I recently recommended this thread to an MS 4 in the clinical forums who is being asked to have a psych evaluation and it reminds me to ask if there's an update to the PHP audit in the state of MA @OrestesWeed ?If by "hard evidence" you mean evidence of the "diagnosis-rigging" and forensic fraud that is occurring in this system there is actually quite a bit and the specific misconduct the state PHPs are engaging in is becoming quite clear. The primarily problem is there is no one to report it to as the state and federal agencies that are responsible for investigating this manner of misconduct do not take the complaints from medical students or physicians seriously and consider it a parochial issue best handled by medical school administrators or medical licensing boards. Allegations of very serious misconduct that in many cases constitute clear-cut crimes are dismissed at the outset with no investigation and no real inquiry.
There is ample evidence that they are engaging in false diagnoses and over diagnoses at the "PHP-approved" facilities they use. These facilities are giving diagnoses of Substance Use Disorder (SUD) and other mental health diagnoses when the person being evaluated does not meet the diagnostic criteria for the SUD or psychiatric disorder and most of these individuals have 2nd 3rd and even 4th opinions from bona fide experts documenting they do not. The diagnostic rigging involved in providing these false diagnoses involves the use of non-validated neuropsychological testing ( the "360 degree assessment, "modified Rorschach, etc.), polygraphs, and a variety of 12-step oriented "character defect" gibberish. The problem is none of the valid diagnoses (no matter how qualified the evaluator or how extensive the testing) ever gets seen by the full medical board as the state PHPs (in many states such as North Carolina and Massachusetts) have placed PHP affiliated attorneys within the boards and these attorneys act as their own "hearing officers" on cases. Evidence on both sides must be presented directly to these attorneys who pick and choose what is then presented to the board to induce wrong and unjust decisions. The misconduct of these attorneys is uniquely egregious and serious as they are able to manufacture entire cases supporting the PHP's narrative and that is precisely what they do. The primary barrier to exposing this is obtaining the evidence to prove it as its disclosure is intentionally blocked, deflected and refused.
These board attorneys not only omit exculpatory evidence (as has been seen primarily in prosecutorial misconduct cases in the criminal justice system) but they make affirmative representations to boards. Massachusetts State Auditor Suzanne Bump officially began an investigation of the Massachusetts medical board's Physician Health and Compliance (PHC) Unit 4-weeks ago. It is necessary that this be done transparently and the allegations must be taken seriously. The PHPs are also engaging in forensic fraud in collusion with the out-of-pocket for profit labs they contract with using non-FDA approved "laboratory developed tests" that were, in fact, introduced and promoted by state physician health program physicians (and former clients who reintroduced themselves as "addiction medicine" physicians after having their licenses revoked).
These tests are not FDA-approved and have no regulation or oversight. There validity is unknown and the absence of any accountability to outside agencies make them susceptible to abuse. PHPs are not clinical treatment providers and the drug and alcohol testing they perform is forensic and subject to strict chain-of-custody procedures. "Hard-evidence" of the forensic fraud they are engaging in is evinced in the attached documents. A simple fact-check of the time-line and the documents show clear collusion between the PHP, the lab and the MA medical board attorney. http://bit.ly/2Q0E6wg
I have been told by multiple experts in both toxicology and law enforcement that the documents here provide the clearest and most complete example of forensic fraud they have ever seen. The problem is getting the truth and facts seen and acknowledged has been blocked as the PHC Board attorneys concealed all of it for over 6-years. Updated Public Records Law in Massachusetts (effective January 1, 2017) has revealed that all of the documents making the fraud plainly clear are either absent from the board's records or date-stamped long after the proceedings for which they were submitted to be heard. All of this evidence was necessarily submitted directly to these medical board attorneys who by board policy act as their very own hearing officers. They receive all evidence from both sides of the aisle and pick and choose what they present to the board.
As higher courts (administrative, superior, supreme) only look at issues of law (i.e was procedure followed) judicial review is unable to detect intentional fraud which, as seen here, is typically a matter of fact. In this matter the board attorneys omitted all of this evidence from the certified administrative record and bald face lied to the highest court in Massachusetts. A spotlight needs to be put on them to expose board attorney misconduct in the same manner that the Duke Lacrosse case brought prosecutorial misconduct into the public eye. The problem is pervasive and these attorneys appear to be following a script dictated by the PHPs as the patterns of misconduct are specific and clear.
The fraud they are engaging in is specific, serious and egregious and that which is seen here has all been turned over to the state auditor. It is necessary that this audit be conducted transparently and that the allegations be taken seriously. What is seen here is representative of the systemic abuse of administrative process that is occurring across the country. I hear from an average of 4 individuals per week who are victims of this system and they currently have no one to turn to and that needs to change. The forensic fraud just as seen here is being done here over 6-years ago continues to be done blatantly and with no fear of repercussions. A "litigation packet" from a medical student sent to me just 2-months ago showed that the donor ID # of his specimen was changed and the chain-of-custody was fabricated plain as day but there is no one to report it to who will take it seriously. The individuals perpetrating these acts need to be specifically called out and exposed. That will happen eventually but we need to make sure it occurs sooner rather than later. A reckoning needs to occur with dispatch as there are too many innocent lives and livelihoods being destroyed by a small number of sick and sociopathic individuals. The entire system needs to be destroyed and built anew.