Category Archives: Whistleblower

Obamacare Co-op in NY Refusing New Patients

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WatchDog: The Consumer Operated and Oriented Plan, or Co-Op, portion of the health care law established nonprofit health insurers that would receive federal funding and were intended to compete with private, for-private insurers on the exchanges as a way to lower prices. They were supposed to be small-scale single-payer systems that would be free from the profit motive; a progressive’s dream solution to the problem of providing health insurance for all.

Instead, they’ve turned into a nightmare. So far, 12 of the 23 co-ops have failed, defaulting on more than $1.2 billion in federal loans. Only two have been able to break even so far, and most of the remaining co-ops are eyeing massive premium increases – as high as 40 percent in some cases – to stay solvent.

A government program being poorly run is nothing new, of course. But the co-ops established under the health care law were subject to a series of regulations that make you wonder how they were ever supposed to succeed in the first place.

Collapse of NY’s largest Obamacare co-op has doctors refusing new patients

HotAir: Back in the middle of November we covered the announcement that one of the largest New York health insurance providers under the Obamacare co-op umbrella was in trouble. Health Republic had jumped on the Affordable Care Act bandwagon and signed up nearly a quarter million new subscribers, offering cut rate prices and surging to the top of the market in that area. Unfortunately, the expected cash bonanza from the government program failed to live up to expectations and the company quickly ran out of operating capital. Yesterday was the end of the line for Health Republic and they closed their doors.

Unfortunately for the citizens of New York, this failure didn’t just represent a blow to the company’s profits and the reputation of the White House’s signature legislative achievement. There have been real world consequences for the people who signed up for the plan, including running into doctors who won’t even accept appointments from people using the company’s services. (From The Watershed Post)

The shuttered company is no longer paying its claims, leaving doctors unsure whether they will ever be paid for seeing Health Republic patients. Some doctors have turned patients away, or are bargaining directly with patients over their medical fees…

Health Republic’s collapse has forced a panicked scramble among patients and doctors in upstate New York. Local doctors have worried that Health Republic will default on bills, and at least one practice, the Llobet Medical Group, has turned away patients who have Health Republic insurance.

“This was one of the biggest disasters ever,” said David Cordner, an administrator at Llobet Medical Group, a primary care practice with offices in Margaretville and Kingston. “I don’t understand why New York didn’t see this a lot sooner. Nobody got paid. Where was the money going?”

Where was the money going? Several New York legislators are asking exactly that question since a lot of taxpayer dollars were flushed down this rat hole before it was finally closed. Health Republic had received $265 million in federal loans to get started and that money has pretty much evaporated. Two state senators along with U.S. Congressman Chris Gibson have called for an investigation and are asking Governor Andrew Cuomo to explain where the money went and what he plans to do to ensure this doesn’t happen again.

“$265 million of taxpayer money disappeared and 215,000 New Yorkers are facing turmoil in their healthcare coverage,” he told the Watershed Post. “There is no question that there needs to be an investigation to see where there was wrongdoing. This happened on Governor Cuomo’s watch.”

Some of the personal stories which Watershed Post dug up are precisely the sort of outcome which people had feared, They talked to Candace Rudd, the owner of a hair salon, who called her doctor for an appointment and was told that her insurance was no longer accepted. They were willing to give her an appointment, but wanted a $100 cash payment to get in to see the doctor. Whether or not she’s able to afford that, there are far too many families who couldn’t in upstate New York’s struggling economy.

This is the larger, national potential for Obamacare on a local level. More than half of the state exchanges have closed at this point and nearly all the rest of them are in financial peril. But with the law in place, what happens to all of the collapsed segments of the system? Legally the states can’t simply walk away, but someone still has to pay the bills. Care to guess who that’s going to be?

Seizing Chapo Guzman’s Assets or Not

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The highways in the United States belonged to El Chapo.

CatholicOnline: The cartel has such momentum trafficking heroin, methamphetamine, cocaine, and marijuana from Mexico to the United States, that despite El Chapo’s incarceration in a Mexican prison, the cartel continued all operations.

The DEA report shows the Sinaloa cartel “maintains the most significant presence in the United States,” adding, “Mexican TCOs pose the greatest criminal drug threat to the United States; no other group is currently positioned to challenge them.”

Mexico seizes El Chapo’s planes, cars, houses

MEXICO CITY — As the hunt for fugitive drug lord Joaquín “El Chapo” Guzmán intensifies, Mexican authorities recently announced they have confiscated 11 planes, eight vehicles and six houses belonging to the kingpin in the past five months.

That’s likely just a fraction of the assets Guzmán has accumulated during his life of crime. The Sinaloa Cartel he oversees traffics billions of dollars worth of narcotics to the United States every year, according to estimates from the Justice Department and the Drug Enforcement Administration.

The yawning gap between the seizures and Guzmán’s potential riches underscores a growing concern here: Why the Mexican government can’t or won’t seize more of Guzman’s ill-gotten gains. The problem, critics say, is a lack of laws with teeth, and the motivation to change that.

“Mexico is a weak state that has yet to form a political will around the implementation of such laws,” said lawyer Edgardo Buscaglia, who has addressed the Mexican Senate on asset forfeitures.

One issue is a 2009 law that was meant to give authorities broader powers to seize drug cartel members’ assets. Instead, the law allows only the attorney general — as opposed to local prosecutors — to confiscate assets, meaning that federal authorities are overburdened and cases routinely slip through the net.

The overall result is far fewer successfully prosecuted cases against organized crime — a total of 43 in the past six years in Mexico, about the same number neighboring Guatemala achieves each year, according to a Mexican Senate report.

The law also requires property owners to be sentenced before authorities can take their assets, delaying seizures by months or even years. Many cases collapse.

“Attacking criminal groups financially by pursuing the properties and firms that provide them with financial and logistical support is an essential part of the fight against organized crime,” said Antonio Mazzitelli, Latin American representative of the U.N. Office on Drugs and Crime. “In Mexico, they put a criminal in jail, and nothing happens.”

Since 2007, the Treasury Department has banned 95 Mexican companies and hundreds more individuals linked to El Chapo’s drug empire from operating in the United States. All continue to operate freely in Mexico, however.

Last year, an American grand jury indicted Ignacio Muñoz Orozco, the owner of a Mexican clothing chain, on money laundering charges related to the Sinaloa Cartel. Orozco served as a higher-level official in the federal Social Development Ministry in the mid-2000s and has yet to be charged with a crime in Mexico.

“There are thousands of such cases that Mexican prosecutors decline to pursue,” Buscaglia said.

Guzman’s case underscores the nature of corruption in the country, where watchdog group Transparency International reports criminals have “captured” public institutions.

The drug kingpin escaped from a maximum security prison in July using a mile-long tunnel. Police have arrested the prison governor and several guards in connection with the breakout.

 

WH Pro-Action on Refugees, Meet Reema

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The White House is in full marketing and propaganda mode when it comes to forcing states to accept refugees. There are even some threats as well as videos the White House has launched.

Obama warns states they can’t refuse Syrian refugees

TheHill: The Obama administration is warning states that they cannot refuse to accept refugees fleeing war-torn Syria, saying that noncompliant states may be subject to penalties.

The federal Office of Refugee Resettlement (ORR) said in a letter to state agencies on Wednesday that they cannot withhold services to refugees based on their country of origin or religion.

“Accordingly, states may not categorically deny ORR-funded benefits and services to Syrian refugees,” the letter said. “Any state with such a policy would not be in compliance with the State Plan requirements, applicable statutes, and their own assurances, and could be subject to enforcement action, including suspension and termination.”

The letter cited the 1964 Civil Rights Act, which bars discrimination on the basis of race or country or origin.

“Thus, it is not permissible to deny federally funded benefits such as Medicaid or TANF to refugees who otherwise meet the eligibility requirements.”

The House overwhelmingly passed a measure earlier this month to make it more difficult for Syrian refugees to enter the country, following the Nov. 13 terrorist attack in Paris in which at least one assailant is suspected of entering the country posed as a migrant.

The ORR letter said refugees are subject to a rigorous screening process before they enter the country.

“It is the most robust screening process for any category of individuals seeking admissions into the United States, and it is only after admission that ORR and our partners in resettlement begin our work,” the letter said.

House Judiciary Committee Chairman Bob Goodlatte (R-Va.) slammed the Obama administration as “hypocritical” over the letter.

“While the United States has the most generous refugee system in the world, the American people are rightly concerned about admitting Syrian refugees and the impact it would have on the safety of their families and neighbors,” Goodlatte said in a statement.

“It’s hypocritical for Obama Administration officials to threaten enforcement action against these states when they refuse to enforce the vast majority of our immigration laws, such as cracking down on sanctuary cities that openly defy federal law and endanger the American people,” he continued.

Obama has vowed to allow 10,000 Syrian refugees into the U.S. over the next fiscal year.

 

Read ORR letter

 

WH and State Dept. Admitted the Ploy of Iran Deal

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Deal or no deal? No deal, no signatures, no vote, no sanctions, no burdens on Iran.

TheTower: Abbas Araghchi, Iran’s deputy foreign minister, warned that if the International Atomic Energy Agency (IAEA) doesn’t close its file of past Iranian nuclear violations, the Islamic Republic will stop complying with the terms of the nuclear agreement it reached with the P5+1 powers, Iran’s semi-official PressTV news service reported on Thursday.

Seyyed Abbas Araqchi said on Wednesday that the IAEA’s Director General Yukiya Amano has decided to release a report on the Iranian nuclear program on December 1, and the Agency’s Board of Governors will review the report and make a final decision in a meeting on December 15.

Araqchi said the report by Amano should result in the closure of the PMD issue.

“In case Yukiya Amano or the Board of Governors presents their report in such a way that it does not meet the stipulated commitments, the Islamic Republic of Iran will also stop [the implementation of] the JCPOA,” he said, in reference to the Joint Comprehensive Plan of Action, the agreement reached between Iran and the P5+1.

The IAEA has been tasked with the monitoring and verification of technical issues under the JCPOA. Full article here.

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NationalReview: President Obama didn’t require Iranian leaders to sign the nuclear deal that his team negotiated with the regime, and the deal is not “legally binding,” his administration acknowledged in a letter to Representative Mike Pompeo (R., Kan.) obtained by National Review. “The Joint Comprehensive Plan of Action (JCPOA) is not a treaty or an executive agreement, and is not a signed document,” wrote Julia Frifield, the State Department assistant secretary for legislative affairs, in the November 19 letter.
Frifield wrote the letter in response to a letter Pompeo sent Secretary of State John Kerry, in which he observed that the deal the president had submitted to Congress was unsigned and wondered if the administration had given lawmakers the final agreement. Frifield’s response emphasizes that Congress did receive the final version of the deal. But by characterizing the JCPOA as a set of “political commitments” rather than a more formal agreement, it is sure to heighten congressional concerns that Iran might violate the deal’s terms. “The success of the JCPOA will depend not on whether it is legally binding or signed, but rather on the extensive verification measures we have put in place, as well as Iran’s understanding that we have the capacity to re-impose — and ramp up — our sanctions if Iran does not meet its commitments,” Frifield wrote to Pompeo.

Iranian President Hassan Rouhani discouraged his nation’s parliament from voting on the nuclear deal in order to avoid placing legal burdens on the regime. “If the Joint Comprehensive Plan of Action is sent to [and passed by] parliament, it will create an obligation for the government. It will mean the president, who has not signed it so far, will have to sign it,” Rouhani said in August. “Why should we place an unnecessary legal restriction on the Iranian people?” Pompeo cited that comment in his letter to Kerry, but Frifield did not explicitly address it in her reply. “This is not a mere formality,” Pompeo wrote in his September 19 letter. “Those signatures represent the commitment of the signatory and the country on whose behalf he or she is signing. A signature also serves to make clear precisely who the parties to the agreement are and the authority under which that nation entered into the agreement. In short, just as with any legal instrument, signing matters.” The full State Department letter is below:

Letter from State Department Regarding JCPOA

DHS Knew Illegals Made False Claims for Asylum

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Fire the bastard, Jeh Johnson, recall him, prosecute him and dis-BAR him….and the rest of his staff that are complicit in this scam.

JudicialWatch: The Obama administration let hundreds of illegal immigrants stay in the U.S. even though federal authorities knew in advance that an open borders group coached them to falsely claim “credible fear” to get asylum, according to documents obtained by Judicial Watch from the Department of Homeland Security (DHS).

The operation was part of a scam conducted by an immigrant rights organization called the National Immigrant Youth Alliance (NITA), which in recent years has coordinated demonstrations along the Southwest border in Texas and Arizona. In mid-2014 the group orchestrated a racket seeking to bring 250 illegal aliens into the U.S. through the Otay Mesa Port of Entry in San Diego, California. To assure the migrants were allowed to stay in the U.S., the group had them falsely claim that they had a “credible fear” of returning to their native country. Foreigners can claim asylum under five categories, based on fear of persecution over race, religion, nationality, political opinions or membership in a specific social group

In this particular case, the DHS agency charged with guarding the border—Customs and Border Protection (CBP)—actually admits knowing about the ploy in advance but allows the illegal aliens to stay anyways. Here’s an excerpt from the records obtained by JW through the Freedom of Information Act (FOIA): “BACKGROUND: The National Immigrant Youth Alliance (NITA) activists have coordinated previous demonstrations along the Southwest Border (Laredo, Texas and Nogales, Arizona). During this iteration, NIYA seek to bring 250 people to the Otay Mesa Port of Entry where they will request entry to the U.S. Previous CBP reporting of these events indicate the individuals applying for entry will have no entitlements to enter, pass through or remain in the United States and will summarily claim Credible Fear (CF).”

This is downright outrageous and has been going on for years, though we’ve never seen written evidence that the feds were complicit in a specific “credible fear” scam. In 2013 JW wrote about a San Diego news report that said droves of illegal aliens were flooding the Otay crossing claiming “credible fear” of Mexican drug cartels. In just one day 199 migrants had entered through Otay, the story revealed. The piece quoted a Border Patrol agent saying this: “They are being told if they come across, when they come up to the border and they say certain words, they will be allowed into the country.”

Credible fear asylum in the U.S. has become so popular that illegal aliens are hearing about it on Facebook and federal immigration authorities are overwhelmed with applications. In the last few years the number of foreigners, including large numbers from terrorist countries, asserting credible fear to gain asylum in this country has skyrocketed. During congressional testimony a few years ago, the heads of U.S. Citizenship and Immigration Services (USCIS), Immigration and Customs Enforcement (ICE) and CBP confirmed that the percentage of individuals expressing a fear to remain in the U.S. has risen tremendously in the last few years.

The figures are incredibly alarming. In the last five years the number of “credible fear” asylum applications made at the border has increased sevenfold, from less than 5,000 to more than 36,000, a former Department of Justice (DOJ) and federal immigration official told Congress during a hearing earlier this year. Now a law professor at a prominent university, the official told lawmakers that statistics from USCIS Asylum Division show an approval rate of 92% for credible fear claims before the 2014 border surge. “Unfortunately the high approval rate for credible fear claims, and the resulting backlog in the immigration court system, have meant that in practice ‘credible fear’ has served to screen into the United States undocumented aliens wishing to make asylum claims,” the professor, Jan C. Ting told Congress. “That explains why many illegal border crossers don’t run from the U.S. Border Patrol, but instead seek them out to make asylum claims subject only to the low threshold of credible fear.”

Today, the backlog of credible fear cases pending in federal immigration courts is an astounding 450,000, according to a news report published this month. This could create huge national security risks because often asylum seekers are released from custody to await a court hearing. Just last week eight Syrian refugees turned themselves into U.S. immigration authorities along the U.S.-Mexico border. They are asking for asylum because the fear returning to their war-torn, terrorist-infested nation, but U.S. authorities have no reliable way to vet them.