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I am retired from government, law enforcement, politics and all other pointless endeavors. I eat when I am hungry and sleep when I am tired.

Thursday, July 20, 2017

MY LATEST ON VDARE.COM

Attorney General Jeff Sessions and HHS Secretary Tom Price announced indictments of 412 Medicare/Medicare cheats across 41 federal districts on July 13 [Documents and resources from the July 13, 2017 National Health Care Fraud Takedown Press Conference, Department of Justice, July 13, 2017]. And this doesn’t represent all Federal Districts so there will be more to come.
It’s a significant step in draining the swamp of Medicare leeches, and as VDARE readers may expect, many of these leeches are immigrants.
Recently, Ann Coulter gave us a glimpse at the immigrant names among accused Medicare fraudsters in the Detroit area.

VDARE.com has covered the nexus between crooked medical minorities/ immigrants and the collapse of professional standards over the past few years. Here I will take a deeper dive into the Florida and some of the New York City cases. Who is involved in this and how does this happen?
The demographics of the defendants and local immigrant populations mirror each other, as we would expect. Based on the names in the list of indictments in the Southern District of Florida (i.e. Miami and environs) in the list provided by the Department of Justice, the list of 28 defendants contains only two non-Hispanics. In contrast, Middle Florida rendered just 5 defendants, all appear to be white.
Meanwhile, the Eastern District of New York, which contains parts of New York City, produced six defendants, including one Indian, one Chinese person, and, from the last names, apparently four Russian Jews. (Someone is just not looking hard enough there, but it’s a start.)
The amounts stolen are not trivial. Here’s back of the envelope tally of claimed fraud amounts for the NYC defendants.
  1. Bhambhani – $3,725,995 between 2010 and 2017 (Page 8 – Indictment)
  2. Meliksetyan – NA
  3. Shargordskya – Over $5 million (Page 8 – Indictment)
  4. Alexseyev – $6 million (Page 8 – Indictment)
  5. Bakry – $11-12 Million (Page 11 – Indictment)
  6. Zhang – $7,126,342 (Page 8 – Indictment)
The Department of Justice estimates 1.3 Billion in fraud in total for all 412 cases [National Health Care Fraud Takedown Results In Charges Against Over 412 Individuals Responsible for $1.3 Billion in Fraud Losses, Department of Justice, July 13, 2017].
How did this get so out of control? One graphic tells the story [2017 Health Care Fraud Takedown: Daily Stat Breakdown, Department of Justice, July 12, 2017.
The Obama Administration only prosecuted 89 Medicare fraudsters nationwide in the fiscal year 2013. In 2014, it was only 90. The fiscal years 2015 and 2016 saw increases to 243 and 301 respectively.
That sounds like they were responding to a growing problem–until you consider that the Trump Administration has already indicted 412 in six months. At that rate, this Administration will bring charges against more people in one year than the total charges brought by Obama in four years—at 824 (my estimate) it will be twice Obama’s cumulative total of 723.
Quite obviously, the Obama Administration was not keen on riding herd, especially when doing so might mean confronting the myth of virtuous hard-working minority immigrants making it in America.[Fewer prosecuted in benefits program fraud, By Brad Heath, USA TODAY, June 28, 2011.]After all, Obama once proudly proclaimed himself a Desi.
They don’t need to work all that hard, though. Medicare is like a safe made from balsa wood. It is so weak it invites pilferage.
Medicare is a federally-funded program administered by the Department of Health and Human Services (HHS) to provide medical services to the infirm, elderly and poor. It does this by providing payment for health care services. It provides no services itself. Instead, the money passes to the Centers for Medicare & Medicaid Services (CMS), which also provides no actual services. Instead, it administers the program.
For example, if one was dealing with treatment for those confined to their home, CMS would contract with various Home Health Agencies (HHAs). These are bound to CMS by regulations, codes and payment methodologies so CMS can supposedly track what’s being provided and to whom.
The HHAs in turn contract with lesser providers like nursing services, equipment vendors, etc. This is where the lion’s share of the cheating goes on, as crooked agencies can use vendors to inflate payments and hide the money trail.
Since this is pretty complicated, CMS regularly contracts with Benefit Administrators who provide oversight of everyday spending and practices. They are supposed to be gatekeepers and quality control monitors.
Yet this is an imperfect system. Medicare is like a great bag of coins with a hole in the bottom. Everyone catches some while passing the overflow down to the next level. The owner of the bag can only hope that the coins at the bottom are well spent.
Reading the complaints filed by DOJ, it seems obvious little is being done at the provider level to establish even the existence of patients or services. The ratio of paper pushers and paper creators to inspectors is weighted toward the thieves. There are not enough undercover inspections and not enough operational auditing.
Also, if Benefit Coordinators were on the job, how could the scams go on for multiple years? They either aren’t doing the job or are in on the take. It’s difficult to see another plausible answer. This is an ideal scenario for low-trust foreigners with audacity and a bit of creativity.
The financial status of the fraudsters doesn’t seem to be investigated with any rigor. There are more red flags in the operating procedures of these defendants than at an old Red Square May Day parade.
Indictments are loaded with dummy companies, and money laundering operations. I’ve seen multiple instances of immigrant fraudsters with connections to check-cashing businesses. Why would a physician have connections with an obvious money laundering scenario?
For instance, in the Eastern District of New York, Dr. Xiailiang Zhang seems to have walked away with over $7 million, billing the taxpayers for back rubs and hot packs. That’s according to a cooperating witness and an undercover Inspector General Investigator as cited in the complaint. He piled up this fortune over a period of three years. How carefully are these providers monitored if they can get away with this for years at a time?
Why are so many immigrants involved? My experience tells me there are two reasons:
  • First, there is a critical mass of poorly or non-assimilated foreigners from low-trust societies in such places.
This helps in recruiting confederates and in manning schemes. Everyone gets a cut and landsmen are less likely to turn on one another. There are also many local criminals who will eagerly participate for a few bucks.
  • The bottom of the American food chain also populates places like these. It’s easy to run a Medicare scam in an area full of disability parasites, addicts, and down and outs.
All manner of welfare and insurance fraud already goes on where foreign MD’s deploy their “services.” A small kickback or gift is enough to get a meth-head to enroll as your phantom patient. (Try finding him to testify, by the way).
Those praying on these losers in the American lottery are often not even Americans. But Americans are still the ones paying for it, both in terms of our tax dollars and in the collapse of our formerly First World society.
And until we can come to grips with this problem, fixing health care will remain an impossibility.
Thomas O. Meehan (email him) is a free-lance writer and former government Senior Research Analyst and Inspector. A refugee from the People’s Republic of New Jersey, he now lives in Bucks County PA. He blogs from Odysseus On The Rocks.

PITY THE RHINO

In some sort of cosmic convergence, news of the last three White Rhinos imminent extinction and John McCain's possible extinction from brain cancer came at a single news cycle.   Ghoulish expressions of glee broke out immediately, especially by obscure internet sites previously unknown to me.  

Pardon me for not joining in.

The US Senate will be a better place for John McCains absence.  The United States or humanity at large will not be, if cancer destroys the person, John McCain.  

Whatever McCain is, he is not a monster.  When I say monster I mean someone like Lenin, who oversaw the murder of millions and took glee in doing so.  It is fair comment to wish that the young woman who shot Lenin in the head had better aim or a bigger revolver.  That would be, in old time police parlance a, "Community service homicide."  Some criminals are such a scourge to society, particularly their own immediate community, that it is impossible to ignore the good of their extinction in light of the provocations bringing it about and the subsequent peace and quiet.   

John McCain is an elected official in our still somewhat free republic and rooting for a cancer taking his life is deranged.  He stands against a lot of what I believe in and is a scourge and a stumbling block to patriotic immigration activism.  But rooting for the cancer eating his brain shows a savage, low mindset.  Wishing your political opponents dead by any at all means is the very stuff of totalitarianism and is indicative of the mentality of those we wish to keep off our shores.  

I write a lot of uncharitable stuff about what I see as bad people and bad causes.  I enjoy pricking the humbug bubble of political correctness in the spirit of Auberon Waugh and others. 

I sincerely hope that I will never slip into mindless destructive glee.  It's beneath me and I hope, us. 


Thursday, July 13, 2017

DOJ GET'S REVENGER ON HOBBY LOBBY

The Deep State Gets Even With Hobby Lobby


The Deep State in the form of the US Department of Justice just got even with Hobby Lobby for winning a Supreme Court decision. It seems that Hobby Lobby is building a museum in Washington dedicated to increasing understanding and veneration of the Bible. As part of this effort they purchase many artifacts from the Middle East.
Shady dealing is a norm in that part of the world. There are also lots of purloined artifacts on the market thanks to our destruction of the place. There are lots of purloined artifacts on the market in general. The government spent years trying to prove that Hobby Lobby bought some of these items.
So in an investigation begun while the Hobby Lobby case was wending it’s way up the federal court system, Hobby Lobby has been coerced into to handing over everything it purchased and pay a 3 million dollar fine. According for the DOJ:
“The government also filed a stipulation of settlement with Hobby Lobby, in which Hobby Lobby consented to the forfeiture of the artifacts in the complaint, approximately 144 cylinder seals and an additional sum of $3 million, resolving the civil action,”
Hobby Lobby got suckered by a UAE, and an Israeli dealer into buying some ancient clay tablets that the government doesn’t even claim to have cultural academic significance. But then the law is the law and we must all follow it. As one Special Agent in Charge Melendez said in the Government release”
“The protection of cultural heritage is a mission the (CBP) take very seriously as we recognize that while some may put a price on these artifacts, the people of Iraq consider them priceless.”
Well, some of them may, but others consider all such reminders of pre-Islamic life so much garbage.
For his part, Mr. Green, President of Hobby Lobby said Hobby Lobby ….”was new to the world of acquiring these objects, and did not fully appreciate the complexities of the acquisitions process.”
The Government was at pains to fault Hobby Lobby for not being careful enough in the process of buying from shifty Middle Easterners but when a journalist for The Daily Beast got too close to blaming Hobby Lobby for deliberate deception, The Beast was forced to publish the following correction:
Correction: This story has been edited to make clear that Hobby Lobby received falsely labeled artifacts from a supplier, according to the Department of Justice. The UAE-based dealers involved in the transactions falsely labeled the artifacts as “ceramics” and “samples” and illegally shipped them to Hobby Lobby stores and corporate affiliates in the United States, the DOJ said.”
Given this, why a three million dollar fine? That’s far more than the value of the items, items that have never been described as historically meaningful. People familiar with the Federal Justice system are not surprised at this heavy scrutiny and selective enforcement of politically unflavored citizens. Does anyone think that the three million dollars will go to a good cause?

Wednesday, July 5, 2017

FROM VDARE.COM I FOLLOW UP ON OBAMA'S PARDONS



MY LATEST (BLOGPOST) AT VDARE.COM
As expected, the black beneficiaries of Obama’s mass pardon/commutations are already returning to whence they came. As reported by myself and others over the last few years here on VDARE.COM, Obama commuted the sentences of a whopping 1715 federal inmates and outright pardoned another 212. These pardons were heavily weighted to black drug offenders. The reason he gave was a belief that the justice system was rigged against his fellow African-Americans.
It seems that Carole Denise Richardson  (above right) one of his fellows who needed a second chance, is back in custody for theft and according to authorities, “Richardson violated five separate terms of her release including failing to report that she was arrested, that she’d been terminated from a job for failing to show up and that she had changed her address.” [Texas woman granted clemency by Obama ordered back to federal prison for multiple violations, by Gabrielle Banks, Houston Chronicle, June 8, 2017]
She had an extensive rap sheet before her initial sentencing to life in prison in 2006. Clearly, she was not a good risk for clemency but she was the right color.
This story has been making the rounds but one must ask, how many more are returning to the system? What’s the track record?
The place to look is the Bureau of Justice Statistics, particularly recidivism studies. Alas, these are old and bear heavily on state rather than federal offenders. Some studies I’ve seen are obvious attempts to justify the former president’s pardon binge.
As Obama left office with this legacy of unleashed drug felons, is it too much to ask Attorney General Sessions to start keeping a running count of clemency/pardon failures? I think he would do this, especially if prompted to by Congressmen and we patriots.
Let’s turn up the heat.

Thursday, June 29, 2017

GRETA TO THE WALL...BUT WHY?

MSNBC just fired the inestimable Greta Van Susteren.  As is usually the case, no one will speak honestly about motives/reasons.  I assume that Greta is bound by some contract clause to speak no ill in exchange for whatever also works for her.

I didn't watch Greta's show for the same reason that I don't go to good restaurants in crappy neighborhoods. Except that is, for last night.  I sat through last nights show and was impressed.  She was delivered a fact driven, no nonsense show that never descended into the smirking, childish posturing that is now MSNBC hallmark.  Indeed I got the impression that she was singularly intolerant of anything but straight reporting.

I can't say she is being replaced by......let's say that some nonentity name Ari Melber is filling her time slot.  He is one of many small creatures who's only existence depends on the children's crusade to undo the election of 2016.  He will pass into obscurity in short order.    

MSNBC clearly has no use for even the pretense of professionalism.  Greta deserves better and we can only hope she is allow to do her job in a decent and appreciative venue.   

Thursday, June 22, 2017

THAT HEAD

Anyone who has been a cop, or worked in an emergency room, or customer service etc., knows this face.  Perhaps I should change that to "Head."  Pighead, hothead, sorehead and of course knucklehead all apply.

This is the head/face/expression of the troublemaking, unreachably resentment fueled antagonist to all reason.  There are conservative versions of this head but I think that the left has more as they traffic so heavily in resentment.  Whichever party, we recognize him as the ticking time bomb we wish we could stop, but can't. 

You know when you encounter Mr. Head. He's the man who grows angrier as the beer flows.  He's the political ranter who believes that governments exist, not to apportion spoils, but to see that he never gets any.  He is the guy who is always looking for an excuse.  He's the guy with a wife who cringes.  He is the man against whom an ancient insult has been enacted.  He will spend his life trying to get even for it.

Fortunately, he is also the kind of man is so shaking with rage that he can't shoot straight.     

Friday, June 2, 2017

TRUMP'S ARMY OF IAGOS


I commented on today's VDARE.COM Radio essay and it went a bit long. So, I'm expanding it a some and posting it here.  She was saying that President Trump is permitting establishment hacks to exclude Trump loyalists from administration jobs.  She suspects that it is the business people, with non-ideological mentalities who are responsible.  To a degree this is true but ......
  
http://www.vdare.com/kirkpatrick/vdare-radio-personnel-is-policy

'From experience I can say that politicians AND businessmen are exactly the same with regard to staffing a new administration. This is because coming to power is a two step process with the election as the first step.  The second and most brutal step is the internal civil war between factions after the election. Think of a Latin-American revolution. First the revolutionaries get together to overthrow the dictator. Then, they kill each other off until the new revolutionary dictator emerges.  Just so, in business the inventor or entrepreneur creates the business. After a while, he/she must give way to the professional managers. In politics that process of fratricide within the administration-in-waiting begins on election night and proceeds in a frenzy thereafter.  Cliques form around people who can claim access to the candidate and the cliques begin to banish the undesirables immediately. It's all about access to the elected official and appointing people who will support the access-holder. That's why the post of Chief of Staff is so important.  As per the radio show, "Personnel is Policy."  The kind of people to be found on the rolodex's of those anxious to control the agenda are not going to be barn burning political visionaries. Visionaries may run for office but they have no home within the bureaucracy.  

Politicians rarely want the people who got them elected to stick around to govern. They will tell you that it's just a matter of different skillsets. To some degree this is also true.  But it is also irritating to have people around who remember your promises and who have seen you stumble. Everybody stumbles at some point during a campaign. Much better to hire someone about whom there is good word of mouth and some sort of resume. That pretty much means GOP hacks.  Trump has little idea what to do. So, he leans on people like Reince Priebus who look like professional mangers to him. He also leans on an inner circle of weak reeds like his son in law. I think we all know this will end in tears but there is no way of stopping him. 

The overarching problem here is that there is little or no patriotic paleoconservative establishment for Trump to draw on for personnel. The Neocons have comprehensively corrupted the GOP bench. The Neo's control the think tanks and have the resumes. Only the creation of a respectable patriotic shadow government filled with persons of stature and experience will solve our problem.  This will never happen until wealthy paleo's start creating and supporting institutions dedicated to keeping the country and their fortunes intact.  I see no evidence of this happening.