WBUR

Mass. Lawmaker: Health Care Costs ‘No. 1 Concern’ For Patients

A new WBUR poll conducted in partnership with the Harvard School of Public Health and the Blue Cross Blue Shield of Massachusetts Foundation finds that 78 percent of Massachusetts residents who said they had a serious illness, medical condition, injury or disability requiring a lot of medical care, or spent at least one night in the hospital within the last year say the cost of health care is a serious problem.

These findings come as state lawmakers are trying to get rising health care costs under control, and last week the Massachusetts House approved a bill meant to do just that.

WBUR’s All Things Considered host Sacha Pfeiffer spoke about the poll with Rep. Steve Walsh, House chair of the Joint Committee on Health Care Financing.

Sacha Pfeiffer: Does it surprise you that the polling numbers came out so high that many people consider rising health care costs serious or quite serious for their families?

Steve Walsh: I would think it would be 100 percent. It doesn’t surprise me at all. I mean, we traveled the state, we visited 54 hospitals, and we had some 800 or so meetings statewide. It’s the No. 1 concern on folks’ minds. We keep hearing this mantra that “the market is moving,” “the market is working,” and in some areas it is. In terms of lowering health care costs for consumers, it is not.

Is there anything specific you can point to in the bill that would say to a patient, “Here’s how we can tell you that it is going to bring your health care costs down?”

Sure. We set a goal of tying the health care market to gross state product minus a 0.5 percent or potential gross state product minus a half. Over 15 years that will save $160 billion to the market and small businesses three years from now will begin to see their family plans go down about $2,400 a year. I mean, that’s real money for families.

But how will that trickle down to consumers? You just gave us the big dollars. How does that end up turning into actual money saved per year by a family on their health care costs?

Well, small businesses’ largest increase in cost is their health insurance. That’s the largest cost that they see. We talk to small businesses all over the state that are making decisions not to hire new employees because they can’t afford their health insurance. So when their premium costs go down, their cost-shift to their employee goes down. Their employee pays less money out of each weekly paycheck to health insurance. They take more money home and put less in health care.

Even people with health insurance — and in Massachusetts, of course, that is most people — have this growing sense that it’s almost as if they don’t have insurance; they have to spend so much out-of-pocket, often, before their coverage kicks in. Is there anything in this bill that addresses this concern?

Well, you’re going to see those products begin to go away over time.

Products like higher-deductible products?

Higher-deductible products and tiering products. [Those will go away] when you realign the incentives to reward you for being well and not reward you for being sick. Because the current fee-for-service system only rewards you if you’re sick. So when you get sick and you go and you have a higher co-pay or a high deductible, you pay more out of pocket and you become a cost center. So you’re over-tested. You walk into a center and we’re going to run you through the health care car wash and charge you as much as we possibly can at each stop along the train.

When you begin to pay globally, or through an alternative payment methodology like an accountable care organization, your care is coordinated and actually works much better because you reward people for being out of the hospital, not in the hospital.

To clarify, are you saying that these high-deductible, high co-pay and even co-insurance type products — even though they seem to be becoming very popular and common now — are actually on the way out?

I predict that they are not taking up a large space in this market in five years from now.

In the House bill, is there any recourse offered to patients who feel that their doctor or a hospital isn’t giving them what they need, or their insurance isn’t giving them coverage they think they deserve?

There’s a very robust patient education consumer protection piece where they have a very quick appeals process at no cost to them if they feel something is medically necessary that they have been denied.

This poll also confirms what we’ve already known, which is that in Massachusetts, if you have more money you get better care. Is there anything the House bill can do to address that?

There is. I think in Massachusetts you can get great care, regardless of your income. But there is a problem in some of our urban centers where there are large consolidations of poorer folks. And one of the things this bill does, which I think is terrific moving forward, is it’s a risk-adjusted global payment. So you actually can make more money on poor people than you can on some that are maybe healthier or wealthier.

Explain that to me. What is the incentive to treat those people?

When you get a global payment for a patient, you’re paid globally for whatever that patient’s personal health profile is. The less healthy patient has a payment that might be higher. So there’s money to be made on making sure that person becomes healthier. We also create a prevention trust fund that will be making grants into some of our urban settings. So we have a two-pronged approach that is actually going to have a byproduct of it that some of our poorer neighborhoods are going to see an increase in their health.

The Blue Cross Blue Shield of Massachusetts Foundation, the Harvard School of Public Health (HSPH) and WBUR worked in partnership to produce Sick in Massachusetts. The foundation commissioned and funded the HSPH poll. An independent research firm, SSRS, conducted the telephone interviews and provided WBUR with the names of poll participants. WBUR met with the partners to review the poll questions and analyze the results. WBUR shared story scripts with Robert Blendon at HSPH for fact-checking purposes. WBUR, using internal editing procedures, decided how to frame and expand on issues raised by the poll results.

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  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://pulse.yahoo.com/_MH7ATSNYASMCJO3MWNJ4C4T2KY Olivia

    I was in a AA meeting once and the speaker mentioned Dr Kishore, and the entire room erupted into laughter. I saw him back in the late 90s and he was a quack then. He was FAR from free…. He had been fined years ago because when you sat in his waiting room (an hour was considered quick) he’d bill the insurance co’s for that time. Then once you saw him he’d tell you what a great guy he was for working with addicts. Ive been clean for over 10 years now and those professionals who really helped me were ones that didnt need to continiously pat themselves on the back. Addicts are a nightmare to work with, and I commend all those that put up with it all to help those in need. But theres no way you’re ever going to convince me Kishore was one of those people. This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks. He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of someone elses misery

  • http://www.facebook.com/civilsociety.boston Civilsociety Boston

    Federal Laws
    Although no federal law directly addresses bullying, in some cases, bullying overlaps with discriminatory harassment when it is based on race, national origin, color, sex, age, disability, or religion. When bullying and harassment overlap, federally-funded schools (including colleges and universities) have an obligation to resolve the harassment. When the situation is not adequately resolved, the U.S. Department of Education’s Office for Civil Rights and the U.S. Department of Justice’s Civil Rights Division may be able to help.
    Are there federal laws that apply to bullying?
    At present, no federal law directly addresses bullying. In some cases, bullying overlaps with discriminatory harassment which is covered under federal civil rights laws enforced by the U.S. Department of Education (ED) and the U.S. Department of Justice (DOJ). No matter what label is used (e.g., bullying, hazing, teasing), schools are obligated by these laws to address conduct that is:
    Severe, pervasive or persistentCreates a hostile environment at school. That is, it is sufficiently serious that it interferes with or limits a student’s ability to participate in or benefit from the services, activities, or opportunities offered by a schoolBased on a student’s race, color, national origin, sex, disability, or religion* Although the US Department of Education, under Title VI of the Civil Rights Act of 1964 does not directly cover religion, often religious based harassment is based on shared ancestry of ethnic characteristics which is covered. The US Department of Justice has jurisdiction over religion under Title IV of the Civil Rights Act of 1964.
    What are the federal civil rights laws ED and DOJ enforce?
    A school that fails to respond appropriately to harassment of students based on a protected class may be violating one or more civil rights laws enforced by the Department of Education and the Department of Justice, including: Title IV and Title VI of the Civil Rights Act of 1964Title IX of the Education Amendments of 1972Section 504 of the Rehabilitation Act of 1973Titles II and III of the Americans with Disabilities ActIndividuals with Disabilities Education Act (IDEA)
    Do federal civil rights laws cover harassment of LGBT youth?
    Title IX and Title IV do not prohibit discrimination based solely on sexual orientation, but they protect all students, including students who are LGBT or perceived to be LGBT, from sex-based harassment.Harassment based on sex and sexual orientation are not mutually exclusive. When students are harassed based on their actual or perceived sexual orientation, they may also be subjected to forms of sex discrimination recognized under Title IX.
    What is an example of a case were harassment based on sex and sexual orientation overlap?
    A female high school student was spit on, slammed into lockers, mocked, and routinely called names because she did not conform to feminine stereotypes and because of her sexual orientation. The student had short hair, a deep voice, and wore male clothing. After the harassment started, she told some classmates she was a lesbian, and the harassment worsened. The school described the harassment as “sexual orientation harassment” in its incident reports and did not take any action.In this case, the student was harassed based on her non-conformity to gender stereotypes. In this case, then, although the school labeled the incident as “sexual orientation harassment,” the harassment was also based on sex and covered under Title IX.
    What are a school’s obligations regarding harassment based on protected classes?
    Anyone can report harassing conduct to a school. When a school receives a complaint they must take certain steps to investigate and resolve the situation.
    Immediate and appropriate action to investigate or otherwise determine what happened.Inquiry must be prompt, thorough, and impartial.Interview targeted students, offending students, and witnesses, and maintain written documentation of investigationCommunicate with targeted students regarding steps taken to end harassmentCheck in with targeted students to ensure that harassment has ceasedWhen an investigation reveals that harassment has occurred, a school should take steps reasonably calculated to:End the harassment,Eliminate any hostile environment,Prevent harassment from recurring, andPrevent retaliation against the targeted student(s) or complainant(s).
    What should a school do to resolve a harassment complaint?
    Appropriate responses will depend on the facts of each case.School must be an active participant in responding to harassment and should take reasonable steps when crafting remedies to minimize burdens on the targeted students.Possible responses include: Develop, revise, and publicize: Policy prohibiting harassment and discriminationGrievance procedures for students to file harassment complaintscontact information for Title IX/Section 504/Title VI coordinatorsImplement training for staff and administration on identifying and addressing harassmentProvide monitors or additional adult supervision in areas where harassment occursDetermine consequences and services for harassers, including whether discipline is appropriateLimit interactions between harassers and targetsProvide harassed student an additional opportunity to obtain a benefit that was denied (e.g., retaking a test/class).Provide services to a student who was denied a benefit (e.g., academic support services).
    Are there resources for schools to assist with resolving harassment complaints?
    The Department of Justice’s Community Relations Service is the Department’s “peacemaker” for community conflicts and tensions arising from differences of race, color and national origin and to prevent and respond to violent hate crimes committed on the basis of: gender, gender identity, sexual orientation, religion, disability, race, color, and national origin. It is a free, impartial, confidential and voluntary Federal Agency that offers mediation, conciliation, technical assistance, and training.
    What if the harassment continues?
    If harassment persists, consider filing a formal grievance with the district and contacting the U.S. Department of Education’s Office for Civil Rights and from the U.S. Department of Justice’s Civil Rights Division.

  • http://www.facebook.com/civilsociety.boston Civilsociety Boston

    REPORT CYBERBULLYING TO INTERNET SERVICE PROVIDERS AND WBUR:
    STOPBULLYING.GOV
    Report Cyberbullying
    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps to Take ImmediatelyReport Cyberbullying to Online Service ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to Schools
    Steps to Take Immediately
    Don’t respond to and don’t forward cyberbullying messages.Keep evidence of cyberbullying. Record the dates, times, and descriptions of instances when cyberbullying has occurred. Save and print screenshots, emails, and text messages. Use this evidence to report cyberbullying to web and cell phone service providers.Block the person who is cyberbullying.
    Back to top
    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review their terms and conditions or rights and responsibilities sections. These describe content that is or is not appropriate.Visit social media safety centers to learn how to block users and change settings to control who can contact you.Report cyberbullying to the social media site so they can take action against users abusing the terms of service.
    Back to top
    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats of violenceChild pornography or sending sexually explicit messages or photosTaking a photo or video of someone in a place where he or she would expect privacyStalking and hate crimes
    Some states consider other forms of cyberbullying criminal. Consult your state’s laws and law enforcement for additional guidance.
    Back to top
    Report Cyberbullying to Schools
    Cyberbullying can create a disruptive environment at school and is often related to in-person bullying. The school can use the information to help inform prevention and response strategies.In many states, schools are required to address cyberbullying in their anti-bullying policy. Some state laws also cover off-campus behavior that creates a hostile school environment.

  • http://www.facebook.com/civilsociety.boston Civilsociety Boston

    OPEN LETTER TO THE GENERAL MANAGER:
    PaulLa Camera
    General Manager
    Reference: Cyber Bullying, Cyber Stalking, Cyber Hate Speech URL: http://www.wbur.org/2011/09/28/kishore-fraud-claims URL: http://www.wbur.org/2011/09/27/drug-doctor URL: http://www.wbur.org/2012/06/07/health-care-jobs URL: http://www.wbur.org/2012/06/12/quality-of-care Dear Dr. LaCamera: Your organization is a champion of Anti Cyber bullying coverage. URL: http://www.wbur.org/2012/05/17/facebook-cyberbullying Unfortunately your comment section in the URLs listed aboveis serving as a venue for Cyber Bullying, Cyber Stalking and Cyber Intimidation/Rant and Hate Speech targeting a Doctor. As you are aware this is a crime under 18 U.S.C. § 875(c) which criminalizes the making of threats via Internet. Your Community Rules also prohibit such conduct. URL: http://www.wbur.org/community/rules The Violations are numerous and have been reported previously.The individual/individuals keep posting. I seek your good offices to put an end to this either by removing and closing the Comments Section and or sending a legal notice to the Offender. A prompt response is needed to stop this harassment and intimidation. The individual is also posting these links to twitter accounts and pornography sites. Please take action.

  • http://www.facebook.com/civilsociety.boston Civilsociety Boston

    PLEASE STOP THE CYBER BULLIES: DELETED SITES:

    http://answers.yahoo.com/question/index?qid=20111203094126AAtS7Hg

  • Civilsocietyboston

    STOPBULLYING.GOV:

    Report Cyberbullying

    When cyberbullying happens, it is important to document and report the behavior so it can be addressed.
    Steps to Take ImmediatelyReport Cyberbullying to Online Service ProvidersReport Cyberbullying to Law EnforcementReport Cyberbullying to Schools
    Steps to Take Immediately
    Don’t respond to and don’t forward cyberbullying messages.Keep
    evidence of cyberbullying. Record the dates, times, and descriptions of
    instances when cyberbullying has occurred. Save and print screenshots,
    emails, and text messages. Use this evidence to report cyberbullying to
    web and cell phone service providers.Block the person who is cyberbullying.
    Back to top
    Report Cyberbullying to Online Service Providers
    Cyberbullying often violates the terms of service established by social media sites and internet service providers.
    Review their terms and conditions or rights and responsibilities sections. These describe content that is or is not appropriate.Visit social media safety centers to learn how to block users and change settings to control who can contact you.Report cyberbullying to the social media site so they can take action against users abusing the terms of service.  
    Back to top
    Report Cyberbullying to Law Enforcement
    When cyberbullying involves these activities it is considered a crime and should be reported to law enforcement:
    Threats of violenceChild pornography or sending sexually explicit messages or photosTaking a photo or video of someone in a place where he or she would expect privacyStalking and hate crimes
    Some states consider other forms of cyberbullying criminal. Consult your state’s laws and law enforcement for additional guidance.
    Back to top
    Report Cyberbullying to Schools
    Cyberbullying
    can create a disruptive environment at school and is often related to
    in-person bullying. The school can use the information to help inform
    prevention and response strategies.In many states, schools are required to address cyberbullying in their anti-bullying policy. Some state laws also cover off-campus behavior that creates a hostile school environment.

  • Olivia Sanchez

    MAD DOG AKA PUNYAMURTULA KISHORE MD
    This Fool Punyamurtula Kishore MD aka MAD DOG was never licensed by Mass. Dept of Public Health to practice Addiction Medicine. Punyamurtula Kishore MD aka MAD Dog Millionaire is a fraud , , The American College of Addiction Medicine and the National Library of Addiction has never existed except on paper. Punyamurtula Kishore has been indicted by 3 Grand Juries for Medical Insurance Fraud , bribery and giving out and receiving kickbacks.He was involved in Corruption when he was the Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his possess Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction Medicine to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of HUMAN misery.

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