TWO TEENS DIE… buying “opiate type drugs” on line from China

DEA wants to criminalize deadly ‘Pinky’ drug suspected of killing Park City teens

http://kutv.com/news/local/dea-wants-to-criminalize-deadly-pinky-drug-suspected-of-killing-park-city-teens

They show an image of LEGAL FENTANYL PATCHES BOXES… and the article is about a “opiate substance” ..not scheduled… not commercially available as a prescription item in the USA… and how does the death of these two teenagers have anything to do with the legal treatment of  pain by prescriptions generated by legally licensed prescribers for people with legit medical necessity ?

Anna Fondario gives history of Pink

(KUTV) Federal officials have motioned to place the potentially deadly drug known as U-47700 or ‘Pinky’ on the federal drug schedule which could give law enforcement teeth as they try to curb what they call a potential ‘overdose epidemic’.

Utah law enforcement suspects U-47700 killed two teenage boys in Park City this week. While toxicology tests are underway, school district officials and Park City Police said they fear Grant Siver, 13 and his best friend Ryan Ainsworth, 13, used U-47700 prior to their deaths.

When the Drug Enforcement Agency’s motion takes effect next month, U-47700 will be classified among other addictive drugs like Heroin, LSD, and Ecstasy.

The drug is responsible for dozens of deaths across the country in the last few years, according to Utah Department of Health Epidemiologist Ana Fondario, who added that state officials are still studying the relatively unknown drug.

While unable to confirm exact numbers out of concern for privacy, Fondario said Utah has confirmed deaths related to U-47700.

“We don’t really know the dangers because of the newness of it,” Fondario said. “It’s a synthetic opioid that’s emerging.”

Federal officials express the same concerns about how little information is known about the drug.

“Due to limited scientific data, the potency and toxicity of U-47700 are not known; however, the toxic effects of U-47700 in humans are demonstrated by overdose fatalities associated with this substance,” the DEA wrote in their recent filing with the Department of Justice.

DEA officials also warn that users of Pink may not know the origin, identity, or purity of the drug they are taking which can quickly lead to overdosing.

The DEA’s placement of U-47700 as a Schedule I drug would be temporary, and further legislative action would be needed to permanently classify the drug as illegal, according to the DEA’s filing.

Regardless of legality, Utah cops are warning people to avoid the drug and especially warning parents to make sure children do not come into contact with ‘pinky’.

“Certainly our goal is to stop this from happening to anyone else’s children,” said Park City Police Chief Wade Carpenter at a press conference Tuesday.

Park City Police received anonymous tips about the drug and investigators found recent social media posts referencing the drug, Carpenter added.

“It’s easy for these kids to obtain,” Carpenter said.

The ease of access to the drug is coupled with recent cases where police say large quantities of the drug have been discovered along the Wasatch Front.

In June, a Sandy motel was evacuated after parole agents discovered a violator in a room containing a powder substance later confirmed as Fentanyl, which is similar to, and often used along with U-47700.

When HIPAA Information Breaches Lead to Lawsuits

When Information Breaches Lead to Lawsuits

http://www.renalandurologynews.com/hipaa-compliance/when-information-breaches-lead-to-lawsuits/article/522626/

When it enacted HIPAA, the Department of Health and Human Services (HHS) chose to use a “carrot” rather than “stick” approach to enforcing the law. Penalties have been given for major breaches, but aside from that, there is little financial skin in the game for providers. At least until now.

When a provider wrongfully discloses protected health information, HIPAA does not provide patients with a legal remedy other than reporting the incident to HHS. But courts have begun to look at the issue differently, ruling, in some cases, that providers can be sued under state rules pertaining to privacy and negligence for breaches.

“Courts are beginning to say that just because the federal government didn’t give a remedy, it shouldn’t preclude patients from bringing a suit in states,” said Chad Eckhardt, a member in the regulated business group at Frost Brown Todd, which has its headquarters in Cincinnati, Ohio. 

Recourse at the state level

It was a 2014 Supreme Court decision in Connecticut that set a precedent allowing providers to be sued for HIPAA violations.  A patient filed a lawsuit against her obstetrician when the provider mailed her medical records to a court in response to a subpoena related to paternity suit filed by her ex. She was not informed of the subpoena by her provider and she filed for negligence, negligent emotional distress, breach of contract, and negligent misrepresentation as to the safety of her records. Although originally dismissed, her case ended up at the state supreme court, which ruled that her case stated a claim for which relief may be granted and remanded it for trial.

There are numerous torts for which individuals can seek redress for personal injury, but some are not suitable for filing lawsuits related to HIPAA violations. Two such torts are invasion of privacy and public disclosure of private facts, Eckhardt said.  Plaintiffs have to prove damages. Those torts rarely result in physical damage, so plaintiffs have to prove mental or emotional distress. Courts, he said, are reluctant to provide a remedy for non-physical damage under torts.

Negligence is another category that requires plaintiffs to prove damages. Under this tort, physicians can be considered negligent because they did not comply with a standard of conduct (HIPAA). “If the federal government says this is the minimum standard of confidentiality and you don’t meet those minimum standards, you are negligent as a matter of fact,” Eckhardt said.

Breach of contract is another option for plaintiffs, though the damages are much less than with a tort, Eckhardt said. Some states, like Ohio and West Virginia, have also created torts specifically for the unauthorized disclosure of medical records.

“More states are creating this tort for unauthorized released of records and if they don’t have one, courts are going to try to find a remedy for harm done if there is actual damage to an individual,” Eckhardt said.

Setting precedent

A case out of Indiana was the first to show that employers can be held accountable for their staffs’ HIPAA violations. A patient sued Walgreens and one of its pharmacists when she found out the pharmacist had looked up and released medical records to the plaintiff’s ex-boyfriend. The pharmacist was currently married to the woman’s ex, to whom she provided prescription information. The woman won $1.4 million in damages, holding Walgreens accountable for the employees’ breach of confidentiality under HIPAA for reasons including negligent supervision.

Physicians need to ensure they are training all employees upon hiring them and annually thereafter, he said. Consistent training can help a provider prove they have not been negligent in supervision of their employees and reduce their liability.

As part of training, the importance of caring for hyper-sensitive information like HIV status and mental health conditions should be emphasized. In addition, practices need to review office processes to determine where people can get tripped up. For example, if a subpoena is received, what should employees at each level do with the request?

“Courts are going to try to find a remedy for harm done if there is actual damage to an individual,” Eckhardt said. “Courts are allowing awards for individuals, especially for hypersensitive information because it is so stigmatizing.”

Wisconsin teen who plans to die avoids of media spotlight

Wisconsin teen who plans to die avoids of media spotlight

http://www.foxnews.com/health/2016/09/13/wisconsin-teen-who-plans-to-die-avoids-media-spotlight.html

The bureaucracy and our judicial system ALWAYS knows what is best for each of us… but none have live in the shoes of those they are protecting from “themselves” ?

At 14 years old,  a typical American girl might be thinking about school, hanging out with friends, and going on dates, but an Appleton, Wisconsin teenager is focused on something very different. Jerika Bolen wants to die.

Jerika was born with a rare incurable disease called spinal muscular atrophy type 2.  She has almost no control of her muscles and requires a wheelchair to get around. She’s undergone 30 surgeries so far, she said she’s in pain every single day and doesn’t want to continue to live that way. 

The girl’s mother, Jennifer Bolen, supports her daughter’s decision.

“I said, ‘Jerika I love you that much that I will not let you suffer if it’s that bad,'” Jennifer told WLUK-TV.

Jerika wants to go into hospice care, turn off the device that helps her breathe and let her life slip away.

In July, friends and family threw a prom-like party for the teen called “Jerika’s Last Dance.”

“It makes my heart explode!  It’s so crazy that people want to come for little old me!” Jerika told WLUK-TV.

Her story has gained attention and evoked strong emotions nationwide, with supporters saying that the girl has a right to decide what to do with her own life, and while others are outraged that a child would be making such a heartbreaking choice. 

“She’s only 14 and we know that the brain is not fully matured,” Carrie Ann Lucas, founder and executive director of the Colorado-based Disabled Parents Rights, told Fox News. The group is asking Wisconsin’s Department of Children and Families to intervene in the girl’s case.

 “There’s a reason why we don’t let 14-year-olds join the military, there’s a reason why we don’t let 14-year-olds vote.  We don’t let 14-year-olds make their own medical decisions” Lucas, 44, added.

Lucas, who has a form of multiple sclerosis and is reliant on a ventilator, doesn’t believe the disease Jerika suffers from is imminently fatal. She also believes Jerika may be in pain because she isn’t getting the medical care she needs.  If a doctor can help ease the pain, Lucas thinks Jerika might have a better quality of life.

Lucas said she also fears Jerika’s decision to end her life might have been formed from the negative way disabled people are portrayed on TV or in movies.

“We very often see our lives devalued… not being dignified and really that we’re in many ways better off dead than disabled,” she said.

Wisconsin law is murky on how to handle Jerika Bolen’s situation.

As a minor, Jerika is legally considered to be “incompetent” by the state.  Her mother’s support might make a difference, however. According to a Wisconsin court ruling on the 2014 case of Disability Rights vs. University of Wisconsin Hospital and Clinic, “…in the absence of a persistent vegetative state, the right of a parent to withhold life sustaining treatment from a child does not exist.”

According to Wisconsin attorney Kristen Scheuerman told Fox News, “In the absence of any litigation, it’s a moral question with legal implications because if a mom or someone else acts there could be potentially legal consequences to those choices.”

Many of those who live near Jerika’s hometown of Appleton are defending her right to choose how to handle her life. 

“She’s in a body that’s nearly paralyzed and painful all the time,” Alton Olson, who was hired as the DJ for “Jerika’s Last Dance” told Fox News. “Think about how you would feel.”

Initially Jerika said she wanted to enter hospice by the end of the summer.  Since the prom in July, Jerika and her mother have mostly remained silent and behind closed doors, avoiding the media attention.

Jerika’s last public comments have left her friends and supporters with a heavy heart. 

“In your life you need to like yourself…because for a while, probably up until I decided (to end her life) I didn’t like myself,” Jerika told WLUK-TV. “…but then I realized this is the end and you’ve got to make it the best.” 

DENIAL OF CARE ….a form of TORTURE or GENOCIDE ?

Half of Patients Have Trouble Getting Pain Meds

www.painnewsnetwork.org/stories/2016/9/12/half-of-patients-have-trouble-getting-pain-meds

By Pat Anson, Editor

A new survey of chronic pain patients found that over half – 56 percent — have experienced problems getting access to opioid pain medication, either from a pharmacy or their own doctor. Nearly half of the patients surveyed also said they have contemplated suicide.

“Access continues to be a problem and a growing problem for patients living with chronic pain,” said Jeff Dayno, MD, chief medical officer for Egalet, a pharmaceutical company that conducted the survey along with the American Chronic Pain Association (ACPA).

The online survey of over 1,000 patients was conducted in 2015, before guidelines were issued by the Centers for Disease Control and Prevention that discourage primary care physician from prescribing opioids for chronic pain. Although the guidelines are voluntary, they’ve had a chilling effect on many doctors and pharmacists since their release in March.  

“General practitioners who don’t have as much experience are having somewhat of a knee jerk reaction. Either they’re not prescribing opioids at all or taking a very cautious approach,” said Dayno.

“The broader medical community is backing away from the more effective type of pain medications and opioids specifically, even at the pharmacy level in terms of stocking them and having them available.”

Nearly two-thirds of patients (63%) said their pharmacy carries only a limited supply of pain medication. And nearly four out of ten patients (39%) said their physician no longer prescribes pain medication.

“Since the push to combat prescription medication abuse has risen, so have the number of calls we have received from individuals expressing their frustration about accessing their prescription medications,” said Penney Cowan, founder of the ACPA. “The study found that access really is an issue for individuals; they struggle to find doctors who are willing to treat them, and pharmacies that stock their medication.

“For individuals living with chronic pain, access to medication is vital to functioning in their everyday lives. Doctors would not withhold prescriptions from patients with other medical conditions such as diabetes or heart disease. What’s startling is the high percentage of individuals who have contemplated suicide.”

Forty-seven percent of the survey respondents said they’ve had thoughts of suicide.

“The statistic around patients contemplating suicide, we’ve seen numbers like that in the literature before. And that’s a very concerning and frightening aspect of the impact of limited access to effective pain medications,” said Dayno, who believes the number of patients complaining about access would be even higher if the survey was conducted today.

When asked by Pain News Network if he thought the CDC even considered suicides and other negative consequences on patients when it was drafting the guidelines, Dayno said no.

“I don’t think that dimension was clearly considered in the guidelines. I think it was much more of an evidence based, clinical approach on the pain management side. But the impact of potential barriers to access to these medications was not factored in to that assessment as part of the CDC guidelines,” he said.

A noted expert on pain management says he’s also seen “anecdotal reports” of primary care physicians and pain management specialists dumping pain patients since the CDC guidelines came out.

“I think some doctors are increasingly uncomfortable with continuing to prescribe what has been a higher dose of opioids, uncomfortable with the scrutiny that they’ve gotten, and as a consequence they are discharging patients from clinics, urging them to find care elsewhere,” said Sean Mackey, MD, Chief of the Division of Pain Medicine at Stanford University.

Only CRIMINALS protected from “suffering no unusual pain” by 8th Amendment ?

Appeals court: No drug retests needed for Texas executions

http://wtop.com/government/2016/09/appeals-court-no-drug-retests-needed-for-texas-executions/

https://en.wikipedia.org/wiki/Eighth_Amendment_to_the_United_States_Constitution

Is the creation of guidelines/rule/laws that restrict access to medication to treat  their various chronic medical issues… such as chronic pain.. is this a violation of our 8th Amendment ?

HOUSTON (AP) — A federal court rejected a lawsuit by five Texas death row inmates who said the lethal drugs intended for their executions should be retested before their punishments are carried out to ensure they suffer no unusual pain.

 

Lawyers for the five prisoners argued to the 5th U.S. Circuit Court of Appeals that an agreement between the Texas Department of Criminal Justice and two other inmates to test the pentobarbital for their lethal injections should be extended to them. Failure to do so would violate their constitutional right to equal protection under the law, they said.

 

The appeals court on Monday agreed with a Houston federal judge’s dismissal of the lawsuit filed a month ago, calling it a “novel and flawed invocation of equal protection doctrine.”

 

Texas has put 537 prisoners to death since 1982, more than any other state. It replaced its previous three-drug combination for executions in 2012 with a single dose of pentobarbital and the last 32 lethal injections have used pentobarbital from a compounding pharmacy. Attorneys for the five inmates argued the compounded drug created significant risk of unnecessary pain prohibited by the Eighth Amendment and needed to be retested as the punishments neared.

“The reality is that pentobarbital, when used as the sole drug in a single-drug protocol, has realized no such risk,” the appeals court panel said in its 12-page ruling.

 The five inmates — Jeffery Wood, Rolando Ruiz, Robert Jennings, Terry Edwards and Ramiro Gonzales — all had execution dates scheduled when their lawsuit against top Texas prison agency administrators was filed Aug. 12 in federal district court in Houston. Since then, Wood, Ruiz and Jennings have received reprieves unrelated to the drug lawsuit. Edwards remains set to die Oct. 19 and Gonzales on Nov. 2.
 
 An order scheduling a July execution for inmate Perry Williams was withdrawn by his trial court judge because the retest of drugs intended for him could not be completed in time for Williams’ attorneys to review. The Texas Attorney General’s Office agreed to the tests to settle a lawsuit filed on behalf of Williams and another inmate that challenged the use of the drugs.
 The five prisoners cited that agreement in their lawsuit, contending it created a right to retesting for all prisoners.
 

Michael Biles, the lead attorney for the inmates, said he was disappointed with the decision, was considering an appeal to the Supreme court and believed the 5th Circuit had applied the wrong standard to his equal protection claim.

 

“The state of Texas violated our clients’ rights under the Equal Protection Clause of the U.S. Constitution because the testing that it promised to provide shortly before some, but not all, executions implicates a fundamental right … to be free from cruel and unusual punishment,” he said. “When the state of Texas promised to provide additional safety measures for some executions, it must provide those same safety measures for all executions.”

 

Texas Department of Criminal Justice spokesman Jason Clark noted that the agency had carried out the 32 executions using compounded pentobarbital without incident.

 “We agree with the 5th Circuit Court’s decision,” he said. “We believe the opinion speaks for itself.”

Two of the five inmates have been on death row for more than two decades, a situation that “more surely taxes the Eighth Amendment’s prohibition of undue suffering than does the elusive search for minimum pain for those brief moments of passage across the river,” Judge Patrick Higginbotham, writing for the three-judge appellate court panel, said.

Protesters fight ban on herbal pain killer

Protesters fight ban on herbal pain killer

http://www.wtsp.com/news/health/protesters-fight-upcoming-ban-on-herbal-pain-killer/317975492

Thousands of people claim it has changed their lives, but the federal government says it dangerous. Kratom is an herbal supplement that will be reclassified at the end of the month to a schedule 1 drug.
 
That will mean it will be as illegal as heroin or meth.
 
A protest in Tampa on Tuesday is just a small portion of the people gathered across the country at Drug Enforcement Administration headquarters in different cities and the White House in Washington, D.C., where people are trying to get the federal government to stop the ban on kratom at the end of the month.
 
“I take it everywhere I go. It’s all in individual serving sizes,”  says Tina Saylor as she holds up her kratom powder outside the Tampa DEA offices.  If it were Sept. 30, she could be arrested on felony drug charges, because that’s when kratom will be as illegal as heroin or meth.  “I’ve got enough to last me two years. Friday when I get my paycheck I’m getting more. Put me in jail then you have to take care of my pain. ” 
 
Saylor is just one of a dozen protestors in Tampa.  She says kratom has replaced prescription painkillers in her life and doesn’t leave her feeling high or like a zombie. 
 
Heather Kelly was the first to arrive Tuesday, ready to protest hoping the DEA will reconsider its decision and do more research on kratom before banning it.  “It doesn’t make me high, it doesn’t make me non functioning. It doesn’t make me stupid. I mean its safer for people to drink a kratom tea than it is to go to a bar and have a shot of vodka or tequila.”
 
The reason the DEA has decided to make kratom a schedule 1 drug, right alongside heroin, is because the agency says it has no medical use and a high potential for abuse.  However, many of the people protesting say it has changed their lives.

Conspiracy Theory… or… VIDEO WORTH A MILLION WORDS ?

Pharma Company Funding Anti-Pot Fight Worried About Losing Business, Filings Show

monolopyPharma Company Funding Anti-Pot Fight Worried About Losing Business, Filings Show

https://theintercept.com/2016/09/12/pharma-opioid-marijuana/

Pharmaceutical executives who recently made a major donation to an anti-marijuana legalization campaign claimed they were doing so out of concern for the safety of children — but their investor filings reveal that pot poses a direct threat to their plans to cash in on a synthetic cannabis product they have developed.

On August 31, Insys Therapeutics Inc. donated $500,000 to Arizonans for Responsible Drug Policy, becoming the single largest donor to the group leading the charge to defeat a ballot measure in Arizona to legalize marijuana.

The drug company, which currently markets a fast-acting version of the deadly painkiller fentanyl, assured local news reporters that they had the public interest in mind when making the hefty donation. A spokesperson told the Arizona Republic that Insys opposes the legalization measure, Prop. 205, “because it fails to protect the safety of Arizona’s citizens, and particularly its children.”

A Washington Post story on Friday noted the potential self-interest involved in Insys’s donation.

Investor filings examined by The Intercept confirm the obvious.

Insys is currently developing a product called the Dronabinol Oral Solution, a drug that uses a synthetic version of tetrahydrocannabinol (THC) to alleviate chemotherapy-caused nausea and vomiting. In an early filing related to the dronabinol drug, assessing market concerns and competition, Insys filed a disclosure statement with the Securities and Exchange Commission stating plainly that legal marijuana is a direct threat to their product line:

Legalization of marijuana or non-synthetic cannabinoids in the United States could significantly limit the commercial success of any dronabinol product candidate. … If marijuana or non-synthetic cannabinoids were legalized in the United States, the market for dronabinol product sales would likely be significantly reduced and our ability to generate revenue and our business prospects would be materially adversely affected.

Insys explains in the filing that dronabinol is “one of a limited number of FDA-approved synthetic cannabinoids in the United States” and “therefore in the United States, dronabinol products do not have to compete with natural cannabis or non-synthetic cannabinoids.”

The company concedes that scientific literature has argued the benefits of marijuana over synthetic dronabinol, and that support for marijuana legalization is growing. In the company’s latest 10-K filing with the SEC, in a section outlining competitive threats, Insys warns that several states “have already enacted laws legalizing medicinal and recreational marijuana.”

Subsys, the fentanyl spray Insys makes, is used as a fast-acting pain reliever. Fenatyl is an opioid that has made headlines in recent years as the number of Americans overdosing on the drug has skyrocketed. Fenatyl is 50 times stronger than heroin and has been linked to the death of Prince earlier this year. Last month, two Insys executives pled guilty to a pay-for-play scheme to use speakers fees as a way to get doctors to prescribe Subsys.

Marijuana advocates claim that legalized pot has a variety of medical uses, including pain relief.

It’s not the first time pharmaceutical companies have helped bankroll the opposition to marijuana reform. The Community Anti-Drug Coalition of America, a nonprofit that organizes anti-marijuana activism across the country, has long received corporate sponsorship from Purdue Pharma, the makers of Oxycontin, and Janssen Pharmaceuticals, another opioid manufacturer.

J.P. Holyoak, chairman of the Campaign to Regulate Marijuana Like Alcohol, a group supporting the legalization ballot measure, released a statement condemning the Insys donation. “Our opponents have made a conscious decision to associate with this company,” Holyoak said. “They are now funding their campaign with profits from the sale of opioids — and maybe even the improper sale of opioids.”a

White House Rally To Call Out DEA For Making Mockery Of Opioid Epidemic By Ban Push Targeting Coffee-Related, Natural Herbal Product

White House Rally To Call Out DEA For Making Mockery Of Opioid Epidemic By Ban Push Targeting Coffee-Related, Natural Herbal Product

http://www.prnewswire.com/news-releases/white-house-rally-to-call-out-dea-for-making-mockery-of-opioid-epidemic-by-ban-push-targeting-coffee-related-natural-herbal-product-300326277.html

Seeking a Distraction from Real Crisis, DEA Exploits Concerns About Opioid Epidemic in Bid to Shut Down Kratom; 110,000-Signature Petition to be Presented to White House

… September 13, 2016 News Advisory …


WASHINGTON, Sept. 12, 2016 /PRNewswire-USNewswire/ — Hundreds of Americans from across the U.S. will march outside the White House at 12:30 p.m. EDT Tuesday (September 13, 2016) to protest the unfounded and anti-scientific push by the Drug Enforcement Agency (DEA) to classify kratom, a natural herb in the coffee family, as a Class 1 narcotic.  Organizers of the March will hold a news conference in Lafayette Park near the White House to present the White House with a petition signed by more than 100,000 citizens opposing the DEA’s cynical attack on a legal product that is used without incident by hundreds of thousands of Americans.

What:
Under fire for failing to make headway in the opioid epidemic, the DEA is now seeking to distract the public and lawmakers by focusing unwarranted negative attention on kratom, or Mitragyna speciose, a tree in the coffee family native to Southeast Asia. Kratom leaves have been consumed in countries like Thailand and Malaysia for over 500 years. The herb is now available in the U.S. just like other herbal supplements. Kratom is not an opiate. Many studies have shown kratom to have positive medicinal benefits. Kratom is legal in 44 states. The Florida Department of Law Enforcement released a December 2015 report that found: “Kratom does not currently constitute a significant risk to the safety and welfare of Florida residents.” Nonetheless, on August 31, 2016, the DEA, under fire for its inability to remedy the US opioid crisis, announced its intention to place kratom into Schedule I of the Controlled Substances Act in order to avoid a supposed “imminent hazard to public safety,” which, in reality, does not exist. In truth, kratom has never been present alone in a single documented death and is as about as habit-forming as the coffee to which it is related. By contrast, pharmaceutical drugs are one of the leading causes of death in this country, killing one American every 19 minutes. Prescription opiate pain killers account for more than 475,000 emergency room visits annually.

Who:

  • Travis Lowin director, Botanical Education Alliance (previously the Botanical Legal Defense);
  • Susan Ash, director, American Kratom Association;
  • Andrew Turner, a veteran of Operation Iraqi Freedom who was injured in a subsequent military deployment, Hyattsville, MD;
  • Joe Volpe, a retired school teacher who used kratom to replace prescription pain killers, Philadelphia, PA; and
  • Additional speakers TBD.

When:
12:30 p.m. EDT march and 1 p.m. EDT news conference.

Where:
Starting in front of White House, 1600 Pennsylvania Avenue, and proceeding to adjacent Lafayette Park.

The Botanical Education Alliance (BEA) is an organization dedicated to educating consumers, lawmakers, law enforcement, and the media about safe and therapeutic natural supplements including Mitragyna speciosa, also known as Kratom. BEA’s mission is to increase understanding in order to influence public policy and protect natural supplements. The vision of the Alliance is to create a society where every adult has the right to access safe and effective natural supplements.  www.botanical-education.org/

The America Kratom Association (AKA), a consumer-based non-profit, is here to set the record straight, giving voice to the suffering and our rights to possess and consume kratom. AKA represents tens of thousands of Americans; each with a unique story to tell about the virtues of kratom and its positive effects on our lives. From Lyme Disease to Post Traumatic Stress Disorder and even addiction, kratom can help offer relief.  www.americankratom.org

Coercion to get DNA samples using civil forfeiture monies for funding

DNA Dragnet: In Some Cities, Police Go From Stop-and-Frisk to Stop-and-Spit

https://www.propublica.org/article/dna-dragnet-in-some-cities-police-go-from-stop-and-frisk-to-stop-and-spit

The five teenage boys were sitting in a parked car in a gated community in Melbourne, Florida, when a police officer pulled up behind them.

Officer Justin Valutsky closed one of the rear doors, which had been ajar, and told them to stay in the car. He peered into the drivers’ side window of the white Hyundai SUV and asked what the teens were doing there. It was a Saturday night in March 2015 and they told Valutsky they were visiting a friend for a sleepover.

 

Valutsky told them there had been a string of car break-ins recently in the area. Then, after questioning them some more, he made an unexpected demand: He asked which one of them wanted to give him a DNA sample.

After a long pause, Adam, a slight 15-year-old with curly hair and braces, said, “Okay, I guess I’ll do it.” Valutsky showed Adam how to rub a long cotton swab around the inside of his cheek, then gave him a consent form to sign and took his thumbprint. He sealed Adam’s swab in an envelope. Then he let the boys go.

Telling the story later, Adam would say of the officer’s request, “I thought it meant we had to.”

Over the last decade, collecting DNA from people who are not charged with — or even suspected of — any particular crime has become an increasingly routine practice for police in smaller cities not only in Florida, but in Connecticut, Pennsylvania and North Carolina as well.

While the largest cities typically operate public labs and feed DNA samples into the FBI’s national database, cities like Melbourne have assembled databases of their own, often in partnership with private labs that offer such fast, cheap testing that police can afford to amass DNA even to investigate minor crimes, from burglary to vandalism.

And to compile samples for comparison, some jurisdictions also have quietly begun asking people to turn over DNA voluntarily during traffic stops, or even during what amount to chance encounters with police. In Melbourne, riding a bike at night without two functioning lights can lead to DNA swab — even if the rider is a minor.

“In Florida law, basically, if we can ask consent, and if they give it, we can obtain it,” said Cmdr. Heath Sanders, the head of investigations at the Melbourne Police Department. “We’re not going to be walking down the street and asking a five-year-old to stick out his tongue. That’s just not reasonable. But’s let’s say a kid’s 15, 16 years old, we can ask for consent without the parents.”

In Bensalem Township, Pennsylvania, those stopped for DUI or on the street for acting suspiciously may be asked for DNA. Director of Public Safety Frederick Harran credits the burgeoning DNA database Bensalem now shares with Bucks County’s 38 other police departments with cutting burglaries in the township by 42 percent in the first four years of the program. Plus, Bensalem pays for the testing — which is conducted by a leading private lab, Bode Cellmark Forensics — with drug forfeiture money, making it essentially free, Harran added.

“This has probably been the greatest innovation in local law enforcement since the bulletproof vest,” Harran said. “It stops crime in its tracks…. So why everyone’s not doing it, I don’t know.”

While Harran tells his officers to be careful not to push people to consent, civil rights advocates see a minefield in cases that morph from stop-and-frisk to stop-and-spit.

There are clear precedents for obtaining DNA from people who have been convicted of crimes and from those under arrest. Under the Fourth Amendment, law enforcement must have a reasonable suspicion that a person is involved in a crime before requiring a search or seizure.

But the notion of collecting DNA consensually is still so new that the ground rules remain uncertain. Who can give such consent and what must they be told about what they’re consenting to? Who decides how long to keep these samples and what can be done with them? Maryland’s Supreme Court is the highest to rule on such a case, saying in 2015 that law enforcement could use DNA voluntarily provided to police investigating one crime to solve another, but that case didn’t take on DNA collected outside of an investigation, in chance street or traffic stops.

More challenges seem inevitable, said Jason Kreag, a University of Arizona law professor who’s written about local law enforcement’s expanding use of DNA. Police interviews that lead to DNA collection — particularly involving juveniles—have the potential to create “a coercive environment,” he said. “The laws and the legislatures just haven’t caught up with this type of policing yet.”

Harran echoed that. “There’s no laws, there’s nothing,” he said. “We’re in uncharted territory. There’s nothing governing what we’re doing.” He wants for private database programs to establish their own best practices.

Private DNA databases have multiplied as testing technology has become more sophisticated and sensitive, enabling labs to generate profiles from so-called “touch” or “trace” DNA consisting of as little as a few skin cells. Automated “Rapid DNA” machines allow police to analyze DNA right at the station in a mere 90 minutes. Some states allow “familial searching” of databases, which can identify people with samples from family members. New software can even create composite mugshots of suspects using DNA to guess at skin and eye color.

A demonstration of DNA swab kits from Palm Bay Police Department’s 2011 annual report. (Yvonne Martinez, public infromation coordinator)

Strict rules govern which DNA samples are added to the FBI’s national database, but they don’t apply to the police departments’ private databases, which are subject to no state or federal regulation or oversight. Adam’s DNA, for example, was headed for a database managed for Melbourne by Bode Cellmark Forensics, a LabCorp subsidiary, which has marketed its services to dozens of small cities and towns. The lower standards for DNA profiles included in private databases could lead to meaningless or coincidental matches, said Michael Garvey, who heads the Philadelphia Police Department’s office of forensic science, a public lab.

“No one knows what the rules are about what they’re going to upload into these private DNA databases or not,” Garvey said. “Mixtures, partials — what’s their criteria? It varies.”

When Adam’s father found out the police had taken his son’s DNA, he immediately contacted the Melbourne Police Department to ask what the department intended to do with the sample and on what legal basis it had been taken. As a doctor, he understood what had happened could have far-reaching implications.

“My concern, being in the medical field, is that it’s not just Adam’s DNA,” he said. (ProPublica is withholding his name to protect the privacy of his son.) “It’s my DNA, it’s my wife’s DNA, and our parents. Not to sound bad, but you just get nervous. There’s some collateral damage there.”

Sanders explained that Adam had given his consent, making the sample usable under department policy, though it had not yet been sent to the lab for testing. He said that as long as Adam didn’t get into trouble, the family had nothing to fear.

Unsatisfied and determined to get the sample destroyed, Adam’s dad took the only other step he could think of — he called a lawyer. It was attorney Jason Hicks’ first encounter with a stop-and-spit case. He quickly realized he and his clients were on the edge of a legal frontier.

“First, I was just shocked that it had happened,” he said. “Then I was frustrated by the lack of a vehicle to challenge it.”


Traditionally, certified local, state and federal forensic labs have tested DNA collected for law enforcement purposes, funneling these profiles into the FBI-run Combined DNA Index System, or CODIS.

The FBI’s standards for profiles uploaded to CODIS are rigorous. CODIS will only accept “partial” profiles under certain circumstances, and all samples must be tested by FBI-approved labs. The national database includes DNA from convicted offenders and arrestees in some states, but not from people merely suspected of crimes. State law dictates when databases linked to CODIS must toss out DNA profiles.

Private databases do not have any such constraints. FBI agent Ann Todd said that the DNA profiles stored in private databases would not be eligible for inclusion in the national database because “those profiles do not meet the strict eligibility, quality, and privacy standards set forth in the federal law.”

Smaller jurisdictions used to rely on larger ones for DNA testing, but many public labs have become backlogged as demand for their services has risen. In 2012, New York became the first state to require DNA collection from those convicted of any crime, not just violent ones, and at least 29 states now authorize collection from anyone arrested for certain crimes. Many states have also passed laws requiring DNA evidence from rape cases to be tested within a certain amount of time, increasing pressure on public labs.

Private operators have stepped in to meet the appetite for testing in cities and towns that can’t afford their own labs and have few violent crimes that would rise to the top of a public lab’s priority list. Bode Cellmark Forensics charges about $100 to $150 a swab — little enough for cops to swab everything from the steering wheel of a stolen car to the nozzle of a spray-paint can used for vandalism — and boasts a 30-day turnaround time for results.

Palm Bay, Florida, launched the nation’s first private DNA database program about a decade ago, working in partnership with DNA:SI, a private lab in North Carolina founded by Amway executive Bill Britt. The lab offered its services for free for the first year in exchange for Palm Bay’s spreading the gospel to other police departments. The program’s aim was for high-volume collection and testing to help solve the area’s high-volume crimes, which were mainly property crimes.

Sure enough, the first “match” solved a string of break-ins at the gated community where the city’s then police chief, William Berger, resided. The burglar even hit Berger’s house, slicing through a screen and stealing a couple of floats from his swimming pool. Berger brought in a canine team, which tracked the floats to the woods, then had the floats and the screen door latch swabbed for DNA. Five days later, a young man was caught attempting to shoplift at Wal-Mart. The Palm Bay police officer called to the scene didn’t make an arrest (the store declined to press charges), but the shoplifter consented to a voluntary DNA test. Turned out the shoplifter was also Berger’s burglar.

Encouraged by that success, Palm Bay police collected over 800 reference swabs from crime suspects in the first 10 months of the program, plus over 1,600 crime-scene items and evidence swabs. Five years later, the database contained profiles from about 3,500 people. “We were way ahead of the game,” said Berger.

Since its database remained siloed, apart from interconnected local, state and federal collections of DNA, the department understood that collecting a high volume of samples was critical.

To start, officers swabbed every single crime scene, no matter how minor the crime, said John Blackledge, then Berger’s deputy. Blackledge and his colleagues would decide which crime scene and suspect swabs to send to the lab, and in what order.

“It had to be that there was reasonable suspicion that this person was involved in criminal activity that fit within the interesting cases that we were working,” he said. “On top of that, the officer had to write a clear report that convinced me that this was either a free and voluntary swab, or that we had to get a search warrant.”

Since then, the department’s DNA collection seems to have become more aggressive. Sgt. Michael Pusatere, who now heads the department’s Crime Scene Unit, says officers work to solicit DNA from “repeat offenders” and people with whom the department comes into contact frequently, as well as people hanging out in high-crime areas late at night.

“We try to get as many people as we can into the database,” Pusatere said. “A database of four or five people isn’t really usable within a city of 106,000 people.”

Blackledge said building a private database also allowed the city to collect more DNA from juveniles. When Palm Bay’s program was starting, the Florida Department of Law Enforcement’s DNA database, which feeds into the FBI’s national one, contained profiles from over 297,000 adults, but only 35,000 juveniles. “They’re very reluctant to take juveniles,” Blackledge said. “That’s half of my freakin’ violators!”

In the years since Palm Bay started its program, neighboring police departments in Melbourne, West Melbourne and several small beach communities followed their lead, signing contracts with Bode Cellmark Forensics after DNA:SI went out of business. West Melbourne said it ended its collection program in May because it wasn’t delivering enough hits, but every four to six weeks, Palm Bay and Melbourne submit anywhere from 25 to 100 swabs apiece. They estimated that, collectively, they had amassed 7,000 or 8,000 reference and evidence samples spanning the region.

Many of the reference swabs are so-called “elimination” or “victim” samples, swabs taken from crime victims to eliminate them from the DNA mix during analysis. Others are from so-called “field interviews” — people who volunteer them during traffic stops, street stops and other consensual encounters with police.

Most big-city police departments say they do not solicit voluntary DNA samples under these circumstances — only from victims, or, occasionally, suspects associated with specific crimes. When asked about DNA collection during traffic or street stops, Rana DellaRocco, director of the Forensic Laboratory Section of the Baltimore Police Department, laughed and said, “God, I think if they even tried to suggest that, I think that our ACLU might actually have the top of their heads explode.”

According to a document obtained through a public information request, the Melbourne Police Department collected 307 cheek swabs in 2015, most of which were elimination samples. Fifteen were taken from suspects in connection with a particular crime; nine more were taken when suspects were arrested; and 38 were taken during field interviews unconnected to any particular crime.

Nationwide, local law enforcement agencies that have started DNA collection programs have taken a variety of approaches deciding whose DNA they will seek and under what circumstances.

Only Palm Bay, Melbourne, and West Melbourne said they have asked juveniles to volunteer their DNA without getting their parents’ permission.

Since 2007, the District Attorney’s office in Orange County, California, has offered certain non-violent offenders the chance to have their charges dismissed in exchange for contributing cheek swabs to a special separate DNA database — a “spit and acquit” program, as the local media nicknamed it. As of mid-August, according to the DA’s office, over 145,000 people had voluntarily donated their DNA to this database.

Unlike their Florida counterparts, police in Greensboro, North Carolina — one of 16 departments that make up the North Carolina DNA Consortium — don’t gather samples through street or traffic stops. Instead, they started their program by approaching people who were repeat offenders or in ankle monitor programs, asking them to hand over DNA. Now they get samples from suspects connected to, or arrested for, particular crimes.

Police in Branford, Connecticut, draw a different line in collecting DNA. They’re instructed to request DNA from people they merely observe acting inexplicably or strangely. “Say we’re having a lot of problems with car break-ins, and we see you walking in a neighborhood where there are normally car break-ins, and you’re out at two o’clock in the morning,” said Capt. Geoffrey Morgan of the Branford Police Department. When people don’t offer persuasive answers for why they’re there, officers may get suspicious and ask for a swab. “And you know how many people say, ‘No, I don’t mind’?” Morgan added. “A lot.”

Morgan said his officers always get consent in writing, and often also record the process with their body cameras. Police in Melbourne, Bensalem, and Greensboro say they insist on getting consent, too, but other departments acknowledge their databases include samples gathered without it. West Melbourne police say they’ve collected “abandoned DNA” from chewing gum or cigarette butts left by people who refused to sign consent forms. Fairfax County, Virginia, police try to record consent in writing, but it’s not always possible.

“In some circumstances in the field, Patrol Officers do not always have forms readily available,” public information officer Don Gotthardt said in an email.

Police departments with private DNA databases also vary in how they respond to requests to throw out DNA donated voluntarily.

The North Carolina DNA Consortium will expunge a sample if a person submits a letter asking them to, said Stephen Williams, the Greensboro Police Department’s director of forensic services. But Branford, Connecticut, wouldn’t honor such requests.

“They can ask, but we don’t necessarily have to,” Morgan said. “I mean, if they gave it to us consensually, then they gave it to us consensually.”


Adam hadn’t been charged with a crime, so there was no criminal court that his attorney, Jason Hicks, could approach to have the evidence thrown out. Hicks also couldn’t find any case law emanating from litigation over similar cases.

Hicks zeroed in instead on the consent form Adam had signed and, in particular, whether he had genuinely understood he could refuse the police officer’s request for DNA.

Since Officer Valutsky had told the boys to stay in the car, Hicks reasoned it had been pretty clear to them that they wouldn’t be allowed to leave unless one of them handed over DNA. That sounded more like an illegal detention than a consensual conversation, the attorney charged, one that was not justified by the officer’s reference to previous “suspicious activity” in the neighborhood.

“Law enforcement has to have a reasonable suspicion that those kids are specifically committing a crime,” Hicks said. “Not just that some clowns in the neighborhood had committed some crimes in the past — that doesn’t let them create a police state into infinity.”

When Hicks wrote to Cmdr. Sanders and made this argument, Sanders initially struck a conciliatory note, agreeing to toss the sample even though he disagreed that the police had acquired it illegally.

“As long as Adam is not a frequently seen name in our police reports I would not have a use for his sample,” Sanders wrote to Hicks in a July 16, 2015 email. “Since his encounter with the officers Adam’s name has not resurfaced, nor is there another entry for Adam in our computer system. Therefore, in order to end this situation I will have the items collected in this case removed from our files and destroyed.”

Subsequently, however, Sanders told Hicks that the sample couldn’t be destroyed until the City of Melbourne arranged a new contract with a company that handled the disposal of forensic evidence. He also expressed concern that expunging Adam’s DNA would create a precedent that could jeopardize the legitimacy of the whole DNA collection program. Hicks didn’t care about precedent, just his client.

The dispute meandered on for months, with Hicks checking in every so often with Sanders to ask about Adam’s DNA sample and being told it was still sitting in a pile marked “to be destroyed.”

Finally, on August 23—a year and a half after Adam handed over his cheek swab—Sanders sent word the sample would be destroyed the very next day.

Adam’s family was relieved the wrangling was over, but Hicks remains concerned that police continue to pursue voluntary DNA collection, with few constraints on how they gather genetic material and from whom. “If this is okay, what’s to stop police from walking up to children on a playground or a basketball court and sticking Q-tips in their mouths?” Hicks said. “As a parent, I get concerned about the erosion of the Fourth Amendment over time.”

Adam’s dad still can’t believe his son needs parental consent to go on school field trips or to learn to drive a car, but not to give up his DNA to the police under Florida law.

“For me, the crux of it is, can they ask for an underage kid to consent to something like that without a parent?” he asked. “According to the police department, that seems to be their policy. But to the general public, I think that would be news to them.”