 Re: What is "fake news?" - IT IS TIME TO DRAIN THE SWAMP!
Reading “fake news!”
Not all ‘fake news’ involves the Political field – it is everywhere and anywhere. The propaganda machine works 24 hours a day. Sometimes the approach is obvious, other times it is subtle, and yet on other occasions the facts are recited just a little bit off center so as to create a false impression. As you know because of certain litigation involving nursing homes, and a stretch at representing the principals of a few nursing homes I got to view the bodies.
I ran across the following newspaper article. My comments are in red:
Quality Care warns of receivership for big U.S. nursing home chain (HCP)
Reuters
Jul. 21, 2017, 04:42 PM
By Tracy Rucinski
CHICAGO, July 21 (Reuters) - U.S. healthcare landlord Quality Care Properties Inc said on Friday that it can seek receivership for the country's second-largest nursing home chain, HCR ManorCare, after it failed to make a $79.6 million payment for current and past rent. Comment: there is a progression in the nursing home business. The initial business model creates a wholly owner (Eron style) operation. (venture 1) This business owns the land for about a decade and is an integrated operation. Toward the end of the first cycle the business’ return on capital commences to decrease. For Phase 2, another group of investors is brought into the picture and they lease the property from Venture 1, with an option to purchase. This phase has two elements - a) wherein there is a lease arrangement and b) wherein there is an ownership relationship. This phase also is about a decade long, and again the business is sold to Venture 3. Venture 3 mirrors Venture 2. Because of deterioration in the infra=structure and thus the appearance of the property the clientele becomes at each juncture a little less prosperous. The venture that is being discussed in the article is property a Venture 5, 6, or 7. (or group thereof)
In a statement, Quality Care said it had delivered a notice of default to HCR ManorCare, its main tenant, regarding the missed payment, which Quality Care said triggers immediate payment of $265 million in additional overdue rent. Comment: this gambit is typical – it induces the investors to be more adaptable and more willing to accept payouts.
HCR ManorCare spokeswoman Julie Beckert declined to comment on the threat of receivership.
U.S. nursing homes have struggled to reconcile a tumultuous, low-margin business with declining reimbursements and increasing costs for medical supplies, insurance, aging buildings and litigation. Comment: Notice the loaded word: “low-margin” With the Nursing home moguls supplying all the materials for operation, the expenditures are very adjustable. The Utilities are supplied by Multiuit. Operation Draiman can set prices at will. At one point in time he choose not pay his supplier and went into Bankruptcy himself. In a similar manner the Nursing home moguls own a company that supplies nurses, another linens, another pharmaceuticals, another janitorial, another insurance, another management ******. Want a profit – lower the costs of supplies! Want a loss – raise the costs. The profit and loss is all fictional. The real costs unadjusted are about 2000 a month, and the billings in excess of 7000 a month for the welfare clients to 15 – 20,000 a month for the better heeled. (Physical Therapy for instance in many of the Venture 2 and 3 homes consists of placing the patient in a wheel chair and letting him/her sit in front of the television for an hour or so. In the 4 homes, it is sufficient to wheel the patient out in the hall.
To protect their investments, lenders and landlords of distressed healthcare operators can ask the courts to appoint a receiver to take control of the business in the event of a default.
In the case of Toledo, Ohio-based HCR ManorCare, Quality Care said the default allows it "to terminate the master lease, appoint receivers or exercise other remedies with respect to any and all leased properties." Comment: This persuades the investors to take just about anything for their interest.
Quality Care, one of the largest U.S. healthcare landlords, last month said it was seeking up to $500 million to acquire HCR ManorCare. On Friday it said it remains in talks with the skilled nursing home operator about the default and other matters. Comment: how many of the investors in Quality care are also investors in HCR ManorCare? Obviously a search of names will not reveal that information – but, an HONEST INVESTIGATION *****
HCR ManorCare -- which also operates assisted living facilities, memory care communities, outpatient rehabilitation clinics and home health care agencies across the country -- confirmed ongoing discussions with its landlord.
In addition, HCR ManorCare received a $550 million loan from Centerbridge Partners this week to repay an existing term loan and outstanding loans, Beckert told Reuters in an e-mail.
Quality Care Properties was spun off from HCP Inc, a large healthcare real estate investment trust, in 2016 as HCR ManorCare was in decline. Comment; here we go – confirmation of the change in Venture!
Private equity firm Carlyle Group bought HCR ManorCare in a 2007 leveraged buyout for $6.3 billion and sold the properties to HCP for $6.1 billion in 2010. (Reporting by Tracy Rucinski; Editing by Tom Hals and Leslie Adler)
The impression given by the article was that one of the nursing home groups was in serious trouble and faced possible involuntary liquidation. Such would be a possibility if in fact there was interaction between non-related competitors of such a nature. Here in Chicago, the group of nursing home moguls is quite small and has a religious orientation. The group that I investigated has an orientation that claims to be Jewish Orthodox. A neighbor (in Sauganash) works for a group that has a different religious orientation. Both groups are aware of each other and there is a degree of co-operation. My experience is solely limited to the Jewish group. However, it is my understanding that the reach of the Moguls that I am familiar with extends one way or another into the nursing homes of the other groups.
A person who has not had the opportunity to examine the operations of the ‘for profit’ nursing home operation, but who has some knowledge of business would be seriously misled by the article. The loaded word: “ thin margin” is completely verifiable as every cost is augmented for Janitorial to nursing care. If you are into fiction, you will believe that there are Physical Therapists treating every resident twice a day, speech Therapists falling all over themselves, and kosher gourmet food served 3 times a day. Visit a nursing home and observe the wheel chairs lined up around the television set, or the patients doped to the gills lying in bed developing bed sores. One thing you will find – almost every patient is being tranquilized at great expense and real doctors are as rare as moon landings.
That said, there are ‘special care’ patients. These individuals are people with ‘clout’ or in the facility for a short term. Knee operation and similar patients are given royal treatment. The get real food and real care – of course they also have family advocates who wander in at hours of the day and night. A family advocate has no problem making trouble and unless his/her ward is treated with respect et al serious problems can and will occur. In certain situations, the family advocate might actually have more clout than the nursing home operator = and then ******.
Visit a nursing home at a time when you are not expected to visit. Make the visit a surprise, and get away from the areas wherein the staff is comfortable with you present.
The ‘fake news’ story will become evident. “Fake News” does not have to be Political and does not be directed at President Trump. It is what we used to call propaganda or misleading. It has been around forever, but today much of it is protected by POLITICAL CORRECTNESS and the balance by pure clout. The article supra is just part of the ‘fake news’ chain. We do not have the entire chain as you and I are not the targets, except, the nursing home industry is embarrassed by the obscene profits that they earn and the disclosure of their activities. This does not mean that they will not continue to bring in the vote for the political elite and cease being a source of extra income for Judges, *****.
On Tuesday, August 8, 2017, 11:42:37 AM CDT, kenneth ditkowsky <kenditkowsky@yahoo.com> wrote:
When I heard that one of the cabal of ELDER CLEANSERS here in Illinois in league with the Public Guardian’s office was trafficking in the “homeless” that lived on lower Wacker Drive in Chicago, I was stunned. When I checked out to allegation and satisfied myself that it was true, I had to sit down and contemplate the gravity of the situation, to wit:
However, up until known the malevolent activities of STATE OF ILLINIOIS entities was clandestine. The evidence was circumstantial - though obvious. The incidents in which there is a direct tie-in between the corrupt public officials (usually State employees) and the criminal element up until the most recent of times has been more implication, conjecture, and speculation. Public officials were ashamed to be observed fostering “ghost” employment, bribery schemes, trading of favors, etc. The Judicial elite at the very least tried to maintain an appearance of integrity. Indeed, misrepresenting a SCOTUS decision was subtle and the author of the misrepresentation actually read the case. In the JoAnne Denison Petitions, Jerome Larkin in his Petition to the Supreme Court of Illinois seized on one of the rejected arguments in the SCOTUS Alvarez case and cited it as the SCOTUS’ ruling.
Of course, Larkin never apologized to either Ms. Denison or the Court for his obvious misrepresentation of the Alvarez and Sawyer cases. The state of morality in the State of Illinois had been reduced to the nadir and the RULE OF LAW and the Constitution were mere technicalities. The Soviet Gulag had reached its full maturity. Indeed, the media, the civil rights organization, the legal associations (such as the American Bar Association, Illinois Bar Association, Chicago Bar Association) et al were silent. Some actually appeared to be denigrating citizen and lawyer efforts to defend the Rule of Law! The ABA, when it appeared that comments were running 100% against its preferred position of attornment to the most corrupt members of the Judicial and Political elite, shut down the comments and ultimately removed their article. THE ASSAULT ON THE CONSTITUTION OF THE UNITED STATES OF AMERICA, the CONSTITUTION OF THE STATE OF ILLINOIS, the RULE OF LAW and the Canons of Ethics (Rule 8.3) was attorned to by the American Bar Association AND the opinion makers.
The foregoing is terrible – however, in my previous e-mails I beaten this dead horse before. The foregoing is in the category of “old news!” What is not in the category of old news is an explanation of why this category of political correctness not only prevails but flourishes.
Again, it is old news that the corrupt jurists, both elite and not so elite find the profit motive for their criminal conduct quite compelling. In Seth Gillman’s hospice and MEDICARE FRAUDS the profit motive was not only obvious but Gillman confessed. Other members of the ELDER CLEANSING fraternity also have given statements to the Federal Law Enforcement authorities and recruited State political and judicial leaders with shares in the profit venture. The obviousness of the profit is connoted in the indictment of Philip Esformes. He is charged with stealing a billion dollars! from Medicare. His venture with Omnicare is also the stuff the legends are made. It is interesting to note that the cabal operates the very same type of operation that Esformes was operating in South Florida and not one of the members of the cabal has been charged here in Illinois or even charged with not paying income taxes on the booty. (booty being the funds stolen from Federal health care and from the individuals who come into the ‘care’ of the unholy operators of sheltered care facilities)
When the family of Alice Gore, shocked and stunned by the quest to prospect for gold in the mouth of grandmother Alice Gore asked one of the nursing home operators – HOW CAN YOU BE SO CRUEL? His answer is classic, to wit:
“Because I can.”
The answer: “Because I can” begs the question. Of course he can. In the Mary Sykes case 09 P4585 (old news) the presiding judge in the case admitted that she was bribed (i.e. fixed, wired – see page 91 of her evidence deposition). Her punishment: she was elevated to the Appellate Court of Illinois in recognition of her service to the WAR ON THE ELDERLY AND THE DISABLED. The two guardian ad litem who ‘covered up’ the fact that 755 ILCS 5/11a – 10 was almost completely ignored by the Court, the attorneys, the two guardian ad litem, the media, law enforcement *****, were rewarded with a “ tax exempt” share in the booty stolen from the Mary Sykes Estate and very substantial fees from the Estate. The co-conspirators, such as Jerome Larkin and his lackeys at the IARDC, still continue to silence mention of the rampant ELDER CLEANSING going on at the Circuit Court and it is assumed that they do not perform their extraordinary services for ‘free!’ 18 USCA 371 has not as yet been applied to them, and they are all laughing at us (the great unwashed) as they currently enjoy the illegal fruits of the WAR ON THE ELDERLY AND THE DISABLED.
The words: “because I can” also are telling as they point out the malady of the system. How can it be that a group of people ‘temporarily in power’ can exert such nefarious influence on the lives of the ELDERLY AND THE DISABLED. Indeed, no one is exempt! Any person, including the members of the corrupt Judicial and political elite can be literally stolen off the street to be ELDER CLEANSED! Even the man who uttered the words: ‘because I can” can be a victim of this horrific trafficking in the elderly and disabled Americans. (Yes, even President Trump can be a victim – in fact some of the cabal have been quite candid as to their efforts to enroll him into the legends of zombies created by the ELDER CLEANSERS.
The words “because I can” also connote the fact that few escape the cabal and the gulag. Upon entry into a sheltered care facility, the victim is administered a tranquilizer – usually an Opioid. This administration provides the victim with aid in adjusting to his/her new surroundings. The addictive effects are an added bonus to the gulag effect and reducing the victim to a zombie keeps the costs of operation of the elder cleansing facility profitable. It also assures that come election time, the elder cleansed individual VOTES for the right political candidate.
Unfortunately, the answer to the query is not subtle and not profound, to wit:
Dr. Roland Borrasi chuckled as he told three doctors how he used kickbacks and cash bribes to shuttle unsuspecting nursing home residents into Chicago-area hospitals and psychiatric wards.
“Basically, I have a commodity; my commodity is nursing home patients,” Borrasi explained.
Indeed, Dr. Borrasi ‘s simple explanation was very candid and accurate. Even though a decade plus has passed since the revelation was granted, Federal Administration after Federal Administration has kept its distance and allowed the elder cleansing racket to florish. It is true that
He (sic Dr. Borrasi) didn’t know it at the time, but federal agents were secretly recording that meeting.
One of the doctors was wearing a wire as Borrasi matter-of-factly explained the mechanics of patient brokering to physicians in his medical group.
Those recordings, along with court documents and federal investigative reports obtained by the Tribune, describe a web of corruption in which hundreds of thousands of dollars flowed among doctors, nursing home executives and hospital administrators as the facility operators sought to fill their beds with a steady flow of destitute patients.
What did the media do with the information? What did law enforcement do? What did the Courts do? The answer is N O T H I N G! to speak up, though to be fair, the Chicago Tribune reported:
While taxpayers paid millions of dollars in fraudulent Medicaid and
“The fact that … greed subordinated the care of elderly and infirm patients who really needed it is horrific at best,” federal prosecutors wrote in a court filing earlier this year after Borrasi was sentenced for accepting more than $500,000 in kickbacks to steer vulnerable patients. Prosecutors described “the scope and breadth of the bribes” as “extraordinary .”
Thus, in Summary – we, the great unwashed, are a commodity! Therefore, just like peaches, and nuts we are there for the Political and Judicial Elite to exploit – or be the victims of human trafficking. The 700% fraud surcharge i.e. 7 dollars for every dollar spent on health care to the political sophisticated is a small price to pay for the “billions” of health care dollars that will flow into their pockets! It does not matter if you call the vehicle OBAMACARE, TRUMPCARE, MEDICARE, MEDICAID **** the vehicle for those who consider themselves the “best and the brightest” to unjustly enrich themselves is a fact of life.
Supra and Infra may both be politically incorrect, but America elected PRESIDENT DONALD TRUMP to end this façade. The concept of cleaning the swamp means more than replacing the cancer, but restoring the integrity of health care and eliminating the profit from the corrupt political and judicial leaders who have fostered elder cleansing and the WAR ON THE ELDERLY AND THE DISABLED. Health care is supposed to aid in the treatment of disease and illness – it is not a tool for human trafficking, exploitation and abuse. We, the great unwashed have a vital stake in putting the health care cabal out of business not only here in Illinois, but in every State in the Union.
On Tuesday, August 8, 2017, 9:51:59 AM CDT, kenneth ditkowsky <kenditkowsky@yahoo.com> wrote:
Chicago Summer:
Since you are not an attorney your expose of corruption in the Illinois courts cannot be labeled by Mr. Larkin and the Illinois Supreme Court as being akin to yelling fire in a crowded theater. However, even though the people you are exposing are all PUBLIC FIGURES and commenting on people who run for election cannot claim defamation protection, in the Cook County environment you can expect and will be subject to harassment by those who have breached their public trust and those who act in conspiracy with them.
It is the total lack of a moral compass that the Political and Judicial elite display that prompts me to forward you e-mail to law enforcement and DEMAND that Illinois officials do their sworn duty and provide you with EQUAL PROTECTION OF THE LAW and in particular protect your FIRST AMENDMENT RIGHTS.
Illinois is on the verge of Bankruptcy and losing population because of the rampant corruption that this State enjoys. The WAR ON THE ELDERLY AND THE DISABLED rages with the aid and comfort of the POLITICAL AND JUDICIAL CLASS and elected officials and the Illinois Department of Revenue FUND THE PERFIDY by ignoring the INCOME TAX LIABILITY that the co-conspirators jointly and severally are liable.
The Medicare Fraud that was exposed in the Philip Esformes indictments in South Florida are rampant here in Illinois - however, there are no Illinois indictments! Indeed, the ELDER CLEANSING scandals abound and billions of dollars are stolen from guardianship estates and there are not taxes paid by either the miscreants or their co-conspirators. In the Mary Sykes case over 3 million dollars was removed by the villains and NOT ONE DIME of taxes was paid or assessed! The miscreants and their co-conspirators laughed and still laugh all the way to the Bank - HOWEVER, the ILLINOIS TAXPAYER has to pay more Income taxes, taxes on his Pepsi, taxes on gasoline, taxes on his purchases of sundries and food, taxes on *******. (Indeed, the two guardians ad litem in the Mary Sykes case, the guardian in said case, Mr. Larkin and all the other co-conspirators walked away allegedly with about 3 million dollars - see Gloria Sykes affidavit) tax free. The Medicare funds paid unnecessarily also were TAX FREE. Even the gold stolen from the mouth of Alice Gore is tax free!)
My demand for an HONEST INVESTIGATION published in PROBATE SHARKS cost law license suspensions for both JoAnne Denison and yours truly -- Yes the action taken by the authorities was wrong - BUT the RULE OF LAW has been abrogated unilaterally by the corrupt POLITICAL AND JUDICIAL elite. Such is the bottom line.
Democracy is not a spectator sport - here in Illinois it is a high wire action without a net! I copied Federal and State authorities and by this memo beg for them to MAKE AMERICA GREAT AGAIN by just enforcing the RULE OF LAW without discrimination and with an eye to making us (the great unwashed) equal in the eyes of the LAW to the REINING MEMBER OF THE POLITICAL AND JUDICIAL ESTABLISHMENT!
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Wednesday, August 9, 2017
Quality Care warns of receivership for big U.S. nursing home chain (HCP)
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