Gender change and alleged medical fraud at Texas Children's Hospital

3,818 Views | 33 Replies | Last: 1 yr ago by JFABNRGR
techno-ag
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https://www.city-journal.org/article/the-murky-business-of-transgender-medicine

Quote:

I have reported on one of these programs, the pediatric gender clinic at Texas Children's Hospital. Last year, I published an investigation demonstrating that, though it had promised to shut down its program, Texas Children's had continued to administer hormone drugs to children as young as 11. Following the story, the state attorney general launched an investigation, and state legislators passed a bill, SB 14, prohibiting all transgender medical interventions on minors.

While these scandals caught the headlines, another story involving the same institution was brewing in the background: medical fraud.

According to a new whistleblower, doctors at Texas Children's Hospital were willing to falsify medical records and break the law to keep practicing "gender-affirming care." Caught in the wave of ideological fervor, two of the hospital's prominent physicians, Richard Ogden Roberts and David Paul, cut corners and, according to the whistleblower, committed Medicaid fraud to secure funds for the hospital's child sex-change program.

Terrible if true. A doctor must have some kind of fanatical belief that gender changing hormones and/or surgery are good for children, especially to the point they're willing to defy the law. Here's hoping that if that is the case, whistleblowers keep coming forward to tell us about it. The practice needs to stop.
Trump will fix it.
Irish 2.0
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This story is a couple weeks old and has already had a pretty long thread on it
MouthBQ98
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It's a religious progressive belief based on a LOT of compounding junk science. I mean really garbage quality "research" with terrible methodology. It's mostly operating on conjecture and intuition and feeling that it could help, based on promoted anecdotes.
techno-ag
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Sorry missed it. This article is from June 18, though.
Trump will fix it.
Madagascar
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These stories make me wonder if doctors need to be considered for the death penalty.
Biz Ag
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Lots of money to be made mutilating children.

fasthorse05
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Our Dem friends are racking up bad policy decisions. I call them bad policy since sin or evil are verboten.

But you've GOT to love the child mutilation, slavery and rape supporters by 50% of our country.

This isn't a Biden issue, but is supported by ALL Democrats and therefore by America since the Dems rule the executive office as well as the entire government.

BTW, I'd support Rep Bennie Thompson's bill to remove all Secret Service protection for felons IF he'll agree to suffer whatever fate Trump suffers in prison or elsewhere due to lack of Secret Service protection.

Quote:

https://democrats-homeland.house.gov/news/legislation/ranking-member-thompson-introduces-legislation-to-ensure-no-secret-service-protection-for-convicted-felons-sentenced-to-prison
If Merchan sends Trump to prison and gets murdered then the same happens to Thompson. This version would be an outstanding bill. Assuming Trump is allowed an appeal, which was made very difficult by Merchan, and his decision is reversed, then Thompson also loses any, and all, security and government help.
Hate is how progressives sustain themselves. Without hate, introspection begins to slip into the progressive's consciousness, threatening the progressive with the truth: that their ideas and opinions are illogical, hypocritical, dangerous, and asinine.
This is backed by data.
P.H. Dexippus
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One of the whistleblowers being harassed by the DOJ attends church with us. Our federal government and its stooges are criminal.
Captain Pablo
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nm
PCC_80
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Biz Ag said:

Lots of money to be made mutilating children.
Saw a study last year that found that the average transition cost (surgical, hospital stay, etc) is about $132K per person. Maintenance Drugs (daily hormones) runs approximately $2K per person/year for their entire life. Plus occasional touchup's and repairs such as fractures due to weakened bones from the hormones.

The study found that the Transition Industry was expecting around $101B in direct transition costs over the next few years and Pharma was expecting +$2B/year in maintenance drugs sales.

When there is a question, look for the money.
Street Fighter
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Quote:

Terrible if true. A doctor must have some kind of fanatical belief that gender changing hormones and/or surgery are good for children, especially to the point they're willing to defy the law.

It's not that they are good for children, they're good for the mutilator's bank account.
12thMan9
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Yup. They indicted Heim yesterday or Monday, accusing him of violating HIPPA. Allegedly.
Ronnie '88
FCBlitz
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techno-ag said:

https://www.city-journal.org/article/the-murky-business-of-transgender-medicine

Quote:

I have reported on one of these programs, the pediatric gender clinic at Texas Children's Hospital. Last year, I published an investigation demonstrating that, though it had promised to shut down its program, Texas Children's had continued to administer hormone drugs to children as young as 11. Following the story, the state attorney general launched an investigation, and state legislators passed a bill, SB 14, prohibiting all transgender medical interventions on minors.

While these scandals caught the headlines, another story involving the same institution was brewing in the background: medical fraud.

According to a new whistleblower, doctors at Texas Children's Hospital were willing to falsify medical records and break the law to keep practicing "gender-affirming care." Caught in the wave of ideological fervor, two of the hospital's prominent physicians, Richard Ogden Roberts and David Paul, cut corners and, according to the whistleblower, committed Medicaid fraud to secure funds for the hospital's child sex-change program.

Terrible if true. A doctor must have some kind of fanatical belief that gender changing hormones and/or surgery are good for children, especially to the point they're willing to defy the law. Here's hoping that if that is the case, whistleblowers keep coming forward to tell us about it. The practice needs to stop.


They don't need to be fanatical…..they just need to be gay and their moral compass tweaked abit. Boom you have a predator.

It is really that simple!
Wheatables02
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https://www.instagram.com/reel/C8YK1rFMFtu/?igsh=NXd2NnA3MDh2NXhp

This kind of harassment?
P.H. Dexippus
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bingo
KidDoc
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The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.

techno-ag
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Thanks for commenting KidDoc. We non medical people get lost in the weeds sometimes. I take it his actions aren't covered under some kind of whistleblower status?
Trump will fix it.
KidDoc
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techno-ag said:

Thanks for commenting KidDoc. We non medical people get lost in the weeds sometimes. I take it his actions aren't covered under some kind of whistleblower status?
I'm not a medical lawyer but I don't know if there is any precendent of a clear breaking of HIPAA for the purpose of whistle-blowing. Whistle-blowing is not common in the medical field in my 25+ years of experience.

From a quick google it looks like he should be safe though.

Whistleblowers' Guide To HIPAA (whistleblowerllc.com)
Wheatables02
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P.H. Dexippus said:

bingo


I'm in dfw. Is this local to me?
P.H. Dexippus
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KidDoc said:

The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.


But is it? My understanding is that releasing/publishing/disseminating individually identifiable health information without authorization is the violation. There are no restrictions on the use or disclosure of de-identified health information as I understand it. De-identified health information neither identifies nor provides a reasonable basis to identify an individual.

It is my understanding that Dr. Heim redacted patient identifying information in making his report.

Further, covered entities (the doctor) are allowed to disclose identifiable health information without authorization under a number of circumstances, including:
  • conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs;
  • to public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect;
  • In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence;
  • Covered entities may disclose protected health information to health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations; necessary for oversight of the health care system and government benefit programs;
  • when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and
  • A host of other reasons, including fundraising, building databases, incidental/accidental releases, etc.

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html

That he may have violated internal access policies of his employer in and of itself is not a HIPAA violation in my mind. Then again, I am not a healthcare law attorney so this is not legal advice.
ThunderCougarFalconBird
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What's actually outrageous about the case is that the AUSA assigned is investigating herself and apparently contacted the Dr. directly. Also, the Dr.'s wife is apparently an attorney well into the application process for a job in the S.D. Tex. US attorney office and the AUSA on the file threatened to scuttle the application. It looks really bad.
samurai_science
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KidDoc said:

The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.


It was the right thing to do
KidDoc
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P.H. Dexippus said:

KidDoc said:

The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.


But is it? My understanding is that releasing/publishing/disseminating individually identifiable health information without authorization is the violation. There are no restrictions on the use or disclosure of de-identified health information as I understand it. De-identified health information neither identifies nor provides a reasonable basis to identify an individual.

It is my understanding that Dr. Heim redacted patient identifying information in making his report.

Further, covered entities (the doctor) are allowed to disclose identifiable health information without authorization under a number of circumstances, including:
  • conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs;
  • to public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect;
  • In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence;
  • Covered entities may disclose protected health information to health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations; necessary for oversight of the health care system and government benefit programs;
  • when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and
  • A host of other reasons, including fundraising, building databases, incidental/accidental releases, etc.

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html

That he may have violated internal access policies of his employer in and of itself is not a HIPAA violation in my mind. Then again, I am not a healthcare law attorney so this is not legal advice.
On my yearly HIPAA course we are taught every year that you cannot access charts that you are not directly caring for including your own or family members. Even with redacted demographics he violated the text of HIPPA. I hope he will be fine though since he did it to protect children from harm and as a whistleblower for them violating state law.

Again I am not a lawyer just an experienced clinician and educator for medical students.
techno-ag
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ThunderCougarFalconBird said:

What's actually outrageous about the case is that the AUSA assigned is investigating herself and apparently contacted the Dr. directly. Also, the Dr.'s wife is apparently an attorney well into the application process for a job in the S.D. Tex. US attorney office and the AUSA on the file threatened to scuttle the application. It looks really bad.
That's an added twist for sure.
Trump will fix it.
P.H. Dexippus
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KidDoc said:

P.H. Dexippus said:

KidDoc said:

The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.


But is it? My understanding is that releasing/publishing/disseminating individually identifiable health information without authorization is the violation. There are no restrictions on the use or disclosure of de-identified health information as I understand it. De-identified health information neither identifies nor provides a reasonable basis to identify an individual.

It is my understanding that Dr. Heim redacted patient identifying information in making his report.

Further, covered entities (the doctor) are allowed to disclose identifiable health information without authorization under a number of circumstances, including:
  • conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs;
  • to public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect;
  • In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence;
  • Covered entities may disclose protected health information to health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations; necessary for oversight of the health care system and government benefit programs;
  • when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and
  • A host of other reasons, including fundraising, building databases, incidental/accidental releases, etc.

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html

That he may have violated internal access policies of his employer in and of itself is not a HIPAA violation in my mind. Then again, I am not a healthcare law attorney so this is not legal advice.
On my yearly HIPAA course we are taught every year that you cannot access charts that you are not directly caring for including your own or family members. Even with redacted demographics he violated the text of HIPPA. I hope he will be fine though since he did it to protect children from harm and as a whistleblower for them violating state law.

Again I am not a lawyer just an experienced clinician and educator for medical students.
This is the second time you've asserted this. I've shown that he appears to fall into one or more of the exceptions. Can you provide a citation to the violated text?
KidDoc
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P.H. Dexippus said:

KidDoc said:

P.H. Dexippus said:

KidDoc said:

The problem with Dr Heim is that he accessed patient data when he was not involved in their care. This is a very clear HIPAA violation. The justification for his offense in being a mandatory child abuse reporter and whistleblower will hopefully mitigate any potential penalty.

We are specifically taught you cannot go looking through patients' data who you are not directly caring for. This is mostly to protect celebrities and to keep medical staff from looking into family/friends/ex's charts.


But is it? My understanding is that releasing/publishing/disseminating individually identifiable health information without authorization is the violation. There are no restrictions on the use or disclosure of de-identified health information as I understand it. De-identified health information neither identifies nor provides a reasonable basis to identify an individual.

It is my understanding that Dr. Heim redacted patient identifying information in making his report.

Further, covered entities (the doctor) are allowed to disclose identifiable health information without authorization under a number of circumstances, including:
  • conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs;
  • to public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect;
  • In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence;
  • Covered entities may disclose protected health information to health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations; necessary for oversight of the health care system and government benefit programs;
  • when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and
  • A host of other reasons, including fundraising, building databases, incidental/accidental releases, etc.

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html

That he may have violated internal access policies of his employer in and of itself is not a HIPAA violation in my mind. Then again, I am not a healthcare law attorney so this is not legal advice.
On my yearly HIPAA course we are taught every year that you cannot access charts that you are not directly caring for including your own or family members. Even with redacted demographics he violated the text of HIPPA. I hope he will be fine though since he did it to protect children from harm and as a whistleblower for them violating state law.

Again I am not a lawyer just an experienced clinician and educator for medical students.
This is the second time you've asserted this. I've shown that he appears to fall into one or more of the exceptions. Can you provide a citation to the violated text?
It is called "Snooping" on healthcare records:
The Most Common HIPAA Violations You Must Avoid - 2024 Update (hipaajournal.com)

edit:
Quote:

University of California Los Angeles Health System was fined $865,000 for failing to restrict access to medical records. The healthcare provider was investigated following the discovery that a physician had accessed the medical records of celebrities and other patients without authorization. Dr. Huping Zhou accessed the records of patients without authorization 323 times after learning that he would soon be dismissed. Dr. Zhou became the first healthcare employee to be jailed for a HIPAA violation and was sentenced to four months in federal prison.

P.H. Dexippus
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From your link snooping is defined as, "accessing the health records of patients for reasons other than those permitted by the Privacy Rule...". The bullet point exceptions I outlined would mean that our present situation is not snooping.
KidDoc
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P.H. Dexippus said:

From your link snooping is defined as, "accessing the health records of patients for reasons other than those permitted by the Privacy Rule...". The bullet point exceptions I outlined would mean that our present situation is not snooping.
I am hoping that is the case and I believe that is what the defense will lead with.
Fenrir
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KidDoc said:

techno-ag said:

Thanks for commenting KidDoc. We non medical people get lost in the weeds sometimes. I take it his actions aren't covered under some kind of whistleblower status?
I'm not a medical lawyer but I don't know if there is any precendent of a clear breaking of HIPAA for the purpose of whistle-blowing. Whistle-blowing is not common in the medical field in my 25+ years of experience.

From a quick google it looks like he should be safe though.

Whistleblowers' Guide To HIPAA (whistleblowerllc.com)
Literally the only two cases I can think of off the top of my head where a whistleblower came into play is Dr Duntsch and then a relatively recent whistleblower stating that the Texas Medical Board routinely ignores checkered pasts of physicians. The former was only after he had maimed and/or killed dozens and the latter I have never seen an update on.

The administrators in medical field seem to like passing on problems and kicking the can down the road.
I Am A Critic
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Wheatables02 said:

https://www.instagram.com/reel/C8YK1rFMFtu/?igsh=NXd2NnA3MDh2NXhp

This kind of harassment?
Those are not FBI agents
Username checks out.
techno-ag
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https://www.christianpost.com/news/eithan-haim-says-he-senses-providence-despite-doj-prosecution.html
Trump will fix it.
KidDoc
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techno-ag said:

https://www.christianpost.com/news/eithan-haim-says-he-senses-providence-despite-doj-prosecution.html
Good interview thanks for sharing it.
techno-ag
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Trump will fix it.
JFABNRGR
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JBP just interviewed the doctor pretty good listen. This is just days after being edited on four counts.

https://open.spotify.com/episode/0LZ3yqrvF2eZ3ZN2svf4gf?si=d16uwa7IQsODQ2qwdMwOeg
“You can resolve to live your life with integrity. Let your credo be this: Let the lie come into the world, let it even triumph. But not through me.”
- Alexander Solzhenitsyn
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