NewzIntel.com

Category: Health

  • MIL-OSI Submissions: Australia – Gen Z cuts back on healthcare with cost of living pressure – CBA

    Source: Commonwealth Bank of Australia (CBA)

    Gen Z and younger millennials cut back on costs while young families and retirees spending more on health.

    Young Gen Z Australian adults aged between 18–24 years old increased spending on health services by 3.1 per cent over the last year, a rate below annual inflation for the Health Consumer Price Index of 4.1 per cent, representing a decline in spending in real terms amid cost of living pressures.

    Over the last year, 18 to 24-year-olds wound back spending on physiotherapy, chiropractors and osteopaths (down 5 per cent on the prior year), dental and optometry (down 4 per cent) which contributed to an overall decline in health spending in real terms.

    Older Gen Zs and younger millennials between 25-34 years increased their health spending by 6.4 per cent while millennials aged between 35-44 increased spending by 7.8 per cent over the last year. Gen X aged between 45-54 spent less than the older millennial group increasing spending by just 7.5 per cent. Older Australians drove spending higher with those aged between 65-74 increasing by 8.9 per cent over the same period and over 75s spending 12.6 per cent more than the previous year.

    The findings were released today in the inaugural CommBank Health Insights report which uncovers trends in healthcare spending. For the first time, the report uses CommBank iQ de-identified healthcare transactions from approximately 7 million Australians, providing a comprehensive overview of how consumer spending on healthcare has evolved over the past year with Australia’s largest transactional data set.

    Haseda Fazlic, Executive General Manager Commercial Banking, CBA said: “The CommBank Health Insights Report highlights the healthcare spending sacrifices that younger generations are making while showing the growing share of healthcare in household budgets for older generations in particular. Older Australians and young families are doing their best to prioritise their health, with significant increases in spending over the last year. At the same time, we can see that younger Australians are still investing in their health while aiming to minimise their spending in a challenging cost of living environment.

    “The findings over the last year come ahead of the Federal Government’s additional commitments to strengthening access to health services with additional Medicare funding.”

    Key findings include:

    General Practitioners benefiting from more frequent visits: Almost six in ten Australians visited a GP in the past year with an average of 5.4 visits per person. Overall, spending on GP visits increased by 12.7 per cent on the previous year with an average annual spend of $523 per person, reflecting increased demand and rising costs coupled with private billing.
    Pharmacies booming with ecommerce driving growth: Pharmacy grew at 9.9 per cent with an average spend of $710 per person. Online purchases were up by 28 per cent, compared to 9 per cent growth for in-store. While in-store remains more common, accounting for over 95 per cent of total sales in the last year, those buying online spent significantly more with each purchase. The average purchase size was $101 for an online basket, compared to $41 for in-store.
    Specialists and allied health see strong growth:Specialists saw growth of 9.1 per cent at $846 per person. Radiology increased by 8.2 per cent with $459 annual spend while physios, chiropractors and osteopaths grew by 7 per cent with an average spend of $429 per person.
    Health insurance moderating: While maintaining a large proportion of overall health spend with an average $3,088 per person, health insurance spend experienced more moderate growth than other categories at 6.5 per cent.
    Dental growing through repeat visitors: While only 1 in 3 Australians regularly visit the dentist, those that do are coming back more regularly at 2.4 times per year and paying $321 on average per visit, contributing to overall growth of 5.5 per cent on the previous year. Spending growth on dental is led by older generations, with over 75s lifting by 14 per cent. 18-24 year olds were the only group to trim their dental spend, down by 4 per cent.
    Vets only category to decline overall: Medical spending on furry friends increased by 2.2 per cent at an average of $873 per person, the only category to see a decline in real terms.  

    “It is encouraging to see Australians visiting their GPs and dentists more regularly and attending specialists and allied health appointments when needed. With an ageing population, it is becoming increasingly important that providers continue to meet the needs of older patients while ecommerce is offering greater opportunities to meet needs for pharmaceutical care for those in regional and remote communities in particular,” Ms Fazlic said.

    “Understanding demographic spending patterns can help those in the health industry adapt and make more informed decisions to better meet the needs of their customers.”

    About the research

    All data is sourced from CommBank iQ, that uses Australia’s largest transactional dataset to evaluate spending behaviours. This includes online and in-store transactions from approximately 7 million Australians.

    This analysis is based on CommBank iQ data covering spending in eight healthcare sectors from 01 April 2024 to 31 March 2025, including: general practice, dental services, medical specialists, radiology, pharmacies, Physio, Chiro and osteo, vets and pet services, and health insurance. All figures are spend per capita rather than total consumption.

    MIL OSI – Submitted News –

  • MIL-OSI Global: Please don’t tape your mouth at night, whatever TikTok says. A new study shows why this viral trend can be risky

    Source: The Conversation – Global Perspectives – By Moira Junge, Adjunct Clincal Associate Professor (Psychologist), Monash University

    K.IvanS/Shutterstock

    You might have heard of people using tape to literally keep their mouths shut while they sleep. Mouth taping has become a popular trend on social media, with many fans claiming it helps improve sleep and overall health.

    The purported benefits of mouth taping during sleep are largely anecdotal, and include claims of better airflow, less snoring, improved asthma symptoms, less of a dry mouth, being less likely to have bad breath, and better sleep quality.

    As the trend has gained momentum in recent years the claims have also come to include improved skin, mood and digestion – and even a sharper jawline.

    The rationale for mouth taping during sleep is to encourage breathing through the nose rather than through the mouth. When a person’s nasal passages are blocked, breathing switches from the nose to the mouth. Mouth breathing has been linked to conditions such as obstructive sleep apnoea.

    But is mouth taping an effective way to address these issues, and is it safe? A new review suggests taping your mouth shut while you sleep offers limited benefits – and could pose risks.

    What did the review find?

    In a new paper, Canadian researchers reviewed the scientific literature on mouth taping, searching for studies that mentioned terms such as “mouth breathing”, “mouth taping” and “sleep”.

    They searched specifically for studies looking at people with known mouth breathing and breathing-related sleeping problems such as obstructive sleep apnoea to understand the potential benefits and harms of mouth taping for this group.

    Obstructive sleep apnoea is a condition where your airway is partly or completely blocked at times while you’re asleep. This can cause you to stop breathing for short periods, called “apnoeas”. Apnoeas can happen many times a night, resulting in lowered oxygen levels in the blood as well as sleep disruption.

    The researchers found ten eligible studies published between 1999 and 2024, with a total of 213 participants. Eight studies looked at mouth taping, and two studies involved using a chin strap to keep the mouth shut.

    Only two studies identified any benefits of mouth taping for mild obstructive sleep apnoea. The observed improvements – to measures such as oxygen levels in the blood and number of apnoeas per hour – were modest.

    And although they were statistically significant, they were probably not clinically significant. This means these changes likely wouldn’t make much difference to symptoms or treatment decisions.

    The remainder of studies found no evidence mouth taping helps to treat mouth breathing or related conditions.

    Mouth taping has become a popular social media trend.
    K.IvanS/Shutterstock

    What’s more, four studies warned about potential serious harms. In particular, covering the mouth could pose a risk of asphyxiation (lack of oxygen that can lead to unconsciousness or death) for people whose mouth breathing is caused by significant blockage of the nasal airways. This kind of nasal obstruction could be a result of conditions such as hay fever, deviated septum, or enlarged tonsils.

    In other words, mouth taping is definitely not a good idea if you have a blocked nose, as it’s unsafe to have both the nose and the mouth obstructed at the same time during sleep.

    What’s the take-home message?

    The authors concluded there are very few benefits and some potential serious risks associated with mouth taping in people who are mouth breathers or have obstructive sleep apnoea.

    They did however note we need further high-quality evidence to better understand if mouth taping is safe and works.

    This review didn’t focus on any research relating to mouth taping for proposed improvements to mood, skin, digestion, sharper jaw lines and other things, so the researchers could not draw conclusions about the efficacy and safety of mouth taping for those purposes.

    Snoring is one of the problems mouth taping has been suggested to help with.
    Kleber Cordeiro/Shutterstock

    Internationally, qualified sleep health professionals do not recommend mouth taping.

    If you have concerns about your sleep, the best thing to do is to consult trusted scientific sources or a health-care professional who will be able to guide you to address the underlying causes of your sleep challenges.

    Trying social media trends such as mouth taping before you seek expert advice could lead to delays in diagnosing serious conditions for which there are evidence-based treatments available.

    Mouth taping should definitely not be attempted in children.

    It’s possible that in some healthy adults, without respiratory conditions, without significant sleep disorders, and who don’t have tape allergies, that mouth taping could pose little harm and produce some modest benefits. But we don’t have enough evidence yet to know one way or the other.

    Moira Junge is CEO of The Sleep Health Foundation. She is also affiliated with the Healthylife Health Advisory Board and is a psychologist and clinic director at Yarraville Health Group.

    – ref. Please don’t tape your mouth at night, whatever TikTok says. A new study shows why this viral trend can be risky – https://theconversation.com/please-dont-tape-your-mouth-at-night-whatever-tiktok-says-a-new-study-shows-why-this-viral-trend-can-be-risky-256901

    MIL OSI – Global Reports –

  • MIL-OSI Global: Compression tights and tops: do they actually benefit you during (or after) exercise?

    Source: The Conversation – Global Perspectives – By Ben Singh, Research Fellow, Allied Health & Human Performance, University of South Australia

    Olena Yakobchuk/Shutterstock

    You’ve seen them in every gym: tight black leggings, neon sleeves and even knee-length socks.

    Compression gear is everywhere, worn by weekend joggers, elite athletes and influencers striking poses mid-squat.

    But do compression garments actually improve your performance, or is the benefit mostly in your head?

    Let’s dive into the history, the science and whether they are worth your money.

    From hospitals to hashtags

    Compression garments didn’t start in sport. They were originally used in medical settings to improve blood flow in patients recovering from surgery or with circulation issues such as varicose veins.

    Doctors found tight garments that applied gentle pressure to limbs could help move blood and reduce swelling.

    But in the late 1990s and early 2000s, athletes, scientists and sports brands began experimenting with compression wear in training and competition.

    Companies such as SKINS, 2XU, and Under Armour entered the scene with bold promises: improved performance, reduced fatigue and faster recovery.

    Then, by the 2010s, compression wear wasn’t just for athletes – it had become a fashion statement.

    Social media helped drive the trend: influencers wore these items in gym selfies, TikTokers praised the sleek, sculpted look. And with the rise of athleisure, compression garments became everyday apparel, blending fitness with fashion.

    What are these garments supposed to do?

    Compression gear is designed to fit tightly against the skin and apply gentle, consistent pressure to muscles. The big claims made by manufacturers include:

    You’ll hear gym-goers say they feel “more supported” or “less sore” after using compression gear.

    Some even report improved posture or a mental boost – like stepping into a superhero suit.

    What the science says

    Research into compression garments has been growing steadily and the results are mixed – but interesting.

    A 2013 major meta-analysis reported moderate benefits across several recovery markers, including lower levels of creatine kinase (a sign of muscle damage) and less delayed-onset muscle soreness up to 72 hours after exercise.

    A 2016 review found compression garments reduced muscle soreness and swelling and boosted muscle power and strength. These improvements were up to 1.5 times greater (compared to people who didn’t wear compression garments) in some cases.

    Building on this, a 2017 review found people who wore compression gear recovered strength more quickly, with noticeable improvements within eight to 24 hours after a workout. Strength recovery scores were around 60% higher in those wearing compression gear compared to those who didn’t.

    But the findings are not consistent. A 2022 review of 19 trials found little effect on strength during the first few days post-exercise.

    And when it comes to actual performance, a comprehensive 2025 review of 51 studies concluded compression garments do not enhance race time or endurance performance in runners. And while they may reduce soft tissue vibration (which might feel more comfortable), they offered no meaningful edge in speed, stamina or oxygen use.

    Overall, in simpler terms: compression gear may help you recover faster but don’t expect it to turn you into an Olympic sprinter.

    When compression gear might help (and when it won’t)

    Here are some situations when compression garments can be genuinely useful:

    But don’t count on them to:

    • improve your times: there’s no strong evidence they boost speed or endurance

    • make you stronger: while some research has noted improvements in strength and power, this won’t necessarily have a noticeable effect on your athletic performance

    • replace training or good sleep: recovery still depends on the basics – rest, hydration and nutrition.

    So, should you wear them?

    Compression outfits won’t magically transform your body or training results. But they aren’t a waste of money either.

    If they make you feel more comfortable, confident or supported, that’s a valid reason to wear them. The psychological boost alone can be enough to enhance motivation or focus.

    And when it comes to post-exercise recovery, the evidence is solid enough to justify keeping a pair in your gym bag.

    Think of them like a good pair of shoes. They won’t run the race for you, but they might make the journey a little smoother.

    And if you’re just wearing them for the outfit photo on Instagram? That’s fine, too. Sometimes, confidence is the best workout gear of all.

    Ben Singh does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    – ref. Compression tights and tops: do they actually benefit you during (or after) exercise? – https://theconversation.com/compression-tights-and-tops-do-they-actually-benefit-you-during-or-after-exercise-255719

    MIL OSI – Global Reports –

  • MIL-OSI China: 90 truckloads of UN aid delivered to Gazans, breaking 11-week blockade

    Source: People’s Republic of China – State Council News

    A displaced boy stands by a tent among the rubble of a destroyed building in the seaport area of western Gaza City, on May 21, 2025. [Photo/Xinhua]

    The first aid in 11 weeks delivered to Gazans includes nutrition supplies, flour, medicines and other critical goods, UN humanitarians said Thursday.

    The UN Office for the Coordination of Humanitarian Affairs (OCHA) said about 90 trucks loaded at the Kerem Shalom/Karem Abu Salem checkpoint headed for multiple destinations, carrying the supplies to Gazans facing the threat of famine.

    OCHA said nearly 20 truckloads, carrying about 500 pallets of nutrition supplies, were safely offloaded in UNICEF’s warehouse in Deir al Balah. The material delivered includes ready-to-use therapeutic food and lipid-based nutritional supplements. The life-saving supplies are being unpacked and repackaged into smaller loads to dozens of distribution points.

    A handful of bakeries in southern and central Gaza, supported by the World Food Programme, have resumed bread production, the office said.

    These bakeries are now operational, distributing bread through community kitchens. However, after nearly 80 days of a total blockade of humanitarian assistance, families still face a high risk of famine, and far more aid is needed across all of Gaza, it said.

    OCHA stressed that the shipment is limited in quantity and nowhere near sufficient to meet the scale and scope of the needs of Gaza’s 2.1 million people. Other supplies as basic as fresh food, hygiene items, water purification agents, and fuel to power hospitals have not been let in for over 80 days.

    Stephane Dujarric, chief spokesman for UN Secretary-General Antonio Guterres, said it is important for commercial trucking to resume to supply markets with fresh fruits and vegetables.

    He said the latest analysis from the Integrated Food Security Phase Classification committee concluded that people across Gaza are at risk of famine, with nearly 500,000 people teetering on the edge of starvation.

    The spokesman said humanitarian workers in Gaza going to and from the Kerem Shalom crossing have to travel through an Israeli-militarized area.

    “This means that our teams need to wait, often for hours, for military activities to pause for their safety for a green light to be given by the Israeli authorities to proceed,” he told a regular briefing. “We also need to ensure the use of secure routes from Kerem Shalom onward into Gaza, as we did last (Wednesday) night and hope to do again today (Thursday).”

    The spokesman also reminded reporters that military operations continue across the Gaza Strip, with reports of strikes, shelling and fresh ground incursions.

    “In recent days, our colleagues on the ground report that attacks have struck tents and buildings where people are sheltering, causing scores of casualties,” he said.

    OCHA said Israeli authorities must facilitate the movement of humanitarian convoys, including from southern Gaza to the north, so that all supplies can reach people in need wherever they are across the Gaza Strip.

    The office said Al Awda Hospital of North Gaza caught fire on Thursday, reportedly after being attacked. Through coordination with Israeli authorities, OCHA facilitated access for Palestinian Civil Defense to the area, where they spent hours fighting the fire. According to initial reports, the medicine warehouse was heavily damaged.

    OCHA also said water wells in some areas of Gaza are shutting down as they remain out of reach or lack fuel. It said Israeli authorities continue to deny attempts to retrieve fuel from areas where coordination is required. 

    MIL OSI China News –

  • MIL-OSI Video: The Make America Healthy Again Report, May 22, 2025

    Source: United States of America – The White House (video statements)

    Make America Healthy Again

    “This is a milestone. Never in American history has the federal government taken a position on public health like this. And because of President Trump’s leadership, it’s not just one cabinet secretary, it’s the entire government…” –Sec. Robert F. Kennedy Jr.

    https://www.youtube.com/watch?v=Rw4A9gdNiM0

    MIL OSI Video –

  • Trump administration blocks Harvard from enrolling international students, threatens broader crackdown

    Source: Government of India

    Source: Government of India (4)

    U.S. President Donald Trump’s administration revoked Harvard University’s ability to enroll international students on Thursday, and is forcing current foreign students to transfer to other schools or lose their legal status, while also threatening to expand the crackdown to other colleges.

    Homeland Security Secretary Kristi Noem ordered the department to terminate Harvard University’s Student and Exchange Visitor Program certification effective for the 2025-2026 school year, the department said in a statement.

    Noem accused the university of “fostering violence, antisemitism, and coordinating with the Chinese Communist Party.”

    Harvard said the move by the Trump administration – which affects thousands of students – was illegal and amounted to retaliation.

    The decision marked a significant escalation of the Trump administration’s campaign against the elite Ivy League university in Cambridge, Massachusetts, which has emerged as one of Trump’s most prominent institutional targets. The move came after Harvard refused to provide information that Noem demanded about some foreign student visa holders at Harvard, the department said.

    Harvard enrolled nearly 6,800 international students in the 2024-2025 school year, amounting to 27% of its total enrollment, according to university statistics.

    In 2022, Chinese nationals were the biggest group of foreign students at 1,016, university figures showed. After that were students from Canada, India, South Korea, Britain, Germany, Australia, Singapore and Japan.

    The Chinese Embassy in Washington did not immediately respond to a request for comment.

    “It is a privilege, not a right, for universities to enroll foreign students and benefit from their higher tuition payments to help pad their multibillion-dollar endowments,” Noem said in a statement.

    In a letter to the university, Noem gave Harvard “the opportunity” to regain its certification by turning over within 72 hours a raft of records about foreign students, including any video or audio of their protest activity in the past five years.

    Harvard called the government’s action “unlawful” and said it was “fully committed” to educating foreign students.

    “This retaliatory action threatens serious harm to the Harvard community and our country, and undermines Harvard’s academic and research mission,” the university said in a statement.

    Congressional Democrats denounced the revocation, with U.S. Representative Jaime Raskin calling it an “intolerable attack on Harvard’s independence and academic freedom” and saying it was government retaliation for Harvard’s previous resistance to Trump.

    Trump has already frozen some $3 billion in federal grants to Harvard in recent weeks, leading the university to sue to restore the funding.

    In a separate lawsuit related to Trump’s efforts to terminate the legal status of hundreds of foreign students across the U.S., a federal judge ruled on Thursday that the administration could not end their status without following proper regulatory procedures. It was not immediately clear how that ruling would affect the action against Harvard.

    During an interview with Fox News’ “The Story with Martha MacCallum,” Noem was asked if she was considering similar moves at other universities, including Columbia University in New York.

    “Absolutely, we are,” Noem said. “This should be a warning to every other university to get your act together.”

    TRUMP TARGETS UNIVERSITIES

    Trump, a Republican, took office in January pledging a wide-ranging immigration crackdown. His administration has tried to revoke student visas and green cards of foreign students who participated in pro-Palestinian protests.

    He has undertaken an extraordinary effort to revamp private colleges and schools across the U.S., claiming they foster anti-American, Marxist and “radical left” ideologies. He has criticized Harvard for hiring prominent Democrats for teaching or leadership positions.

    The U.S. Department of Health and Human Services said on Monday that it was terminating a further $60 million in federal grants to Harvard because it failed to address antisemitic harassment and ethnic discrimination.

    In a legal complaint filed earlier this month, Harvard said it was committed to combating antisemitism and had taken steps to ensure its campus is safe and welcoming to Jewish and Israeli students.

    Aaron Reichlin-Melnick, a senior fellow with the American Immigration Council, a pro-immigration advocacy group, said the action against Harvard’s student visa program “needlessly punishes thousands of innocent students.”

    “None of them have done anything wrong, they’re just collateral damage to Trump,” he said on the social media site Bluesky.

    (Reuters)

  • MIL-OSI Asia-Pac: The Chinese Medicine Hospital of Hong Kong Ordinance takes effect upon gazettal

    Source: Hong Kong Government special administrative region

         The Government published in the Gazette today (May 23) The Chinese Medicine Hospital of Hong Kong Ordinance (Ordinance), which takes effect on the same day. The Ordinance aims to protect the exclusive right to use the titles of The Chinese Medicine Hospital of Hong Kong (CMHHK) and make technical amendments to other relevant enactments that are generally applicable to public hospitals or private healthcare facilities (PHFs), enabling these relevant provisions to apply equally to CMHHK under the same circumstances, thereby ensuring the smooth operation of CMHHK.

         CMHHK is scheduled to commence services in phases starting from the end of this year, marking an important milestone in the development of Chinese medicine (CM) in Hong Kong. As a flagship CM institution in Hong Kong, CMHHK will undertake five key missions of development, namely the provision of government-subsidised and market-oriented healthcare services, training and education, research, collaboration, and creation of health values. CMHHK will also serve as a change-driver in close collaboration with the CM sector and stakeholders to drive the overall development of CM in Hong Kong, the Guangdong-Hong Kong-Macao Greater Bay Area, and the international community. 

         As a hospital controlled by the Health Bureau, CMHHK is neither a public hospital managed by the Hospital Authority under the Hospital Authority Ordinance (Cap. 113) nor a PHF specified under the Private Healthcare Facilities Ordinance (Cap. 633). References to “hospitals” in the existing legal provisions generally only include public hospitals or PHFs and therefore may not be applicable to CMHHK. In this connection, a number of technical amendments have been made to the Ordinance to ensure that other relevant enactments generally applicable to public hospitals or PHFs are also equally applicable to CMHHK under the same circumstances, meeting the practical operational needs of CMHHK.

         The Ordinance also specifies and offers protection for the Chinese title 香港中醫醫院 and the English title “The Chinese Medicine Hospital of Hong Kong” of CMHHK, located at 1 Pak Shing Kok Road, Tseung Kwan O in the New Territories, with the titles intended for exclusive use by CMHHK. Any person who is involved in the unauthorised use of or unauthorised association with these titles commits an offence and is liable to a fine at level 3 ($10,000) upon conviction.

         To complement the implementation of the Ordinance, the Government and the operator of CMHHK will implement a series of support measures, including establishing a notification mechanism between the Health Bureau and the Companies Registry to refuse registration of company names with unauthorised association with CMHHK; conducting a series of promotional activities by the Health Bureau and the operator before CMHHK commences services in phases; uploading information about its partner organisations, among others, by CMHHK to its official website for public access; and the Health Bureau and CMHHK will immediately issue public announcements for clarification in case of suspicious cases of misleading or misappropriation of titles and will consider if enforcement action is required on a case-by-case basis; as well as reviewing the relevant penalties in a timely manner.

    MIL OSI Asia Pacific News –

  • MIL-OSI Asia-Pac: Labour Department to hold courses and public talks on prevention of heat stroke at work and occupational health

    Source: Hong Kong Government special administrative region

    The Labour Department (LD) regularly organises courses and public health talks on the prevention of heat stroke at work and occupational health to raise awareness of occupational health among both employers and employees.

         Details of eight courses and health talks on the prevention of heat stroke at work in June are as follows:

    (1)
    Dates and time: June 5, 17 and 27 (Half-day (am)); June 9 and 25 (Half-day (pm))
    Venue: Occupational Safety and Health Training Centre of the LD, 13/F, KOLOUR·Tsuen Wan I, 68 Chung On Street, Tsuen Wan, New Territories
    Enrolment method: Download the application form (www.labour.gov.hk/eng/osh/form.htm)
    Enquiry hotline: 2940 7057

    (2)
    Date and time: June 5 and 26 (Half-day (am))
    Venue: Occupational Safety and Health Centre of the LD, G/F, Kwun Tong Community Health Centre Building, 60 Hip Wo Street, Kwun Tong, Kowloon
    Enrolment method: Online registration of courses in Occupational Safety and Health Centre (www.oshsreg.gov.hk/en)
    Enquiry hotline: 2361 8240

    (3)
    Date and time: June 4 (3.30pm to 5pm)
    Venue: Lecture Hall, Hong Kong Science Museum, 2 Science Museum Road, Tsim Sha Tsui East, Kowloon
    Enrolment method: Online registration for public talks on occupational health (www.oshsreg.gov.hk/en)
    Enquiry hotline: 2852 4040

         In addition, the LD will hold the following occupational health public talks in June:

    (1)
    Topic: Prevention of Lower Limb Disorders and Guidance Notes on Standing at Work
    Content: The talk will introduce symptoms of common lower limb disorders, such as plantar fasciitis, varicose veins of lower limbs and osteoarthritis of the knee, as well as their treatment and preventive measures. Demonstrations and practice of workplace exercises and a briefing on the LD’s publication “Guidance Notes on Standing at Work and Service Counter Design” will be included.
    Date and time: June 2 (6.30pm to 8pm)
    Venue: Lecture Theatre, Hong Kong Central Library, 66 Causeway Road, Causeway Bay, Hong Kong
    Enrolment method: Online registration (www.oshsreg.gov.hk/en)
    Enquiry hotline: 2852 4040

    (2)
    Topic: First Aid in the Workplace
    Content: The talk will cover basic knowledge of first aid and explain how to assist and handle employees injured in workplace accidents through case illustrations.
    Date and time: June 16 (3.30pm to 5pm)
    Venue: Lecture Hall, Hong Kong Science Museum, 2 Science Museum Road, Tsim Sha Tsui East, Kowloon
    Enrolment method: Online registration (www.oshsreg.gov.hk/en)
    Enquiry hotline: 2852 4040

    (3)
    Topic: Occupational Safety and Health (OSH) for Confined Space Workers
    Content: To enhance workers’ OSH awareness of working in confined spaces, the talk will explain the related hazards as well as their preventive measures.
    Date and time: June 18 (3.30pm to 5pm)
    Venue: Lecture Theatre, Hong Kong Central Library, 66 Causeway Road, Causeway Bay, Hong Kong
    Enrolment method: Online registration (www.oshsreg.gov.hk/en)
    Enquiry hotline: 2852 4040

         All courses and public talks will be given by the LD’s occupational hygienist, occupational safety officer or occupational health nurse in Cantonese. Admission is free.

         The LD also provides a free-of-charge outreach occupational health education service. For details, please visit the department’s webpage (www.labour.gov.hk/eng/osh/content7.htm) or call 2852 4062.

    MIL OSI Asia Pacific News –

  • MIL-OSI Security: United States Files Complaint Against Several National Health Insurance Companies and Brokers Alleging Unlawful Kickbacks and Discrimination Against Disabled Americans

    Source: US FBI

    Government alleges that three of the nation’s largest health insurance companies paid hundreds of millions of dollars in illegal kickbacks in exchange for Medicare Advantage enrollments

    BOSTON – The United States has filed a complaint against three of the nation’s largest health insurance companies: Aetna, Inc. and affiliates; Elevance Health, Inc. (formerly known as Anthem); and Humana Inc., and three large insurance broker organizations: eHealth, Inc. and an affiliate; GoHealth, Inc.; and SelectQuote, Inc. The United States alleges that from at least 2016 through at least 2021, the defendant insurers paid hundreds of millions of dollars in illegal kickbacks to the defendant brokers in exchange for enrollments into the insurers’ Medicare Advantage plans.

    Under the Medicare Advantage (MA) Program, also known as Medicare Part C, Medicare beneficiaries may choose to enroll in health care plans (MA plans) offered by private insurance companies, such as defendants Aetna, Anthem and Humana. Many Medicare beneficiaries rely on insurance brokers to help them choose an MA plan that best meets their individual needs. Rather than acting as unbiased stewards, the defendant brokers allegedly directed Medicare beneficiaries to plans offered by insurers that paid brokers the most in kickbacks, regardless of the suitability for the beneficiary. According to the complaint, the broker organizations incentivized their employees and agents to sell plans based on the insurers’ kickbacks, set up teams of insurance agents who could sell only those plans, and at times refused to sell MA plans of insurers who did not pay sufficient kickbacks.  

    The United States further alleges that Aetna and Humana each conspired with the broker defendants to discriminate against Medicare beneficiaries with disabilities whom they perceived to be less profitable. Aetna and Humana did so by allegedly threatening to withhold kickbacks to pressure brokers to enroll fewer disabled Medicare beneficiaries in their plans. The United States alleges that, in response to these financial incentives from Aetna and Humana, the defendant brokers, or their agents, rejected referrals of disabled beneficiaries and strategically directed disabled beneficiaries away from Aetna and Humana plans.

    “It is concerning, to say the least, that Medicare beneficiaries were allegedly steered towards plans that were not necessarily in their best interest – but rather in the best interest of the health insurance companies. The alleged efforts to drive beneficiaries away specifically because their disabilities might make them less profitable to health insurance companies are even more unconscionable. Profit and greed over beneficiary interest is something we will continue to investigate and prosecute aggressively,” said United States Attorney Leah B. Foley. “This office will continue to take decisive action to protect the rights of Medicare beneficiaries and vulnerable Americans.”

    “Health care companies that attempt to profit from kickbacks will be held accountable,” said Deputy Assistant Attorney General Michael Granston of the Justice Department’s Civil Division. “We are committed to rooting out illegal practices by Medicare Advantage insurers and insurance brokers that undermine the interests of federal health care programs and the patients they serve.”

    The lawsuit was originally filed under the qui tam or whistleblower provisions of the False Claims Act (FCA). Under the FCA, private parties can file an action on behalf of the United States and receive a portion of the recovery. The FCA permits the United States to intervene in and take over the action, as it has done here. If a defendant is found liable for violating the FCA, the United States may recover three times the amount of its losses plus applicable penalties.

    U.S. Attorney Foley and AAG Granston made the announcement today. Valuable assistance was provided by the Department of Health and Human Services, Office of the Inspector General and the Federal Bureau of Investigation. Assistant U.S. Attorneys Charles B. Weinograd and Julien M. Mundele of the Affirmative Civil Enforcement Unit are handling the matter along with Trial Attorneys David G. Miller, Anna H. Jugo, Diana E. Curtis and Sara B. Hanson of the Justice Department’s Civil Division.

    The claims asserted in the complaint are allegations only. There has been no determination of liability.

    MIL Security OSI –

  • MIL-OSI Security: Fresno-Based Community Health System Agree to Pay $31.5 Million to Resolve Allegations of False Claims Act Violations

    Source: US FBI

    Community Health System and its affiliate Physician Network Advantage Inc. have agreed to pay $31.5 million to the United States to resolve allegations that they violated the False Claims Act based on financial benefits provided to referring physicians, Acting U.S. Attorney Michele Beckwith announced today. Community Health System operates in Fresno County and includes hospitals Community Regional Medical Center and Clovis Community Medical Center.

    “We cannot allow medical decisions to be distorted by kickback schemes or efforts to buy physicians’ loyalty with lucrative side perks,” said Acting U.S. Attorney Beckwith. “This settlement demonstrates this Office’s commitment to ensuring that patients’ best interests remain paramount.”

    The civil settlement announced today resolves allegations that Community Health System and Physician Network Advantage Inc. (PNA) provided several types of extravagant benefits to induce physicians in the Fresno area to refer their patients to Community facilities for medical services, in violation of the False Claims Act. PNA is a health care technology business formed and funded by Community to support Fresno-area physicians’ adoption of the electronic health records platform used by Community. The United States contends that PNA also played a key role in securing business for Community by unlawful means. In a custom-built lounge located on premises at PNA’s offices, known as HQ2, PNA provided expensive wine, liquor, cigars, and meals to referring physicians, with the knowledge and funding of Community.

    The settlement also resolves allegations that Community and PNA provided financial subsidies for electronic health records technology and equipment used by certain physicians in their private offices in return for the referral of governmental health care program patients to Community. Further, the settlement resolves allegations that Community paid bonuses to certain physicians ostensibly for participation in clinical integration activities, when the real purpose of the bonuses was to reward referrals.

    The United States contends that these financial benefits violated the federal Anti-Kickback Statute, resulting in false claims for the medical services referred by physicians receiving the benefits, that were submitted to governmental health care programs. The United States also contends that the conduct described above created financial relationships with referring physicians under the Physician Self-Referral Law (known as the “Stark Law”). The Stark Law seeks to safeguard the integrity of the Medicare program by prohibiting a hospital from billing for certain services referred by physicians with whom the hospital has a financial relationship, unless that relationship satisfies one of the law’s statutory or regulatory exceptions, which the United States contends were not met.

    “Kickback arrangements aimed at improperly influencing medical decisions will remain a top investigative priority for our agency,” said Acting Special Agent in Charge Robb R. Breeden of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “This settlement demonstrates HHS-OIG’s commitment to identifying and holding accountable those who engage in unlawful financial relationships at the expense of Medicare patients and the taxpayer.”

    In connection with the settlement, Community entered into a five-year Corporate Integrity Agreement with HHS-OIG that requires, among other conditions, the implementation of a risk assessment and internal review process designed to identify and address evolving compliance risks. The Corporate Integrity Agreement also requires an independent review organization to annually assess the policies and systems to track arrangements with some referral sources.

    The settlement includes the resolution of claims brought under the qui tam or whistleblower provisions of the False Claims Act by relator Michael Terpening. Under those provisions, a private party can file an action on behalf of the United States and receive a portion of any recovery from that action. The qui tam case is captioned United States ex rel. Terpening v. Fresno Community Hospital and Medical Center, et al., 1:19-CV-01699 (E.D. Cal.). As part of the settlement announced today, Mr. Terpening will receive approximately $5 million.

    The resolution obtained in this matter was the result of a coordinated effort between the U.S. Attorney’s Office for the Eastern District of California and HHS-OIG with assistance from the Federal Bureau of Investigation and the U.S. Postal Service Office of Inspector General. Assistant U.S. Attorney David Thiess handled the case for the U.S. Attorney’s Office.

    The claims resolved by this settlement are allegations only, and there has been no determination of liability.

    Note: View the settlement here.

    MIL Security OSI –

  • MIL-OSI Security: Home Health Care Companies Owner Sentenced to More Than Three Years in Prison for $5.7 Million Medicaid Fraud

    Source: US FBI

    COLUMBUS, Ohio – Sally Njume-Tatsing, 47, formerly of Pickerington, was sentenced in federal court here today to 42 months in prison for committing Medicaid fraud. Njume-Tatsing was found guilty in September 2024 on all 13 counts as charged following a jury trial.

    According to court documents and trial testimony, in 2017, Njume-Tatsing owned and operated three home healthcare businesses named Labelle Home Health. The agencies were located in Reynoldsburg, Mt. Vernon and Parma.

    Njume-Tatsing resided in California during the majority of the time she owned the businesses, and despite not being involved in Labelle’s daily operations, she did all of the Medicaid billing for nursing services.

    While billing Medicaid for health aide services to individuals in their homes, the defendant inflated the hours of services provided, billed for registered nurses when licensed practical nurses completed the care, and billed for care for patients who were either deceased or ineligible to receive Medicaid.

    Njume-Tatsing was indicted by a federal grand jury in June 2023 and charged with one count of health care fraud and 12 counts of making false health care statements.

    As part of her sentence, Njume-Tatsing is ordered to pay $5.7 million in restitution to Medicaid.

    Kelly A. Norris, Acting United States Attorney for the Southern District of Ohio; Ohio Attorney General Dave Yost and the Ohio Medicaid Fraud Control Unit (MFCU); the U.S. Department of Health and Human Services, Office of Inspector General; and Elena Iatarola, Special Agent in Charge, Federal Bureau of Investigation (FBI), Cincinnati Division; announced the sentence imposed today by Chief U.S. District Judge Sarah D. Morrison. Assistant United States Attorney Kenneth A. Affeldt and Special Assistant United States Attorney Jonathan L. Metzler of the Ohio Attorney General’s Office are representing the United States in this case.

    # # #

    MIL Security OSI –

  • MIL-OSI Australia: Northside birth centre feasibility study released

    Source: Northern Territory Police and Fire Services

    As part of ACT Government’s ‘One Government, One Voice’ program, we are transitioning this website across to our . You can access everything you need through this website while it’s happening.

    Released 23/05/2025

    The ACT Government has today released a feasibility study examining options for the delivery of a new birth centre on Canberra’s northside.

    This work is being undertaken as part of developing the new more than $1 billion northside hospital.

    The ACT Health Directorate commissioned a detailed study to assess the feasibility of establishing a co-designed standalone birth centre on the northside hospital campus and/or a freestanding birth centre in the community.

    Conducted by HealthConsult, with input from a working group of subject-matter experts, the study considered stakeholder feedback and data on birth trends in the ACT, as well as current evidence on birth centre models.

    The study has recommended a standalone birth centre adjacent to the new northside hospital as the preferred model, offering a home-like environment for low-risk pregnancies while ensuring safe access to hospital facilities when required.

    The Northside Birth Centre Feasibility Study 2024 can be found here: ACT Birth Centre Feasibility Study report – Open Government Information.

    Minister for Health Rachel Stephen-Smith said the ACT Government is committed to ensuring high-quality maternity services that provide choice and meet the needs of women and pregnant people and their families.

    “This study reinforces the benefits of birth centres in delivering positive birthing outcomes with lower medical intervention rates,” Minister Stephen-Smith said.

    “This project presents a unique opportunity to expand midwifery-led care and support culturally safe birthing practices, including Birthing with Country initiatives for Aboriginal and Torres Strait Islander families.

    “The recommended model would provide the home-like setting that many expectant parents and midwives have advocated for, while also enabling quick, safe and dignified access to the new hospital if required.

    “A standalone birth centre will be a valuable addition to public maternity care in the ACT, offering a low-intervention and midwife-led environment.”

    The feasibility study involved extensive consultation with community members, midwives, other health professionals and Aboriginal Elders. It found strong support for a facility that provides more autonomy for midwives and greater choice for families.

    The feasibility study confirmed that a standalone birth centre on the campus would deliver benefits such as continuity of care birthing experience, workforce satisfaction, and cultural appropriateness.

    “I have endorsed the feasibility study recommendation in principle and asked Infrastructure Canberra to develop a co-design process to ensure the next steps are taken in consultation with stakeholders, including midwives, consumers and birth centre advocates,” Minister Stephen-Smith said.

    “The report provides a solid foundation for a design process to ensure the new birth centres supports culturally safe, trauma-informed care that incorporates principles of Birthing with Country, including space for family, traditional practices and connection to Country.”

    The new birth centre will support the ACT’s Maternity in Focus plan by expanding access to midwifery-led continuity of care.

    “Midwifery-led continuity of care delivers positive outcomes for both mothers and babies. This dedicated space will allow our highly skilled midwives to provide woman- and person-centred care that truly reflects the needs of our diverse community,” Minister Stephen-Smith said.

    “This commitment ensures that Canberra families will have access to a safe, supported and culturally appropriate birth experience for generations to come.”

    Planning for the new northside hospital and the standalone birth centre is continuing, with construction on the northside hospital to commence in this term of Government.  For more information visit: New northside hospital project – Built for CBR.

    – Statement ends –

    Rachel Stephen-Smith, MLA | Media Releases

    «ACT Government Media Releases | «Minister Media Releases

    MIL OSI News –

  • MIL-Evening Report: Disaster or digital spectacle? The dangers of using floods to create social media content

    Source: The Conversation (Au and NZ) – By Samuel Cornell, PhD Candidate in Public Health & Community Medicine, School of Population Health, UNSW Sydney

    Almost 700 rescues had been carried out in New South Wales by Friday morning as
    record-breaking rainfall pounds the state. Tragically, four people have died in floodwaters.

    Amid the chaos, videos posted on social media show people deliberately entering or standing above swollen rivers and flooded roads. It is a pattern of dangerous behaviour that occurs frequently during natural disasters in Australia.

    Filming unsafe acts for social media is not just risky for participants. It may inspire copycat behaviour, and, if things go wrong, can endanger the lives of rescuers. It’s a public health problem which requires new remedies.

    Selfies in floods: a risky business

    During a flood, water can be deceiving. Just 15cm of water can knock an adult off their feet or cause a car to lose traction and float. Submerged debris and contaminated water add to the dangers.

    Emergency services routinely warn the public not to enter floodwaters – on foot or in vehicles. But many people ignore the warnings, including those out to create social media content.

    In a startling example posted on Tiktok during the current floods, a young man stands on a mossy log which has fallen over a flooded river. The video, accompanied by dramatic music, shows swirling floodwaters surging beneath him. One wrong step, and the man could easily have drowned.

    In other examples posted on Tiktok in recent days, a woman wades through murky floodwaters, and a person films as the car they are travelling in drives down a flooded road.

    Similar behaviour was observed during floods in Townsville earlier this year. Residents filmed themselves diving and wading into floodwaters, and towing each other on inflatable rafts.

    And during ex-Tropical Cyclone Alfred, social media was filled with images of people in Queensland surfing dangerous swells and wading in rough surf.

    A worrying trend

    Our research explores the links between social media and adverse health outcomes.

    Selfie-related injury has become a public health concern. People are increasingly venturing off-trail, seeking out attractive but hazardous locations such as cliff edges and coastal rock platforms.

    These behaviours can lead to injury and death. They can also put emergency services personnel in harm’s way. In 2021, for example, a woman fell into a swollen river on Canberra’s outskirts while trying to take a selfie with friends, prompting a police official to warn:

    There is no photo or social media post that is worth risking your life to get. Any water rescue puts the lives of not only of yourself but those of emergency services personnel at risk.

    Getting to grips with the problem

    How should the problem be tackled? Previous research by others has recommended “no-selfie zones”, barriers, and signs as ways to prevent selfie incidents. But our research suggests these measures may not be enough.

    The phenomenon of selfie-related incidents requires a public health approach. This entails addressing the behaviour through prevention, education, and other interventions such as via social media platforms.

    In the latest floods, unsafe behaviour has occurred despite a series of official flood, weather and other warnings. Residents also continue to drive into floodwaters, despite repeated pleas from authorities.

    Official warnings compete with – and can lose out to – more emotionally compelling, visually rich content. If the public sees other people behaving recklessly and apparently unharmed, then even clear, fact-based warnings can be ignored.

    This is especially true in communities experiencing “alert-fatigue” after having gone through disasters before.

    Sometimes, vague terminology in warnings means the messages don’t necessarily cut through. We’ve seen this before in relation to surf safety. Technical phrases such as “hazardous swell” don’t change behaviour if people don’t understand what they mean.

    For warnings to work, they need to be clear and provide instruction – stating what the danger actually is, and what to explicitly do, or not do.

    For social media users, that might mean spelling out not to go into floodwaters to capture content for social media.

    We’ve also previously called on social media companies to be held more accountable for the dangerous content they publish – by flagging risky content and supporting in-app safety messaging, especially at high-risk locations or during extreme weather events.

    What to do right now

    If you’re in or near a flood zone, follow guidance from emergency services to keep yourself and your loved ones safe.

    When it comes to using social media in an emergency:

    • stay entirely out of floodwaters, even for a quick photo

    • think before you post. Your safety is more important than your content. No post is worth risking your life

    • avoid glamourising risk. Sharing risky photos or videos can influence others to do the same, potentially with worse outcomes

    • follow official advice. Floodwaters are unpredictable. Warnings are issued for a reason

    • use your platform for good. Share verified information, support affected communities and help amplify safety messages.

    As extreme weather becomes more frequent in Australia under climate change, so too will the urge to document them. But we risk turning disasters into digital spectacles – at the expense of our lives and that of rescuers.

    Samuel Cornell receives funding from Meta Platforms, Inc. His research is supported by a University of New South Wales Sydney, University Postgraduate Award. His research is supported by Royal Life Saving Society – Australia to aid in the prevention of drowning. Research at Royal Life Saving Society – Australia is supported by the Australian government. He has been affiliated with Surf Life Saving Australia and Surf Life Saving NSW in a paid and voluntary capacity.

    Amy Peden receives funding from the National Health and Medical Research Council, Meta Platforms, and NSW National Parks and Wildlife Service. She holds an honorary affiliation with Royal Life Saving Society – Australia.

    – ref. Disaster or digital spectacle? The dangers of using floods to create social media content – https://theconversation.com/disaster-or-digital-spectacle-the-dangers-of-using-floods-to-create-social-media-content-257350

    MIL OSI Analysis – EveningReport.nz –

  • MIL-OSI Security: Ontario County Woman Sentenced for HIPAA Violation

    Source: US FBI

    ROCHESTER, N.Y. – U.S. Attorney Michael DiGiacomo announced today that Tonya D’Agostino, 53, of Farmington, NY, who pleaded guilty to HIPAA: unlawfully obtaining/disclosing individually identifying health information, was sentenced to serve one year probation by Chief U.S. District Judge Elizabeth A. Wolford. D’Agostino was also ordered to pay $13,410.42 in restitution.

    Assistant U.S. Attorney Katelyn M. Hartford, who is handling the case, stated that on March 23, 2023, D’Agostino mailed a USPS Priority Mail parcel to an individual in Medina, NY, which contained individually identifiable health information of four individuals. D’Agostino did not have authorization to obtain or disclose the individually identifiable health information. She did this in an attempt to obtain $216,000 from the individual who received the parcel.

    The sentencing is the result of an investigation by Federal Bureau of Investigation, under the direction of Special Agent-in-Charge Matthew Miraglia, and Health and Human Services, Office of Inspector General, under the direction of Special Agent-in-Charge Naomi Gruchacz.           

    # # # #

    MIL Security OSI –

  • MIL-Evening Report: The death of Jelena Dokic’s father reveals the ‘complex and difficult grief’ of losing an estranged parent

    Source: The Conversation (Au and NZ) – By Lauren Breen, Professor of Psychology, Curtin University

    Grieving the death of a parent is often considered a natural part of life. But there are added layers of complexity when you had a difficult or estranged relationship.

    This week former tennis star Jelena Dokic confirmed the death of her father and former coach Damir, whose verbal, physical and emotional abuse she revealed in 2009 and further detailed in her 2017 autobiography. They had been estranged for a decade.

    In a social media post on Thursday, Dokic wrote about her “conflicting and complex emotions and feelings” around his death:

    no matter how how hard, difficult and in the last 10 years even non existent [sic] our relationship and communication was, it is never easy losing a parent […] The loss of an estranged parent comes with a difficult and complicated grief.

    Dokic’s news is a reminder that, when a parent dies, not all of us get to grieve a stable, warm and comforting relationship.

    As in her case, a strained relationship might even be marked by maltreatment or abuse. Relinquishing contact can sometimes be the best, albeit difficult, choice.

    When the parent dies, the loss can feel surprisingly complex. We may be grieving both the literal death of the parent and the figurative death, of what should have been – what we wished for and desired.

    Death can spark more than sadness

    Grief is not a single emotion. Usually, it involves a combination of many. Common feelings can include sadness, guilt, anger and even relief.

    In sharing her social media post, Dokic has said among conflicting emotions she’s chosen to “focus on a good memory”.

    Grief can reach beyond feelings. It can disrupt eating and sleeping habits and impair memory and concentration.

    Deaths can also affect relationships.

    For example, when grieving, someone might receive a lot of social support from family, friends and colleagues. But for others, the support they’d like might not be forthcoming. The lack of support is yet another loss and is linked to worse physical and mental health.

    Family members may also react in different ways. It might be jarring or alienating if your sibling responds differently, for example by sharing fond memories of a parent you found harsh and distant.

    A death can also affect your financial standing. A grieving person may be burdened with outstanding bills and funeral payments. Or the impact can be positive, via windfalls from insurance and inheritance.

    Family members may grieve in different ways.
    Meteoritka/Shutterstock

    What if I don’t feel sad?

    With grief, it’s OK to feel how you feel. You might think you’re grieving the “wrong” way, but it can be helpful to remember there are no strict rules about how to grieve “right”.

    Be gentle on yourself. And give other family members, who may have had a different relationship with the parent and therefore grieve differently, the same courtesy.

    It’s also OK to feel conflicted about going to the funeral.

    In this case, take the time to think through the pros and cons of attending. It might be helpful in processing your grief and in receiving support. Or you might feel that attending would be too difficult or emotionally unsafe for you.

    If you choose to attend, it can help to go with someone who can support you through it.

    In an estranged relationship, the adult child might not even find out about the death of the parent for many weeks or months afterwards. This means there is no option of attending the funeral or other mourning rituals. Consider making your own rituals to help process the loss and grief.

    What if I do feel sad – but still hurt?

    It can be really confusing to feel sad about the death of a parent with whom we had a difficult, strained or violent relationship.

    Identifying where these conflicting thoughts and feelings come from can help.

    You might need to acknowledge and grieve the loss of your parent, the loss of the parent-child relationship you deserved, and even the loss of hoped-for apologies and reconnections.

    In many cases, it is a combination of these losses that can make the grief more challenging.

    It may also be difficult to get the social support you need from family, friends and colleagues.

    These potential helpers might be unaware of the difficulties you experienced in the relationship, or incorrectly believe troubled relationships are easier to grieve.

    It can feel like a taboo to speak ill of the dead, but it might be helpful to be clear about the relationship and your needs so that people can support you better.

    In fact, grieving the death of people with whom we have challenging, conflicting or even abusive relationships can lead to more grief than the death of those with whom we shared a warm, loving and more straightforward relationship.

    If the loss is particularly difficult and your grief doesn’t change and subside over time, seek support from your general practitioner. They might be able to recommend a psychologist or counsellor with expertise in grief.

    Alternatively, you can find certified bereavement practitioners who have specialised training in grief support online or seek telephone support from Griefline on 1300 845 745.

    Lauren Breen receives funding from Healthway and has previously received funding from Wellcome Trust, Australian Research Council, Department of Health (Western Australia), Silver Chain, iCare Dust Diseases Board (New South Wales), and Cancer Council (Western Australia). She is on the board of Lionheart Camp for Kids, is a member of Grief Australia, and a Fellow of the Australian Psychological Society.

    – ref. The death of Jelena Dokic’s father reveals the ‘complex and difficult grief’ of losing an estranged parent – https://theconversation.com/the-death-of-jelena-dokics-father-reveals-the-complex-and-difficult-grief-of-losing-an-estranged-parent-257324

    MIL OSI Analysis – EveningReport.nz –

  • MIL-OSI New Zealand: Budget 2025 – Oranga Whenua, Oranga Tangata: Hāpai Te Hauora Responds to Budget 2025

    Source: Hapai Te Hauora

    Hāpai Te Hauora says Budget 2025 is not a Budget for whānau – it is a Budget for landlords, corporates, and cuts.
    Finance Minister Nicola Willis promised no lolly scramble; but somehow, the sweet stuff still landed in boardrooms and business accounts, while the pantry stayed locked for whānau.
    “This Budget is a choice – and that choice is clear,” says Jacqui Harema, CEO of Hāpai Te Hauora. “A choice to gut pay equity. A choice to ask rangatahi to prove their poverty. A choice to back the boardroom while gutting community support.”
    Businesses receive a 20% tax write-off on new assets. Meanwhile, whānau get 25-cent KiwiSaver contributions, tighter benefit rules, and income-tested child payments. “A baby’s best start now depends on a parent’s payslip – that’s not equity,” Harema says.
    The wealthy retain their capital gains. Yet rangatahi on Jobseeker now face new restrictions based on their parents’ income. “We’re means-testing the vulnerable while letting privilege off the hook.”
    Health receives funding, but only just. Emergency departments remain overwhelmed. Nurses are still burning out. And while primary care sees a modest boost, there is no targeted investment in Māori health – and prevention is notably missing.
    “If we want to reduce long-term costs and create better outcomes, we must fund prevention,” says Jason Alexander, COO of Hāpai. “That means backing kaupapa Māori solutions before harm happens – not waiting until our people are in crisis.”
    Education receives $2.5 billion, but $614 million of that comes from scrapped initiatives. Programmes like Kāhui Ako are axed, and school lunches (Ka Ora, Ka Ako) are set to expire in 2026. “You do not build brighter futures by cutting kai from classrooms,” says Harema.
    Tax cuts favour business, while low- to middle-income families receive just $14 more a fortnight under Working for Families tweaks – roughly the cost of a pack of nappies.
    This Budget did not prioritise Māori health, wellbeing, or equity. It disestablished Te Aka Whai Ora, clawed back unspent Māori housing funds, and continued the short-term funding cycle.
    Hāpai Te Hauora’s Budget 2025 Wishlist included:
    • Investment in Māori-led housing
    • Protection of school lunch programmes
    • Long-term contracts for Māori health services
    • Increased income support and kaupapa Māori employment pathways
    • Serious investment in prevention
    What we got instead were cuts, exclusions, and short-term gains.
    “This is not the Budget for tamariki. Not for our mokopuna. Not for our taiao,” Harema says. “Whānau deserve better.” 

    MIL OSI New Zealand News –

  • MIL-OSI Security: Crowheart Man Sentenced to 25 Years in Prison for Sexual Abuse of a Minor

    Source: US FBI

    Quinlin James Hernandez, 32, of Crowheart, Wyoming, was sentenced to 300 months’ imprisonment with five years of supervised release for sexual abuse. Chief U.S. District Court Judge Scott W. Skavdahl imposed the sentence on March 5 in Casper.

    According to court documents, on April 13, 2024, a 14-year-old minor victim who had been reported missing was located at the residence of Hernandez. She was able to send a text to her grandmother to come pick her up at that location. During her forensic interview, she stated that Hernandez and several minors picked her up April 10, 2023, without the knowledge of her guardians. Hernandez drove to a liquor store, where he bought alcohol and then drove the minors to his residence in Crowheart. At the residence, all the minors and the defendant drank the alcohol. Hernandez began flirting with and making sexual advances toward the minor victim. The minor victim was at Hernandez’s residence for approximately two and a half days, during which Hernandez forced himself on the minor victim, sexually abusing her twice. The victim underwent a Sexual Assault Nurse Examination and Hernandez’s seminal fluid and DNA were confirmed to be on the victim’s clothing.  He was indicted on May 16, 2024.

    When interviewed, Hernandez denied sexually abusing the minor victim. However, when he entered his plea of guilty on December 13, 2024, he admitted that he had sex with the minor victim when she was too drunk to either consent or decline to have sex with him.

    The Bureau of Indian Affairs Wind River Police Department and the FBI investigated this crime. Assistant U.S. Attorney Kerry Jacobson prosecuted the case.

    This case was brought about by Project Safe Childhood (PSC), a nationwide initiative launched in May 2006 by the Department of Justice to combat the growing epidemic of child sexual exploitation and abuse. Led by the U.S. Attorneys’ Offices and the Criminal Division’s Child Exploitation and Obscenity Section (CEOS), Project Safe Childhood marshals federal, state, and local resources to locate, apprehend, and prosecute individuals who exploit children via the internet and to identify and rescue victims.

    Case No. 24-CR-00087

    MIL Security OSI –

  • MIL-OSI Security: Owner of Marketing Companies and DME Company Convicted for Role in $100 Million Scheme to Defraud Medicare and Other Insurers and to Violate the Anti-Kickback Statute

    Source: US FBI

    NEWARK, N.J.  A Florida man was convicted by a federal jury for his role in a durable medical equipment (DME) kickback scheme that caused millions of dollars in losses to Medicare and other insurance providers, United States Attorney John Giordano announced.

    Following a month-long jury trial before U.S. District Judge Michael E. Farbiarz, Raheel Naviwala, 36, of Coral Springs, Florida, was convicted on Feb. 28, 2025, of conspiracy to commit health care fraud and wire fraud, one count of health care fraud, conspiracy to violate the Anti-Kickback Statute, and three counts of violating the Anti-Kickback Statute. He was also acquitted of two counts of health care fraud.

    “This Office is committed to prosecuting those like the defendant who seek to profit by defrauding and corrupting our nation’s medical systems,” United States Attorney John Giordano said. “When people siphon millions from Medicare to line their own pockets, regular citizens pay the price. This case demonstrates that serious consequences will follow for such conduct.”

    “The scheme Naviwala and his co-conspirators created to steal money from the government was complex and expansive,” FBI Acting Special Agent in Charge Terence G. Reilly said. “However, FBI Newark and our law enforcement partners have the expertise and grit to dig through mountains of data and find the fraudsters. We want this case to serve as a warning to anyone hoping to capitalize on hiding under the red tape – we are still here, and you will eventually get caught.”

    “The defendant convicted in this case prioritized greed over the provision of appropriate health care services to patients, bilking the federal government for medically unnecessary durable medical equipment,” stated Special Agent in Charge Naomi Gruchacz with the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “HHS-OIG will continue to work with our law enforcement partners to ensure the integrity of the federal health care system and hold accountable owners and providers engaging in fraud that targets its programs.”

    “Investigating corrupt schemes that undermine the integrity of TRICARE, the healthcare system for military members and their families, is a top priority for the Department of Defense Office of Inspector General’s Defense Criminal Investigative Service (DCIS),” stated Special Agent in Charge Patrick J. Hegarty, DCIS Northeast Field Office. “Mr. Naviwala’s illegal schemes put the TRICARE program and its beneficiaries at risk. We are committed to working with our partner agencies and the Department of Justice to pursue those individuals who selfishly place personal gain over the safety and care of TRICARE beneficiaries.”

    “Schemes such as these compromise the integrity of VA’s programs and services and divert funds from our nation’s deserving veterans,” said Special Agent in Charge Christopher F. Algieri with the Department of Veterans Affairs Office of Inspector General’s Northeast Field Office. “The VA OIG will continue to work with our law enforcement partners to root out fraudsters and hold them accountable.”

    According to the evidence at trial:

    Naviwala and his coconspirators purchased lists of Medicare patients’ names, addresses, and phone numbers, and hired telemarketers to convince the patients to get DME (orthotic braces). These telemarketers pre-filled prescriptions and picked the highest-paying braces to bill to insurers. Naviwala then paid telemedicine doctors to sign the pre-filled prescriptions for braces, regardless of whether the patients needed or wanted braces. Generally, the telemedicine doctor did not even speak to the patients before signing the pre-filled prescriptions.

    Naviwala then sold the signed prescriptions to DME supply companies that could bill Medicare, TRICARE, and other insurers for the braces. To conceal the fraud, Naviwala and his coconspirators signed sham contracts and used sham invoices that falsely represented that Naviwala was billing DME supply companies for marketing or consulting.

    Naviwala also owned and operated a DME supply company that was used to bill Medicare, and which submitted claims to Medicare for up to nine braces for a single patient.

    To further conceal his illegal conduct, Naviwala put multiple of his businesses in the names of nominee owners. The nominee owners generally performed no legitimate work for any company and were paid to hide Naviwala’s involvement.

    Medicare and other insurers paid hundreds of millions of dollars to members of the conspiracy and paid at least approximately $100 million for DME associated with Naviwala’s companies. Naviwala personally pocketed more than $10 million in fraud proceeds.

    Conspiracy to commit health care fraud and wire fraud is punishable by a maximum potential penalty of 20 years in prison. Health care fraud is punishable by a maximum potential penalty of 10 years in prison. Conspiracy to violate the federal Anti-Kickback Statute is punishable by a maximum potential penalty of five years in prison. Each count of illegal kickbacks is punishable by a maximum potential penalty of 10 years in prison. Each count is also punishable by a fine. Sentencing is scheduled for 10 a.m. on July 29, 2025, before Judge Farbiarz in Newark.

    United States Attorney John Giordano credited special agents of the FBI, under the direction of Acting Special Agent in Charge Terence G. Reilly in Newark; HHS-OIG, under the direction of Special Agent in Charge Naomi Gruchacz; DCIS, under the direction of Special Agent in Charge Patrick J. Hegarty; and the U.S. Department of Veterans Affairs Office of Inspector General, under the direction of Special Agent in Charge Christopher F. Algieri with the investigation leading to the conviction.

    The government is represented by Assistant U.S. Attorneys Elaine K. Lou, Deputy Chief of the Criminal Division, Matthew Specht of the Special Prosecutions Division, and Aaron L. Webman of the Economic Crimes Unit in Newark.

                                                               ###

    Defense counsel:

    Jamie Hoxie Solano, Esq. New York, New York

    Amy C. Brown, Esq. New York, New York

    Bryan W. McCracken, Esq. New York, New York

    Ifedapo Benjamin, Esq. New York, New York

    MIL Security OSI –

  • MIL-OSI Security: Two Individuals Plead Guilty to Health Care Fraud Conspiracy

    Source: US FBI

    HUNTSVILLE, Ala. – A former doctor and her wife pleaded guilty today to crimes involving the medical practice they ran in north Alabama for many years.  United States Attorney Prim Escalona, FBI Special Agent in Charge Carlton Peeples, Drug Enforcement Administration Special Agent in Charge Steven L. Hofer, and Special Agent in Charge Tamela Miles of the Department of Health and Human Service Office of the Inspector General Atlanta Region made the announcement.

    Francene Aretha Gayle, 50, of Apopka, Florida, pleaded guilty before U.S. District. Judge Liles Burke to five counts of unlawful drug distribution, one count of health care fraud conspiracy, and one count of wire fraud conspiracy. Gayle’s wife, Schara Monique Davis, 48, also of Apopka, pleaded guilty to one count of health care fraud conspiracy and one count of wire fraud conspiracy.

    According to the defendants’ plea agreements, between about 2014 and early 2020, Gayle was a doctor who operated a multi-clinic practice in Huntsville, Athens, and Killen. Davis owned the practice and served as business manager. In 2019, the Killen clinic shut down. In March 2020, the Alabama Medical Licensure Commission revoked Gayle’s license, and the other two clinics closed shortly after that.

    Gayle admitted that she had unlawfully distributed drugs, including oxycodone, hydrocodone, and methadone.

    Gayle and Davis both admitted to having conspired to commit health care fraud for several years by billing insurers for office visits under Gayle’s name even when she did not see the patients, was not in the same building, and sometimes was not in the same town. The defendants knew that the billing scheme was fraudulent. In 2015, Blue Cross Blue Shield of Alabama audited the practice and discovered that Gayle was absent, other staff were seeing patients, and yet all office visits were being billed under Gayle’s name. Blue Cross flagged the issue, and Gayle promised it would stop. Instead, the practice continued fraudulently billing insurers for office visits for the next four years. In total, between 2015 and 2020, Medicare, Medicaid, and Blue Cross paid more than $2.3 million for office visits billed under Gayle’s name.

    Gayle and Davis both also admitted to having conspired to commit wire fraud. In March 2020, based on concerns about her prescribing and billing practices, Gayle’s Alabama medical license was revoked.  Months later, Gayle and Davis applied for and obtained more than $450,000 in COVID-19 disaster relief funds through the Paycheck Protection Program (PPP) and Economic Injury Disaster Loan (EIDL) program. Those funds were designed to stabilize businesses struggling because of the pandemic. In their funding applications, Gayle and Davis certified that their medical practice needed the money because of economic uncertainty or injury caused by the pandemic. In reality, Gayle and Davis’s practice had closed, and they used COVID-19 funds they received on other things.

    The maximum penalty for unlawful drug distribution is twenty years in prison. The maximum penalty for health care fraud conspiracy is ten years in prison. The maximum penalty for wire fraud conspiracy is twenty years in prison.

    The FBI, DEA, and HHS-OIG investigated the case. The Medicaid Fraud Control Unit of the Alabama Attorney General’s Office provided exceptional investigative assistance after the Alabama Medicaid Agency’s Program Integrity Division initiated the case and referred it. Assistant U.S. Attorneys J.B. Ward and Ryan Rummage are prosecuting the case.

    MIL Security OSI –

  • MIL-OSI Security: Trussville Man Sentenced in Multimillion-Dollar Health Care Fraud Case

    Source: US FBI

    BIRMINGHAM, Ala. – Another man has been sentenced in a series of cases involving multi-million-dollar health care fraud and kickback conspiracies, announced U.S. Attorney Prim F. Escalona; Federal Bureau of Investigation Special Agent in Charge Carlton L. Peeples; and U.S. Department of Health and Human Services, Office of Inspector General, Special Agent in Charge Tamala E. Miles. 

    “This was a crime of greed and indifference to the consequences of the actions to the overall health system,” said U.S. Attorney Prim Escalona. “The crime cost insurers millions of dollars, and it exploited vulnerable patients trying to get appropriate medical care, not run up the tab on insurance. We will continue to fight hard to keep our community safe from serious crimes like this one.”

    “Health care fraud is not a victimless crime. It costs U.S. taxpayers millions of dollars every year. It can raise health insurance premiums, expose patients to unnecessary medical procedures, and increase taxes,” said James DeLoatch, Acting Special Agent in Charge of the FBI Birmingham Division. “The FBI is committed to coordinating with our partners and aggressively pursuing those who take advantage of others for their personal gain. This sentencing should serve as a warning to others who might engage in these types of schemes.”

    “Kickback arrangements can compromise medical decisions and threaten the integrity of federally funded health care programs,” said Tamala E. Miles, Special Agent in Charge at the U.S. Department of Health and Human Services Office of Inspector General. “Today’s sentence exemplifies our commitment to protecting taxpayer-funded health care programs and the patients they serve.”

    Earlier this week, U.S. District Court Judge L. Scott Coogler sentenced John Alan Robson, 41, of Trussville, to 56 months in prison. Robson was also ordered to pay forfeiture of about $1.1 million, and restitution of about $5.3 million. In February 2024, Robson pleaded guilty to health care fraud conspiracy related to his work with Brian Bowman, James Ray, and others.

    According to Robson’s plea agreement, Robson knew that insurers would not pay for items or services that had been ordered based on kickbacks or that were medically unnecessary for a patient. Yet Robson received kickbacks—from specialty pharmacies, a nerve conduction testing company, and brace suppliers—to generate medically unnecessary orders and prescriptions from doctors’ offices that would be billed to insurance and reimbursed at high rates.

    For example, Robson marketed nerve conduction testing to medical providers for a Huntsville-based company called QBR or Diagnostic Referral Community. QBR paid those providers a flat fee (for example, $50) for each test they ordered that insurance paid for. QBR paid Robson a flat fee for each of those tests, too. QBR paid one of Robson’s medical practices more than $100,000 in per-test kickbacks.

    As another example, Robson marketed high-reimbursing topical creams—such as pain creams and scar creams—to providers on behalf of specialty pharmacies like Global Compounding Pharmacy and Watson Rx Solutions. Robson was paid lucrative commissions on the cream prescriptions that he and his team generated and insurance paid for. Robson got prescriptions for himself and family members regardless of whether those topical creams were medically necessary for the patients. Robson and other sales reps got blank pre-signed prescriptions from medical providers, filled out the prescriptions to make sure insurance would pay for them, and even selected the drugs or drug formulations to make sure insurance would pay for them. Robson admitted that federal insurance programs paid millions of dollars for medically unnecessary prescriptions for which Robson, Ray, and Bowman received commissions.

    This case is the latest in a series of cases involving health care fraud and kickbacks through pain clinics, specialty pharmacies, and a nerve conduction company in north Alabama.

    The FBI and HHS-OIG investigated this case.  Assistant U.S. Attorneys J.B. Ward and Don Long prosecuted the case. 

    See related press here:

    https://www.justice.gov/usao-ndal/pr/medical-sales-rep-and-former-pain-clinic-owner-sentenced-related-multi-million-dollar

    https://www.justice.gov/usao-ndal/pr/pain-clinic-owners-sentenced-unlawfully-distributing-opioids-and-multimillion-dollar

    https://www.justice.gov/usao-ndal/pr/etowah-pain-clinic-owner-pleads-guilty-multi-million-dollar-kickback-and-health-care

    https://www.justice.gov/usao-ndal/pr/multiple-defendants-sentenced-major-compounding-pharmacy-fraud-conspiracy

    https://www.justice.gov/usao-ndal/pr/new-hope-man-sentenced-his-role-multi-million-dollar-kickback-and-health-care-fraud

    MIL Security OSI –

  • MIL-OSI USA: Kelly, Colleagues Reintroduce Critical Prior Authorization Reform Bill

    Source: United States House of Representatives – Representative Mike Kelly (R-PA)

    WASHINGTON, D.C. — Yesterday, Representative Mike Kelly (PA-16) reintroduced H.R. 3514, the Improving Seniors’ Timely Access to Care Act along with Representatives Suzan DelBene (WA-01),and Ami Bera, M.D. (CA-06), and John Joyce, M.D. (PA-13) and Senators Roger Marshall, M.D. (KS) and Mark Warner (VA).

    “With nearly 33 million Americans enrolled in Medicare Advantage, modernization of the prior authorization process is long overdue. Lawmakers on both sides of the aisle, hundreds of health care organizations, and Americans from all corners of the country agree – streamlining this process will allow our Nation’s seniors to receive the care they are entitled to more efficiently. I am proud to reintroduce the Improving Seniors’ Timely Access to Care Act of 2025, which would move the health care sector into the 21st century by giving doctors and Medicare Advantage plans the tools to make health coverage decisions in a timely manner. I thank my House and Senate colleagues for their years of hard work and for joining me on the reintroduction of this critical legislation,” said Representative Mike Kelly (PA-16).

    “We’ve made important incremental headway in helping seniors get the medical care they deserve with the administration’s prior authorization regulations. However, we must go further and enshrine these advancements into law. By passing the bipartisan, bicameral Improving Seniors’ Timely Access to Care Act, we can make it much easier for seniors to receive the care they’re entitled to while also alleviating unnecessary burdens on physicians and hospitals,” said Congresswoman Suzan DelBene (WA-01).  

    “When decisions on patient care are made by bureaucrats with no experience treating patients, care is often delayed or denied altogether, which results in worse outcomes for patients,” said Rep. John Joyce, M.D. (PA-13). “By streamlining the prior authorization process through the bipartisan Improving Seniors’ Timely Access to Care Act, we can ensure that American patients receive the care they need without unnecessary barriers.”

    “As a doctor, I’ve seen firsthand how the broken prior authorization process delays needed care and frustrates both seniors and their physicians,” said Representative Ami Bera, M.D. (CA-06). “The Improving Seniors’ Timely Access to Care Act cuts through red tape and makes it easier for seniors on Medicare Advantage to access the treatments and services they need, when they need them. This bipartisan legislation is a common-sense fix that puts patients over paperwork, restores trust in the system and helps physicians focus on delivering quality care. I’m proud to reintroduce this bill alongside my colleagues and am grateful for the broad coalition of support behind it.”

    BACKGROUND

    Prior authorization is a tool used by health plans to reduce unnecessary care by requiring health care providers to get pre-approval for medical services. But it’s not without fault. The current system often results in unconfirmed faxes of a patient’s medical information or phone calls by clinicians which takes precious time away from delivering quality and timely care. Prior authorization continues to be the #1 administrative burden identified by health care providers, and three out of four Medicare Advantage enrollees are subject to unnecessary delays due to prior authorization. In recent years, the Office of the Inspector General at the U.S. Department of Health and Human Services (HHS) raised concerns after an audit revealed that Medicare Advantage plans ultimately approved 75% of requests that were originally denied. More recently, HHS OIG released a report finding that MA plans incorrectly denied beneficiaries’ access to services even though they met Medicare coverage rules.

    Health plans, health care providers, and patients agree that the prior authorization process must be improved to better serve patients and reduce unnecessary administrative burdens for clinicians. In fact, leading health care organizations released a consensus statement to address some of the most pressing concerns associated with prior authorization.

    Specifically, the bill would:

    – Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments.
    – Increase transparency around MA prior authorization requirements and its use.
    – Clarify HHS’ authority to establish timeframes for e-prior authorization requests including   expedited determinations, real-time decisions for routinely approved items and services, and other prior authorization requests.
    – Expand beneficiary protections to improve enrollee experiences and outcomes.
    – Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
    – Previously, Rep. Kelly led similar legislation in the 118th Congress. The Improving Seniors’ Timely Access to Care Act unanimously passed the House in the 117th Congress and was cosponsored by a majority of members in the Senate and House of Representatives. 

    The bill text can be found here and a section-by-section can be found here.

    MIL OSI USA News –

  • MIL-OSI USA: LEADER JEFFRIES ON HOUSE FLOOR: “IF THEY WON’T FIGHT FOR YOU, WE WILL”

    Source: United States House of Representatives – Congressman Hakeem Jeffries (8th District of New York)

    Washington, DC – Today, Democratic Leader Hakeem Jeffries spoke on the House Floor in opposition to the dangerous GOP Tax Scam passed by House Republicans to strip healthcare and nutritional assistance from the American people in order to enact massive tax breaks for billionaires.

    JEFFRIES: Mr. Speaker, I rise today in strong opposition to this reckless, regressive and reprehensible GOP Tax Scam. This is One Big Ugly Bill that House Republicans are trying to jam down the throats of the American people under the cover of darkness. This legislation will not make life better for the American people. The GOP Tax Scam represents an assault on the economy, an assault on healthcare, an assault on nutritional assistance, an assault on tax fairness and an assault on fiscal responsibility. There are more than 100 other reasons to vote against this One Big Ugly Bill that can be found by reading this more than 1000-page document. Those reasons are too numerous to mention, but this legislation also undermines reproductive freedom, undermines the progress that we have made in combating the climate crisis, undermines gun safety, undermines the rule of law and the independence of the federal judiciary. It even undermines the ability of hardworking and law-abiding immigrant families to provide remittances to their loved ones who may just happen to live abroad. There are more than 100 different reasons to vote against the GOP Tax Scam. And in the days and the weeks and the months to come, all of those reasons will be exposed for the American people, in each and every one of your districts.

    But this bill represents a failed promise. Last year, Donald Trump and House Republicans spent all of their time talking about their promise to lower the high cost of living in the United States of America. In fact, Donald Trump and Republicans promised that costs would go down on day one. We’re now more than 120 days past the inauguration. Costs aren’t going down. They’re going up. Inflation is out of control. Insurance rates remain stubbornly high. Our Moody’s rating, our credit rating has been downgraded. And you’ve got people losing confidence in this economy. Republicans are crashing this economy in real time and driving us toward a recession. But beyond that, costs are actually going up. The trade war that Donald Trump has recklessly launched—his tariff scheme—will raise the cost of goods and groceries and gas for everyday Americans, the Americans that you claimed you were going to help, but the Americans that you are clearly hurting. You’ve destabilized the business environment. Small businesses are at risk of closing. Farmers—small family farmers are in distress. Businesses can’t invest. People are not hiring. You are actively crashing the economy, driving America toward a recession. You promised to lower costs on day one. Costs aren’t going down. They are going up.

    Now, as House Democrats, we believe that we have to build an affordable economy for hardworking American taxpayers. We’re committed to lowering housing costs and grocery costs and insurance costs and child care costs and utility costs. America, the wealthiest country in the history of the world—there are far too many people living paycheck to paycheck, struggling to make ends meet. Here in this country, no American should find themselves in that situation. And you promised that you would do something about it. But things are not getting better. They’re getting worse. We could have partnered together to try to find a bipartisan path toward building an affordable economy for hardworking American taxpayers, but you chose to go it alone, to try to drive your extreme right-wing policies down the throats of the American people. And that’s what this One Big Ugly Bill represents. 

    Not simply a broken promise, as it relates to your failures on the economy. And despite the gentleman from Louisiana trying to articulate all of the so-called successes that have taken place, we know that this presidency has already been a failure, filled with crisis and chaos, cruelty and corruption. And the American people know it, which is why Donald Trump, at the 100-day mark, was the most unpopular President in American history. The American people understand it’s unfolding right before their eyes, no matter what kind of MAGA spin you try to put on the situation. And things are going to get worse. Why? Because of this Big Ugly Bill. Not simply an assault on the economy, a broken promise, it’s an assault on the healthcare of the American people. You see, as Democrats, we believe, in this country, healthcare is not simply a privilege, healthcare is a right. And from Medicare to Medicaid to the passage of the Affordable Care Act and subsequently enhancing it, we’ve begun to move America to a place where every single person in this land can have access to the healthcare that they need to live a life of dignity and respect.

    At this moment in America, we have the lowest rate of uninsured people in our nation’s history. But this GOP Tax Scam will reverse that, with this assault on healthcare, the largest cut to Medicaid in American history. And here’s what it will mean for the American people. Children will get hurt. Women will get hurt. Older Americans who rely on Medicaid for nursing home care and for home care will get hurt. People with disabilities who rely on Medicaid to survive will get hurt. Hospitals in your districts will close. Nursing homes will shut down. And people will die. That’s not hype. That’s not hyperbole. That’s not a hypothetical. The people that you all represent have been writing to us to make that clear. Thousands of people who’ve written to us—everyday Americans—have made that clear. And let me just present a few of those stories into the record.

    I have Type 1 diabetes and was diagnosed when I was seven years old. I’ve had jobs with private insurance in the past, but I lost my job during the pandemic. With child care becoming a major challenge, it made more sense for me to stay home with the kids, but that also meant losing my health benefits. Right now, we’re all on Medicaid. It’s crucial for me to stay alive and healthy. I need insulin and supplies to manage my diabetes every single day. Without it, I could die. That’s Shauna, who lives in Arizona’s Sixth Congressional District.

    My youngest son has leukemia. He was a self-employed handyman, and therefore, he didn’t have sufficient insurance. When the cancer became more debilitating, he could no longer work. He has undergone radiation, stem cell transplant and then more radiation. He is still fighting the cancer. And without Medicaid and the fine physicians, he would surely die. That’s Greg, who lives in the Eighth Congressional District of Colorado.

    As a cancer survivor with chronic illnesses, I rely heavily on Medicaid and food stamps to get by. Without these essential programs, people like me would suffer. I’m currently taking expensive medication to stay in remission, but my condition and the side effects of my treatment make it impossible for me to work. Unfortunately, my work history also disqualifies me from receiving Social Security benefits. I’m not alone in my dependence on these Medicaid and food stamps benefits. Children, elders and many others who are sick or struggling, also rely on them to survive. I urge you to do the right thing for the people you represent. Without food stamps and Medicaid, the consequences would be painful and even deadly. That’s Julisa, who had a message for her Representative in Pennsylvania’s Eighth Congressional District.

    But we’re here to say, as House Democrats, to Shauna, to Greg and to Julisa, that if your representatives won’t fight for you, we will. We will. We will. If they won’t fight for you, we will fight for you, for your healthcare, for your decency, for your well-being, for your grace and for your dignity.

    Full remarks can be watched here.

    ###

    MIL OSI USA News –

  • MIL-OSI USA: Congresswoman Norma Torres Votes Against Republican Budget Reconciliation Bill

    Source: United States House of Representatives – Congresswoman Norma Torres (35th District of California)

    May 22, 2025

    Voted No to Protect Critical Healthcare, Food Security, and Fair Tax Policies for California Families

    WASHINGTON, D.C. —   Today, Congresswoman Norma Torres voted against the Republican Budget Reconciliation bill, which harms millions of Americans. The bill includes devastating provisions that would cut healthcare coverage for nearly 14 million people, reduce SNAP benefits by $300 billion, and leave 42 million Americans facing cuts to their benefits. Congresswoman Torres has been at the forefront of efforts to protect vital programs and services for working families, children, seniors, and people with disabilities.

    “I cannot in good conscience support a bill that undermines the basic needs of our nation’s most vulnerable,” said Congresswoman Norma Torres. “This bill would slash critical healthcare coverage, make it harder for families to put food on the table, and further burden Californians already struggling with the high cost of living. 

    “Almost half of my district relies on Medi-Cal, California’s Medicaid.  More than 110,000 residents of my district rely on food assistance programs.”

    “The Republican Budget Reconciliation is an outright assault on these families, and on working American families across the nation. I’ll keep fighting for Californians, pushing back against these harmful cuts and standing up for policies that protect healthcare, food security, tax fairness, and a stronger future for all. It’s shameful that my Republican colleagues are prioritizing billionaires over the needs of their own constituents.”

    Congresswoman Torres proposed amendments were not included by Republicans but would have significantly improved the bill and protected healthcare, food security, and fair tax policies.

    ###

    MIL OSI USA News –

  • MIL-OSI Security: Two Charged in $227M Medicare Fraud Scheme

    Source: United States Attorneys General 13

    WASHINGTON — An Illinois man and a foreign national were arrested yesterday on criminal charges related to their alleged submission of more than $227 million in fraudulent claims to Medicare.

    According to court documents, Syed Murtuza Kablazada, 34, of Arlington Heights, and Syed Mehdi Hussain, 32, of Carol Stream, owned and operated purported medical laboratories that submitted fraudulent claims to Medicare for the reimbursement of over-the-counter COVID-19 test kits allegedly provided to Medicare beneficiaries. The defendants allegedly installed foreign nationals to act as nominee owners at the laboratories to submit fraudulent claims to Medicare for the provision of over-the-counter COVID-19 test kits, with the understanding the nominee owners would flee the United States when they learned that their laboratory was under investigation.

    “As alleged, the defendants used straw owners at multiple laboratories to cause the submission of more than $200 million in fraudulent claims to Medicare for COVID-19 test kits,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “Health care fraud harms Americans by squandering taxpayer money and diverting limited resources from those who need them most. The Criminal Division will continue to aggressively prosecute these crimes to hold fraudsters accountable, protect victims, and recover financial losses.”

    “The overwhelming fraud uncovered in this investigation details a blatant disregard for America’s critical health care program, Medicare, and puts all patients at risk,” said Special Agent in Charge Douglas S. DePodesta of the FBI Chicago Field Office. “The FBI and our partners will not tolerate anyone who abuses the health care system for personal gain and will aggressively pursue justice on behalf of both patients and taxpayers.”

    As alleged in the indictment, the defendants rarely provided Covid-19 test kits to Medicare beneficiaries but instead submitted reimbursement claims on behalf of beneficiaries who had not requested COVID-19 test kits, including individuals who were deceased. Further, the defendants allegedly paid a marketing company to provide the names of hundreds of thousands of Medicare beneficiaries that the defendants used to submit fraudulent claims. In total, between September 2022 and June 2023, the defendants’ labs billed Medicare approximately $227 million in fraudulent claims, of which Medicare paid approximately $136 million in reimbursements.

    Kablazada and Hussain are both charged by indictment with four counts of health care fraud. If convicted, they face a maximum penalty of 10 years in prison on each of the four counts.

    The FBI Chicago Field Office and HHS-OIG are investigating the case.

    Trial Attorney Andres Q. Almendarez of the Criminal Division’s Fraud Section is prosecuting the case, with assistance from Assistant U.S. Attorney Jasmina Vajzovic for the Northern District of Illinois.

    The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

    An indictment is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

    MIL Security OSI –

  • MIL-OSI Economics: US structural heart occlusion market sees early 2025 growth amid trade uncertainty, says GlobalData

    Source: GlobalData

    US structural heart occlusion market sees early 2025 growth amid trade uncertainty, says GlobalData

    Posted in Medical Devices

    The US Structural Heart Occlusion (SHO) market posted a notable 39% year-over-year revenue increase in Q1 2025, amid heightened trade policy uncertainty following President Donald Trump’s re-election and the swift introduction of new tariff measures in early 2025, according to GlobalData, a leading data and analytics company.

    Trump’s new tariff regime includes a 10% global baseline and a “reciprocal” tariff framework that has unsettled global trade norms. With broad tariffs on strategic sectors and a 90-day pause on some reciprocal tariffs, businesses and healthcare providers are facing a shifting economic landscape.

    According to data from GlobalData’s panel of medical facilities, March 2025 revenue growth in the SHO market grew over 50% compared to March 2024, signaling a late-quarter surge in demand.

    Thomas Fleming, Medical Analyst at GlobalData, comments: “The surge in growth may be less about increased patient demand and more about precautionary stockpiling. Hospitals appear to be accelerating procurement of high-value medical devices—such as those used for structural heart occlusion—in anticipation of rising costs and supply disruptions. This response reflects growing concerns about the sustainability of supply chains and the potential financial impact of extended tariff enforcement.”

    Fleming continues: “Historically, the US has held a leadership role in the global SHO market, driven by high incidence rates of structural heart conditions and robust innovation in cardiac care. However, the current environment marks a sharp contrast with previous expectations of stable, predictable growth. With global supply chains in flux and trade negotiations still unsettled, market stakeholders are left navigating increased risk.”

    Fleming concludes: “While Q1’s growth may appear encouraging at first glance, it underscores the reactive measures health systems are taking in an uncertain policy environment. The long-term effects of these tariffs on device pricing, research investments, and patient outcomes remain to be seen, leaving the sector in a state of cautious watchfulness.”

    MIL OSI Economics –

  • MIL-OSI Economics: Apple products transform care at Emory Healthcare

    Source: Apple

    Headline: Apple products transform care at Emory Healthcare

    May 22, 2025

    UPDATE

    Apple products transform care at Emory Healthcare

    At Emory Hillandale Hospital, Apple’s ecosystem of products — powered by the suite of Epic healthcare apps — is elevating care delivery and the patient experience

    At Emory Hillandale Hospital in Lithonia, Georgia, Apple products are now the standard, marking a first-of-its-kind technology transformation for clinicians and patients. Propelled by the availability of Epic Systems on Mac, Emory Healthcare has introduced Mac, iPhone, iPad, and Apple Watch across Emory Hillandale Hospital, enabling clinicians to work more efficiently and stay connected with their teams, from anywhere.

    “We’re not just changing technology, we’re changing a culture,” says Ravi I. Thadhani, MD, MPH, executive vice president for health affairs of Emory University and executive director of Emory’s Woodruff Health Sciences Center. “Emory Healthcare is redefining both the patient and clinician experiences with a more efficient and intuitive technology-driven process.”

    Apple products like iPhone and iPad have unlocked new levels of mobility, efficiency, and collaboration for clinicians, leading to better patient experiences and satisfaction. The introduction of Mac across Emory Hillandale Hospital replaces its legacy devices and marks an entirely new chapter for the healthcare industry.

    “As clinicians, we join the field with a deep commitment to serving those in need,” says Vikram Narayan, MD, assistant professor of urology at Emory University and a urologic oncologist at Emory Healthcare. “But the reality of healthcare delivery is inherently complex and multifaceted. Across the industry as a whole, the administrative burden, combined with a shrinking workforce, is resulting in an uptick in burnout of frontline workers.”

    “By integrating Epic on Mac across Emory Hillandale Hospital, we are showing the world how best to embrace technology to improve workflow for clinicians so they can continue to put patients first,” says Dr. Thadhani.

    To alleviate some of that administrative burden, laptops and desktop computers across the 100-bed hospital have been replaced with Mac computers running Epic. Nursing stations are equipped with iMac and Mac mini, and physicians are able to manage patient care journeys from wherever they are thanks to the portability of MacBook Air.

    Care teams are able to access patient-specific data — such as allergies, precautions, and other relevant information — using a magnetically attached iPad outside of each patient room. This helps improve communication and coordination between care teams as information shown on iPad updates in real time. Additionally, every nurse and physician is issued their own iPhone to stay connected, and physicians are using Apple Watch to more quickly respond to patient needs as they arise. For example, critical lab result notifications from Epic’s Limerick app can be viewed in real time directly on their wrist.

    “I can stay up to date with my patients in a way that wasn’t possible before,” says Rashida La Barrie, MD, a hospitalist and medical director of utilization review at Emory Hillandale Hospital. Being able to transition between iPhone and Apple Watch to receive notifications has helped Dr. La Barrie stay connected no matter where she is, ultimately leading to better care for her patients. “Healthcare has historically been slow to adopt technology, which I think is such a mistake. We can use technology to provide better and more efficient care, especially now, for our patients.”

    Prior to the Emory Hillandale deployment, Emory conducted a proof of concept program at Emory Saint Joseph’s Hospital. After deploying iMac, MacBook, and iPhone for shared use by registered nurses and clinicians, care team satisfaction surged, and nurse retention has remained strong. Nurses and clinicians cited improvements like faster login time with Apple devices, ease of documentation, and less eyestrain with the iMac high-resolution Retina display. Additional documentation efficiency research, led by Emory’s Dr. Narayan, found that combining Apple technology with Epic and Abridge ambient documentation saves him an average of two hours a day compared to legacy systems.

    Additionally, Apple devices help enhance the inpatient experience with the MyChart Bedside app on iPad. Each patient bed is equipped with an iPad so patients can have easy access to their medical records, view their care plans, order meals, and communicate with their care teams, allowing them to stay engaged with their health.

    “The technology we’re utilizing today at Emory Hillandale has improved the workflows for our nursing staff as a whole,” says Edna Brisco, MSN, RN, vice president of patient care services and chief nursing officer at Emory Hillandale Hospital. “Mac lets the nurses move through their day more swiftly, while iPad brings important health information to our patients’ fingertips. It’s a game changer for how we provide care.”

    Emory Healthcare — and healthcare systems in general — host some of the most private and personal data, whether it’s health records or a patient’s personal information. Around the world, hospitals are facing increased cybersecurity threats that could put their staff and patients at risk.

    Apple products are designed with privacy and security at their core, working to keep healthcare organizations’ and their patients’ data safe.

    Looking ahead, Emory Healthcare and Epic are exploring new ways to innovate patient care and support with Apple devices. Clinicians are also testing new technology like Apple Vision Pro in their surgical planning and research, paving the way for the next phase of care.

    “I want to be involved in everything related to this transformation,” says Dr. La Barrie. “I think this is the future of healthcare, and as healthcare providers, we should always be looking toward the horizon.”

    Press Contacts

    Zaina Khachadourian

    Apple

    zkhachadourian@apple.com

    Andrea Schubert

    Apple

    a_schubert@apple.com

    Apple Media Helpline

    media.help@apple.com

    MIL OSI Economics –

  • MIL-OSI Global: Vaccines: why these young Africans are hesitant about them and what might change their minds

    Source: The Conversation – Africa – By Oluwaseyi Dolapo Somefun, Research associate, University of the Western Cape

    Vaccines have proved to be one of the most effective tools in fighting infectious diseases, but convincing people to get vaccinated can be tough. Especially young people.

    During the global COVID-19 pandemic, declared by the World Health Organization on 11 March 2020, many countries reported high levels of vaccine hesitancy among younger population groups. Negative healthcare experiences and general distrust of government have cultivated vaccine hesitancy across Africa. Misleading information about vaccine side-effects on social media adds to this challenge.

    This hesitancy continues today. A 2024 study on adolescents and young adults (aged 10 to 35) in sub-Saharan Africa found a vaccine acceptance rate of just 38.7%.

    These concerns were echoed in a recent study we carried out among 165 young adults in Nigeria, South Africa and Zambia, looking at attitudes towards the COVID-19 vaccine. We wanted to know what could be done to help improve future vaccine acceptance, inform campaigns and prepare for future public health responses.

    Participants were hesitant to be vaccinated, for various reasons, and suggested what policymakers could do to improve vaccine uptake.

    Understanding young people’s perspectives on vaccine hesitancy and what can be done to address this is crucial for improving vaccine acceptance in the future.

    What young adults told us

    Our research gathered data through focus groups and interviews.

    The participants described a fear of injections, uncertainty about side effects, distrust in healthcare systems and rude healthcare workers.

    Some participants were worried about the safety of the COVID-19 vaccine, particularly how it might affect those with pre-existing health conditions.

    Many believed that the vaccine was developed too quickly without sufficient testing and a lack of accessible information.

    Many expressed a strong fear of needles. A young South African woman aged 19 commented:

    I am afraid of injections, so for me, it would be better if there was something that could be taken orally, something you can drink.

    Getting over the hurdle

    We found young people often felt left out of vaccine conversations. They wanted to be part of the solution and make informed choices but needed the right tools and support to do so.

    Participants suggested practical ideas to help boost vaccine acceptance among their peers.

    Several highlighted the importance of assessing individual health status before administering vaccines, to avoid adverse interactions with existing medical conditions and treatments. They believed that situations where vaccines were mistakenly blamed for pre-existing illnesses or ongoing treatments could be avoided.

    Participants suggested innovative strategies to make vaccines more accessibile. Mobile vaccination sites and community-based outreach programmes were some of the suggestions.

    They must introduce mobile clinics, so that people don’t find themselves having to travel long distances to vaccinate. – 18-year-old male, South Africa

    Young people also suggested household visits to people who were immobile because of age, illness or disability.

    Many advocated for non-injectable vaccine options, such as oral medications or microneedle patches, which could improve accessibility and reduce anxiety.

    The oral polio vaccine, which has been widely used in global polio eradication efforts, is an example of a non-injectable vaccine.

    COVID-19 microneedle patch prototypes are being explored for clinical testing.

    The youth urged public figures, including politicians, celebrities and influencers, to publicly endorse the vaccine.

    It would be nice if the president could be shown on television receiving a vaccine so that we can see for ourselves whether he is given the same thing that everyone else receives. – 20-year-old male, South Africa

    More engaging videos, interactive interviews and testimonials from vaccinated individuals could be shared across social media platforms.

    The young people also emphasised the importance of comprehensive training for healthcare providers. They highlighted the need for healthcare professionals to provide respectful and empathetic care. They suggested that, by fostering respectful communication, healthcare providers could create a more welcoming and comfortable environment for their clients.

    In addition, providing vaccine education in schools could educate pupils so that they could make decisions on their own.

    Way forward

    Engaging young people as active participants in shaping public health strategies can help increase vaccine acceptance and ensure a healthier future for all.

    We believe that our findings can be applied in two ways.

    First, to inform the design of tailored interventions that better resonate with young people’s desires and needs, paving the way for increased vaccine uptake and acceptability.

    Second, to highlight areas where young people may need further information and engagement, to better understand some of the broader issues and why some of their recommendations might not be feasible in the short or longer term.

    The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    – ref. Vaccines: why these young Africans are hesitant about them and what might change their minds – https://theconversation.com/vaccines-why-these-young-africans-are-hesitant-about-them-and-what-might-change-their-minds-249629

    MIL OSI – Global Reports –

  • MIL-OSI USA: Jayapal Statement on Budget Reconciliation

    Source: United States House of Representatives – Congresswoman Pramila Jayapal (7th District of Washington)

    WASHINGTON, DC – U.S. Representative Pramila Jayapal (WA-07), a Member of the Budget Committee, released the following statement regarding the vote on “One Big Ugly Bill”:

    “This budget is a betrayal of the American people – full stop.

    “Drafted and debated in the middle of the night, under the cloak of darkness, it is a giveaway to billionaires, paid for by stealing from the poor. It strips 14 million people off their health care, it slashes food for the hungry and cuts basic needs, all to give a tax break to the people who need it the least.

    “If you’re in the top one percent, you do well in this bill – but if you’re a poor or working person, you get screwed. I voted no because I stand with the people, not the billionaires.

    “This is not the end. We will continue to fight this budget to stop this destruction as it goes to the Senate.”

    Issues: Environment, Health Care, Housing, Transportation, & Infrastructure, Immigration, Jobs, Labor, & the Economy

    MIL OSI USA News –

  • MIL-OSI USA: Republicans Pass Their ‘One Big Broken Promise

    Source: United States House of Representatives – Congresswoman Suzan DelBene (1st District of Washington)

    Republicans Pass Their ‘One Big Broken Promise

    Legislation will take away health coverage from Washington families, raise grocery and energy bills

    Washington, D.C., May 22, 2025

     Today, Congresswoman Suzan DelBene (WA-01) released the following statement after the House passed the Republican budget legislation.

    “Today, Washington families lost at the expense of the wealthy and well-connected in the Republican budget bill. This legislation is a betrayal of Republicans’ promise to lower costs for everyday families. It will rip health coverage away from millions of families while increasing groceries, utilities, and health care bills. This massive tax break for the ultra-rich and big corporations will increase the nation’s debt that future generations will have to shoulder. The bill is nothing more than one big broken promise.

    “Republicans made every effort to conceal what’s really in this legislation by holding hearings in the middle of the night because they know this bill will harm their constituents. My Democratic colleagues and I have been fighting against the many harms in this legislation at every turn and will continue to stand up for our communities.”

    You can watch DelBene’s remarks on the House floor here.

    Impacts of Legislation

    • Medicaid and ACA Coverage: Nearly 14 million Americans would lose Medicaid and Affordable Care Act marketplace health coverage, including 274,000 Washingtonians.
    • Medicare: Triggers $535 billion in automatic Medicare cuts due to the huge expense of the bill.
    • Abortion: Prohibits funding for abortions on ACA health marketplaces, including state-based exchanges like the Washington Health Benefits Exchange.
    • Food Assistance: $300 billion would be cut from food assistance programs, like the Supplemental Nutrition Assistance Program (SNAP), which covers over 880,000 Washingtonians.
    • Energy Bills: Increases energy bills by more than $110 per year on average by repealing cost-saving clean energy tax credits.
    • Cost: Estimated to cost $5 trillion.
    • Disparity in Benefits: The bottom 10% of Americans would see household resources reduced by 4% while the top 10% would see a 2% increase, according to the nonpartisan Congressional Budget Office.
    • Handout to the Wealthy: The average family earning less than $50,000 would get under $300 (less than $1 a day) while the average tax filer earning $1 million or more would receive about $90,000 in tax breaks in 2027.

    The bill now heads to the Senate. 

    MIL OSI USA News –

  • MIL-OSI USA: Two Charged in $227M Medicare Fraud Scheme

    Source: US State Government of Utah

    WASHINGTON — An Illinois man and a foreign national were arrested yesterday on criminal charges related to their alleged submission of more than $227 million in fraudulent claims to Medicare.

    According to court documents, Syed Murtuza Kablazada, 34, of Arlington Heights, and Syed Mehdi Hussain, 32, of Carol Stream, owned and operated purported medical laboratories that submitted fraudulent claims to Medicare for the reimbursement of over-the-counter COVID-19 test kits allegedly provided to Medicare beneficiaries. The defendants allegedly installed foreign nationals to act as nominee owners at the laboratories to submit fraudulent claims to Medicare for the provision of over-the-counter COVID-19 test kits, with the understanding the nominee owners would flee the United States when they learned that their laboratory was under investigation.

    “As alleged, the defendants used straw owners at multiple laboratories to cause the submission of more than $200 million in fraudulent claims to Medicare for COVID-19 test kits,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “Health care fraud harms Americans by squandering taxpayer money and diverting limited resources from those who need them most. The Criminal Division will continue to aggressively prosecute these crimes to hold fraudsters accountable, protect victims, and recover financial losses.”

    “The overwhelming fraud uncovered in this investigation details a blatant disregard for America’s critical health care program, Medicare, and puts all patients at risk,” said Special Agent in Charge Douglas S. DePodesta of the FBI Chicago Field Office. “The FBI and our partners will not tolerate anyone who abuses the health care system for personal gain and will aggressively pursue justice on behalf of both patients and taxpayers.”

    As alleged in the indictment, the defendants rarely provided Covid-19 test kits to Medicare beneficiaries but instead submitted reimbursement claims on behalf of beneficiaries who had not requested COVID-19 test kits, including individuals who were deceased. Further, the defendants allegedly paid a marketing company to provide the names of hundreds of thousands of Medicare beneficiaries that the defendants used to submit fraudulent claims. In total, between September 2022 and June 2023, the defendants’ labs billed Medicare approximately $227 million in fraudulent claims, of which Medicare paid approximately $136 million in reimbursements.

    Kablazada and Hussain are both charged by indictment with four counts of health care fraud. If convicted, they face a maximum penalty of 10 years in prison on each of the four counts.

    The FBI Chicago Field Office and HHS-OIG are investigating the case.

    Trial Attorney Andres Q. Almendarez of the Criminal Division’s Fraud Section is prosecuting the case, with assistance from Assistant U.S. Attorney Jasmina Vajzovic for the Northern District of Illinois.

    The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

    An indictment is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

    MIL OSI USA News –