Cases Against Doctors
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Threat Defense: Cyber Deception Approach and Education for Resilience in Hybrid Threats Model
S S symmetry Article Threat Defense: Cyber Deception Approach and Education for Resilience in Hybrid Threats Model William Steingartner 1,* , Darko Galinec 2 and Andrija Kozina 3 1 Faculty of Electrical Engineering and Informatics, Technical University of Košice, Letná 9, 042 00 Košice, Slovakia 2 Department of Informatics and Computing, Zagreb University of Applied Sciences, Vrbik 8, 10000 Zagreb, Croatia; [email protected] 3 Dr. Franjo Tudman¯ Croatian Defence Academy, 256b Ilica Street, 10000 Zagreb, Croatia; [email protected] * Correspondence: [email protected] Abstract: This paper aims to explore the cyber-deception-based approach and to design a novel conceptual model of hybrid threats that includes deception methods. Security programs primarily focus on prevention-based strategies aimed at stopping attackers from getting into the network. These programs attempt to use hardened perimeters and endpoint defenses by recognizing and blocking malicious activities to detect and stop attackers before they can get in. Most organizations implement such a strategy by fortifying their networks with defense-in-depth through layered prevention controls. Detection controls are usually placed to augment prevention at the perimeter, and not as consistently deployed for in-network threat detection. This architecture leaves detection gaps that are difficult to fill with existing security controls not specifically designed for that role. Rather than using prevention alone, a strategy that attackers have consistently succeeded against, defenders Citation: Steingartner, W.; are adopting a more balanced strategy that includes detection and response. Most organizations Galinec, D.; Kozina, A. Threat Defense: Cyber Deception Approach deploy an intrusion detection system (IDS) or next-generation firewall that picks up known attacks and Education for Resilience in or attempts to pattern match for identification. -
Deception, Disinformation, and Strategic Communications: How One Interagency Group Made a Major Difference by Fletcher Schoen and Christopher J
STRATEGIC PERSPECTIVES 11 Deception, Disinformation, and Strategic Communications: How One Interagency Group Made a Major Difference by Fletcher Schoen and Christopher J. Lamb Center for Strategic Research Institute for National Strategic Studies National Defense University Institute for National Strategic Studies National Defense University The Institute for National Strategic Studies (INSS) is National Defense University’s (NDU’s) dedicated research arm. INSS includes the Center for Strategic Research, Center for Complex Operations, Center for the Study of Chinese Military Affairs, Center for Technology and National Security Policy, Center for Transatlantic Security Studies, and Conflict Records Research Center. The military and civilian analysts and staff who comprise INSS and its subcomponents execute their mission by conducting research and analysis, publishing, and participating in conferences, policy support, and outreach. The mission of INSS is to conduct strategic studies for the Secretary of Defense, Chairman of the Joint Chiefs of Staff, and the Unified Combatant Commands in support of the academic programs at NDU and to perform outreach to other U.S. Government agencies and the broader national security community. Cover: Kathleen Bailey presents evidence of forgeries to the press corps. Credit: The Washington Times Deception, Disinformation, and Strategic Communications: How One Interagency Group Made a Major Difference Deception, Disinformation, and Strategic Communications: How One Interagency Group Made a Major Difference By Fletcher Schoen and Christopher J. Lamb Institute for National Strategic Studies Strategic Perspectives, No. 11 Series Editor: Nicholas Rostow National Defense University Press Washington, D.C. June 2012 Opinions, conclusions, and recommendations expressed or implied within are solely those of the contributors and do not necessarily represent the views of the Defense Department or any other agency of the Federal Government. -
Case 1:99-Mc-09999 Document 1446 Filed 12/22/20 Page 1 of 160 Pageid #: 149706
Case 1:99-mc-09999 Document 1446 Filed 12/22/20 Page 1 of 160 PageID #: 149706 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF DELAWARE ) UNITED STATES OF AMERICA, ) ) Plaintiff, ) Jury Trial Demanded ) v. ) Case No. ______________ ) WALMART INC. AND WAL-MART STORES ) EAST, LP, ) ) Defendants. ) ) COMPLAINT Case 1:99-mc-09999 Document 1446 Filed 12/22/20 Page 2 of 160 PageID #: 149707 TABLE OF CONTENTS INTRODUCTION .......................................................................................................................... 5 A. As a pharmacy, Walmart violated the rules for dispensing controlled substances. ......... 8 B. As a distributor, Walmart violated its duty to detect and report suspicious orders of controlled substances. ..................................................................................................... 12 C. Walmart systematically violated the CSA even as it recognized the prescription drug abuse epidemic gripping the nation. ....................................................................... 14 PARTIES ...................................................................................................................................... 16 JURISDICTION AND VENUE ................................................................................................... 17 I. WALMART’S CSA OBLIGATIONS AS A PHARMACY AND A DISTRIBUTOR. ..... 17 A. Controlled substances generally. .................................................................................... 17 B. The CSA creates a closed system -
50 State Review on Opioid Related Policy
50 State Review on Opioid Related Policy azhealth.gov/opioid August 18, 2017 Dear Fellow Arizonan, In the United States, the opioid crisis has been firmly established as a national epidemic. Every day across our country lives are being lost and torn apart as a result of the deleterious effects caused by opioid misuse, abuse, overdose, and death. Calls to action are being declared by individuals, communities, states, and national stakeholders. Collaboration and alignment among stakeholders has resulted in the implementation of numerous policy recommendations, statutory actions, public health interventions, and various other initiatives to address the opioid crisis. Arizona has joined in this effort by establishing itself as a catalyst for change in developing and implementing a comprehensive public health approach to successfully tackle the complexities present within the opioid epidemic landscape. Governor Doug Ducey’s June 5, 2017 Declaration of Emergency and Notification of Enhanced Surveillance Advisory further solidified Arizona’s resolve in enhancing and strengthening Arizona’s opioid response activities so that we can effectively halt and begin to reverse the impact the opioid epidemic is having in our state. Very shortly after the Governor’s Declaration, the Arizona Department of Health Services initiated its Health Emergency Operations Center to establish an agency-wide response to implement Governor Ducey’s requirements. One of the requirements was to “provide a report on findings and recommendations, including additional needs and response activities, and preliminary recommendations that require legislative action to the Governor by September 5, 2017.” The Arizona 50 State Review on Opioid Related Policy is intended to assist partners and decision- makers in determining what additional programmatic and policy actions may be necessary as Arizona moves forward with its opioid initiatives. -
Cues to Deception
Psychological Bulletin Copyright 2003 by the American Psychological Association, Inc. 2003, Vol. 129, No. 1, 74–118 0033-2909/03/$12.00 DOI: 10.1037/0033-2909.129.1.74 Cues to Deception Bella M. DePaulo James J. Lindsay University of Virginia University of Missouri—Columbia Brian E. Malone Laura Muhlenbruck, Kelly Charlton, and University of Virginia Harris Cooper University of Missouri—Columbia Do people behave differently when they are lying compared with when they are telling the truth? The combined results of 1,338 estimates of 158 cues to deception are reported. Results show that in some ways, liars are less forthcoming than truth tellers, and they tell less compelling tales. They also make a more negative impression and are more tense. Their stories include fewer ordinary imperfections and unusual contents. However, many behaviors showed no discernible links, or only weak links, to deceit. Cues to deception were more pronounced when people were motivated to succeed, especially when the motivations were identity relevant rather than monetary or material. Cues to deception were also stronger when lies were about transgressions. Do people behave in discernibly different ways when they are Zuckerman, DePaulo, & Rosenthal, 1986; Zuckerman & Driver, lying compared with when they are telling the truth? Practitioners 1985), but the number of additional estimates was small. Other and laypersons have been interested in this question for centuries reviews have been more comprehensive but not quantitative (see (Trovillo, 1939). The scientific search for behavioral cues to Vrij, 2000, for the most recent of these). In the present review, we deception is also longstanding and has become especially vigorous summarize quantitatively the results of more than 1,300 estimates in the past few decades. -
Pill Mill” Investigation December 2017
White Collar Courier: Delivering News and Providing Guidance in White Collar Matters By Adam Overstreet The new DOJ initiative – aggressively investigating and prosecuting pain management practitioners Part Three: Anatomy of a “Pill Mill” Investigation December 2017 In part one of this series, I detailed how the U.S. Department of Justice has focused its attention on the aggressive investigation and prosecution of “pill mill” cases. See “Part One: DOJ Devotes Resources, Vows to Come After ‘Pill Mills.’” In part two, I discussed what consequences doctors and other medical professionals could face as the result of a “pill mill” investigation. See “Part Two: What’s At Stake for Prescribing Professionals in ‘Pill Mill’ Cases.” In this installment, I give a detailed explanation of how the government investigates these cases. I. DATA ANALYSIS “Pill mill” investigations often start when the investigative agency1 receives a tip – for instance, from a competing doctor, a pharmacist, a patient, or a disgruntled former employee – that a doctor is overprescribing drugs or drugs are being “diverted” from the practice (in other words, patients are “diverting” the drugs from their intended legitimate use for some illicit purpose, such as selling them on the street). Just as many investigations arise from data mining by investigators to uncover allegedly inappropriate prescribing patterns or doctors who are “statistical outliers” in terms of the type and amount of drugs they prescribe. In fact, in recently announcing the creation of the DOJ’s new “Opioid Fraud and Abuse Detection Unit,” U.S. Attorney General Jeff Sessions stated that the unit’s focus would be on opioid-related health care fraud “using data to identify and prosecute individuals that are contributing to th[e] prescription opioid epidemic.”2 The following are examples of data sources that investigators use in investing “pill mill” cases. -
Rptr Bryant Edtr Rosen Americans at Risk
1 RPTR BRYANT EDTR ROSEN AMERICANS AT RISK: MANIPULATION AND DECEPTION IN THE DIGITAL AGE WEDNESDAY, JANUARY 8, 2020 House of Representatives, Subcommittee on Consumer Protection and Commerce, Committee on Energy and Commerce, Washington, D.C. The subcommittee met, pursuant to call, at 10:32 a.m., in Room 2123, Rayburn House Office Building, Hon. Jan Schakowsky [chairwoman of the subcommittee] presiding. Present: Representatives Schakowsky, Castor, Veasey, Kelly, O'Halleran, Lujan, Cardenas, Blunt Rochester, Soto, Matsui, McNerney, Dingell, Pallone (ex officio), Rodgers, Burgess, Latta, Guthrie, Bucshon, Hudson, Carter, and Walden (ex officio). Staff Present: Jeff Carroll, Staff Director; Evan Gilbert, Deputy Press Secretary; Lisa Goldman, Senior Counsel; Waverly Gordon, Deputy Chief Counsel; Tiffany Guarascio, 2 Deputy Staff Director; Alex Hoehn-Saric, Chief Counsel, Communications and Consumer Protection; Zach Kahan, Outreach and Member Service Coordinator; Joe Orlando, Staff Assistant; Alivia Roberts, Press Assistant; Chloe Rodriguez, Policy Analyst; Sydney Terry, Policy Coordinator; Anna Yu Professional Staff Member; Mike Bloomquist, Minority Staff Director; S.K. Bowen, Minority Press Assistant; William Clutterbuck, Minority Staff Assistant; Jordan Davis, Minority Senior Advisor; Tyler Greenberg, Minority Staff Assistant; Peter Kielty, Minority General Counsel; Ryan Long, Minority Deputy Staff Director; Mary Martin, Minority Chief Counsel, Energy & Environment & Climate Change; Brandon Mooney, Minority Deputy Chief Counsel, Energy; Brannon Rains, Minority Legislative Clerk; Zack Roday, Minority Communications Director; and Peter Spencer, Minority Senior Professional Staff Member, Environment & Climate Change. 3 Ms. Schakowsky. Good morning, everyone. The Subcommittee on Consumer Protection and Commerce will now come to order. We will begin with member statements, and I will begin by recognizing myself for 5 minutes. -
Pill Mill Operator Prosecuted Under Maryland's Drug Kingpin Statute
Pill Mill Operator Prosecuted Under Maryland’s Drug Kingpin Statute Receives 20 Years in Jail Nine Other Co-Defendants in Pill Mill Operation Sentenced BALTIMORE, MD (June 12, 2018) – Maryland Attorney General Brian E. Frosh announced today that the Honorable J. Michael Wachs of the Circuit Court for Anne Arundel County sentenced Tormarco Harris, 32, of Baltimore, to 20 years in prison without the possibility of parole. Tuesday’s sentencing concludes a successful collaboration led by the Office of the Attorney General with federal and state law enforcement to combat Maryland’s opioid crisis. Harris was indicted in August 2017 along with nine other individuals for their role in a scheme to operate of two pill mills in Baltimore City and Glen Burnie. Each of Harris’ codefendants— which include a doctor and two nurse practitioners who prescribed opiates without legitimate medical purpose—pleaded guilty. Sentencing for Harris’ codefendants occurred earlier this month with one exception: Dr. Kofi Shaw-Taylor entered into a binding plea agreement with a predetermined 5-year term of incarceration that included restitution to the Maryland Medicaid Program and the forfeiture of certain seized assets. “Harris’ sentencing under the drug kingpin statute keeps him behind bars for a long time,” said Attorney General Frosh. “He dealt deadly prescription drugs using pain management as the façade. He was just as dangerous as a heroin dealer on the street corner. Today’s sentencing sends a strong message that our office and law enforcement partners will seek the harshest penalties to keep more people from dying of opioid abuse.” “Today’s sentencing sends a clear message that health care fraud and diversion of these too often deadly drugs will not be tolerated,” said Special Agent in Charge Maureen R. -
The Pill & the PENDULUM
Jeffrey A Jacobs MD, MPH President, POEMS Associate Medical Director, WorkCare The Pill & The PENDULUM: An Evidence-based Approach to Avoid Opioid Overprescribing for Acute Pain Objectives At the conclusion of the presentation, the learner will be able to: • Name at least 3 factors, which led to the rise of opioid overprescribing in the United States since the 1990s. • Use recent evidence-based studies showing limited efficacy, poor risk/benefit ratio and delayed recovery when considering prescribing opioids for acute musculoskeletal pain • Compare and contrast the Prescription Drug Monitoring Programs found in each of the meeting component states (New York, New Jersey, Pennsylvania and Maryland Factors Which Led to the Rise of Opioid Prescribing 1. Pain Advocacy Groups- undertreatment of pain 2. Physicians- Medical literature; Pill mills 3. Federal & State Regulators 4. Big Pharma 5. Managed Care/Insurance Reimbursement Rates 6. Our Patients The Roots of Pain Advocacy 1970s- St. Christopher's Hospice- London Dame Cicely Saunders (RN) “dying in pain is inhumane- addiction doesn’t matter” 1980- WHO Ladder Stjernsward/Ventafridda “Freedom from pain is a universal human right” 1980s- Palliative Care Foley/Portnoy Sloan Kettering Institute (NYC) “Opiates should not be confined to just cancer patients but also to chronic non-cancer pain.” 1996- Pain as the 5th Vital Sign Dr. James Campbell “If pain were assessed with the same zeal as other vital signs are, it would have a much better chance of being treated properly. We need to train doctors and Quinones, Dreamland. nurses to treat pain as a vital sign”. Portnoy’s Complaint “These drugs [opioids] have certain characteristics, which, when interacting with a certain kind of brain, can lead to bad outcomes; but it’s not inherent in the pill such that everybody given that pill becomes an addict” Sam Quinones. -
United States House of Representatives House Committee on Oversight and Reform Representative Carolyn B. Maloney, Chair
United States House of Representatives House Committee on Oversight and Reform Representative Carolyn B. Maloney, chair 2157 Rayburn House Office Building Washington, D.C. 20515 December 8, 2020 Dear esteemed committee members, thank you for letting me submit a statement in regards to the criminal Sackler family. I lost my only son, Eddie, on President’s Day 2001 due to an OxyContin he took along with friends at a high school party. August 2001, I attended the very first Congressional hearing on OxyContin and I was shocked when it was revealed that Purdue Pharma had NOT shared the overprescribing data they had on the Pill Mill Doctor who was flooding my neighborhood with OXY’s for the previous two years. Had they of been an ETHICALLY run company and warned of this Pill Mill doctor who later received a 30- year sentence, I would not be living every parent’s worst nightmare and writing you now. I also attended many other hearings/meetings/employee whistle blower trials and gave testimony at the 2007 sentencing in Abingdon, VA. None of these previous hearings, not even the 2007- 600 million plus fine and probation, slowed down the Sackler’s bloodlust for profits. In 2007, a prosecution memo calling for jail time was buried by the brass at the DOJ and the judge never saw this game changing memo. Judge Jones was apologetic to the many families in attendance that he was following the submitted (false) recommendation of NO jail time. The Sackler’s succeeded in gaining immunity for any crimes before the 2007 sentencing but they also pledged in writing things would be different going forward. -
Pain Management Clinics Sponsor
HCS HB 1077 -- PAIN MANAGEMENT CLINICS SPONSOR: Swan COMMITTEE ACTION: Voted "Do Pass with Amendments" by the Standing Committee on Health and Mental Health Policy by a vote of 11 to 0. Voted "Do Pass with HCS" by the Select Committee on Social Services by a vote of 10 to 0. The bill defines a “pain management clinic” as a privately owned clinic, facility, or office in which health care providers provide chronic nonmalignant pain treatment through pharmacotherapy to a majority of its patients for 90 days or more in a 12-month period or a privately owned clinic, facility, or office which advertises in any medium for chronic pain management services through pharmacotherapy. Chronic nonmalignant pain treatment through pharmacotherapy must not include, and must not be construed to include, surgical or obstetrical anesthesia services, postoperative pain control, or interventional pain management procedures and techniques. For purposes of determining if a clinic, facility, or office qualifies as a pain management clinic under these provisions, the entire clinic, facility, or office caseload of patients who received health care services from all physicians, advanced practice registered nurses, assistant physicians, and physician assistants who serve in the clinic, facility, or office must be counted. The bill prohibits an owner or employee of a pain management clinic from having previously been denied or had a restricted license to prescribe, dispense, administer, supply, or sell a controlled substance or been subject to disciplinary action by any licensing entity for conduct that was a result of inappropriately prescribing, dispensing, administering, supplying, or selling a controlled substance. -
Impact of Florida's Prescription Drug Monitoring Program and Pill Mill Law
View metadata, citation and similar papers at core.ac.uk brought to you by CORE HHS Public Access provided by CDC Stacks Author manuscript Author ManuscriptAuthor Manuscript Author Pharmacoepidemiol Manuscript Author Drug Manuscript Author Saf. Author manuscript; available in PMC 2019 July 30. Published in final edited form as: Pharmacoepidemiol Drug Saf. 2018 April ; 27(4): 422–429. doi:10.1002/pds.4404. Impact of Florida’s prescription drug monitoring program and pill mill law on high-risk patients: A comparative interrupted time series analysis Hsien-Yen Chang1,2, Irene Murimi2,3, Mark Faul4, Lainie Rutkow1, G. Caleb Alexander2,3,5 1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA 2Center for Drug Safety and Effectiveness, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA 3Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA 4Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA, USA 5Division of General Internal Medicine, Johns Hopkins Medicine, Baltimore, MD, USA Abstract Purpose: We quantified the effects of Florida’s prescription drug monitoring program and pill mill law on high-risk patients. Methods: We used QuintilesIMS LRx Lifelink data to identify patients receiving prescription opioids in Florida (intervention state, N: 1.13 million) and Georgia (control state, N: 0.54 million). The preintervention, intervention, and postintervention periods were July 2010 to June 2011, July 2011 to September 2011, and October 2011 to September 2012. We identified 3 types of high-risk patients: (1) concomitant users: patients with concomitant use of benzodiazepines and opioids; (2) chronic users: long-term, high-dose, opioid users; and (3) opioid shoppers: patients receiving opioids from multiple sources.