Friday, November 30, 2012

More Lawsuits Likely In Zoloft-Related Birth Defects

Mad In America has;
More Lawsuits Likely In Zoloft-Related Birth Defects

Related Posts:

Thursday, November 29, 2012

Four Leading Antipsychotics Aren't Safe or Effective In Older Adults

Mad In America has;
Four Leading Antipsychotics Aren't Safe or Effective In Older Adults

"A 5-year study funded by the National Institute of Mental Health and conducted by U.C. San Diego School of Medicine, Stanford University and the University of Iowa, comparing the effects of Abilify, Zyprexa, Seroquel and Risperdal on 332 patients over the age of 40, finds that “While there were a few significant differences among the four drugs, the overall risk-benefit ratio for the AAPs in patients over age 40 was not favorable, irrespective of diagnosis and drug.” Results were released online yesterday by the Journal of Clinical Psychiatry.

Jin, Hua., Shih, P., Golshan, S., et al; Comparison of Longer-Term Safety and Effectiveness of 4 Atypical Antipsychotics in Patients Over Age 40: A Trial Using Equipoise-Stratified Randomization. Journal of Clinical Psychiatry. Online November 27, 2012

OIG: Fraud Crackdown Nets Record Breaking Recoveries

Fierce Healthcare has;
OIG: Fraud Crackdown Nets Record Breaking Recoveries
November 28, 2012 | By 

The Office of Inspector General is on its way to setting a record in recoveries of about $6.9 billion this fiscal year, according to its semiannual report submitted to Congress yesterday.

With "significant progress over the past year," 
according to Inspector General Daniel Levinson, OIG reported $923.8 million from audits and $6 billion from investigations, as well as $8.5 billion in estimated savings resulting from legislative, regulatory or administrative actions from OIG's recommendations.

OIG's crackdown has focused on reports of healthcare fraud, waste and abuse, most recently, at mental health centers, nursing homes and hospitals.

OIG said it excluded 3,131 individuals and entities from the federal health programs. It also reported 778 criminal actions against individual criminals or entities and 367 civil actions regarding false claims, civil monetary penalties and provider self-disclosure issues.

In Medicare, specifically, efforts by the federal program's Fraud Strike Force resulted in charges against 305 individuals or entities, 181 convictions and $151 million in investigative receivables.

Two audits earlier this year focused on 
cardiovascular and musculoskeletal surgeries, in which the evaluation and management services (E/M) payments did not reflect the services actually provided. The 2012 reports found that cardiovascular and musculoskeletal surgery claims in 2007 revealed $63 million in wasteful Medicare spending in E/Ms not provided. OIG attributed it to a faulty global physician fee schedule that doled out payments related E/M services before the day of surgery, the day of the surgery and the 90 days after the day of the surgery--regardless of whether the E/M services were actually provided, OIG found.

In a separate report, OIG found flaws in how providers record adverse and temporary harm events with "present-on-admission" conditions at a 3 percent error rate in October 2008 claims. Although OIG determined it was relatively low, present-on-admission indicators provide an opportunity for monitoring hospital care quality.

For more information:
- see the OIG 
announcement and report on recoveries
- check out the OIG cardiovascular 
report and musculoskeletal report (.pdfs)
- here's the OIG 
summary and report (.pdf) on POA indicators

Related Articles:
Health system pays $10.1M to settle overbilling charges
Hospitals urge OIG to investigate RACs
3 RAC targets to watch for

Thank You Fierce Healthcare and Ms Cheung-Larivee

OIG's crackdown has focused on reports of healthcare fraud, waste and abuse, most recently, at mental health centers, nursing homes and hospitals.

Wednesday, November 28, 2012

SCOTUS Revives Challenge To ObamaCare

The Hill's Healthwatch has;
Supreme Court Revives Challenge To President Obama's Healthcare Law
By Sam Baker 11/26/12 10:50 AM ET

The Supreme Court revived a legal challenge to President Obama's healthcare law on Monday, saying a lower court can consider a challenge to the law's individual mandate.
The court — with the blessing of the Obama administration — revived a suit filed by Liberty University. When Liberty's case reached a federal appeals court, the court said it could not rule because of the Anti-Injunction Act, a federal law that bars lawsuits against new taxes before they have taken effect.
But when the Supreme Court heard its landmark healthcare case this past March, it specifically said the Anti-Injunction Act did not bar challenges to the individual mandate, which takes effect in 2014.
So Liberty had asked the high court to send its case back to the lower court for a new hearing, since the rationale for declining to rule had been overturned. The Justice Department had signed off on the request before the justices granted Liberty's request on Monday.
The court's decision Monday is purely procedural and does not indicate that the justices believe Liberty is likely to win on the merits. The lower court will still be bound by the Supreme Court's decision upholding the healthcare law as constitutional.
Although Liberty raised the same objections as the primary challenge to the mandate, its lawsuit also argues that the healthcare law violates religious freedom by requiring the school to purchase a healthcare policy that could, indirectly, contribute to the funding of abortion.
Liberty's initial complaint said because university employees would have to comply with the individual mandate and the university would have to comply with the employer mandate, they "cannot protect their sincerely held religious beliefs against facilitating, subsidizing, easing, funding or supporting abortions."

Thank You Healthwatch and Mr Baker

Twice Raped ServiceWoman Suffers Lifetime Psychological Rape By Psychiatry

Kip Central has;
American Psychiatric Association Rejecting Valid Complaints By Rape Victim

Tuesday, November 27, 2012

Cleaning Up After Ruth Bader Ginsberg

Supreme Court Justices don't just happen. They're appointed by Presidents: which is Why your vote matters. Ruth Bader Ginsberg is on the US Supreme Court because President Clinton Put her there.

From Business
Justice Ginsberg Uses Romneycare In Obamacare Majority Opinion
by Brett LoGiurato | Jun. 28, 2012, 1:05 PM

"In her opinion of the Supreme Court's decision to uphold the Affordable Care Act on Thursday, Justice Ruth Bader Ginsburg made note of Mitt Romney's Massachusetts health care law as a reason why the individual mandate was constitutional. 
While Ginsburg was a part of the majority opinion, she had differing reasons as to why the mandate was constitutional. The rest of the justices found that under the Commerce Clause, the mandate requiring all U.S. citizens to buy health insurance was not valid. They upheld it as a tax. 
Ginsburg, however, said it should have been upheld under the Commerce Clause, and explained how Congress followed Massachusetts' lead in preventing only sick people from signing up for health insurance:
"Massachusetts, Congress was told, solved the adverse selection problem. By requiring most residents to obtain insurance ... the Commonwealth ensured that insurers would not be left with only the sick as customers. As a result, federal lawmakers observed, Massachusetts succeeded where other States had failed."
Ginsburg continued, citing briefs "noting the Commonwealth's reforms" and "noting the success of Massachusetts' reforms." She noted that the reforms reduced the number of uninsured to less than 2 percent, the lowest rate in the nation. 
"In coupling the minimum coverage provision with guaranteed  issue and community-rating prescriptions, Congress followed Massachusetts’ lead," Ginsburg wrote.
Romney has been knocked before — especially during the Republican primary season — for enacting similar health-care reforms as the governor of Massachusetts to the one President Barack Obama signed into law in 2010. Romney has argued that the law works at the state level, but should not be applied nationally. He said Thursday that he would "repeal Obamacare" if elected president.
Thank You Business Insider and Mr LoGiurato

Right, the Commerce Clause: which has been invoked Wrongly for more Govt. Power grabs and deprivations of Liberty than any other part of the Constitution.
The Commerce Clause grants Congress the authority to economically punish people who refuse to purchase goods and services from non-Government vendors. 
Planet Mars to Ruth. Come in Ruth. 

Next, Mike Adams at shares with us just what kind of squirrels power this treadmill of a steel trap legal mind when it comes to Living and Breathing the Oath she took to uphold and defend the Constitution.

Townhall has;
Cleaning Up After Ruth Bader Ginsberg

Of all the sloppy and confused decisions rendered by the Supreme Court in recent years, few compare with CLS v. Martinez (2010). The decision was more than just poorly reasoned. It was also based upon willful blindness toward factual misrepresentations by the defendants in the case. Justice Ginsburg authored an opinion she knew she could arrive at only by pretending to believe facts she knew were not true.
Greg Lukianoff, president of the Foundation for Individual Rights in Education, or FIRE, offers a good critique of the decision in his new book, Unlearning Liberty. I write about it today because the decision is still causing serious problems for us in higher education. The problems are due to both a) incompetence and b) feigned ignorance concerning the holding in the case. Either way, the mess has gotten so out of hand that the only solution is state legislative intervention.
Nearly every conflict between a religious organization and a public university begins with a refusal of the group to affirm sexual practices and lifestyles that the administrators endorse. That isn't always the case but it is too often the case. Surely, my libertarian and liberal friends agree that our public universities ought not to have official positions on such private matters. But, unfortunately, they do.
To be clear, these administrators do not simply favor toleration of alternative lifestyles. Tolerance presupposes a moral judgment they, which they refuse to offer. Instead, they use their power to make sure no one else is offering these judgments either. If any organization goes against their beliefs about sex, they simply refuse to recognize the organization.
Enter Christian Legal Society, or CLS, at Hastings College. A few years ago, they had the audacity to say that anyone who "advocates or unrepentantly engages" in sexual conduct outside of marriage between a man and a woman could not be eligible for leadership or voting membership in their official student group. They were de-recognized and then they sued.
Early in the litigation, Hastings College committed itself to a willful and knowing misrepresentation of its own policies. They specifically claimed that all groups had always been operating under an open membership or "all-comers" policy. That is to say, they were claiming that no group was ever allowed to exclude anyone from leadership or voting membership on the basis of beliefs about sex - or anything else, for that matter.
The argument was demonstrably false. At the time CLS filed suit, a gay student club, Outlaw, was forcing members to adhere to a belief statement that was favorable toward homosexuality. Additionally, La Raza, a radical leftist Hispanic organization, was requiring adherence to certain political beliefs. They were also requiring that members be Hispanic.
Nonetheless, Justice Ginsberg pretended to believe an obvious falsehood in order to fashion the following rule: public universities with all-comers policies do not violate the First Amendment when they prevent groups from selecting members and leaders on the basis of belief provided that the university does not target such groups on the basis of their beliefs.
In other words, a government entity has not really deprived a group of its First Amendment Freedom of Association rights provided it has deprived everyone else of those same rights. It takes years of working for the ACLU to develop that kind of enlightenment on the issue of religious liberty.
When confronted with the possibility that hostile groups might take over organizations they disagreed with, Ginsburg dismissed the concerns as "more hypothetical than real." Those were her actual words. The irony is that while Ginsburg was saying she did not want to rule on a hypothetical case, she was actually ruling on a hypothetical case. Her ruling about universities with all-comers policies was based upon a case involving a university that did not really have an all-comers policy. In other words, it was a "more hypothetical than real" fact scenario.
Imagine a world with no hypotheticals. It's easy if you try, Ruth.
Now back to reality. Just two months after Ginsburg wrote her opinion, all UNC student organizations received a memo telling them that the CLS decision required them to sign on to a new statement concerning open membership. This was odd, for the following reasons:
1) the CLS decision did not require anyone to do anything. It said the university could - not must but could - impose a ban on belief requirements if such a ban were put in place across the board.
2) No UNC campuses actually practice open membership. All of them have fraternities and sororities that require members to take oaths of membership. These groups typically have creeds or belief requirements. In other words, there has never been an open membership policy at any of the UNC campuses.
In addition to not being required to impose such a ban on belief requirements, universities in the UNC system are not even allowed to do so because they do not impose the ban across the board. But they did in anyway.
Within two years, here at my own university, the belief requirements started to disappear from religious and political organizations run by students wholly unaware their rights were being violated. The university told them to remove them in response to a non-existent mandate and they simply complied. They were duped.
When a group I now advise came to our campus this semester, its officers were told to remove officer belief requirements. I found out about it and fought them successfully with the help of FIRE Vice-President Robert Shibley. Specifically, the university altered its policies to conform to its pre-CLS practice stating that groups founded on certain beliefs can require officers and members to affirm those beliefs.
Game over. Right? Wrong.
A student reporter recently called our university and asked whether it was true that - as FIRE reported on its blog, The Torch - UNCW has now backed off its open membership policy. The university denied that it had. So I re-investigated the matter and found something very disturbing.
Just before the new paragraph stating that groups founded on the basis of belief can require officers and members to affirm those beliefs, a strange paragraph appears. In this paragraph, it says that UNCW has an open membership policy with regard to sexual orientation, religion, and a number of other variables.
So why did they specifically use the term "open membership"? And why the denial that they have in any way backed off their previous "open membership" policy - the one they did not actually practice because they had fraternities and sororities who require agreement with creeds as a condition of initiation?
The reason is simple: they are using that language as a trump card. They are preparing for the possibility that a group like CLS will come to campus and have a specific requirement for officers concerning sexual conduct. When they do, the university will seize upon language by Ginsburg, from CLS v. Martinez, which talks about the difficulty of separating status (e.g. sexual orientation) from belief (e.g. homosexuality is wrong) in the implementation of student membership policies.
Administrators will then claim that such a requirement violates their open membership policy - the one they do not actually have. Finally, Ginsburg or some other dishonest judge will pretend to believe them.
The only way to prevent this from unfolding in court to the detriment of the taxpayers is to have immediate legislative intervention. University bureaucrats are incompetent at best and scheming at worst. It’s time for lawyers in the NC House to come in and clean up the mess created by Ginsburg.
The state cannot offer less liberty than the Supreme Court requires. But as long as it does not rely upon the interpretation of federal law, it can offer more. And it should do so immediately while Republicans control the house and the N.C. governor's mansion.
With one page of legislation, Ohio passed a law that banned all universities from interfering with the freedom of association rights of public university students. It should serve as a model for the nation. We should adopt it in the Tar Heel State and even add criminal penalties for college administrators who conspire to deprive students of their basic religious freedoms. We did it once to stop the KKK. Why not do the same to these robed and hooded academic bigots. 

Thank You Townhall and Mr Adams

In other words, a government entity has not really deprived a group of its First Amendment Freedom of Association rights provided it has deprived everyone else of those same rights. It takes years of working for the ACLU to develop that kind of enlightenment on the issue of religious liberty.

This is what Civil Rights means to Justice ObamaCare Ginsberg.

Nobody's Rights have been Violated so long as Everybody's Rights have been Equally Violated.

If that's Good enough for Justice Commerce Clause Ginsberg, Why aren't they Applying the same Collectivist Jurisprudence to California?

Why Not? Massachusetts Law was good enough for her to use as a Precedent to extend it to all 50 States. 

Equal Deprivation for One and All, except of course if they're part of Your team, 

or they're just too Big, or Well Connected, to Bust.