{"id":81594,"date":"2025-06-19T00:16:20","date_gmt":"2025-06-18T22:16:20","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=81594"},"modified":"2025-06-18T12:58:25","modified_gmt":"2025-06-18T10:58:25","slug":"lekar-v-illinois-se-priznal-k-lekarskemu-podvodu-jen-spicka-ledovce","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/06\/19\/lekar-v-illinois-se-priznal-k-lekarskemu-podvodu-jen-spicka-ledovce\/","title":{"rendered":"L\u00e9ka\u0159 v Illinois se p\u0159iznal k l\u00e9ka\u0159sk\u00e9mu podvodu \u2013 jen \u0161pi\u010dka ledovce?"},"content":{"rendered":"
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Podvody s programy Medicare a Medicaid se nyn\u00ed zdaj\u00ed b\u00fdt stejn\u011b b\u011b\u017enou sou\u010d\u00e1st\u00ed americk\u00e9ho syst\u00e9mu zdravotn\u00ed p\u00e9\u010de jako ka\u017edoro\u010dn\u00ed n\u00e1v\u0161t\u011bva praktick\u00e9ho l\u00e9ka\u0159e. Jak v ned\u00e1vn\u00e9m rozhovoru zd\u016fraznil americk\u00fd ministr zdravotnictv\u00ed a soci\u00e1ln\u00edch slu\u017eeb, c\u00edlem nen\u00ed omezit Medicaid, ale eliminovat pl\u00fdtv\u00e1n\u00ed: \u201eNeomezujeme Medicaid \u2013 sni\u017eujeme pl\u00fdtv\u00e1n\u00ed. Ro\u010dn\u011b se odhal\u00ed podvody v hodnot\u011b 30 a\u017e 50 miliard dolar\u016f. S DOGE je m\u016f\u017eeme odhalit a zastavit,\u201c \u0159ekl \u2013 s odkazem na novou iniciativu ministerstva na zv\u00fd\u0161en\u00ed administrativn\u00ed efektivity.<\/span><\/p>\n

Podle serveru TrialSite News se p\u0159ibli\u017en\u011b 75 milion\u016f ob\u010dan\u016f USA spol\u00e9h\u00e1 na Medicaid \u2013 vl\u00e1dou financovan\u00fd program zdravotn\u00ed p\u00e9\u010de pro dosp\u011bl\u00e9 a d\u011bti s n\u00edzk\u00fdmi p\u0159\u00edjmy. Navzdory jeho d\u016fle\u017eitosti pro ty, kte\u0159\u00ed jej pot\u0159ebuj\u00ed, je program opakovan\u011b kritizov\u00e1n za podvody a zneu\u017e\u00edv\u00e1n\u00ed. Vysok\u00e9 ceny l\u00e9k\u016f v USA sice \u010din\u00ed Medicaid nezbytn\u00fdm programem, ale z\u00e1rove\u0148 otev\u00edraj\u00ed dve\u0159e trestn\u00e9 \u010dinnosti bezskrupul\u00f3zn\u00edch l\u00e9ka\u0159\u016f \u2013 jak dokazuje aktu\u00e1ln\u00ed p\u0159\u00edpad z p\u0159edm\u011bst\u00ed Chicaga.<\/span><\/p>\n

Zbyte\u010dn\u00e1 l\u00e9\u010dba rakoviny: l\u00e9ka\u0159ka usv\u011bd\u010dena<\/span><\/h3>\n

Doktorka Mona Ghoshov\u00e1, gynekolo\u017eka z Hoffman Estates v Illinois, byla shled\u00e1na vinnou z l\u00e9ka\u0159sk\u00e9ho podvodu. Zdrav\u00fdm pacient\u016fm fale\u0161n\u011b sd\u011blila, \u017ee pot\u0159ebuj\u00ed agresivn\u00ed l\u00e9\u010dbu rakoviny \u2013 p\u0159esto\u017ee sami \u017e\u00e1dnou nemoc nem\u011bli. Za sv\u00e9 \u010diny byla odsouzena k deseti let\u016fm v\u011bzen\u00ed. Mus\u00ed tak\u00e9 zaplatit r\u016fzn\u00fdm zdravotn\u00edm poji\u0161\u0165ovn\u00e1m od\u0161kodn\u011bn\u00ed ve v\u00fd\u0161i 1,5 milionu dolar\u016f.<\/span><\/p>\n

\u201eTrvale zm\u011bnila \u017eivoty t\u011bchto \u017een \u2013 to se ned\u00e1 vz\u00edt zp\u011bt. Deset let je p\u0159\u00edli\u0161 lehk\u00fd trest,\u201c \u0159ekl Socorro Urbano, jedna z ob\u011bt\u00ed. Feder\u00e1ln\u00ed soudce Franklin Valderrama Ghoshe odsoudil slovy: \u201eZneu\u017eil jste d\u016fv\u011bru sv\u00fdch pacient\u016f k financov\u00e1n\u00ed sv\u00e9ho luxusn\u00edho \u017eivotn\u00edho stylu. Zp\u016fsobil jste nenapravitelnou \u0161kodu.\u201c<\/span><\/p>\n

Mezi lety 2018 a 2022 Ghoshov\u00e1 podala stovky podvodn\u00fdch \u017e\u00e1dost\u00ed o pojistn\u00e9 pln\u011bn\u00ed u program\u016f Medicare, TRICARE a dal\u0161\u00edch poji\u0161\u0165oven. Jej\u00ed zam\u011bstnanci byli tak\u00e9 instruov\u00e1ni, aby vytv\u00e1\u0159eli zmanipulovan\u00e9 z\u00e1znamy, dokumentuj\u00edc\u00ed fale\u0161n\u00e9 diagn\u00f3zy, aby ospravedlnili zbyte\u010dnou l\u00e9\u010dbu.<\/span><\/p>\n

\u201eKdy\u017e l\u00e9ka\u0159i p\u0159edkl\u00e1daj\u00ed feder\u00e1ln\u00edm program\u016fm zdravotn\u00ed p\u00e9\u010de podvodn\u00e9 \u017e\u00e1dosti o pomoc, pen\u00edze da\u0148ov\u00fdch poplatn\u00edk\u016f jsou odv\u00e1d\u011bny od t\u011bch, kte\u0159\u00ed je skute\u010dn\u011b pot\u0159ebuj\u00ed,\u201c \u0159ekl americk\u00fd st\u00e1tn\u00ed z\u00e1stupce Andrew S. Boutros. \u201ePodvod Dr. Ghoshov\u00e9 byl obzvl\u00e1\u0161t\u011b hanebn\u00fd \u2013 aktivn\u011b ohro\u017eovala zdrav\u00ed sv\u00fdch pacient\u016f. N\u011bkter\u00e9 z\u00e1kroky dokonce trvale naru\u0161ily plodnost mlad\u00fdch \u017een. Vzd\u00e1v\u00e1me hold ob\u011btem, kter\u00e9 m\u011bly odvahu se j\u00ed postavit. Na\u0161e kancel\u00e1\u0159 se nezastav\u00ed, dokud nebudou v\u0161ichni pachatel\u00e9 pohn\u00e1ni k odpov\u011bdnosti a dokud nebudou chr\u00e1n\u011bny ve\u0159ejn\u00e9 prost\u0159edky.\u201c<\/span><\/p>\n

Z\u00e1kroky bez l\u00e9ka\u0159sk\u00e9ho podkladu \u2013 pod sedativy<\/span><\/h3>\n

Dr. Ghosh vlastnila spole\u010dnost\u00a0<\/span>Progressive Women’s Healthcare<\/span><\/em>\u00a0. Mnoho \u017een k n\u00ed chodilo na rutinn\u00ed vy\u0161et\u0159en\u00ed, jako jsou Pap testy nebo screening rakoviny d\u011blo\u017en\u00edho \u010d\u00edpku. L\u00e9ka\u0159ka pak diagnostikovala \u201eabnorm\u00e1ln\u00ed n\u00e1lezy\u201c, i kdy\u017e ve skute\u010dnosti byly zcela norm\u00e1ln\u00ed. Pod z\u00e1minkou, \u017ee je nutn\u00e1 biopsie, pacientk\u00e1m d\u00e1vala sedativa \u2013 a pot\u00e9 provedla invazivn\u00ed a zcela zbyte\u010dn\u00e9 z\u00e1kroky.<\/span><\/p>\n

V n\u011bkolika zdokumentovan\u00fdch p\u0159\u00edpadech Ghosh prov\u00e1d\u011bla l\u00e9\u010dbu, kter\u00e1 \u00famysln\u011b zhor\u0161ovala plodnost, a to i p\u0159es vyj\u00e1d\u0159enou touhu pacient\u016f m\u00edt d\u011bti. Jej\u00ed motivy byly \u010dist\u011b finan\u010dn\u00ed.<\/span><\/p>\n

Ghosh se p\u0159iznala. Krom\u011b trestu odn\u011bt\u00ed svobody a \u00fahrady zdravotn\u00edm poji\u0161\u0165ovn\u00e1m p\u0159i\u0161la tak\u00e9 o l\u00e9ka\u0159skou licenci. Ka\u017ed\u00e9 ze sv\u00fdch ob\u011bt\u00ed mus\u00ed tak\u00e9 zaplatit p\u0159esn\u011b\u00a0<\/span>605,02 dolar\u016f<\/span><\/strong>\u00a0jako od\u0161kodn\u011bn\u00ed \u2013 soudce v\u0161ak mohl jako n\u00e1hradu \u0161kody p\u0159iznat pouze soudn\u00ed v\u00fdlohy.<\/span><\/p>\n

Podvody v syst\u00e9mu \u2013 reforma je na \u010dase<\/span><\/h3>\n

Medicare a Medicaid jsou z\u00e1sadn\u011b d\u016fle\u017eit\u00e9 programy, zejm\u00e9na pro osoby s n\u00edzk\u00fdmi p\u0159\u00edjmy nebo chronicky nemocn\u00e9. Jejich struktura v\u0161ak tak\u00e9 nab\u00edz\u00ed mezery pro podvodn\u00e9 l\u00e9ka\u0159e, pacienty a korporace.<\/span><\/p>\n

P\u0159\u00edpad Ghosh je jen jedn\u00edm z mnoha obzvl\u00e1\u0161t\u011b do o\u010d\u00ed bij\u00edc\u00edch \u2013 a zd\u016fraz\u0148uje, jak nal\u00e9hav\u011b americk\u00fd syst\u00e9m zdravotn\u00ed p\u00e9\u010de pot\u0159ebuje z\u00e1sadn\u00ed reformu. Ale jak by p\u0159esn\u011b m\u011bla vypadat?<\/span><\/p>\n<\/div>\n<\/div>\n

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Zdroj<\/a><\/span><\/h3>\n

 <\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Podvody s programy Medicare a Medicaid se nyn\u00ed zdaj\u00ed b\u00fdt stejn\u011b b\u011b\u017enou sou\u010d\u00e1st\u00ed americk\u00e9ho syst\u00e9mu…<\/p>\n","protected":false},"author":2,"featured_media":81595,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[9335,497,37],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/81594"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=81594"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/81594\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/81595"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=81594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=81594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=81594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}