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Court rules celebrated but socially thoughtless oncologist may continue patient care at Vincent Palotti

Court rules celebrated but socially thoughtless oncologist may continue patient care at Vincent Palotti
A group of cancer patients who took legal action when a private hospital terminated a 15-year relationship with a celebrated but controversial oncologist, have won the right to continued care.

On 15 April in the Western Cape High Court, Judge Eduard Wille ruled on a matter involving oncologist Louis Kathan, lauded for his “outstanding” results, allowing his continued presence in the Life Care Vincent Palotti hospital complex in Pinelands.

Judge Wille ruled that terminating the relationship with Kathan “had constituted an interference with the rights to access healthcare services and was a breach of the negative obligations imposed on the hospital respondents”.

He found that the decision also impeded the rights of the applicants to make decisions about their healthcare.

“Thus, where the exercise of power by a private body has public consequences, it may (depending on the circumstances, the context and the factual matrix) be regarded as an exercise of public power,” reads the judgment.

While Life Healthcare Holdings did not deny that the public had an interest in the hospital acting in a lawful, ethical and rational manner, it also appreciated that the decision had affected the health of Kathan’s patients.

Judge Wille said that the public interest in the matter concerned fundamental constitutional rights. 

“Self-evidently, the hospital respondents have a negative constitutional obligation not to undermine the right of access to healthcare. I say this also because of the peculiar facts of this matter,” he said.

The peculiar facts the judge was referring to are what led to the hospital’s decision to terminate the relationship with the popular oncologist after more than a decade.

‘Sexist, homophobe’


Kathan was accused by hospital management of having used the derogatory terms “nigger” and “moffie” and also making “sexually suggestive remarks about blonde women”. 

Examples of Kathan’s behaviour were contained in court papers by Craig Koekemoer, a business operations executive at Life Healthcare Holdings, who set out the doctor’s penchant for chit-chat around female colleagues about strip clubs, lap dances and how he preferred blondes.

Two members of staff had resigned due to this behaviour, and the situation had become so unbearable that a chaperone had been appointed to accompany Kathan.

The chaperone has not been entirely successful in protecting the radiation therapy unit’s staff, as Kathan had allegedly threatened them.

Judge Wille noted that Kathan had explained that he was “not racist or homophobic as he is a homosexual man of colour”, while the hospital had contended that the doctor’s subjective intentions were irrelevant.

However, Judge Wille ruled that Kathan had indeed not used “these offending words in a racist or homophobic manner”. Therefore, the termination decision was arbitrary and disproportionate. There was also no justification for declining to implement a rehabilitation plan, he said.

Patients first


The decision by the hospital to kick out Kathan had negatively affected the cancer patients, as this action had deprived them of the treatment they had received for many years, said Judge Wille.

Life Healthcare Holdings exercised a monopoly regarding this specialised cancer treatment, “thus, relying on a sanitised contractual approach to avoid constitutional and administrative law principles is impermissible in these circumstances”.

Judge Wille ruled that the decision by the hospital to terminate Kathan’s admission and practising privileges at Vincent Pallotti Hospital from 1 August 2023 was inconsistent with the Constitution of the Republic of South Africa, 1996, and therefore it was invalid.

The termination decision was also reviewed and set aside on the basis that it was inconsistent with the hospital’s own “Code of Conduct and Policy on Management of Unacceptable Conduct by a Medical Practitioner”. DM