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Insurance Company Financing Corruption in Medical Quality Assurance

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Message Janet Parker
Power Corrupts, Absolute Power Corrupts Absolutely

Absolute power with no supervision is a huge issue in regards to criminal behavior and actions, as persons who are not accountable to any governmental agency for their actual actions and who are not supervised by any governmental official or agency, have free rein to do whatever they want. The State Physicians Health Program receive a majority of their income from INSURANCE COMPANIES and in most states they monitor every licensed medical professional in the state.

The system of State Physicians Health Programs have only a once a year limited financial audit and no audit at all of their "monitoring" activities, not even when they violate human rights and guaranteed civil rights of medical professionals. They can laugh at HIPPA restrictions, which they manipulate by using Color of Law tactics. This entire system was designed to hide those making decisions from public scrutiny and to prevent targeted doctors from being able to legally sue for violations of civil rights, interference in free trade, employment harassment, defamation of character and interference in pursuit of one's occupation. The State Physician Health Programs receive money from the State Department of Health which is funneled through the State Medical Associations in order to hide accountability.

The State Physicians Health Programs have been granted by the State Legislatures "quasi-governmental immunity" for their actions and often assert under "Color of Law" that they have "absolute immunity" for anything they do, (I do not believe anyone has immunity for homicide, rape, sexual harassment, psychological torture leading to suicide or other criminal acts). It appears, without open public competition, they are selected for their status as a subcontractor of the State Government's Department of Health by the state officials. The State Physicians Health Program hold a multiyear governmental contract that gives them funds from medical licensing fees (this means that doctors, after paying their medical licensing fees, are legally accepting an unstated contract to obey the State Physicians Health Program even though the doctors are never informed about the contract's existence).

The State Physicians Health Programs also receive major funds from the Health Insurance Industry and Pharmaceutical Companies, and other interested parties. They take money from whomever they want, including the American Society of Addiction Medicine related Ruth Fox Endowment Fund which they use for scholarships for "continuing education" and other related self-promoting and advertising activities. The State Physicians Health Program hides legally behind an incorporation status as an incorporated NGO. The State Physicians Health Programs because of their funding sources and their political affiliations represent residential treatment centers, for profit prison companies, drug testing companies, big business, large hospital chains and industry interests as well as malpractice insurance companies. The State Physicians Health Programs then determine which medical professionals will be targeted for investigation (such as Disruptive Doctor allegations) and what material will be included in the investigative report which is given to the State Medical Board and then reported to the National Data Bank.

Who are Disruptive Doctors?

Medical Whistleblowers, of course, and anyone who those in power wish to remove. The State Physicians Health Program staff will help anyone with a grudge to write their complaint, suggesting appropriate language and allegations in order to be certain that the State Physicians Health Program will get paid for the "referral".

The State Physicians Health Programs advertises directly in the Medical Association Newsletters to get people to make allegations against doctors, encourage false reporting, and then do a self-referral for a 5 or 6 year contract for "monitoring" services at a rate of about $6,000 per year per doctor. But that is not all they earn from getting a targeted doctor forced into their program, they also benefit from kickback fees from testing laboratories for 3 times weekly U/A's and other testing. The amount earned per doctor forced or coerced into the program is flexible and can be increased by additional false allegations and fabrications. Once in the system it is impossible to get out with the State Physicians Health Program dictating every aspect of the doctor's career for the rest of his/her professional life.

There is no Due Process, no evidential standard of proof that allegations are true. Instead the standard for forced admission into this program is "suspicion," not proof. This lowering of the standard for the start of an investigation that might destroy a doctor's career and personal reputation was done by the State Legislatures by adding a line or two to an existing bill that was assured passage. This change in the legislative language and the granting of governmental immunity to a subcontractor not controlled by the State government was done so secretly that the AMA and other medical associations never even noticed. One brave State Department of Health official did raise alarms and was fired for his expressed ethical concerns. So, based on false allegations and no real viable proof, a doctor or nurse can be threatened with the permanent removal of his/her medical license.

The Directors of the State Physicians Health Programs hide under the dual protections of the HIPPA act and HCQIA (Health Care Quality Improvement Act) both are Federal legislation. They violate the ethical principles of HIPPA regularly, but then hide behind HIPPA to prevent others from knowing the abusive behavior they level on the targeted doctors and nurses.

If you want to money-launder or do medical fraud or drug diversion in the medical community you must control this system of investigation of medical doctors and licensed medical professionals. If you control this system you control what research findings get published, you control what university programs get grants, you control which doctors have lucrative careers and which ones loose their medical licenses. If you control this system you can depose a State Governor, a Federal Legislator, a US Attorney, an FBI agent, or anyone who is in your way. A medical certificate of fitness is necessary for any National Security Position (this includes military personnel) and is necessary to get a security clearance, fly airplanes, or even work in the DEA or even the CIA.

The various State Physicians Health Programs are collaborating in the Federation of State Physicians Health Programs. Their public website gives little indication of the level of power and influence they exert politically and also over the entire medical community. The Federation of State Physicians Health Programs must not be confused with the Federation of State Medical Boards. The Federation of State Medical Boards are actually governmental officials and as such, they are under the control of the respective State Governor's and State Legislatures and thus must act appropriately as governmental officials. The Federation of State Physicians Health Program Directors and Staff are not governmental officials and are not supervised in any capacity by a governmental supervisor.

The staff and Directors of the State Physicians Health Programs do not themselves need to have shown excellence in Medicine or be reviewed by an appropriate Peer Review Body in order to have this position of power and absolute authority over every medical professional in the state. The Directors and staff of the State Physicians Health Program instead come from the ranks of the American Society of Addiction Medicine and thus most are persons struggling themselves with addiction and have past history of drug addiction, alcoholism, gambling and even sexual compulsive behavior. Criminal behavior relative to DUI's, gambling convictions, sexually inappropriate behavior are all conveniently silenced in order to get approval as Directors of the State Physicians Health Program. The State Physicians Health Programs Directors claim privacy rights anytime questions about their medical competence or past history of addictive behavior is raised.

The State Physicians Health Programs are independently run nongovernmental organizations, incorporated to reduce liability and tax exempt, so they pay no taxes on donations given to them by others in order to influence their political and organizational actions. These contracts which give them such unlimited and unsupervised power are basically granted without public competition and without public scrutiny. In one state the contract was broken into several pieces to hide the true function of the State Physicians Health Program and to prevent the public or targeted doctors from gaining access to information about their contract for work or their financial relationships. The Federation of State Physicians Health Programs is the center of this web but not its entirety, as cooperative agreements and other contracts complete the web into which doctors and other medical professionals fall when targeted by a Bad Faith Peer Review.


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Medical Whistleblower is an organization dedicated to advocacy and emotional support for those who have bravely stepped forward to "Tell Truth to Power" to the Medical Establishment. Medical Whistleblowers report Medical Fraud, Abuse and (more...)

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