doc’s understanding from reading “Cliff’s notes” of various laws/rules/regulations or just poor reading comprehension ?

 

http://www.apmss.net/

from their website:

Goals of Treatment

  • To properly diagnose the exact cause of pain
  • To utilize the most conservative, effective treatments available
  • To provide treatment using the latest technology
  • To administer care in a compassionate manner
  • To restore an optimal level of comfort to maintain an active lifestyle

Former Partner in this practice

Image

Lee County doctor admits to receiving more than $400K in illegal kickbacks

http://www.nbc-2.com/story/38252958/lee-county-doctor-admits-to-receiving-more-than-400k-in-illegal-kickbacks

A Lee County doctor has resigned from his practice days after admitting to defrauding the government out of hundreds of thousands of dollars.

Federal court documents show Dr. Michael Frey of the Advanced Pain Management & Spine Specialists clinic on College Parkway agreed to plead guilty Friday to two counts of fraud.

Investigators said he received more than $470,000 in illegal kickbacks from representatives of two companies.

Those companies would then file fraudulent Medicare benefit claims, a scheme which lasted for up to six years.

Some of Frey’s former patients, like Jean Sundstrom, are now left scrambling to find a new doctor.

“The man has a demeanor that makes you feel like everything’s going to be OK,” she said. “I don’t see the man as fraudulent. I just don’t.”

In a statement, Dr. Frey’s former business partner said the illegal kickbacks were “concealed from other members of the practice.”

Frey faces up to 10 years in prison, but that could be reduced if he helps investigators prosecute anyone else involved in the same scheme.

Our calls to Frey’s attorney were not returned.

The full statement from Dr. Jonathan Daitch, Frey’s now-former business partner, is below:

“Advanced Pain Management & Spine Specialists would like our patients and the Southwest Florida community to know that we are committed to the highest standards of medical care for our patients and the highest ethical standards for our medical profession.

“The practice recently learned that one of our physicians, Dr. Michael Frey, entered into a plea agreement with the government alleging the unlawful payment of kickbacks to Dr. Frey for the prescription of certain medical products.

“These kickbacks were concealed from other members of the practice. Although the plea agreement alleged unlawful payments to Dr. Frey for the prescription of medical products, it is our understanding that all medical services conducted by Dr. Frey and all medical prescriptions ordered by Dr. Frey were medically necessary and provided or prescribed for the maximum medical benefit to the patient.

“While I’m saddened to learn of Dr. Frey’s actions, our primary responsibility is to our patients and staff.

“Dr. Frey has since resigned from Advanced Pain Management & Spine Specialists and I have assumed sole ownership over the practice.

“I have thoroughly reviewed our operations and have taken proactive measures to ensure that proper patient care and billing processes are being followed, including ongoing, robust compliance training for all staff and continuous audit procedures. I stand behind the superior patient care that the practice provides to patients. To that end, we have assembled a team of highly qualified physicians and staff to ensure the highest quality of ongoing care for our patients.

“We look forward to continuing to provide the specialized services to our patients and our community that can only be found at Advanced Pain.”

While it is not stated in this article… it sounds like a company called Insys Therapeutics that has a product called Subsys… which is a sublingual Fentanyl spray and is only approved for end stage cancer pain, because of this route of administration it has a short onset and short duration of action.  End stage cancer pain can be very abrupt and very severe and using this routine of administration the onset of action is fairly close to giving an injection.

Here is another article about this company and this product and the legal problems surrounding it 5 Doctors Are Charged With Taking Kickbacks for Fentanyl Prescriptions

Whether Dr Daitch was aware what his partner (Dr. Frey) was doing or not…. I would suspect that Dr Daitch’s practice  has found that he now has a lot of “alligators” in his swamp because of the actions of Dr Frey. On the website – as of today – shows Dr Daitch as the only physician in the practice, so now he has at least twice as many pts than he can handle and may find that he is going to have trouble finding another physician to come into his practice and will be glad if a fair number of the pts in the practice.. decide to go elsewhere.

From his letter, sounds like he is going to treat a lot existing pts as “addicts” recommending Buprenorphine as a substitute for opiates and he is blaming insurance/PBM’s for removing pts off various benzos. I suspect that those chronic pts who have been using Subsys will find they have better pain management off of that product because they have probably been on a very serious pain “roller coaster”.. maybe even having been routinely thrown into withdrawal because of the short duration of action of Subsys.

It will be interesting if some of these pts comes forward after their “weaning off” of opiates and put on Buprenorphine or CBD oil and see how their pain is being managed. I may be wrong, but those whose treatment has been the proper dosing of ER & IR opiates.. will not be a bunch of “happy campers” and there may be a few suicides because of unrelenting pain.

 

Why states’ opioid prescribing regulations may be a detriment to chronic pain patients

Why states’ opioid prescribing regulations may be a detriment to chronic pain patients

https://www.beckershospitalreview.com/opioids/why-states-opioid-prescribing-regulations-may-be-a-detriment-to-chronic-pain-patients.html

Twenty-eight states have created laws and policies limiting the prescription of opioids to patients. For some individuals with chronic pain, these types of restrictions are more crippling than curative, according to NPR.

The most common regulation  among the states focuses on restricting a patient’s first opioid prescription to a number of pills that will last less than a week, while a few states, such as Arizona, have taken a stronger stance. The Arizona Opioid Epidemic Act, passed in late January, limits most patients’ maximum dosage for prescription painkillers.

Since the law’s passing, Arizona physicians reported feeling pressure to lower patient doses, even for individuals who’ve taken a stable opioid regimens for years without any issues.  The lower dose requirements are leaving many patients with severe chronic pain, according to NPR.

Julian Grove, MD, a pain physician at Phoenix-based Pain Consultants of Arizona, worked with the state to help create the law’s  prescribing limits.

“We moved the needle to a degree so that many patients wouldn’t be as severely affected … But I’ll be the first to say this has certainly caused a lot of patients problems, anxiety,” he told NPR. “Many people who are prescribing medications have moved to a much more conservative stance and unfortunately pain patients are being negatively affected.”

More articles on opioids:

10 latest developments, findings on opioids
Pill curbs opioid addiction also poisons children
How first responders are handling opioid overdose calls in Florida

NC: 7000+ chronic pain pts “kicked to the curb” with little/no warning or transition ?

Pain clinic closing, changes leave thousands scrambling for care, medicine

https://www.journalnow.com/business/business_news/local/pain-clinic-closing-changes-leave-thousands-scrambling-for-care-medicine/article_7a2944f0-d767-5569-b7ec-a214b8490fe2.html

A race against time has started for James and Judy Keene of Westfield.

The couple is searching for a new pain treatment clinic with less than a month’s supply of pain relievers in hand for James Keene.

News surfaced July 2 that Comprehensive Pain Specialists, based in Brentwood, Tenn., had closed its Elkin clinic as part of beginning the process of ceasing operations in its 12-state territory. It appears the clinic at 500 Pineview Drive in Kernersville also has been shut down.

The CPS clinic at 160 Kimel Forest Drive in Winston-Salem is reported to be closing July 18. CPS officials have not returned request for comment on its plans.

James Keene has received treatment and prescription medicine for chronic back and leg pain for more than two decades, including recently at the Elkin clinic. He had had three back surgeries during that time.

“We are hopeful we can find someone to write his prescriptions so he doesn’t go through withdrawal,” Judy Keene said Friday.

They likely are not alone in their desperation.

There could be more than 7,000 North Carolina patients receiving chronic pain, opioid and other addiction treatments affected by the news that CPS is either closing or divesting its 60 clinics.

Judy Keene said the couple was given three days’ notice that the Elkin clinic at 505 Samaritans Ridge Court was closing June 21, and that her husband’s account had been transferred an hour away to the Winston-Salem clinic.

Before the Keenes left to go for the June 21 appointment in Winston-Salem, they were notified it had been cancelled. Judy Keene said they were told the clinic was being prepared for closing and would not accept new patients.

Former local employees told the Winston-Salem Journal on July 3 that the local office had been acquired July 2 by Bethany Medical Center of High Point.

Bethany officials have not responded when asked about the potential acquisition, but media reports say Bethany will take over July 19.

Officials at the Winston-Salem clinic faxed a prescription for James Keene’s medications to his pharmacy so he would have enough to last through the end of July, Judy Keene said.

CPS did not tell them on June 21 of pain-treatment clinics willing to take new patients. They learned a list existed from another patient trying to get care from the clinic.

“We were then told they had about five clinics that agreed to take care of the patients,” Judy Keene said. “We drove an hour to Winston-Salem to get the list and we started applying.

“Only Carolina Pain Institute has returned our call. They told us they would have to get my husband’s records and they would decide if they would take him in 10 days or so.”

Judy Keene said she has contacted providers at Wake Forest Baptist Medical Center, Novant Health Spine Specialists and Preferred Pain Management that were on the CPS list.

“So far, no response,” she said.

Continuity of care

Novant did not say whether its spine specialists clinics in Bermuda Run and Winston-Salem were taking new patients. It said individuals can find an affiliated pain management provider and request an appointment by going to https://www.novanthealth.org/home/patients–visitors/our-doctors/find-a-doctor.aspx?specialty.

“Continuity of care is a priority for all patients, especially patients managing chronic illnesses and/or chronic pain,” said Dr. Jeffery Peacock, pain specialist at Novant Health Spine Specialists in Winston-Salem

“Novant Health utilizes a multi-modal approach to pain management through the integration of interventional procedures, medication management, physical therapy and restorative health services.”

Dr. Robert Hurley, professor of anesthesiology at Wake Forest Baptist, said the system’s pain specialist clinics are prepared to serve CPS patients in Davidson, Davie, Forsyth and Guilford counties.

“Our pain services have expanded substantially in the last 12 months to include new clinical sites and six new faculty pain physicians,” Hurley said.

Marlon Hunter, health director of Forsyth County, said the health department “does not provide pain management clinic services.”

Keene said she’s concerned that “there’s no way the remaining Triad pain-maintenance clinics can handle these people.”

“I have no idea how many patients CPS has thrown to the wolves in the Triad area. It was bad enough that due to the opioid crisis those that do not abuse their narcotics have had their doses reduced by over a half by CPS.

“I fear many of CPS’ former patients are going to go through withdrawal through no fault of their own.”

Concerns

There has been speculation about clinics closing since April 10, when John Davis, the company’s former chief executive, was indicted by the U.S. Attorney Office for the Middle District of Tennessee.

The indictment charged Davis with participating in a $4.6 million Medicare kickback scheme involving medical equipment.

Davis was charged with one count of conspiracy to defraud the United States and to pay and receive health care kickbacks, and seven counts of paying and receiving health care kickbacks. Facing the same charges is Brenda Montgomery, of Camden, Tenn., owner, founder and chief executive of CCC Medical.

The Tennessean reported the company has about 250 medical professionals, according to federal court documents.

Michelle Crouch posted Thursday on CPS’ Winston-Salem Facebook page that the clinics are closing “without warning to patients with appointments.”

“It should be illegal to be this unprofessional to the patients who are in this kind of pain and need their medications. It’s not like primary care doctors will help much or at all for these patients.

“And it takes months to be seen by another pain doctor.”

Crouch shares Judy Keene’s concerns that as patients run out of medicine, they will fall “in a horrible tailspin of pain, withdrawals, anxiety, depression, increased blood pressure due to pain and stress, and they don’t know when/if it will end.”

“Who’s to say another doctor won’t dump us the same again.

“I’m disgusted and so disappointed by CPS and the choices of those who were called our caretakers.”

The FDA is keeping the public in the dark about scientific fraud

fda

FDA Caught Covering-Up a Laundry List of Fraudulent Studies

www.realfarmacy.com/fda-caught-covering-laundry-list-fraudulent-studies/

Professor Charles Seife of the Arthur L. Carter Institute of Journalism at New York University recently uncovered some disturbing evidence about the United States Food and Drug Administration (FDA). This information came to light when he made a Freedom of Information request earlier this year. When Seife received his information, he learned that 22 clinical trials submitted to the FDA were falsified, and the results of these falsified trials were not revealed to the public.

With his students assisting him, Professor Seife compared the FDA’s actions regarding these trials against information on them in peer-reviewed studies. The results of Seife’s investigation were recently published in the online journal, JAMA Internal Medicine.

 

The FDA is keeping the public in the dark about scientific fraud

When clinical trials are found to have violated proper practices or to have been falsified, the FDA takes regulatory action against those conducting the trials. When this is required, paperwork regarding the trials is traditionally marked as “official action indicated (OAI).”

Seife’s investigation revealed that 57 trials received the OAI indicator for everything from bad record keeping (35 studies) to actual falsification of results (22 studies). The affected trials took place between 1998 and 2013. The FDA never informed the public of these findings or of any actions taken against the facilitators of the studies.

 

How could the FDA allow falsified studies to be published?

While the FDA did take ‘official action’ against clinical trial facilitators who falsified results, they allowed the results to be published. No retractions for these falsified results were ever required. Studies with blatantly falsified results remain in medical journals, misleading other researchers as well as the public about the truth.

It is no longer a ‘secret’, the FDA has violated the public trust.  This is the same organization that refuses to label seafood that has mercury – a known neurotoxic (heavy metal) substance; allows the deadly (artificial) sweetener aspartame to be sold in food products and gives its approval to drugs that cause harm.

By allowing falsified results of clinical trials to remain in publications with no retractions required, the FDA is violating the public’s trust. The public has a right to expect transparency from the FDA, as the health and safety of America’s people depend on it.

Professor Seife has stated that the FDA seldom takes any action to make sure falsified study results are corrected in the medical literature, even when it finds significant departures from good study practices. And, the only reason why the FDA has not been taken down is because the federal government, its regulatory agencies and the U.S. legal system work together to protect corporate interests – while minimizing its exposure to lawsuits.

 

The evidence is clear: The FDA does not care about public safety

When the FDA does NOT retract inaccurate and/or falsified research projects – this indicates a clear violation of their duties and obligations – both morally and professionally. In fact, the actions of the FDA are criminal – by NOT making every (reasonable) step to protect the population.

And, just in case you have any doubt how bad this organization really is – consider this quote from a credible source:

“The thing that bugs me is that the people think the FDA is protecting them. It isn’t. What the FDA is doing and what the public thinks it’s doing are as different as night and day.” – Herbert Ley Jr., M.D., former Commissioner of the FDA.

The FDA consistently acts as the ‘protector’ of drug company profits and supports the monopoly-control that the pharmaceutical industry has over the world.  Not only does the FDA hide fraud, they actually censor quality health information from getting into the public domain. In fact, here are several examples of how the FDA deliberately withholds lifesaving information from the general public:

-Between 1992 and 1996, the FDA prohibited companies that sell folic acid from telling women of childbearing age that .4 mg of folic acid daily before pregnancy could reduce the incidence of neural tube defects (including spina bifida and encephaly) by 40%. FDA’s censorship contributed to a preventable 10,000 neural tube defect births.

-Between 1994 to 2000, the FDA prohibited companies that sell omega-3 fatty acids from telling Americans that those fatty acids found in fish oil could reduce the risk of coronary heart disease by as much as 50%. FDA’s censorship contributed to a preventable 1.8 million sudden death heart attacks.

-Between 2000 and the present, FDA prohibits companies that sell saw palmetto extract (the fruit of the dwarf American palm tree) from telling Americans that saw palmetto reduces enlarged prostates and relieves related symptoms. Approximately 50% of all men age 50 and older suffer from enlarged prostates and are denied access to this information.

-Between 2000 and the present, FDA prohibits companies that sell glucosamine and chondroitin sulfate from telling Americans that those dietary ingredients treat osteoarthritis and relieve osteoarthritic pain and stiffness. Approximately 20 million Americans suffer needlessly from osteoarthritis.

 

This criminal behavior must be stopped. Without the correct information, other researchers, as well as the general population, are being misled and allowed to go down roads regarding their own studies, health and wellness practices – that lead to nowhere, or eventual harmful outcomes.  The FDA has broken public trust; acted without regard to public safety and must be held accountable for their actions.

 

References:
http://www.medicalnewstoday.com/articles/289167.php
http://www.smnweekly.com/fda-possibly-hidden-22-fraudulent-clinical-trials/15039
http://archinte.jamanetwork.com/article.aspx?articleid=2109855
http://www.stopfdacensorship.org
Credit: http://www.naturalhealth365.com/clinical-trials-food-and-drug-administration-1328.html
Image Background: Wikimedia Commons

 

Given the WRONG MED… US DRUG WATCHDOG… wants to hear about it.

US Drug Watchdog Urges Pharmacy Clients Who Were Given the Wrong Drug or a Prescription for Someone Else by a Pharmacist to Call Them About Compensation – Were You Injured?

https://www.prnewswire.com/news-releases/us-drug-watchdog-urges-pharmacy-clients-who-were-given-the-wrong-drug-or-a-prescription-for-someone-else-by-a-pharmacist-to-call-them-about-compensation—were-you-injured-300677164.html

WASHINGTON, July 9, 2018 /PRNewswire/ — The US Drug Watchdog says, “We are now urging persons to call us anytime at 866-714-6466 if their local pharmacy provided them with someone else’s prescription or a prescription with the wrong drugs or incorrect dosage. For some people, the outcome of receiving the wrong prescription or a drug prescription with incorrect dosage could be fatal. We would like to help you get compensated. The only catch we have is did you keep the medication and or keep the sales receipt that indicates the error?” http://USDrugWatchdog.Com

The US Drug Watchdog is now warning consumers using a pharmacy drive through in any state nationwide to confirm the drug they are picking up has the correct name on it, the drug is the correct medication prescribed by their doctor-dentist, and do the pills or medication look to be the same as what the consumer has taken before. If not-the group is urging the consumer to park their car and go into the pharmacy and ask the pharmacist about the issue. 

The US Drug Watchdog Is Urging Consumers Nationwide To Be on The Look Out for The Following Types of Pharmacy Errors:

  • The pharmacy provided the consumer with the wrong drug medication
  • The pharmacy failed to provide the consumer with the proper dosage and usage directions on the label
  • The pharmacy filled a prescription for a child with the wrong drug medication.
  • The pharmacy provided the consumer with someone else’s prescription
  • Giving the young child an unintended drug
  • The pharmacy failed to check for any potential medication interaction issues

The US Drug Watchdog says, “We are certain pharmacy prescription errors kill or seriously injure tens of thousands of US consumers every year.  If you possess proof a pharmacy gave you the wrong prescription, a prescription with the wrong dosage or someone else’s prescription, please call us anytime at 866-714-6466-especially if you were injured by the mistake.

“However, as mentioned we will need proof of the mistake either being you still are in possession of the incorrect prescription, or your sales receipt indicates the error. If you possess this type of proof-we will get you to qualified lawyers who have a track record of assisting consumers nationwide with these types of very serious pharmacy error issues. We also want to emphasize this is a national initiative for consumers in every state from Maine to California, Florida, Illinois, Oregon, Texas, Ohio, New York, Oklahoma, Minnesota, Washington, etc.” http://USDrugWatchdog.Com

Two pts take new prescriptions into a pharmacy… one walks away with the wrong medication – a mis-fill – and the second walks away with NO MEDICATION because the pharmacist on duty states that “they are not comfortable” or some other “excuse” … not a valid reason/fact…

Did both pts fail to get the medications that their prescriber intended for them to have… the first is technically considered a MIS-FILL – wrong medication

The second…  should it also being considered a MIS-FILL ?

Both pts walked away from the pharmacy without the medication that their prescriber wanted them to have for their medical/health issues.

If not… is there a DOUBLE STANDARD ?  The primary charge of the 51 Boards of Pharmacy is to protect the public’s health and safety… if these boards only take action against the former issue and not the latter… are they failing to meet their primary charge ?

mail order pharmacy may be harmful to your health


I-Team: Online pharmacy shutting down after selling fake cancer drugs

http://abc11.com/health/i-team-online-pharmacy-shuts-down-after-selling-fake-cancer-drugs/3733321/

There are fresh warnings from both state and federal health officials about the risks of buying prescription drugs online.

According to the Food and Drug Administration, 97 percent of online pharmacies are “illegitimate and unsafe,” involving “highly sophisticated criminal enterprises” that sell medicine that “does not work, or worse, is dangerous to your health.”

Elaine Marshall, North Carolina’s Secretary of State, explained to the ABC11 I-Team that online pharmacy schemes also target consumers’ credit card numbers and identities.

“It is a fallacy that they’re in Canada,” Marshall said, referring to the popular notion that cheaper prescription drugs are available north of the border. “You can have all kinds of websites, and put up nice pictures, storefront locations and what have you, and they just don’t exist. They’re made up things.”

Jonathan Harward, Pharmacy Manager at Josef’s Pharmacy in Raleigh, said counterfeit drugs pose significant health risks to consumers because it’s possible the drugs are not the proper dosage, not stored correctly, or may have unknown ingredients.

“If you were to get a counterfeit drug and you were to take it, and you had a side effect – even a life-threatening side effect – we don’t know what that was,” Harward warns. “So it’s going to take more time for the doctor to reverse the effects or treat the effects of what happened to you.

The recent case of CanadaDrugs.com further exemplifies the many risks involved with online pharmacies. The company, which boasts that it has filled more than 7,000,000 prescriptions since its founding in 2001, will shut down on July 13 as part of a plea agreement with federal prosecutors. The indictment, obtained by the I-Team, highlights how investigators found pill bottles with no instructions and labels only in foreign languages; further investigation found CanadaDrugs.com selling two counterfeit cancer drugs with no active ingredients.

Under the terms of the plea, the company must forfeit $29,000,000 of the proceeds of their illegal scheme and pay a fine of $5,000,000. The court also sentenced CanadaDrugs.com’s Chief Executive Officer individually to pay a fine of $250,000 and five years of probation with the first six months in home confinement.

“FDA regulations are in place to protect patients and help ensure the medicines they receive are safe and effective,” said Catherine A. Hermsen, acting director of the FDA’s Office of Criminal Investigations. “The U.S. drug supply is among the safest in the world, but when drugs from outside the FDA’s closed supply chain enter the U.S., patients are put at risk. For the protection of consumers, the FDA will continue to pursue and bring to justice those who attempt to evade FDA’s regulations.”

For consumers wishing to purchase their medicine online, both the FDA and the Federal Trade Commission identify the following signs of a safe online pharmacy:

*Require a valid prescription from a doctor or another licensed health care professional.

*Are licensed by your state board of pharmacy or equivalent state agency. (To verify the licensing status of a pharmacy check your state board of pharmacy.)

*Do not appear on the National Association of Boards of Pharmacy’s “List of Not Recommended Websites.” (Just because the online pharmacy does not appear on this list does not mean it is safe.)

*Have a U.S. state-licensed pharmacist available to answer your questions.

*Are in the United States and provide a street address.

Additionally, the N.C. Secretary of State’s Office is promoting the website VerifyBeforeYouBuy.org, which enables users to simply enter a web address into a search bar and the tool will quickly determine whether the online pharmacy is certified and from a safe source.

“This is directed to help individual citizens,” Secretary Marshall insisted. “It is intended for consumers, it is health and safety issues by the medical community.”

All medications – both OTC and Rx – have a mandatory storage temperature … typically 55F – 85F for most.  Manufacturer, wholesaler and pharmacies are required to maintain those storage temperature.  But… once a pharmacy hands a filled prescription over to a delivery carrier… they are not obligated to maintain that storage temperature.  It is my understanding that there is a 24 hr “grace period” for medications to be outside of the required temperature and any outside of that range for > 24 hrs… is considered adulterated/contaminated and should be destroyed.

Many years ago, I read a report where some entity did a test on a inhaled medication ( I think) that was shipped/mailed to a address in the SW of the USA in the summer and when the contents were analyzed – after being in the heat of summer – LOST HALF OF ITS POTENCY !

I wonder how many deaths, these sort of things have caused and the person’s death was determined to be the deterioration of their health issue as the cause of death and never considered the possibility that the pt was getting their medication via mail order and they could have been sub-potent and contributed to the pt’s death ?

Just what FL needs… an attorney… married to a DEA agent.. as ATTORNEY GENERAL

Florida Attorney General Candidate Ashley Moody Stops in Bay County

https://www.mypanhandle.com/news/florida-attorney-general-candidate-ashley-moody-stops-in-bay-county/1287678156

BAY COUNTY, Fla. – Ashley Moody, a republican candidate for for Florida Attorney General made a stop in Bay County.

The Plant City native is familiar with Bay County, her mother born and raised in Panama City. Moody is a former federal prosecutor and judge married to a DEA agent. She plans to fight opioid epidemic by continuing the conversation and focusing on synthetic drugs like fentanyl.

She said she doesn’t believe in the separation of families at the border but said the administration is doing their best to correct it, and still follow the law.

“If i’m given the chance to be attorney general I will do so in a way they can be proud of their support, and will be a strong, effective attorney general for Florida,” said Moody.

Moody will face fellow republican Frank White in the primary election in August. If she wins there she will face the winner of the democratic candidates in November.

Kasich: the man who wanted to be Pres and another state with a major opiate OD problem

Kasich team’s CVS ties questioned amid pharmacy benefit manager inquiry

http://www.dispatch.com/news/20180708/kasich-teams-cvs-ties-questioned-amid-pharmacy-benefit-manager-inquiry

The administration of Ohio Gov. John Kasich has been less than forthcoming about critical aspects of CVS’s business with the state as the pharmacy giant faces scrutiny over its Medicaid-related operations.

Possible conflicts of interest between the Kasich administration and CVS are fueling skepticism over whether Ohioans will see changes in a Medicaid setup that gives the national pharmacy company up to six times its actual cost of providing prescription drugs to Ohio’s poor and disabled.

The relationships are shrouded in secrecy — in part because of confidentiality laws and in part because the administration of Gov. John Kasich has been less than forthcoming about critical aspects of CVS’s business with the state.

The concerns are heightened because Medicaid officials withheld key information from state legislators about CVS costs and displayed a reluctance to make substantive changes to a system that many lawmakers and pharmacists say is a ripoff of taxpayers.

another story about “covert genocide” on the “takers” in our society ?

https://video.vice.com/en_us/embed/5b3e30aebe40770821623321

5 minute video… making healthcare AFFORDABLE

Asked to pass this along

But I’m about to do a live feed  ( https://www.facebook.com/iamafibrowarrior ) I need all chronic pain patients to make these signs and post them in fact maybe even put it as their profile picture so we let the legislators know that we’re damn voters and we count