Showing posts with label pediatric. Show all posts
Showing posts with label pediatric. Show all posts

Wednesday, August 25, 2010

Big Pharma Uses Poor Kids As Lab Rat

Ah, what the Big Pharma won't do for a dollar. What is worst is that most of these drugs that are being pushed for approval are done, not just on American foster kids, but on the other poor kids of the world.

There is a term for this practice, and it is almost appropriately labeled "Orphan Drugs."

An Orphan Drug is one that is intended for rare diseases. Orphan Drug legislation encourages Big Pharma to "speed up" research and development of these drugs. Where the profit margins are lower compared to adult drug profit margins (I base this on the census numbers of children v. adults in the country. and the fact that the U.S. one of the highest infant mortality rates for westernized nations.)

The best part is nobody in the U.S. will do anything to stop it.  Free market principles, you know. 

"If you do not wish to be a lab rat, then get a job."

"Save a lab rat, test a poor kid." 


HHS OIG Orphan Drug Act Implementation and Impact

This is why Big Pharma pimps policy for innovative financing, even on an international level.

Lab rats? Drugs for US children tried on Indians

Read more: Lab rats? Drugs for US children tried on Indians - US - World - The Times of India http://timesofindia.indiatimes.com/world/us/Lab-rats-Drugs-for-US-children-tried-on-Indians/articleshow/6423130.cms#ixzz0xeCZNQBz

NEW YORK: A law intended to speed up development of new drugs for US kids has ended up financing clinical trials in poor countries, where the medicines might never become available.

That's the conclusion of a new report whose authors say the situation raises ethical concerns. More than a third of the published trials performed under 1997 legislation called the Pediatric Exclusivity Provision were carried out at least partly in developing or transitioning nations, such as Uganda and India, researchers found.

"The trend that we describe brings up some scientific and ethical problems," said Dr Sara Pasquali, a pediatrician at Duke University Medical Center in Durham, North Carolina, whose findings appear in the journal Pediatrics.

"Oftentimes, access to a study may be the only access to medical care a family has," she said of trial participants in developing countries. Once the testing is done, however, it's unclear if effective drugs will be marketed in the country in question, and whether they will be affordable.

Among the 174 trials the researchers examined, drugs against infectious diseases were most likely to be tested in the developing world, closely followed by heart, allergy and arthritis medications.
"We are now using vulnerable people in vulnerable countries as drug laboratories," Dr Marcia Angell, who was not involved in the new research, said. "It is all about dollars and cents."

The idea behind the Pediatric Exclusivity Provision is to incentivize development of drugs for children in the US.

Because many diseases are rare in childhood, clinical trials usually target adults only, and their results don't automatically extend to kids. The pediatric provision grants companies an extra six months of patent life if they test their drugs in kids as well.

So far, those patent extensions have netted drugmakers an estimated $14 billion dollars, according to the US Food and Drug Administration. At the same time, more than 150 drugs have been approved for children since 1997, said Pasquali.
According to the Pharmaceutical Research and Manufacturers of America, a trade association, there is no difference in the way trials are conducted in the US and abroad.

M Nabeel Ghayur, a pharmacologist who worked in drug development in Pakistan before joining McMaster University in Hamilton, Ontario, Canada, said conditions are similar in India and Pakistan.

"People actually have blind trust in their doctor in South Asia. They have no idea what drug development is, they have no idea what clinical trials are," he said. reuters

Read more: Lab rats? Drugs for US children tried on Indians - US - World - The Times of India http://timesofindia.indiatimes.com/world/us/Lab-rats-Drugs-for-US-children-tried-on-Indians/articleshow/6423130.cms#ixzz0xeBqpvPZ

HHS OIG Challenges to FDA's Ability to Monitor and Inspect Foreign Clinical Trials 2010

Monday, August 23, 2010

NCSC Inclusive Omissions of Child Welfare Fraud

National Center for State Courts (NCSC) Adoption/Termination of Parental Rights Resource Guide Which Includes Omissions of Any Reference to Fraud, Waste and Abuse in Child Welfare Services

This is a complete reference guide to avoid federal grant compliance, assurances for referral of violations of law to state prosecutorial authorities, how not to contractually debar child placing agencies engaged in questionable activities, and denial of Medicaid fraud in juvenile, pediatric and child welfare services.

This is not propaganda, it is the oxymoron of "inclusive omissions" of child welfare fraud.

"If you do not report it, it will not exist."


Adoption Agencies and Organizations
Child Welfare League of America. (1). CWLA is the oldest and largest nonprofit association assisting abused and neglected children and their families.

Children`s Bureau. (1). The Children’s Bureau (CB) is the oldest federal agency for children and is located within the U.S. Department of Health and Human Services' Administration for Children and Families, Administration on Children, Youth and Families. It is responsible for assisting states in the delivery of child welfare services to protect children and strengthen families. It also provides fact sheets and information on laws, policies, programs, and initiatives concerning adoptions.

Evan B. Donaldson Adoption Institute. (1). The Evan B. Donaldson Adoption Institute is one of the preeminent policy, research, and education organizations in its field. Its mission is to improve policies, practices, laws, and attitudes to benefit everyone touched by adoption, especially children. The Adoption Institute has long been a source of accurate, unbiased information for journalists, researchers, and professionals. The institute’s newsletter keeps up-to-date information on changes in the laws that affect adoptions. Back issues are available free online. Their site also has great links to data and statistics on adoption.

National Adoption Center. (1). Provides general information about adoptions and also features FACES, which provides bios and pictures on children in need of an adoptive family.

National Council for Adoption. (1). The NCFA provides general information on adoption, as well as some guidelines for approaching the decision to adopt and taking the first steps. They also provide contact information to adoption agencies and attorneys and an overview of the adoption process.

National Foster Care and Adoption Directory. (1). The National Adoption Information Clearinghouse provides a searchable database for information on adoption agencies, recruitment lines, state officials, support groups, and statewide services for all 50 states.

NCFA List of Adoption Agencies. (1). All adoption agencies listed on the NCFA Web page are official members of NCFA and have met certain criteria for membership. However, it is not an exhaustive list. NCFA also provides contact information for qualified attorneys who are official members of NCFA and have met certain membership requirements. There is also a list of various publications and literature to help further education on adoption. Some of the publications listed are produced directly by NCFA.

North American Council on Adoptable Children. (1). NACAC provides information on how to adopt, recruit adoptive families, and get support after adopting, as well as information on transracial parenting.

The American Academy of Adoption Attorneys . (1). The American Academy of Adoption Attorneys is a national association of attorneys who practice, or have otherwise distinguished themselves, in the field of adoption law.

Adoption Law
Adoption Laws. (1). The National Adoption Information Clearinghouse provides information on laws governing the entire adoption process. It also provides state-specific information for each portion of the adoption process.

Golden, Olivia et al. Intentions and Results: A Look Back at the Adoption and Safe Families Act. Urban Institute (December 2009). The Center for the Study of Social Policy (CSSP) in partnership with the Urban Institute co-sponsored this series of papers to examine effects of the ASFA law and its implementation.

The National Center for Adoption Law and Policy at Capital University Law School. (1). The National Center for Adoption Law and Policy seeks to improve the law, policies, and practices associated with child protection and adoption systems. Their goal is that all children—especially those who have been abused or neglected or are dependent on the state for their care—have safe, healthy, permanent homes.

Kochanska, Ewa The nation`s first embryo adoption bill passed Georgia Senate. The Examiner: Atlanta, GA (April 2009). The Option of Adoption Act (HB388) is the first statute in the United States to provide a legal framework for the “adoption” of embryos by providing the option to obtain a court approval for the procedure as well as clarifying the rights of genetic donors and adoptive parents.

Information and Statistics on Adoption
Adoption and Foster Care Analysis and Reporting System . (1). The Children's Bureau provides access to recent data from AFCARS, which collects information on all children in foster care or adopted children for whom the state child welfare agency has responsibility.

Vandivere, Sharon, Karin Malm and Laura Radel Adoption USA: A Chartbook Based on the 2007 National Survey of Adoptive Parents . U.S. Department of Health and Human Services (2009). This report summarizes the first-ever survey to provide representative information about the characteristics, adoption experiences, and well-being of adopted children and their families in the United States.

California Child and Family Services. (1). Provides detailed information and statistics on adoptions in California.

Child Welfare Information Gateway Adoption Statistics. (1). These resources provide State, national, and international data and statistics on private, public foster care, and intercountry adoption. Research findings present trends and analyses in the field of adoption.

Child Welfare Information Gateway`s Filing Trends. www.childwelfare.gov (1). Factsheets focusing on statistical research

Macomber, Jennifer Ehrle et al. Foster Care Adoption in the United States: A State-by State Analysis of Barriers & Promising Approaches. Washington, D.C.: The Urban Institute (2004). This report summarizes information gathered from states' Child and Family Services Reviews and provides a national overview of the barriers and promising approaches to the adoption process.

Flango, Victor and Carol Flango How Many Children Were Adopted in 1992?. Child Welfare vol. 74 (1995). This article presents the most recent and most accurate information available on the total number of adoptions in the United States in 1992.

National Data Analysis System (NDAS). (1). The Child Welfare League of America's National Data Analysis System provides information on child abuse and neglect, out-of-home care, adoption, and fiscal and administrative data. Includes the number of children legally adopted through public agencies and the number waiting for adoption. Users should use guest as the name and password for access to the site.

New York State Citizens` Coalition for Children, Inc. (1). Provides detailed information on adoption, foster care, child advocacy, and children's rights.

Oregon Department of Human Services-Adoption. (1). Provides detailed information and statistics about adoption in Oregon.

Trends in Foster Care and Adoption FY2002-FY2007. AFCARS, U.S. Childrens Bureau, Administration for Children, Youth and Families (September 2008). Graphically represented national estimates of foster care and adoption population characteristics.

Testa, Mark F. When Children Cannot Return Home: Adoption and Guardianship. Children, Families, and Foster Care 14, no. 1 (Winter 2004).

International Adoptions
Joint Council on International Children`s Services. (1). The council advocates on behalf of children in need of permanent families by promoting ethical practices in intercountry adoption.

U.S. Embassy in Guatemala Uses DNA Testing to Protect Its Adopted Children. U.S. Department of State (August 2007). To protect Guatemalan children from being put up for adoption by people other than their parents, the U.S. Department of State has implemented a DNA-testing program. The adults placing the children up for adoption will be tested see if their DNA matches that of the children.

U.S. State Department, Office of Children`s Issues--Intercountry Adoptions. (1). The process of adopting a foreign child and bringing that child into the United States involves several steps. Information regarding the process can be obtained directly from this site.

Safe Haven Laws
Alaska, Nebraska Become 49th and 50th States to Enact Safe Haven Laws. National Council For Adoption (NCFA) (February 2008). This NCFA media advisory on safe haven laws notes that Alaska and Nebraska are the 49th & 50th states to adopt safe haven laws.

Gov. Heineman Signs Safe Haven Update into Law. Communications Office of Governor Dave Heineman (November 2008). This updated version of Nebraska’s safe haven law sets an age limit of 30 days for legally surrendering a child.

Infant Abandonment. Guttmacher Institute (February 2010). This policy brief reviews safe haven laws in the fifty states and the District of Columbia.

Infant Safe Haven Laws. Child Welfare Information Gateway (July 2007). This site provides information on state statutes on safe haven laws as of July 2007. (Note several states have added or changed safe haven laws since that time).

Safe Haven Law. Nebraska Department of Health and Human Services (DHHS) (2008). This Nebraska DHSS site provides information on the original safe haven legislation which led to 36 children being surrendered to the department between September and November of 2008. A list of cases with the ages of the children (most of whom were over age 10 and 6 of whom were from other states) is provided.

The Child Welfare Leagues` Baby Abandonment Page. (1). This page provides information on baby abandonment, including state-specific information on legislation and a summary and monograph concerning baby abandonment and safe haven laws.

Special Needs Children Family Assistance
Military Families and Adoption: A Fact Sheet for Families. Fact Sheet, Child Welfare Information Gateway, Washington, D.C. (2003). Common questions about adoption of children by military personnel and their families are addressed in this fact sheet.

National Organization on Fetal Alcohol Syndrome. (1). Protecting children and families by fighting the leading known cause of mental retardation and birth defects.

National Resource Center for Special Needs Adoptions. (1). Produces a weekly newsletter, the Roundtable, that is available online.

Post-Legal Adoption Services for Children with Special Needs and Their Families : Challenges and Lessons Learned. Fact Sheet, Child Welfare Information Network, Washington, D.C. (2005).

Spaulding for Children. (1). A National Resource Center (NRC) for special needs adoption, Spaulding's NRC provides training, consultation, and information for professionals, organizations, and parents.

Termination of Parental Rights
Szymanski, Linda A. Jury Trial in Termination of Parental Rights Cases. National Center for Juvenile Justice (2008). This NCJJ Snapshot provides an overview of how states address the issue of jury trials in termination of parental rights cases.

National Project to Improve Representation for Parents Involved in the Child Welfare System. ABA Center on Children and the Law (1). This collaborative project provides resources and training to improve parent representation in child welfare cases.

Ellis, Raquel, Karin Malm, and Erin Biship The Timing of Terminations of Parental Rights: A Balancing Act for Children`s Best Interests. Child Trends (September 2009). A sample of 20 judges representing 18 different states participated in telephone interviews to explore their perspectives and experiences around termination of parental rights proceedings and the challeges faced when making decisions in these cases.

Table of Appeals of Termination of Parental Rights Cases. Virginia Court Improvement Program, Office of the Executive Secretary, Supreme Court of Virginia (2010). This table provides a list of termination of parental rights cases appealed to the Supreme Court of Virginia and the Court of Appeals of Virginia since January 1, 1996 that were decided by opinion. The editors of this document arranged the cases into fourteen categories based on their characterization of the legal and factual issues involved.

Child Welfare Handbook: Effect of Parental Rights Termination. New Mexico Judicial Education Center (2007). This Handbook provides guidelines and general explanations for the processes surrounding the termination of parental rights in New Mexico.

Termination of Parental Rights . Sacramento County Public Law Library (1). Library web page with information on Termination of Parental rights in California. Includes the following language: Termination of parental rights IS NOT granted by the courts on request or by mutual agreement of the parents as a means of solving visitation or support disputes.

Maryland CINA, related TPR and Adoption Matters. Best Practices Manual. Foster Care Improvement Project (January 2007). This document provides standards for child welfare hearings for the Maryland courts.

Termination of Parental Rights. Child Welfare Information Gateway, U.S. Department of Health and Human Services, Administration for Children and Families (1). This website provides guidelines with commentary for the termination of parental rights.

NCSC Library Material
Adoption and Permanency Guidelines: Improving Court Practice in Child Abuse and Neglect Cases. Reno, NV: National Council of Juvenile and Family Court Judges (2000). This guidebook sets forth the essential elements of best practices that lead to a permanent home for children who cannot be reunified with their families. The guidelines describe each step between the point at which the court determines reunification is not an option and the point at which the juvenile and family court is no longer involved in the case because the child has achieved permanence in a new home. Topics include permanency planning, the permanency hearing, termination of parental rights, and the appeals process. (KF9323 .A93)

Marshner, Connaught and William L. Pierce. Adoption Factbook III. Waite Park, MN: Park Press Quality Printing, Inc. (1999). This book is a comprehensive study of adoption, including national and state statistics. (HV875 .A3 1999)

Boyd, Diana. Court Improvement Progress Reports. Washington, DC: Center on Children and the Law, American Bar Association (1). These reports describe the current progress of the federally funded state Court Improvement Projects. These projects were created to improve the state courts' handling of child abuse and neglect cases. The reports describe the current court reform issues on which the courts are working, their strategies in approaching these issues, and the extent of their current progress. (KF9323 .R38). These reports are available for purchase through the American Bar Association.

Evidentiary Issues in Termination of Parental Rights [CD-ROM]: An Interactive Simulated Trial. Reno, NV: National Council of Juvenile and Family Court Judges (2002).

The CD presents a simulated trial "In the matter of the termination of the parent-child relationship between a child and a set of parents." The viewer can rule on the admissibility of evidence and related procedural issues while receiving feedback on the statutory and case authority. (KF547.E93)


Duquette, Donald N. Guidelines for Public Policy and State Legislation Governing Permanence for Children. Washington, DC: Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children`s Bureau (1999). The guidelines were developed as one of several steps taken by the federal government in response to Adoption 2002, President Clinton's Initiative on Adoption and Foster Care. The guidelines are intended to assist the states as they focus on critical issues affecting child welfare practice and the courts. (KF545 .D87)

Johns, Krista R. Judge`s Guidebook on Adoption and Other Permanent Homes for Children. Reno, NV: National Council of Juvenile and Family Court Judges (1999). This guidebook provides operating principles that can be used in any community to create sound practices in child abuse and neglect cases. The guidebook also discusses implications for state social service agencies, juvenile courts, and courts of appeals of the Adoption and Safe Families Act of 1997. (KF545 .J64)

Minnesota Supreme Court Foster Care and Adoption Task Force: Final Report. St. Paul: Minnesota Supreme Court, State Court Administration, Office of Research and Planning (1997). This report contains more than 30 recommendations from the task force, including such topics as the Indian Child Welfare Act and tribal courts, open adoptions, the Minnesota Heritage Act, and termination of parental rights. (KFM5494.5 .M55)

Gay, Donna L. Report of the Arkansas Supreme Court Ad Hoc Committee on Foster Care and Adoption Assessment with Findings and Recommendations. Little Rock, AK: Administrative Office of the Courts (1997). This report highlights the findings of the Arkansas Administrative Office of the Courts Ad Hoc Committee regarding court improvement in foster care and adoption cases. The report provides information about the committee's assessment process, results of the assessment, recommendations for overall improvement, and the future implementation of the recommendations. (KFA3704.6 .G39)

Wednesday, June 30, 2010

Indiana Medicaid Fraud In Child Welfare

Here will be one of my textbook examples of a Medicaid Fraud Scheme in Child Welfare.

What is contained within this fraud scheme are key components to validate what I have coined as child abuse propaganda.

Without being said, I will immediately question whether any of the children were temporary/permanent wards of the state, (i.e. foster care, adoption).

It is organizations such as these who present these false data to be compiled to develop public policy. What is most statistically egregious is the national data will never be amended.

This happens everyday all across the nation.

State Investigation of Whistleblower Lawsuit Supports Medicaid Fraud Allegations Against Madison Center

For more than 10 years, Madison Center actively sought and enrolled low-income, "problem students" from the local school system and enrolled them in its day treatment program. To boost its Medicaid revenues even more, Madison Center would convince parents that the siblings of those students also should be sent to Madison Center for treatment instead of school, the "qui tam" (whistleblower) lawsuit says.

But the children weren't properly diagnosed, and they were given little or no treatment to help them, according to the whistleblower lawsuit. Since the children's families were poor, Medicaid covered the Madison Center's charges for the treatment the children supposedly received. The state estimates it paid Madison Center more than $10 million in Medicaid payments for fraudulent billing charges.

It seems people are finally listening to me...and I have so much more to say.

Madison Center Qui Tam False Claims Act Complaint