Medical Bills: An obscene story of GREED!

Time Magazine  This is an incredible article that goes into great detail as to why American medical bills are so high despite not providing superior medical care. In particular it focuses on why the government is focusing on the question of "who should pay" rather than the more intelligent question "why charges are so high and largely unrelated to costs."

======================

   [....] The total cost, in advance, for Sean to get his treatment plan and initial doses of chemotherapy was $83,900.  Why?

The first of the 344 lines printed out across eight pages of his hospital bill — filled with indecipherable numerical codes and acronyms — seemed innocuous. But it set the tone for all that followed. It read, “1 ACETAMINOPHE TABS 325 MG.” The charge was only $1.50, but it was for a generic version of a Tylenol pill. You can buy 100 of them on Amazon for $1.49 even without a hospital’s purchasing power.

Dozens of midpriced items were embedded with similarly aggressive markups, like $283.00 for a “CHEST, PA AND LAT 71020.” That’s a simple chest X-ray, for which MD Anderson is routinely paid $20.44 when it treats a patient on Medicare, the government health care program for the elderly.

Every time a nurse drew blood, a “ROUTINE VENIPUNCTURE” charge of $36.00 appeared, accompanied by charges of $23 to $78 for each of a dozen or more lab analyses performed on the blood sample. In all, the charges for blood and other lab tests done on Recchi amounted to more than $15,000. Had Recchi been old enough for Medicare, MD Anderson would have been paid a few hundred dollars for all those tests. By law, Medicare’s payments approximate a hospital’s cost of providing a service, including overhead, equipment and salaries.

On the second page of the bill, the markups got bolder. Recchi was charged $13,702 for “1 RITUXIMAB INJ 660 MG.” That’s an injection of 660 mg of a cancer wonder drug called Rituxan. The average price paid by all hospitals for this dose is about $4,000, but MD Anderson probably gets a volume discount that would make its cost $3,000 to $3,500. That means the nonprofit cancer center’s paid-in-advance markup on Recchi’s lifesaving shot would be about 400%. [...]

Psychiatric issues from bullying last into adulthood

NY Times   Victims of bullying at school, and bullies themselves, are more likely to experience psychiatric problems in childhood, studies have shown. Now researchers have found that elevated risk of psychiatric trouble extends into adulthood, sometimes even a decade after the intimidation has ended.

The new study, published in the journal JAMA Psychiatry on Wednesday, is the most comprehensive effort to date to establish the long-term consequences of childhood bullying, experts said.

“It documents the elevated risk across a wide range of mental health outcomes and over a long period of time,” said Catherine Bradshaw, an expert on bullying and a deputy director of the Center for the Prevention of Youth Violence at Johns Hopkins University, which was not involved in the study.

“The experience of bullying in childhood can have profound effects on mental health in adulthood, particularly among youths involved in bullying as both a perpetuator and a victim,” she added. [...]

Researchers found that victims of bullying in childhood were 4.3 times more likely to have an anxiety disorder as adults, compared to those with no history of bullying or being bullied.

Bullies who were also victims were particularly troubled: they were 14.5 times more likely to develop panic disorder as adults, compared to those who did not experience bullying, and 4.8 times more likely to experience depression. Men who were both bullies and victims were 18.5 times more likely to have had suicidal thoughts in adulthood, compared to the participants who had not been bullied or perpetuators. Their female counterparts were 26.7 times more likely to have developed agoraphobia, compared to children not exposed to bullying. [...]

Major fraud investigation: Chareidi computer training paid for by the Federal government but don't have a single computer

 Jewish Week part I   At Yeshivat Avir Yakov, an all-boys school in the chasidic enclave of New Square in New York’s Rockland County, students spend the vast majority of their long school days studying religious texts in spartan classrooms furnished only with battered wooden benches and desks. Unlike their counterparts in public or private schools outside the chasidic community, the boys at Avir Yakov do not have access to the Internet or computers in their school because chasidic leaders view the Internet as a corrupting force capable of undermining their way of life.

Indeed, recent graduates report never having seen — let alone used — a computer in their classrooms, and video of the inside of the Avir Yakov building shot within the past two weeks and obtained by The Jewish Week seems to support their accounts: not one of the yeshiva’s classrooms, public areas or designated resource rooms seen on the video contains a computer, or even a telephone.

So it comes as a surprise that the approximately 3,000-student school has, since 1998, been allotted more than $3.3 million in government funds earmarked for Internet and other telecommunications technology.

Jewish Week part II

Nonetheless, the company recently sought $1.2 million from E-rate, a federal program subsidizing technology costs for schools and libraries, to equip its neighbor, Bais Ruchel D’Satmar, with “internal connections” and provide “internal connections maintenance.”

Universal Service Administration Company (USAC), the nonprofit that runs E-rate and other programs for the Federal Communications Commission, appears to have denied that particular request. However, it did pay Computer Corner more than $500,000 in 2011 for services provided to the Satmar girls’ school, a school that 12 years earlier was implicated for colluding with the local community school district. The 1999 scheme involved placing dozens of chasidic women on the public schools’ payroll in no-show teaching jobs in order to funnel more than $6 million to the school and its parent organization, United Talmudical Academy.

How did Computer Corner — along with numerous other little-known companies, most of them located in fervently Orthodox neighborhoods of Brooklyn and Rockland County — get to be among the largest service providers in the E-rate program, earning millions of dollars providing Internet and other tech services to yeshivas whose leaders publicly rail against what they call the “evils” of the Internet?

Some of these companies, many of which, like Computer Corner, don’t have a website, have even appeared on E-rate’s top 10 list of funding approvals and funding denials nationwide.

Supreme Court orders standardized tests for Chareidi schools

YNET   The Supreme Court ordered the Education Ministry on Wednesday to formulate an outline for standardized tests in the ultra-Orthodox school system and present it for court approval within 100 days.

Supreme Court President Judge Asher Grunis warned the representatives of the haredi schools that they "Should start taking things seriously, or face the consequences."

The Supreme Court's decision followed a petition made by the Movement for Reform and Progressive Judaism (IMPJ). The court ruled that the outline must include a provision stating that schools that will fail to perform the tests will be sanctioned.

Haredi institutions are required to teach core subjects, but the IMPJ demanded that the Education Ministry hold Meitzav standardized tests in the the religious  education system and deny funds from schools that fail to do so. [...]

Rav Chaim Halperin reportedly arrested for sexual assault

BHOL    It has been reported that Rav Chaim Halpern was arrested this morning after his house was searched by police - along with his brother Rav Dovid Halpern and two others who were suspected of interfering with the investigation by paying for the silence of witnesses against Rav Chaim Halpern.

Times of Israel   A man believed to be Chaim Halpern, a London rabbi, was arrested Wednesday morning in connection with investigations into sexual assault and perverting the course of justice.

The London Metropolitan Police will not name him, but the man appears to be Halpern, a former religious judge for the Union of Orthodox Hebrew Congregations, who has been at the center of a sexual abuse scandal that has roiled London’s Haredi community since October.

Three more men were also arrested Wednesday morning on suspicion of perverting the course of justice in the case. They are all in custody at a north London police station and may be held for up to 48 hours without charge.

One is believed to be a brother of Halpern.

According to the London Metropolitan Police, all the arrests were made at addresses in the borough of Barnet, which includes the Orthodox suburb of Golders Green, where Halpern is a resident. The main suspect is 54; the others are 64, 62 and 25.

.

Drug dealing in Beitar: 5 arrested including a sofer & principal

BHOL

 פרשת סחר בסמים מרעידה את ביתר עלית, עיר התורה והחסידות בהרי יהודה: ביום שני בשבוע שעבר נעצרו חמישה חשודים בסחר בסמים, בהם שני אחים, תושבי העיר החרדית.

לאחר מעצר החשודים בסחר, עוכבו 15 'קליינטים', שעל פי החשד רכשו את הסמים מחמשת העצורים. בחקירתם קשרו את עצמם הצרכנים לחשדות, והודו בביצוע מספר קניות מהסוחרים העצורים.

Stop bullies - by force - not by being nice!

Tablet Mag   These are tough times for the American bully.

Last week, after a young man opened fire in his Ohio high school, killing three classmates and wounding two, renowned scholars of adolescent psychology such as Charlie Rose and Marlo Thomas were quick to prognosticate and assert that the alleged shooter, the gawky T.J. Lane, was just a bullied kid taking bloody revenge on his tormenters. That the theory turned out to be utterly false did little to satisfy the national hunger for bully-flavored sanctimony. [...]

 The problem is not what to do to defang the bully, but what to do to galvanize his victims. The answer is simple, stark, unfashionable: Teach victims to hit back and hit hard. [...]

And yet, when we talk about bullying, we reserve most of our vim and vitriol for the perpetrators, motivated by the belief that these cruel ogres can somehow be reformed. They cannot. The desire to torment the other, to harass those different than us, to lord it over the weak is all too human. It’s worth remembering here that Joseph’s brothers are the men from whose loins sprang the tribes of Israel—which is to say, to an extent they are the progenitors of most of the people who are likely reading this article. Like them, we too have it in us to be terrible meanies. Suppress that urge, and you deny us our natural birthright.

Which, of course, isn’t to advocate brutalities. Limits must be observed. But attempting to make children preternaturally nice to one another is very much like trying to convince puppies to chew with their mouths closed—we may succeed, but we would have ruined what makes them such jolly beasts, and we would certainly impede their growth. Children grow in part by testing the boundaries of their own abilities, and such testing is always applied vis-à-vis others. They tease and hit and threaten, some more maliciously than others, just to see what happens. If balance is kept, if the victim swings back, peace is restored. If not, a message is sent, clearer than the admonitions of a thousand teachers, that bullying is tremendously effective.

Rather than see bullies as abhorrent and in need of mending, let us realize, per our tradition, that they are us. And rather than forbid malice, let us instead teach our kids to strike back. They’ll be much happier if the biblical justice was allowed to prevail, unimpeded, in the schoolyard. After all, they were born this way.

Beitar teacher arrested for allegedly molesting 10 yr old boys

 YNet    26-year-old resident of Beitar Illit was arrested Tuesday on suspicion he molested children multiple times. The suspect, an educator employed at one of the town's institutions, confessed to some of the allegations and has been remanded in custody.

Last week, one of his victims filed a complaint which was supported by a tape in which the suspect is allegedly heard admitting he committed the acts. 

 A police investigation suggests that over the past few years the suspect would molest children he knew as well as children he met in random. 

Galei Tzahal

בהקלטות שהגיעו לידי גלי צה"ל, מתאר מורה רב מלמד בבית ספר לילדים בבית"ר עילית איך הוא מבצע מעשים מיניים חמורים בילדים בני 10 ו-12. בשבוע שעבר הגיש המדובב תלונה למשטרה נגד הרב המלמד, ואמש הוא נעצר והובא לחקירה במחוז ש"י

הם קבוצת צעירים, שנפגעו מינית כשהיו ילדים ונערים בידי אברכים, ומלמדים בקהילתם. כשסיפרו להורים, הם קיבלו הוראה לשתוק.עכשיו הם רוצים לעשות מעשה, ולהציל ילדים אחרים שנפגעים. בהקלטות שהגיעו לידי גלי צה"ל, מתאר מורה רב מלמד בבית ספר לילדים בבית"ר עילית איך הוא מבצע מעשים מיניים חמורים בילדים בני 10 ו-12. למדובב מעבר לקו, בהקלטות הסתר שביצענו, הוא מספר שיצרו לא עומד בפני הילדים הרכים והקטנים שסובבים אותו כמורה.

התפארותו של המלמד נמשכת לאורך דקות ארוכות. כולל וידוי שלו כי שילם 60 אלף שקלים, כופר לאב שגילה כי הוא פגע מינית בבנו בן ה-10, וכך הושתק העיניין. את הכסף חשף, הוא לקח מהמשכנתה שקיבל על מנת לרכוש דירה לו ולרעיתו.

בשבוע שעבר הגיש המדובב תלונה למשטרה נגד הרב המלמד, והעביר לידי החוקרים את ההקלטה המרשיעה. החוקרים נדהמו מהחומר שהועבר לידיהם, והוא הועבר לצוות החקירה המיוחד שהוקם במחוז שי לחקור את החשדות לפגיעות מיניות בילדים שהוסתרו, לא רק במודיעין עילית. אמש נעצר המורה, כשהוא כבול באזיקים הוא הובא לחקירה במשרדי היחידה במחוז ש"י.

Channel 4 video erred: Hardliners not majority

The Telegraph   When Dispatches: Britain’s Hidden Child Abuse aired at the end of last month on Channel 4, I watched it with interest. The programme had been widely advertised. Its central revelation was to be that British orthodox rabbis were forbidding their followers to report child abuse to the police. As a member of the orthodox community who suffered abuse as a child, I knew how important this was. [...]

When my sister and I were growing up in the Haredi community, we were abused by a rabbi. Between the ages of six and 11, this man — a member of our close family — physically abused me, and sexually abused my younger sister. The matter eventually came into the open, and it caused a split in the community. Many people made it clear, in no uncertain terms, that the authorities should not be involved. But there was another group that supported our right to report our abuser to the police. We did so, and the man went to prison for a number of years.  [....]

This period of our lives was the most stressful our family had ever experienced. While the court case was going on, my mother was targeted by a group of ultra-orthodox hardliners who despised us for having talked to the police. Somehow, she protected my sister and I from it at the time, and told me the details only recently. It was a campaign of intimidation. Her car was vandalised. Rubbish, including soiled nappies, was pushed through our letterbox. She was spat at in the street, and cursed for generations. Many kosher shops refused her service. She received threatening letters; even our solicitor – a Haredi man – was sent a note saying that if he continued to represent us, his house would be burned down and his children killed.

And most humiliating of all, letters appeared under the windscreen wipers of all the cars in the synagogue car park, stating my mother was mad and we were under her influence. The same letters were sent to our teachers, and to my mother’s employer. Reading this, you are probably wondering why I criticise the Channel 4 programme. The reason is simple. The intimidation was carried out only by a hardcore element of the Haredi community. Many others stood up to them, including my headmaster and our solicitor, both high-ranking rabbis and ordinary people. These people gave us emotional, practical and even financial support, and refused to be intimidated.

A group of senior rabbis even held meetings with those who attacked us, and argued with them, citing Talmudic sources, to suggest that going to the police was the right thing to do. I will always be grateful to these people for their courage and compassion. It was wrong of Dispatches to ignore them, and irresponsible to allow the hardline sects to characterise the entire Haredi community.

The orthodox Jewish community is not a monolithic entity. There are countless sects and sub-sects, and each has a slightly different set of values. Nobody can know the numbers for certain. Perhaps there are more hardliners than moderates; personally, I suspect it is vice versa. [...]

Suspected Modesty Squad members arrested in Beitar

YNET    Two ultra-Orthodox men were arrested Monday for allegedly heading a "modesty squad" that terrorized the female residents of Beitar Illit over what they deemed their "immodest behavior."

The two, both in their 30s, are believed to be responsible for what the police called "a reign or terror."

The two are suspected of a line of violent acts including threats, beatings, kidnappings and more, against what they perceive are indecent women, and at times – men.

The suspects allegedly followed the conduct of the city's residents and decided to "educate" those who did not live up to their standards of modesty.

 According to the case file, the two would watch people's conduct in the streets, the way they dressed, the manner in which they sat on public transportation, their use of language and more.


update YNET Mayor of Beitar alleged to have known about modesty squad and protected it

Office Shooting Video: Run - Hide - Fight!