Episode Details

Multnomah County’s community health clinics are in turmoil after former interim director Anirudh Padmala was ousted amid an investigation — but he’s calling it a power play by staff versus the patient-led oversight board. His lawyer claims the county discriminated against him, ruined his reputation, and caused severe stress. While Padmala says he had backing from colleagues and board members, former board members accuse him of being sneaky and unqualified, even though three of the four people they cite are now gone. The clinics, serving 56,000 annually, keep running smoothly — but leadership changes are frequent, with Padmala being the fifth director in six years. The unique setup — where the patient board hires and oversees the director, and federal funds require patient representation — fuels tension. The investigation found unprofessional conduct and morale damage, but no evidence of personal gain. Now, the county seeks a new leader, but final decisions rest with the fractured board.

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