If Your Doctor Drives The Following Cars, He Is Probably A Criminal

If your doctor drives any, and certainly all of the cars listed below, there is a virtually 100% certainty said doctor is a criminal...

... just like the above noted "Doctor" Xiulu Ruan, M.D., who is a doctor only by title: his real descrption is "legal" drug dealer, one who provides pain medication to drug addicted junkies for a (high) fee, and who is a favorite brand ambassador of such "legal' drug makers as Insys Therapeutics, maker of the Subsys 400 microgram Fentanyl anti-pain spray.

"Dr." Ruan, together with his business partner John Patrick Couch, M.D, were arrested earlier today on drug and fraud charges (full indictment pdf here) as part of an FBI and DEA raid of Physicians' Pain Specialists of Alabama Pain Center on Springhill Avenue and Airport Boulevard in Mobile. The practice, together with the adjacent pharmacy, C&R Pharmacy, was all part of a wildly profitably pain drug distribution ring.

The cars listed above, and which have now been confiscated by the state of Alabama, are what Ruan purchased with the spoils of fraudulently selling pain drugs to starved junkies, all under legal pretenses (the Pain Specialists website notes that on 4/18/2013, "Xiulu Ruan, MD, a fellowship trained physician, has broken his own world record of having 7 medical board/subspecialty board certifications."), and then padding his reimbursement demands from benefits programs.

Turns out Ruan's 7 'record' certifications were not enough and now he is assured of spending lenghty time in prison.

Why?

According to the charging document, Ruan and Couch, "conspired with each other and with others... to knowingly, willfully, and unlawfully distribute and dispense, and cause to be distributed and dispensed, Schedule II controlled substances including but not limited to: Oxycodone, Oxymorphone, Hydromorphone, Morphine, Fenantul, and Methadone, outside the usual course of professional practice and not for a legitimate medial purpose."

But for a perfectly legitimate business purpose: to make "tons of money", by first getting patients hooked to pain medications, and then stuffing them full of near lethal doses of said drugs, all of which the "doctors" would then get reimbursement for, while making both themselves and the manufacturing company millions of dollars:

According to the Grand Jury charge, "the objective of the conspiracy was to unlawfully increase the amount of reimbursement received from healthcare benefits programs."

But that's just the tip of the iceberg.

The real crime in question lies not so much with "doctors" Ruan and Couch who were merely low-level drug distributors, but with drug manufacturing and wholesale companies, particularly such as the abovementioned Insys makes of Subsys, which is the topic of a recent investigative piece by the Boyd Roddy of the Southern Investigative Reporting Foundation titled "Insys Therapeutics and The New “Killing It."

This is what Roddy had to say about INSY, a $2 billion market cap company, whose story provides a good glimpse into just how biotech companies have shortcutted their way to blockbuster stardom in the last few years:

Insys Therapeutics is doing pretty darn well. The company has had a remarkable level of financial success and its soaring stock price has made it a darling on Wall Street.

But that level of growth ought to warrant a raised eyebrow; going to over $222 million sales from about $15.5 million in just two years without inventing something like a better search engine is no mean feat. Fentanyl, after all, has been around for many years and while Subsys is the only spray version available, several of Insys’s competitors are well-established and better capitalized, with sales forces that reach all 50 states.

While details on the particulars of the breakthrough pain medication market are hard to find, or at least details that aren't self-serving management estimates, veteran sales staff from Insys and other pharmaceutical companies put its growth prospects at roughly 10% a year. If that's true, and the company is selling to oncologists then growth possibilities for Insys should be a function of that plus whatever they can take away from its larger competitors. Many companies would be happy for those odds.

But Insys grew north of 100%, implying that whatever organic growth they are getting is being aided by a whole lot of doctors who have grown profoundly fond of an expensive drug that brings an acre of governmental red-tape with it and that one of the largest pharmacy benefit managers will no longer touch.

The question then becomes "How?" and "Why?"

A SIRF investigation into Insys reveals that this growth has come at a remarkable price: Food and Drug Administration data shows that Subsys is proving lethal to a growing number of patients, many of whom, like Carolyn Markland, are taking it for so-called off-label indications, such as headaches and back pain.

For more answers of what really takes place every day in the corrupt underbelly of America's healthcare industry, the linked 4,100-word piece is a must read for anyone with even a passing interest in not only said industry, but for a spoiler alert, one need to only look at this table of the highest reimbursed doctors doctors for the 2013-2014 period under TRICARE, the U.S. military’s primary health insurance plan, one which represents 9.5 million people or 3% of the US population.

So, here's to you, Doctor Charlatan Xiulu Ruan: we hope prescribing millions in overpriced, potentially deadly pain medication to US army vets was worth it, and that the 13 sports cars you purchased on their hurting backs will either keep you warm at night, and keeps Bubba away during those long nights at the Talladega Federal Correctional Institution.

Source: US Indictment against John Patrick Couch and Xiulu Ruan

Comments

[MedicalQuack]

There are some specialists that do well but this is not representative of most doctors in the US.  As a matter of fact, United Healthcare is now paying doctors at rates less than Medicare by using algorithmically complicated contracts.  Most of the doctors that are in the upper area here are those who are working with some big business doing trials, research, etc., not the normal guy or gal you and I go to see when we are sick.  Rich doctors are the minority and more.  Here's a good one to read about the "Secret Scoring of Doctors' and you can see how United Healthcare is firing them right and left as this leaves more money for stock buy backs.

http://ducknetweb.blogspot.com/2014/08/the-secret-scoring-of-americas.html

Why don't we explore this, the new United subsidiary that just incorporated this year, Optum Clinical Holdings who raised 36 million from who, we don't know, it's a secret as Form D was filed with the SEC to keep it a secret.  This is what you have to worry about is this company becoming a contracted single pay entity and HIlliary and the bunch has been letting more and more folks into the fold.  

http://ducknetweb.blogspot.com/2015/05/optum-clinics-holdings-new-subsidiary.html

We have the six degrees of Bob Rubin now running HHS as Burwell was a former Rubin Director when he was US Treasury Secretary and then we have Andy Slavitt, a one time Goldman Sachs banker and United Healthcare big executive that everybody sued to include the AMA while he was President of Ingenix, a United Healthcare subsidiary, running Medicare, the #1 person.  There's much more to worry about there than worry a minority of MDs making some big money as again, those are the exceptions and not the rule.

Don't forget the government tried to give the west coast Tri-Care award to Blue Cross and United Healthcare sued the DOD to get it.  We never heard much more after that but the contract was given to United, with a big uphill battle by Tri-Care members to United.  United has an entire subsidiary to does nothing but government contract work and buys government contractors.  Look at LHI, a United Subsidiary that does all the pre-war physicals and immunizations of most of our soldiers before they are sent off to fight outside the US, so they love war as it means money.  

[22winmag]

He wasn't kicking enough money upstairs to the police chief and the DA.

[xxxkrogoth]

Playa

http://img27.fansshare.com/pic57/w/xiulu-ruan/369/12320_most_medical_boa...