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EXIN companions, a group consisting with the aid of John Calamos and John Koudounis of Calamos Investments, coverage professional Matthew Fairfield, and Pavlos Kanellopoulos in conjunction with Nicholaos Adamantiades of AIG believe gained the bid to acquire “Ethniki Asfalistiki,” Greece’s greatest insurer.
The Greek American’s of EXIN in conjunction with assurance professional Matthew Fairfield outbid China’s Fosun, Gongbao and Wintime. The acquisition of Ethniki via EXIN is the primary principal investment in Greece with the aid of a gaggle consisting of Greek-americans.
“We comprehend the assurance market and they recognize Greece. we're long-term investors and they are able to approach to Greece to dwell,” Calamos CEO John Koudounis had mentioned previous.
Kanellopoulos – Adamantiades are the companions of EXIN in Athens, an established partnership which has ended in the purchase of AIG neighborhood with EXIN companions, whereas Matt Fairfield, the only non-Greek associate, has 26 years of event within the insurance market.
Ethniki Asfalistiki was based in 1891 and became a cornerstone of the Greek economy, and society in regular. It offers lifestyles and non-existence assurance items. The enterprise had a sixteen.6 % share of the market closing year and 2015 web income of ninety eight million euros. NBG is offered it so as to focus on core banking. Morgan Stanley and Goldman Sachs had been the NBG advisors for the concession.
Tax managers on Saturday advised President Benigno Aquino III to rethink his opposition to reduced profits tax fees among wage earners, and said that his fears that lower taxes would cause a budgetary deficit and negative credit rankings from international corporations had been “unfounded.”
In a press release, the Tax management association of the Philippines (TMAP) referred to that “(l)ower income taxes raise disposable salary with the aid of transferring funds from executive arms back to the consumption budget of Filipino households, who will doubtless disburse extra on goods and features. This further spending, in turn, fuels the economy and attracts greater taxes.”
Quoting economists, the TMAP spoke of the “the precise challenge (become) the executive’s perennial underspending.”
“The lower deficit isn't due to accelerated collection efficiency, but is because of underspending which is unwell-timed for a rustic desperately attempting to generate jobs, construct world-class infrastructure and enrich the everyday lives of its americans, majority of (whom are) mired in poverty,” the neighborhood of corporate tax practitioners and tax consultants observed.
TMAP referred to that the department of Finance (DOF) itself earlier observed that “for every peso of further salary, at the least 60 centavos (or 60 %) should live spent by artery of consumption for goods and functions.”
“So if the government will underspend anyway, why not engage the casual to travel away the spending to Filipino families?” TMAP president Terence Conrad H. Bello stated.
final week, the Joint overseas Chambers of the Philippines as well as the groundwork for economic liberty stated they sheperd pending measures within the legislative department geared toward slashing personal particular person tax rates.
Tax reform kit
The neighborhood of tax managers pointed out the DOF may soundless now not view salary tax reform “as mere tax cuts with a purpose to handiest undermine the tax engage of the executive.”
It renowned that the DOF’s projection of P30 billion in foregone revenues from decreased tax charges is similar to a mere 1 percent of the proposed 2016 national funds of P3.002 trillion.
“The influence of the putative revenue loss of P30 billion from decrease earnings taxes is terribly minimal from a budgetary standpoint, however will enormously impress and uplift the lives of millions of salaried laborers and their households,” the TMAP stated.
apart from the pending bills in Congress and the Senate looking to reduce the earnings tax prices, the DOF has been pushing for a complete tax reform kit that would significantly ease the burden of earnings tax payers whereas slapping modern or better taxes on consumption.
among the many proposals within the DOF tax reform kit is increasing the tax-exempt cap on incomes of people and tiny agencies, whereas decreasing to about 25 % the company earnings tax ceiling from the latest 30 percent.
To ensnare up on the estimated want of P150 billion in profits if revenue earners of as much as P1 million were exempt from paying taxes, the price-added tax (VAT) expense may live elevated to 14 or 15 p.c from the current 12 %, the DOF pointed out. VAT coverage may even live multiplied or the excise tax on oil products jacked up, the company delivered.
Ease bank secrecy legal guidelines
also a share of the DOF kit are introducing bills to ease restrictions in the pecuniary institution secrecy legislation for tax applications and making tax evasion a predicate crime.
according to DOF estimates, most effectual four hundred,000 of the 1.eight million self-employed in the nation pay the suitable taxes.
In a missive to Senate President Franklin Drilon remaining November, a replica of which was received with the aid of the Inquirer, Finance Secretary Cesar V. Purisima advised Congress to disagree with its proposed finished tax reform package for legislation on the soonest viable time this year.
Subscribe to INQUIRER PLUS to net access to The Philippine daily Inquirer & other 70+ titles, share up to 5 devices, engage heed to the news, down load as early as 4am & share articles on sociable media. convoke 896 6000.For feedback, complaints, or inquiries, contact us.
LISBON, Portugal — Jan. 31, 2006 — these days as share of its endured commitment to assisting promote digital literacy and assisting classes that give IT expertise working towards and the merits of expertise, Microsoft Corp. introduced modern choices for underserved communities in Europe as share of it twenty first Century abilities for Employability initiative. The announcements had been made prerogative through the keynote tackle with the aid of Jean-Philippe Courtois, president of Microsoft overseas, on the Microsoft government Leaders forum (GLF) Europe 2006 in Lisbon, Portugal. The GLF is a two-day savor that brings collectively more than 300 excessive-stage executive officers and company leaders from across Europe with the intent of using discussion concerning the alternatives and challenges that leaders kisser in the modern international economy.
“essentially the most critical share of the european Union’s growth and jobs strategy is underway, and the spotlight is firmly on providing effects. Partnerships between the Member States and the inner most sector can additionally deserve a massive contribution to Europe’s competitiveness as a belt and for its citizens,” renowned Vladimir Spidla, european Commissioner for Employment, sociable Affairs and Equal alternatives. “I welcome the creation of the european Alliance on handicap for Employability. The alliance is a leading case of how creative business-to-enterprise collaborations, working with several stakeholders, can deliver alternatives to the eu unemployed. entry to potential training, content provision and certification can assist older worker's, americans with disabilities and the immature to kisser the challenges of unemployment and the changing office, and so deserve contributions to Europe’s prosperity. I commend this initiative as it represents one of the crucial most usurp practices in this box.”
suggestions and communique technology (ICT) handicap working towards is a key vehicle for employability and job introduction in a aggressive and inclusive Europe. it is on the heart of the dreams of the ecu fee (EC) record “Working together for growth and Jobs” and of the pursuits recently discussed at the World apex on the suggestions Society (WSIS) in Tunisia. In assist of those desires, Microsoft, together with different contributors of the european e-capabilities Certification Consortium (eSCC) together with Cisco systems Inc., the european computer driving Licence basis Ltd. (ECDL-F) and the Examination Institute for counsel Science (EXIN), and with the assist of condition highway Corp. and Randstad keeping nv, introduced the formation of the eu Alliance on talents for Employability. The alliance is being created to assist superior coordinate trade and neighborhood efforts to enrich the employability prospects of younger unemployed individuals, people with disabilities and older employees. The alliance will drudgery to provide expertise entry and ICT training to twenty million individuals within the next five years.
“elevating employment is the most effectual option to generate growth and promote sociable inclusion. The challenges posed by using an getting stale population deserve the modernization of sociable insurance policy systems and the promotion of a life-cycle artery to drudgery any the extra essential,” observed Günter Verheugen, vice chairman of the european commission in cost of enterprise and industry. “To raise access to employment for individuals of any ages and to elevate productivity, the european needs bigger and greater-constructive funding in human capital and lifelong studying. enormously expert individuals are the strongest currency of the 21st century. Partnership between groups and stakeholders for the average purpose of elevating employability lore is key to success. I welcome the advent of the eu Alliance on lore for Employability as a vehicle to power employability, competitiveness and growth for the individuals of Europe.”
In back of its twenty first Century capabilities for Employability initiative, Microsoft these days launched a modern digital literacy curriculum to live able to complement the current Microsoft® unlimited expertise curriculum used in neighborhood centers across Europe. The digital literacy curriculum may live made available free to governments, academia and different nongovernmental agencies, and should live obtainable on-line. The curriculum comprises e-researching and on-line personal assessments of 5 modules, and offers a foundation-level training application with the intent to stimulate hobby in greater-degree knowledgeable qualifications.
furthermore, Microsoft announced that it will boost the variety of Microsoft IT Academies from 1,900 to greater than eight,000 with the aid of 2010, with the purpose of providing local access to technology expertise training for greater than 6 million adults. more than 2 million citizens may live able to exercise the IT Academies to snug certifications which are identified by using employers any through Europe.
“the eu Alliance on capabilities for Employability could live essential in enabling European citizens to profit entry to training to develop twenty first-century skills. we're haughty to live working with such a leading group of trade companions to achieve this aim,” Courtois referred to before his keynote tackle these days. “The enlargement of the IT Academies software and nowadays’s launch of the digital literacy curriculum exhibit Microsoft’s dedication to assisting individuals acquire foundational ICT abilities that allows you to enable them to without problems participate in the 21st-century lore pecuniary system.”
The alliance members are committed to investing more than €60 million ($seventy three.5 million U.S.) over the subsequent 5 years to achieve these ambitious goals, and to present concrete assist for the targets of the EC’s “Working together for boom and Jobs” action plan. With each and every accomplice contributing its core expertise, programs and components towards a common intention, the alliance has the skills to proffer modern opportunities to hundreds of thousands of individuals any the artery through Europe.
About Microsoft Digital Inclusion
via a number of resourceful technologies and partnerships, Microsoft is working to deliver the advantages of know-how and technology expertise to 250 million individuals via 2010, with the most desirable aim of using know-how to assist enrich schooling and discovering, create opportunity, and elevate dwelling requirements for individuals worldwide. Microsoft’s flagship digital inclusion initiatives are partners in gaining lore of and limitless capabilities.
headquartered in 1975, Microsoft (Nasdaq “MSFT”) is the global leader in application, functions and solutions that back americans and corporations recognise their replete competencies.
Microsoft is a registered trademark of Microsoft Corp. in the u.s. and/or different nations.
The names of specific corporations and products outlined herein could live the logos of their respective owners.
word to editors: in case you are interested in viewing additional information on Microsoft, tickle consult with the Microsoft internet page at http://www.microsoft.com/presspass on Microsoft’s corporate tips pages. web links, mobilephone numbers and titles believe been usurp at time of e-book, however may also due to the fact that believe modified. For further counsel, journalists and analysts may additionally contact Microsoft’s swift Response team or other acceptable contacts listed at http://www.microsoft.com/presspass/contactpr.mspx.
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a translated version of an article Rob and I wrote for the Dutch .NET Magazine.
Visual Studio Test Edition will live significantly extended in the upcoming version . Next to back for developers and testers this version will also back user / acceptance testers. With these features the upcoming version of Visual Studio will cover the testing spectrum completely.Introduction
Everyone knows that testing is an valuable share in the development of software and it is quite unusual for the testing department to live completely separated from the departments that develop software. This separation of worlds is not only physical, but also present in the belt of tooling. Cooperation is arduous to find even though cooperation of developers and testers using a structured approach offers many advantages. It increases the efficiency of the entire application life cycle and improves the character of the resulting product, which combined results in reduction of cost.In this article you will live able to survey how Visual 2010 improves upon the cooperation between the software development team and testers quite a bit.An case from reality
Cooperation does not befall automatically. Developers and testers believe a natural trend to not (want to) understand one another. From that perspective it is arduous to realize that you necessity each other to deliver software of respectable quality.
... tend to not understand each other
The consequence of this virtual (and sometimes real) wall is disastrous for quality. Many bugs are caused especially by suppositions and interpretations of, generally, unclear specifications. Meetings about these bugs cost a lot of time, especially if they cannot live reproduced.
After a development cycle of 5 man-years a test is done by a testing team. The testing team vigorously starts running test cases that they prepared during the implementation phase. After 3 months their judgment is: Negative recommendation on release. Because of (8) deadly and (22) sizable errors they recommend not trot the system to production.
Understandably, this was quite a disappointment for the project team as well as the stakeholders. So a stint coerce is formed to hold the laggard and thus damage that has occurred. After heedful analysis it turned out not to live as harmful as it looked: After filtering testing errors (20%), nice-to-haves (20%), and changes (which the testers had not been made awake of; 30%) repair costs were estimated at 200 hours (the remaining 30%).
All in any the implementation team believe done a respectable job. Still, better communication from both sides, before and during the testing phase, would probably believe resulted in a positive judgment and thus CELEBRATION. Quite a bit different from a cold shower!Cooperation in the Application Lifecycle
The typical case in the above paragraph clearly shows that cooperation between test departments and development departments is often far from obvious. If no pains is retain into creating a cooperative relationship between developers and testers the proverbial ”wall” will emerge any by itself. In general, this wall causes confusion, irritation, and forced limits of tasks and thus loss of quality. The so-called ‘ping pong’ upshot with (non-reproducible) errors is the most pellucid and most often occurring case of this.
Software development and any roles involved are putative to strive for one common goal: providing added value to the customer. It does not matter what kindhearted of application needs to live implemented. any tasks and roles necessity to compass for this one sole goal. The synergy between roles, processes, and tools is also commonly known as Application Lifecycle Management [ALM]. Notions like accountability, governance, and compliance are regularly used when talking about ALM. But any these notions mention to the simple notion of cooperation.
Application Lifecycle Management.
There would live a better mutual understanding if developers and testers would believe more insight in each other’s drudgery and challenges. Annoyances evanesce and people drudgery together on a common cause. Visual Studio Team System 2010 will better back this cooperation. By giving the tester aids for performing his/her tasks and making him/her a first-class-citizen within the Team Foundation Server, he/she has and gives more insight in tasks to live done, progress on these tasks and what steps soundless necessity to live performed.
Aside from this insight, which often means quite a change of culture, the tester has better insight in and access to the ALM-Artifacts from other roles. For example, use-case and activity diagrams from business and information analysts and other diagrams from designers and architects are easily accessible through Visual Studio Team Architect Edition. Cooperation not only occurs by giving insight in drudgery activities, but also by working on common products.
To net a pellucid picture of how Visual Studio Team System 2010 will back testers and ensures a better cooperation, first must live looked at goals and tasks which testers try to achieve and perform.Test goals
In the age of the monoliths it was workable to laggard testing until the acceptance test. Because the monolith had any of its functionality in a compact manner in one sizable component, it was smooth to ascertain errors quickly and they could live repaired even quicker. That era has passed. If you depend too much on the discontinuance test, in current architectures, it is quite workable that you will not achieve the desired on-time, on-budget delivery.
High character requirements and short time-to-market for information systems demands a 180 degree rotate in regards to how one thinks about tests. Instead of delaying the mindset has to live “Finding Bugs as early as possible”.
Each angle of the development process has its own test goals and depth of test coverage. The depth particularly depends upon the risks: higher probability of damage requires better test coverage.These test goals are especially aimed at discovering errors that can live institute in that angle (“as early as possible”).
Test goals and (depth of) test coverage per angle are made compatible with each other using a Master Test project (see TMap® www.tmap.net).
Types of tests in the Application lifecycle.
Every test must live able to rely on previous tests, only then will the complexity of errors live contained to errors that were introduced during the eventual step. Setting up a learning cycle makes it workable to amend shortcomings, if any, in the testing process chain (see further in this article). Also, the exercise of tooling plays a crucial part. Running test cases by hand, as done in the nowadays widely used Agile process, is not attainable. So automated back is a must.
However, savor shows that temerarious exercise of tools results in more chaos rather than gains. prerogative from the start tests necessity to live set up in a structured manner to hold maintenance efforts within workable limits.
Each angle of the development process and its corresponding test goal introduces a specific role with specific abilities and tasks. These roles are supported by specific components of VSTS 2010. In short, the following kinds of testers exist:
Enough about testing and cooperating. What does it search for like and where exactly is cooperation supported. In the following paragraphs the abilities of Visual Studio Team System 2010 are explained more precisely using the test goals and test tasks as mentioned above.Democratizing Application lifecycle management.
With their vision “Democratizing Application lifecycle management” Microsoft has further extended the back of Visual Studio Team System 2010 for ALM. As can live read in this publication of .NET Magazine, additional supporting aids are available to better cooperation and various roles are better supported.
Several techniques and components in the testing belt believe been added to Visual Studio. The most remarkable added feature is the standalone [acceptance]test appliance Camano. Camano is a test management environment where test cases can live introduced, which are drudgery items of a modern drudgery item sort ‘test case’ in Team Foundation Server. Test cases can live performed using TestRunner, which has the aptitude to record actions done by the tester and route these along with a findings report. The TestRunner does not only capture the screen of the tester, but also gathers information about the system that is being tested on and creates a file that can live used within Visual Studio to step through the tester’s actions in debug mode. This file is actually a complete stack trail that mimics a real-time debug experience. Microsoft calls this “Historical debugging”.
Test project overview in Camano from which Test cases can live executed.
Apart from supporting the execution of acceptance tests Visual Studio Test Edition also has the option to automate it. Using CodedUI technology, which generates C# code from actions that believe been executed in the window, UI tests can live included in the daily or continuous build process.
A lot of modern things, but how Do you exercise them? In the following paragraphs some examples are shown.Test repercussion View for the development tester.
As mentioned in the previous paragraph, the development tester has been provided with ample tools to achieve his/her tasks in the current as well as previous version of Visual Studio. For instance, the test framework and the test coverage reports are there to prove quality.
Microsoft has soundless institute modern ways to back the drudgery of development testers and those who Do Test Driven Development. The Test repercussion Analysis is the most eye-catching.
Impact Analysis screen
The Test repercussion View provides developers [test developers] an overview of any unit tests that believe been affected after a code change, and thus necessity to live rerun. Aside from the tests that necessity to live run, the Test repercussion View also provides an overview of code that has been modified. This overview also enables efficient testing of code changes.Camano, TestRunner and CodedUI for system and acceptance testers
Acceptance tests verify the system regarding compatibility with the environment and functionality, as mentioned in previous paragraphs. Those that play the role of acceptance tester can Do this totally ‘disconnected’ from the development team. any that is required is a list of tests that needs to live run. If the application does not comply with what is described in the test, this is sent to the developer to fix.
There are three challenges in this simple scenario:
First: test cases are based upon business requirements. Nine out of ten times these requirements believe been established by the business at the start of the project and during development of the application these believe been updated due to modern insights. This causes a problem for the tester. How does he know that the test case he is executing is up-to-date and can live traced back to a user requirement.
In Visual Studio 2010 this challenge can live met by linking test cases to User Stories [in the Agile Template] or Requirements [in the CMM process template]. This artery reports can live generated about these User Stories. Camano, an aid to the acceptance tester separate from Visual Studio, can recount if User Stories Do not believe a test case yet and vice versa. It can also exhibit test cases that are not linked to User Stories, which can suggest that this test is not needed.
Test repercussion Camano, User Stories without tests.
Linking a test case to a User Story
Just like the test ‘Impact Analyze’ in Visual Studio, Camano has an repercussion view that shows which tests necessity to live rerun not only because of code modifications, but also because of modifications in User Stories. This helps the tester understand the drudgery of the business analysis [and developer] better, by indicating something has changed, what has changed, and that he needs to modify something, i.e. rerun a test.
The second problem is the issues. The tester notices something that is not amend in the application and sends this issue in an email or some other more advanced bug reporting system with lofty priority to the development department. Email back to the tester with modification status: ‘bug solved’ or ‘not reproducible’. The tester verifies, notices that the bug is soundless there and sends back an email, reasonably irritated. The start of the so-called ‘bug ping pong’ (?! Is there an acceptable idiom in English for this?).
Since the first release of Team Foundation Server in 2005 this ‘bug’ has been recognized as a drudgery item. This made it easier and clearer for developers and testers to register bugs, to manage, and to deserve reports. However, there is no true integration with acceptance testers. They can interject issues by using the WebAccess appliance of TFS, but one does not really decipher the previous challenges with that.
In Visual Studio and the standalone testing appliance Camano this integration with acceptance testers comes true. With Camano’s TestRunner it is workable to save a lot of necessary information within the issue registration system that can live useful to the developer to reproduce the issue and decipher it.
Microsoft TestRunner makes a snapshot of the environment, operating system version, service pack and any other workable system information. Aside from this system data, the testers can deserve screenshots during testing and embed these in the bug report. Not only screen prints can live embedded, but also a video of the actions that the tester has taken can live retain into the findings report, which is indexed by test steps in the test case. any this additional information helps the developer to find a solution quicker and easier and makes positive that the wall, the irritation, between developers and testers becomes smaller or disappears entirely.
Issues drudgery item with testing steps in the details-tab.
The third challenge is the workload of the tester. For example, when a bug is solved he needs to rerun his test case. This in itself is not a sizable challenge, because he has recorded everything in transcend or some other tool. But what if the bug, for example, is a share of something that is used in hundreds of pages or screens? Then any these pages necessity to live tested again, which is not very effectual for the tester indeed.
Camano makes it workable to record Test Cases and to rush these later on in TestRunner, so that the tester does not to travel through any the steps manually again. A sizable improvement to reduce repetitive activities. Another addition to Visual Studio that makes life easier for the acceptance and system testers is the CodedUi, with which it has been made workable to deserve scripts for the user interface that is arduous to test automatically.
Various options to add UI tests to test projects. The ‘automation strip’ option can reuse Camano’s strips.
The code that is necessary to deserve these tests workable can live extracted from tests that believe been executed in Camano. Only tiny adjustments necessity to live done to let them indeed rush automatically [for case using variable data]. Using this load tests, regression tests, and user tests can live automated, through which the case where hundreds of test pages necessity to live retested can live prevented.Structured testing
Test tools Do not structure the test process, they only deserve the drudgery of the tester easier. On the contrary, automation of unstructured testing increases CHAOS. In Camano it is soundless workable to create many test cases that Do not deserve any sense. What does a structured test approach search for like? One can account of many ways to Do this.
Generally it can live said that a structured test approach is characterized by:
An organization needs to pick with which smooth of ambition this structured test process is implemented in projects.
In Visual Studio Team System 2010 it is workable to record a process template for structured testing in TFS. Sogeti is currently working on two versions of the “TMap® process template”:
TMAP process template for structured testing in VSTS 2010
Still, only (structured) testing is not sufficient. If a developer does not know what character needs to live delivered, he does not know when he is done, that is a tester does not know if an mistake should or should not believe been institute by the developer himself.
So it is valuable to disagree on what smooth of character needs to live delivered. In TMap® Next (the structured test approach of Sogeti) the notion basic character has been introduced. This basic character describes not only the needed test coverage, but also provides aids for the artery in which tests necessity to live done, and also describes the necessary proof process and conformance.
Using this ”definition of finished” it is workable to setup a learning cycle: not only amend errors, but also learn how to prevent them!
Structured testing, making the entire test process more efficient, so testers can Do their drudgery based on risk, (basic) quality, and learning cycle is something that can live realized using Visual Studio Team System 2010. Agreements about procedures, basic quality, and other things necessity to find their ways into the process templates of Team Foundation Server.Conclusion
In Visual Studio Team System 2010 any test roles are provided with pellucid and better back within the Application Lifecycle. Testers Do not exercise their own separate technical tools anymore, but exercise integrated tools that are used by architects and developers. Effectively tearing down the wall between developers and testers.
But respectable tools are not enough. Also, a pellucid separation of roles, tasks, and authorizations are necessary. Finally and most importantly, a structured approach determines how successful you are with your test strategy.Useful links
A controversial project to screen any Illinois school children for mental health disorders is set to become a reality on June 30th, if the Governor accepts the final proposal from the Illinois Children's Mental Health Partnership (ICMHP).
Illinois became the first condition to hop on the bandwagon for President Bush's modern liberty Commission's (NFC) project to matter any American school children to mental health screening. In 2003, Illinois Lawmakers passed the $10 million Illinois Children's Mental Health Act (ICMHP), creating a Children's Mental Health Partnership, which many expect to become a model for other states.
The Final Report by the Illinois Children’s Mental Health stint coerce was released in April 2003 and it is filled with intrusive and expensive recommendations. The ICMHP held hearings in various locations across the condition in 2004 to assemble public feedback on the plan.
While its proposals look harmless enough at first glance, comments from parents during the hearings raised many telling concerns. The State, critics said, no longer assumes that Illinois children are mentally healthy, it presumes any children necessity mental health screening.
The stint coerce Report calls for a comprehensive, coordinated children’s mental health system comprised of prevention, early intervention, and treatment for children ages 0-18 years and for a statewide data-reporting system to track information on each person, and social-emotional development screens with any mandated school exams (K, 4th, and 9th),
The stint coerce wants to: Start early, dawn prenatally and at birth, and continue throughout adolescence, including efforts to back adolescents in making the transition to immature adulthood.
Karen Hayes, associate director of Concerned Women for America-Illinois published an belief Piece in the Illinois Leader on July 23, 2004 and had a Great idea. She said maybe the legislators should live mentally evaluated.
Concerned parent, Joseph Volpendesta, feels the very way. "Mental Health screening might live much more usefully employed on these people who approach up with these brainstorms; it is obvious that they believe far too much time on their hands and too petite respect for those of us who are paying the bills. What is needed, and at the earliest opportunity, is a bill to rescind this piece of legislative claptrap. ... There is no doubt in my mind where the mental health screening is most needed and it ain't the kids," he said in a missive to the editor of the Illinois Leader June 13, 2005.
TeenScreen Customer Recruitment Scheme
At the seat of the controversy is program called TeenScreen designed by pharma backed officials at Columbia University. TeenScreen is supposedly a suicide-prevention program and is recommended by the NFC, even though a recent US Preventive Services stint coerce study institute "no evidence that screening for suicide risk reduces suicide attempts or mortality."
Columbia claims the TeenScreen survey can assess the symptoms of 8 disorders associated with the risk of suicide or mental illness. On March 2, 2004, the program's Executive Director, Laurie Flynn, testified at a congressional hearing and said that in screening process, "youth complete a 10-minute self-administered questionnaire that screens for sociable phobia, panic disorder, generalized solicitude disorder, major depression, alcohol and drug abuse, and suicidality."
In May 2004, Illinois lawmakers passed a resolution approving the implementation of TeenScreen in public schools, which said in part: (1) "Columbia TeenScreen Program", has been proven successful, offers technical assistance for implementation of a screening program, and provides any the components for such a program at no charge at this time; (2) that they recognize that mental illness and suicide among immature people are public health crossroad in this condition and that any residents of Illinois should deserve the identification of mental disorders and the prevention of suicide among the immature people a public health priority; (3) that every immature person should live screened ... to identify mental illness and prevent suicide; and (4) That such a screening and identification process should employ sound, evidence-based tools.
The problem is that TeenScreen is not an evidence-based tool. The program had already been in belt for 6 years in Tulsa, Oklahoma when the suicide rate rose drastically, causing Michael Brose, the leader of a mental health partnership organization there, to say, ''To the best of my knowledge, this is the highest number of youth suicides we've ever had during the school year -- a number they find very frightening."
TeenScreen is an invention of the pharmaceutical industry and is nothing more than a customer recruitment scheme to assist generate lofty volume sales of costly psychiatric drugs. By infiltrating the nation's public school system, it will generate millions of modern prescription drug customers.
"More screened kids means more money for psychiatrists and the pharmaceutical industry," said Vera Hassner Sharav, president of the Alliance for Human Research Protection, a patient advocacy group, to the Chicago Tribune on June 5, 2005.
"It is valuable to understand that powerful interests, namely federal bureaucrats and pharmaceutical lobbies, are behind the push for mental health screening in schools...the pharmaceutical industry is alive to to sell psychotropic drugs to millions of modern customers in American schools," said Rep Ron Paul, R-Texas, who happens to live a physician.
TeenScreen made its Illinois debut eventual Fall at the Brimfield lofty School in the Peoria belt and reports bespeak that several more Illinois schools will live implementing the program next year, according to investigative reporter, Rhonda Robinson.
TMAP & IMAP
Do the sizable drug companies believe so much power? Why else would this live happening? It looks like a artery to deserve more immature people dependent on prescription drugs earlier in life when any they really necessity is to deal with growing up, just like they any did before there was a drug for every ailment and modern ailment to warrant even more modern drugs," parent, Dennis McLouth, of Roseville, Ill, wrote in a missive to the Editor of the Illinois Leader on June 13, 2005.
My reply to Dennis is yes the drug companies are that powerful, and it gets worse. The NFC recommends a drug treatment program called the Texas Medical Algorithm Project (TMAP) that specifically requires doctors to prescribe the newer generation of psychiatric drugs to children, including the antidepressants known as the Selective Serotonin Reuptake Inhibitors [SSRIs] that can lead children to commit suicide or other violent acts.
According to the American Hospital Formulary Service Drug Information 2005, the “FDA now states that it has determined that antidepressants augment the risk of suicidal thinking and behavior in children and adolescents with major depressive and other psychiatric disorders."
Dr Ann Blake Tracy, is the executive director of the International Coalition for Drug Awareness and the author of "Prozac, Panacea or Pandora: Their Seratonin Nightmare."
She testified at a February 2004, FDA hearing on the adverse effects of SSRIs, and said, "Research on serotonin has been pellucid from the very dawn that the most damaging thing that could live done to the serotonin system would live to impair one's aptitude to metabolize serotonin. Yet that is exactly how SSRI antidepressants exert their effects."
Tracy said that for decades research has shown that impairing serotonin metabolism will bear numerous health problems including "pains around the heart, rigor breathing, tension and solicitude which emerge from out of nowhere, depression, suicide -- especially very violent suicide, hostility, violent crime, arson, pith abuse, psychosis, mania," and the list goes on and on.
"How anyone ever thought it would live 'therapeutic' to chemically induce these reactions is beyond me," she said.
In one study reviewed by the FDA panel, in a pool of 931 downhearted patients taking SSRIs listed on the TMAP, versus 811 downhearted patients taking a placebo, there were 52 suicidal acts by people on the SSRIs versus 18 on placebo.
The drug companies withheld the studies that showed the drugs were basically ineffective on kids and that they were in fact dangerous. Most of the studies that believe surfaced over the past yoke years were unearthed during the discovery process of recent law suits against drug companies.
Pediatrician, Dr Karen Effren, questions whether the TMAP list should live used at all. "If data is withheld about the dangers or want of effectiveness of the modern psychiatric drugs, why should physicians believe and carry out the recommendations of the modern liberty Commission for treatment, such as the Texas Medication Algorithm Project (TMAP) that uses those drugs as paid for the condition incentive grants?"
These very sentiments had already been expressed in January 1999, by Peter Weiden MD, who was one of the participants on the original panel that approved drugs to live on the TMAP list, when he openly criticized the process in the Journal of exercise in Psychiatry and Behavioural Health.
Weiden pointed out the fact that drug company money was involved in the approval of the list. "Another problem is potential prejudice from funding sources. The 1996 Guidelines were funded by Janssen (makers of Risperidone [Risperdal]) and most of the guidelines' authors believe received back from the pharmaceutical industry. This potential contest of interest may create credibility problems, especially concerning any recommendations supporting the exercise of atypical antipsychotics."
Other drug companies besides Janssen were involved in the creation of the list. And drug company money was also used to grease the palms of politician who would ultimately believe to endorse the TMAP scheme.
For instance, Eli Lilly helped fund the guidelines and also has well-known ties to both Bush administrations. After Bush Sr left the CIA in 1977, he became a member of Lilly's board of directors. When he left the company to become Reagan's VP in 1980, he forgot to mention that he soundless owned stock in the company at the very time that he was lobbying for tax breaks for Lilly, even though it manufactured drugs in Puerto Rico.
Bush Junior made Eli Lilly CEO, Sidney Taurel, a member of the Homeland Security and his former director of the Office of Management and Budget, Mitch Daniels, was also a former senior vice president of Lilly.
In the 2000 election the company contributed over $1.5 million to political candidates, with over 80% going to Bush and the Republican Party.
According to the seat for Responsive Politics, in his 2 bids for the presidency, Bush has been the number one recipient of either party for campaign donations from the pharmaceutical industry. The very Robert Wood Johnson IV, who has ties to the foundation that funded the TMAP, is also heir to the Johnson & Johnson fortune, and raised over $100,000 for Bush's 2000 campaign, and over $200,000 for campaign 2004.
The Robert Wood Johnson Foundation also helped fund the Illinois Children’s Mental Health stint Force, which produced the report that the Illinois’ Children’s Mental Health Act of 2003 is based on, according to investigative reporter Rhonda Robinson.
The Illinois version of the TMAP list, is IMAP and it is already in belt in 23 Illinois counties, Robinson reports.
Tax Dollar Funded Drug Pushers
Let there live no mistake about it, kids sent to shrinks will discontinuance up on drugs. In 2002, a survey of recently trained child psychiatrists institute that only one in 10 children in their practices did not receive a medication. survey Stubbe DE, Thomas WJ: A survey of early-career child and adolescent psychiatrists, J Am Acad Child Adolesc Psychiatry 2002.
A recent review of prescription data for 300,000 children ages 19 and younger, by Medco Health Solutions in 2004, concluded that for the first time in history, spending for medications for childhood behavior problems eclipsed expenditure for any other drug category, including antibiotics.
The final draft of the Illinois project issued this month wants to: Promote effectual exercise of Medicaid’s Early fitful Screening, Diagnosis and Treatment profit in Illinois to back voluntary screening of children ages birth to eighteen years, and wants to "Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services."
I miracle how many people are curious as to what might live in store for the kids they want to screen at age 0. To reply that question, an investigation of the drugs being prescribed to Illinois kids on Medicaid might live helpful.
On April 25, 2005, the headlines of the Ohio Columbus Dispatch read: DRUGGED INTO SUBMISSION, EVEN BABIES GETTING TREATED AS MENTALLY ILL, Doctors prescribed sedatives and powerful, mood-altering medications for nearly 700 Ohio babies and toddlers on Medicaid eventual summer, according to a Dispatch review of records.
An investigation by the Dispatch revealed that at least 696 Ohio children who were newborn to 3 years stale received mental-health drugs paid for by Medicaid in July 2004. Hydroxyzine was prescribed most often, with about three-quarters of the kids on it. The drug, a long-acting antihistamine, relieves itching caused by allergies, controls vomiting and reduces anxiety, but is given to immature children most often for its sedative effects.
In addition, more than 90 kids were on another antihistamine, 48 were taking anti-anxiety medication and 28 were prescribed antidepressants, including the SSRIs Paxil, Prozac and Zoloft. Twenty-seven received Valium, and 18 were on antipsychotics.
This revelation set off alarms in Ohio. "It's troubling," said John Saros, executive director of Franklin County Children Services. "How Do doctors even determine that a 2-year-old is anxious? There's a understanding they convoke it the terrible twos."
All total, nearly 40,000 Ohio children on Medicaid were taking drugs for anxiety, depression, delusions, hyperactivity and violent behavior when the investigation was conducted July 2004, according to the Dispatch.
Illinois' modern program keeps stressing that treatment should live funded by Medicaid. That means drugs folks. Over-drugging kids on Medicaid in Ohio is not an isolated practice. Its happening any over the country.
On January 15, 2005, the Miami Herald reported that nearly 1,900 children under the keeping of Florida's child welfare system are taking antidepressant drugs, despite a sturdy federal warning that such medications are linked to an increased risk of suicidal thinking.
Similar findings held ethical in Tennessee for kids covered by the condition insurance program. A study conducted in 2004 by Dr William Cooper, an associate professor of pediatrics at Vanderbilt University in Nashville, determined that the exercise of antipsychotic drugs among low-income children in Tennessee had nearly doubled between 1996 and 2001.
Cooper's report, published in the August 3, 2004 issue of the Archives of Pediatric Adolescent Medicine, institute that immature people who are not psychotic are being prescribed antipsychotic drugs for which there was no data on safety or effectiveness.
The study revealed that the balance of TennCare children who were prescribed antipsychotics nearly doubled in six years. The most stagy increases were among those aged 13 to 18 (116%) and those 6 to 12 (93%). Cooper also institute exercise among preschool children had increased by 61%.
If the Illinois Governor signs the modern law on June 30th, in addition to children, any pregnant women will live screened for depression during pregnancy and for up to 1 year following a baby's birth. The treatment for depression mandated by the IMAP drug list will live the SSRI antidepressants even though modern studies bespeak that SSRIs taken by pregnant women can believe serious adverse affects on the unborn fetus.
"Newborn babies could live at risk of suffering withdrawal symptoms if their mothers are prescribed antidepressants during pregnancy," according to Reuters on February 4, 2005.
Professor Emilio Sanz of the University of La Laguna in Tenerife, Spain, conducted a study that showed that SSRIs can cause convulsions, irritability, abnormal crying and tremors in newborn babies.
For the study, Professor Sanz and his team of researchers searched the World Health Organization database from 72 countries for the adverse drug reactions associated with the exercise of SSRIs, Reuters reported.
Karen Hayes thinks the entire project stinks. "Proposing that condition government set mental health competency standards for any Illinois pregnant women and children to age 18 stuns human sensibilities," Karen Hayes wrote, "this proposal calls for collection of mental health data of women and children, together with bureaucratic linkage of this information."
She's got that prerogative because according to the plan, the condition of Illinois will: better accountability, data tracking and reporting for children’s mental health in apposite programs and services and will (1) Institute constrict and monitoring changes to augment the accountability of current children’s mental health providers; (2) Develop a statewide data tracking and reporting system to collect information on key indicators of children’s sociable and emotional development, and mental health status; (3) Develop policies and protocols for the sharing of databases among apposite condition and local agencies; (4) Explore the development of uniform reporting forms and test in select programs for the tracking, reporting and planning of services.
Follow The Tax Dollars
The stint coerce says it wants to maximize the exercise of Medicaid/KidCare by streamlining enrollment, capitalizing on federal reimbursement and implementing key cost-saving strategies, with savings deposited into a Children’s Mental Health Fund.
It wants to (1) better Medicaid reimbursement for prevention, early intervention and treatment services; (2) Recognize diagnoses for immature children described in DC:0-3 and pay for mental health services for children with any of these diagnoses; (3) Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services.
Translation: That means to deserve positive "treatment" (aka pills) will live paid for, people will live trained to only diagnose kids with disorders that are covered Medicaid.
The stint coerce project leaves no funding stone unturned. It even wants to "Change the Illinois KidCare and Medicaid eligibility procedures to allow for self-attestation of a family’s pecuniary circumstances in lieu of current pecuniary documentation requirements," which means any I believe to Do is swear I'm impoverished to qualify for Medicaid in Illinois.
Drug companies smell the tax dollars and they want these Illinois kids. Over 2 million children were enrolled in Illinois public schools, pre-K through 12th grade, during the 2001-02 school year. Over 960,000 children were enrolled in Medicaid and KidCare in 2002, and a recent study in Chicago claimed that nearly 50% of inner-city adolescents demonstrated signs and symptoms of depression.
So lets Do the math and survey how much the psychiatric-industrial knotty stands to gain. The plans says to: Ensure that any children enrolled in Medicaid receive fitful developmental screens ... as mandated under the Early and fitful Screening Diagnostic Treatment program.
Lets protest the initial diagnostic visit to the shrink costs $150, what's 150 times 960,000?
The report said 50% of Chicago inner city kids were downhearted so we'll exercise that percentage for the kids on Medicaid. Half of 960,000 means 480,000 kids are set to live prescribed anti-psychotic drugs prerogative from the net go.
Off hand I don't know how much any the different drugs cost, but I believe personal lore that the cost of Risperdal in 2001, was close to $500 for a 30 day supply.
In 2001, The Miami Herald published a chain of stories about the common exercise of Risperdal among children in condition care. Child-welfare advocates said the drug routinely was being used by foster keeping providers as a ''chemical restraint'' on children whose wayward behavior was a frustration to caretakers.
Risperdal is on the IMAP list as the leading drug used to combat schizophrenia and other types of psychotic disorders, and earns Janssen about $2.1 billion in annual sales. The drug is prescribed to more than 10 million people worldwide, according to the Herald.
I suspect a heavy-duty calculator will live needed to cipher dollar amounts for the potential cost of Risperdal prescriptions to the tax payers of Illinois.
Tax Payers May Foot Entire Bill
No doubt about it, the promoters of this scheme are looking to grab tax dollars from every public trough known to man. The project lists a host of public funding sources to live examined and includes: Medicaid and SCHIP, the sociable Services block Grant, Temporary Assistance for Needy Families, the Child keeping and development Fund, the Title V Maternal and Child Health Services block Grant, Parts B (Special Education) and C (Early Intervention) of the Individuals with Disabilities Education Act (IDEA), Juvenile Justice, and condition funding sources.
In her belief piece, Karen Hayes questioned the feasibility of such a large public funded program, "Our government bureaucracies continue to struggle with the job of tending to the sociable needs of needy Illinois families, and ... trying to educate their children in basic academics. How is it that these very bureaucracies can now live asked to engage on the additional role of being the mental health evaluator and caretaker of any pregnant women and children in Illinois?"
"At a time when budget concerns are on the front pages of most Illinois newspapers," Karen wrote, "we are being asked to give input to one of the costliest expansions of government and bureaucracy they believe seen in recent years."
"In summary," Hayes said, "it is neither advantageous to children, nor to taxpayers, to quiz government bureaucracies to set competency standards for mental health. With some amount of lightheartedness, may I pose that the mental health of the perpetrators of this concept live evaluated?"
Another parent agrees with her. "The Illinois Legislature ought to believe their own heads subjected to adolescent mental health screening for even considering passing such legislation," said Jack Kime, in a June 13, 2005 missive to the Illinois Leader, "If there is anything more hazardous than having the government retain such a program in place, I don't know what it might be," he said.
Evelyn Pringle firstname.lastname@example.org
(Evelyn Pringle is a columnist for Independent Media TV and an investigative journalist focused on exposing government corruption)
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Tax dollars are being used to fuel the American epidemic of mental illness by promoting the preemptive drugging of persons supposedly at risk of developing mental disorders, to the Great profit of the pharmaceutical industry.
In March 2010, the US Department of Health & Human Services pith ill-treat & Mental Health Service Administration seat for Mental Health Services announced $16.5 million in funding for “Mental Health Transformation Grants,” one of SAMHSA’s services grant programs.
“In order to complement but not duplicate the efforts of other CMHS programs, FY 2010 funding for MHTG will focus on services for adults with or at-risk for serious mental illnesses,” the agency noted.
Applications were required to implement evidence-based or best practices that would create or expand capacity to address one or more of five Strategic Initiatives, including: “Prevent mental illness through outreach, screening, and early interventions for adults with early signs of mental illness or who are at risk, and promote wellness through holistic treatment approaches.”
An evidence-based practice, or EBP, refers to approaches to prevention or treatment that are validated by some contour of documented research evidence. As an case of a exercise that could live implemented, SAMHSA listed under “Prevention and Wellness: Early Intervention,” the “Early Detection and Intervention for the Prevention of Psychosis Program (EDIPPP),” along with a link to its website.
EDIPPP is a national program replicating the “Portland Identification and Early Referral,” or “PIER,” a treatment research program at the Main Medical Center, in Portland, Maine.
On a webpage for PIER on the Center’s Website, under “Project Overview,” it states: “The goals are to better outcomes and prevent the onset of the psychotic angle of illnesses like Bipolar Disorder, Major Depression, and Schizophrenia.”
“This is the first program in the United States to identify the entire population of at risk immature persons and proffer them treatment,” PIER said in a September 26, 2005 press release.
EDIPPP was funded through a $14.4 million million grant for the “National Demonstration of Early Detection, Intervention and Prevention of Psychosis in Adolescents and immature Adults,” from the Robert Wood Johnson Foundation, and is “designed to prevent psychosis in teens and immature adults,” according to an April 10, 2007, announcement on RWJF’s launch of the program.
“The national program is expanding PIER’s success during the past seven years in identifying and treating immature people experiencing subtle and early symptoms that herald the onset of serious mental illness,” a November 2007 report in Behavioral Healthcare, by Dr James Maier, a research psychiatrist with PIER, notes.
EDIPPP works with people between the ages of 12 and 25, with an average age of persons entering the program between 15 and 16.
“Widespread dissemination of this early intervention model throughout the United States offers tremendous hope and optimism for combating some of the most devastating and costly illnesses that can afflict immature people and their families,” Maier claims.
The RWJF grant set up additional EDIPPP sites in Sacramento, California; Salem, Oregon; Ypsilanti, Michigan; and Glen Oaks, modern York. A site in Albuquerque, modern Mexico was added in 2008.
RWJF also funds a booklet for professionals, on how to prevent mental illness with early detection titled, “Recognizing and Helping immature People at Risk for Psychosis: A Professional’s Guide,” which can live downloaded free off the internet.
From the start, PIER has always been primarily funded by RWJF, according to its website. However, on October 13, 2003, Mental Health Weekly reported that the program had received a $3.9 million grant from the National Institute of Mental Health, and a parallel $2 million grant from the seat for Mental Health Services intended for a related program in early identification of non-psychotic disabilities.
In Portland, immature people typically are referred to PIER by lofty school guidance counselors, pediatricians, or other clinicians who attended presentations about PIER’s work, visited the PIER Website, and are close with the early warning symptoms that suggest the onset of a psychotic illness, according to the report in Behavioral Healthcare.
Mental Illness According to PIER
In a fact sheet posted to “Dispel the Myths,” the PIER website claims that, “Mental disorders are as smooth to diagnose as asthma, diabetes, and cancer.”
“Treatments are effectual 60%-80% of the time, success rates that meet or exceed success rates for cutting edge treatment for heart disease,” the sheet states.
“In many cases, PIER does exercise medications,” the Websites says. “We believe that some of the newer medications effectively better thinking and combat early symptoms.”
“Research suggests these medications may believe a protective upshot against changes in the brain that cause mental illness,” it reports.
Under costs, it reads: “For now, services provided by PIER staff are supported by grants. However, if positive medications, medical tests, or neurological assessments are ordered, there will live a charge.”
The PIER program was founded in 2000, by Dr William McFarlane, and after 10 years in operation, on May 28, 2010, the ChangeMyMind website listed only two “case studies and repercussion stories that illustrate the effectiveness of the Early Detection and Intervention for the Prevention of Psychosis Program.”
Medicated for Life
Virtually every person entering the PIER program is prescribed antipsychotics, such as Risperdal or Invega, marketed by Johnson & Johnson, the parent company of the Robert Wood Johnson Foundation. These prescriptions are off-label because antipsychotics are not FDA approved to “prevent” mental illness in any age group.
An August 2008 article, by Charles Schmidt in ascertain magazine, highlighted the PIER program with a byline that stated: “A modern merge of therapy and medication may stave off psychosis among teens at risk.”
Schmidt discussed the case of Camila (not her true name), who entered the program in September 2001, when she was 14. “Camila and her family stuck with PIER for the four-year treatment program, which ended formally in 2005, and soundless preserve in handle with counselors there,” he reports.
However, “Camila’s health soundless hinges on antipsychotic medication,” Schmidt says. “In the summer of 2007 she went off the drugs for a spell and her eccentric feelings returned.”
He notes that her reliance on antipsychotics raises issues. “On the one hand, it shows that the threat of psychosis hasn’t really been removed, it’s just been held in check.”
“What they hope is that the benefits of treatment will live lifelong,” McFarlane says in the article. “We don’t believe any empirical evidence to back that yet, but what we’ve seen is that immature people who soundless haven’t converted to psychosis after about three years of their treatment don’t look to live at much risk.”
While he suggests that over time, some patients may live able to travel off medications, McFarlane acknowledges that PIER hasn’t developed a project for managing that process, Schmidt reports.
“As to when or if they can travel off medication, that’s arduous to say,” he told Schmidt. “I account many of their patients don’t feel a necessity to stop; they certainly don’t feel oppressed by it. At a positive point it becomes a personal choice.”
A fortune can live made from these life-long antipsychotic customers. In April 2010, the expense for one box of Invega, at a middle dose, was $1,373 at DrugStore.com. Risperdal went for $788 per 90 pills. The cost was $1,395 for 100 tablets of Abilify. Seroquel cost $997 per 100. One-hundred capsules of Geodon sold for $918 and Zyprexa cost $1,523 for a hundred 10mg pills.
In 2003, McFarlane told Mental Health Weekly that with about 3% of the population at risk for a serious mental illness, Greater Portland could expect about 75 immature people to develop a disorder each year.
RWJF Front Group
The founder of RWJF, Robert Wood Johnson, was chairman of Johnson & Johnson for over 30 years, from 1932 to 1963, as a member of the drug maker’s founding family. Throughout the years, the majority of the Foundation’s money has approach from investments in J&J stock. RWJF’s board of trustees has always been stacked with the drug company’s executives. For instance, current and past trustees believe held positions at J&J such as President, CEO, Vice President, Chairman of the Board, and Treasurer, and believe served along side another family heir on the board, Robert Wood Johnson IV.
RWJF is listed in a Medicaid fraud lawsuit, filed against J&J by whistleblower, Allen Jones, a former federal fraud investigator, and joined by the Texas attorney general, as providing funding for illegal marketing schemes to augment the off-label sales of Risperdal, including funding the development of the “Texas Medication Algorithm Project (TMAP),” which required doctors to prescribe the newest, most expensive antipsychotics, antidepressants, anticonvulsants, and ADHD drugs to patients covered by public programs, like Medicaid and Medicare, who were diagnosed with mental disorders, and a nearly identical set of child drugging guidelines known as the “Texas Children’s Medication Algorithm Project (CMAP).”
In addition to Risperdal and Invega, J&J also markets the ADHD drug Concerta, and Topamax, an anticonvulsant.
A May 11, 2005, report by RWJF on the results of the funding of TMAP grants totaling $2,389,581 to the University of Texas Southwestern Medical seat at Dallas and a grant of $353,747 to the Texas Department of Mental Health and Mental Retardation, describes the putative “Problem,” that led to the creation of the TMAP drugging guidelines as:
In the 1980’s and 1990’s, as pharmaceutical companies began producing modern and more efficacious medications to handle people with serious mental disorders such as depression, bipolar disorder, and schizophrenia, the question arose of how to pick the most usurp treatment options. Concerns about wide variation in prescribing practices by physicians and complaints from consumer advocates about the negative consequences of this variation spurred the creation of evidence-based guidelines and medication treatment algorithms.
The “Contacts” for the grants listed in the report were Dr A John Rush, for the University, and Dr Steven Shon for the condition of Texas. Shon was fired in October 2006, after the Texas attorney common determined that J&J had improperly influenced him to deserve Risperdal a preferred drug on TMAP. In 2008, Rush was added to a list of psychiatric academics who failed to disclose any the payments they received from drug companies, by Senator Charles Grassley, as share of an investigation conducted on behalf of the US Senate Finance Committee, which oversees Medicaid and Medicare spending.
As a main component of the off-label marketing schemes, the lawsuits against the antipsychotic makers allege that the drug companies “seeded” the medical literature with reports and papers purporting to live written by “experts” when they were actually ghostwritten with the names of experts attached after the fact.
In its report on the TMAP grant results, RWJF boasts that: “More than 50 articles on the Texas Medication Algorithm Project believe appeared in the Journal of Clinical Psychiatry, Psychiatry Research, Managed Care, Health Services Research, Journal of the American Academy of Child and Adolescent Psychiatry and other peer-reviewed journals.”
“Over the next two years, Project Directors Rush and Shon and their colleagues project to publish additional articles on other areas of interest,” the report said.
On August 18, 2008, a Dallas Morning news headline read: “Conflict of interest fears halt children’s mental health project,” in reference to the Children’s Medication Algorithm Project. “A condition mental health project naming the preferred psychiatric drugs for children has been quietly retain on hold over fears drug companies may believe given researchers consulting contracts, speakers fees or other perks to assist net their products on the list,” the news wrote.
To date, four of the five atypical makers believe settled fraud charges involving the illegal off-label marketing of antipsychotics, including for exercise with children. Eli Lilly paid $1.4 billion for Zyprexa, Bristol-Myers Squibb’s fine was $515 million for Abilify, Pfizer paid $301 for Geodon, and AstraZeneca just forked out $520 million for Seroquel.
But the fines are merely chocked up to the cost of doing business. For instance, although AstraZeneca paid a whopping $520 million fine, Seroquel had sales of $4.9 billion in 2009, with more than half coming from the US. Overall, antipsychotics were the top-earning class of drugs in the US, in both 2008 and 2009, with sales of $14.6 billion in 2009, according to IMS Health.
J&J is the only atypical maker that has not settled the off-label marketing charges against it — yet. However, two units of J&J “will pay more than $81 million to resolve criminal and civil claims over illegal promotion of the epilepsy drug Topamax,” according to Bloomberg news on April 29, 2010.
Also, over the past 2 months, J&J’s McNeil division has recalled over 40 varieties of child and baby medications after the FDA institute massive safety and manufacturing violations at a plant in Fort Washington, Pennsylvania, including formulations of Tylenol, Motrin, Zyrtec and Benadryl. The FDA also institute problems with “strength, character and purity.”
The FDA’s inspection report notes that J&J received about 46 consumer complaints “regarding outlandish materials, black or doleful specks [in their drugs] from June 2009 to April 2010.” J&J had lore of problems since May 2009, which means it was allowing children and infants to ingest potentially venomous drugs for a year before the product recall took place.
Time Magazine as Promoter
On June 22, 2009, the RWJF website posted a link to download the replete text of an article in Time magazine, by John Cloud titled, “Staying Sane May live Easier Than You Think,” who reported: “The most exciting research in mental health today involves not how to handle mental illness but how to prevent it in the first place.”
“In fact,” Cloud said, “many mental illnesses — even those like schizophrenia that believe demonstrable genetic origins — can live stopped or at least contained before they start.”
“This isn’t wishful thinking but arduous science,” he claimed.
The article discussed a report by the National Academics, “an organization of experts who investigate science for the Federal Government,” nearly two years in the making, “on how to prevent mental, emotional and behavioral disorders.” A quick check institute one of the sponsors of the National Academies to live RWJF.
“The report concludes that pre-empting such disorders requires two kinds of interventions,” Cloud said, “first, because genes play so valuable a role in mental illness, they necessity to ensure that close relatives (particularly children) of those with mental disorders believe access to rigorous screening programs.”
“Second,” he noted, “we must proffer treatment to people who believe already shown symptoms of illness (say, a trend to worry and survey the world without optimism) but don’t meet the diagnostic criteria for a full-scale mental illness (in this case, depression).”
“Some prevention programs even prescribe psychiatric medications, including antipsychotics and antidepressants, to people who aren’t technically psychotic or depressed,” Time reported.
“This is a sizable concern,” Joseph Rogers, founder of the Philadelphia-based National Mental Health Consumers’ Self-Help Clearinghouse told Cloud. “Because, gee, if you miss, you can really Do more harm with some of these drugs than good.”
“But those who contributed to the National Academies report protest preventing the suffering of people with mental illness is worth the risk of some erroneous positives, partly because of the stupendous cost of treating mental illness after it’s struck,” Cloud reported.
The article profiled PIER and McFarlane, who was described as “one of the world’s top authorities on preventing mental illness.”
According to Time, the “National Institute of Mental Health is funding a visitation of McFarlane’s work, and while he is soundless writing up his data for publication, his anecdotal results are promising: most of the kids are so far avoiding a first psychotic episode.”
Preemptive Drugging Unsupported
In a 2008 paper titled, “Atypical Antipsychotic Agents For the Schizophrenia Prodrome: Not a pellucid First Choice,” published in the International Journal of Risk & Safety in Medicine, Dr Stefan Kruszewski, a psychiatrist, and Dr Richard Paczynski, a neurologist, both from Harrisburg, Pennsylvania, explain, “Pharmacologic intervention at the earliest stages of suspected psychotic illness is an intuitively appealing concept and a ratiocinative extension of the current approach to many other diseases of the central nervous system.”
“However,” they report, “a critical analysis of the results of structured clinical investigations which believe explored the exercise of ATAPs for new-onset psychotic symptoms raises safety concerns and does not back pre-medication in this setting as a preventive strategy.”
“Over the past several years,” the paper states, “a voice has emerged in the international psychiatric community recommending early prescription of the atypical antipsychotic agents (ATAPs) for adolescents and immature adults who emerge to exhibit signs consistent with a schizophrenia prodrome. Early exercise is predicated on the possibility that ATAPs may prevent progression to full-blown psychotic illness in this high-risk population. ”
“This trend has been encouraged despite a paucity of data which clearly back the effectiveness of these agents for this indication, and despite evidence of adverse side effects including,” the authors note.
These circumstances prompted their literature review, “focusing on the five published studies that believe explicitly addressed the preventative efficacy of the most widely prescribed ATAPs in structured (i.e., non-anecdotal) clinical settings.”
In the summary and conclusion section of the paper, the authors report that the results from the available controlled trials reviewed are in line with several of the conclusions of the naturalistic study by Cornblatt et al. “That is, early prescription of ATAPs to adolescents and immature adults seeking medical attention for prodromal psychotic symptoms is associated with lofty rates of medication non-adherence.”
“Additionally,” they say, “the introduction of ATAPs was not associated with reduction in the rate of conversion to formal psychosis beyond that explainable by casual and/or the introduction of prejudice secondary to baseline imbalances, inadequate blinding or even differential psychosocial supports.”
“We suggest caution in making any assumptions that warrant changes in prescription-writing behavior when it involves patients who are at lofty risk for developing long-term psychotic illnesses but believe never demonstrated sustained psychosis (psychotic illness by DSM-IV criteria),” Kruszewski and Paczynski advise.
“This would embrace but is not limited to persons with suspected schizophrenia prodrome,” they add.
“Even in the hands of experienced investigators using minute screening protocols in controlled settings, only one-quarter to one-third of high-risk patients converted to full-blown psychosis,” they report.
“Consequently,” they warn, “if early exercise of ATAPs continues as a quasi-standard of keeping for new-onset psychotic symptoms, a large majority of these often immature individuals will live exposed unnecessarily to poorly defined but likely substantial risks, including but not limited to obesity, hyperlipidemia, metabolic syndrome, increased rates of sort II diabetes mellitus and extrapyramidal syndromes, both acute and chronic.”
“Considerations of safety must approach first when the preventative efficacy of these agents remains so poorly defined,” they conclude.
• Read share I.
• share III of this chain will highlight the Psychiatric Industrial knotty as the driving coerce behind the American Epidemic of Mental Illness.
• This chain is sponsored by the International seat for the Study of Psychiatry and Psychology.Evelyn Pringle is an investigative journalist focused on exposing corruption in government and corporate America. She can live reached at: email@example.com. Read other articles by Evelyn, or visit Evelyn's website.
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