francisco Castaneda.

“Was there medical negligence and we’re saying yes,” U.S. attorney’s spokesman Thom Mrozek said Wednesday.

The claim carries maximum damages of $250,000, he said.

“We concluded there were some issues related to Mr. Castaneda’s detention and that led to our admission last week,” Mrozek said.

“The United States’ admission of liability is a recognition that they have no defense to the plaintiffs’ claim for medical negligence and wrongful death,” said Conal Doyle, an Oakland attorney representing Castaneda’s family. “We intend to move forward and ask the court to strike down the policy for provision of medical care to detainees as unconstitutional.”

Castaneda, an illegal immigrant from El Salvador, was placed in immigration custody after serving an eight-month state prison sentence on a 2005 conviction for possessing methamphetamine with intent to distribute.

While at the San Diego Correctional Facility, he notified immigration officials that he had a large, painful, growing lesion on his penis.

Despite recommendations from several doctors, the cancer was never biopsied and Castaneda received no treatment

except for pain pills during his 11 months in detention, government records indicated.

A doctor at the Division of Immigration Health Services would not admit Castaneda to a hospital, saying her agency considered it “an elective outpatient procedure.”

Castaneda was released last year, went to a hospital and was diagnosed with metastatic squamous cell carcinoma. He died in February.

He testified about his case before Congress last year.

A federal judge in March ruled that the alleged denial of medical treatment was “beyond cruel and unusual punishment,” allowing Castaneda’s family to go forward with the suit.