Guest guest Posted October 18, 2007 Report Share Posted October 18, 2007 Wow that was an awesome article. I'm sure is seeting on the part where they say ABA is experimental and unproven.... Keep sharing articles like this - they are inspiring! oliverlulu wrote: Sorry, the link didn't work right. Here is a copy of the article- Morning Edition, September 26, 2007 · Two years ago, Micheletti was diagnosed with autism. His parents say Applied Behavior Analysis (ABA) has transformed their son from a boy who was retreating into darkness into a precocious, gregarious kid. Jake's father, Joe Micheletti, who works for the state of New Jersey, assumed the family's insurance company would cover the treatment costs. They were not, which came as a shock, Micheletti said. So he took the case to the state's highest court — facing off with fellow co- workers along the way — and won. The Treatment When autism therapist Kerrie Pawlikoski first met Jake, she says his language skills were limited. " He would say 'Hello,' and you might say 'What's your name,' and sometimes he would say 'Jake,' " Pawlikoski says of Jake's first days in treatment. " Sometimes he'd say 'What's your name, Jake.' So, you know, a lot of repeating what the other person said. " Pawlikoski runs Child's Play, a therapy center in Branchburg, N.J. During the school year, Jake spends 5 1/2 hours a week working with her and therapist la Simon. They work with Jake on skills he can only learn through intense repetition. Among other things, they spend hours practicing how to answer a question with an appropriate answer. But despite the potential of the treatment, the insurance company said they would not cover the costs. " What they said when they rejected me was that treatment was not restorative. It didn't restore a previously existing function, " Micheletti says. " Jake was three and a half. He had never spoken before. [The insurance company thought], 'Why should we give him verbal behavior therapy to make him speak now.' " The insurance company may not have known who they were tangling with. The Battle Ahead Micheletti is a deputy in the state attorney general's office. If he was to sue the state health plan, he knew he would have to fight his own boss in court. " The office was very mixed. There are people there who have worked with me for a long time — career deputies — who were very supportive, " Micheletti says. " There were administration officials who were not that supportive. They did not appreciate one of their own challenging them. " Micheletti lives with his wife and three kids in Milford, N.J., about an hour away from his Trenton office. Micheletti, Jake's mother, is a stay-at-home mom who used to work as an attorney, too. When the family decided to launch the lawsuit, the couple turned into a crack legal team, and their writing styles and legal approaches meshed. " Joe is so good with strategy, but I don't think he's as eloquent as I am, " says, laughing. The case dragged on. Even after the family won in the lower courts, the insurance company refused to pay. So before the New Jersey Supreme Court, Micheletti argued against one of his colleagues in the AG's office. The court's justices were clearly peeved that the state-run insurance system continued to refuse to pay for Jake's therapy, even after a mandate from a lower court. Assistant Attorney General A. Scheindlin told the court that the insurers just wanted to ensure that the therapy was legitimate. " [That concern] is consistent with this general practice of checking who is providing therapies, " Scheindlin told the court. " Give us your therapy notes, so we can check the patient's progress, [and] we can ensure that appropriate utilization and medical services is being provided. " When a decision came down earlier in September, the state Supreme Court ruled in favor of the Michelettis. The judges ordered the insurance company to pay in full for all of Jake's therapy. Growing Demands for Coverage Many insurance companies say they will not cover ABA because they view it as experimental and unproven. The New Jersey State Health Benefits Commission declined to speak to NPR. NPR contacted a number of private insurance companies, such as CIGNA and AETNA. Those companies declined to be interviewed, but they did send regulations that state that they won't cover therapies considered experimental — including ABA. Pamela Greenberg of the Association for Behavioral Health and Wellness says there just is not enough data on the effectiveness of ABA therapy. " Yes, there are examples of where ABA has been very effective. And there are other examples of situations where it has been very harmful, " Greenberg says. " Coverage decisions need to be made based on the best possible medical evidence and not just on the experience of a few cases. " The Michelettis' victory comes as parents of autistic children across the country are pushing for better coverage of this disorder. But better coverage for some families may mean higher premiums for everyone. That presents a dilemma for insurance companies, according to Mohit Ghose of America's Health Insurance Plans. " The question then becomes: do you provide that through the healthcare setting, or do you provide that through the educational setting as many states have traditionally done? " Ghose says. South Carolina and Texas have passed laws this year requiring some insurers to cover autism therapy, and the Pennsylvania House recently passed its own bill. When South Carolina's governor tried to veto his state's bill, he said one reason was that it would raise premiums by an estimated $48 a year. That veto was overturned. There's currently a bill before the New Jersey legislature that would mandate coverage for ABA. A state analysis concluded the bill would raise premium costs by less than 0.5 percent. Jake's Progress with Therapy Joe and Micheletti are overjoyed watching Jake play with his siblings. A year ago, they say, Jake largely ignored his brothers. Even though this affectionate five-year-old is making great progress, he still gets confused about how to phrase a question. " What you can hug mommy, " Jake asks his mother . She quickly corrects him, " When can you hug mommy. " Like a lot of parents, the Michelettis desperately want Jake to succeed, not simply to get by. The Michelettis felt like they got adequate services from their school system. Jake has an aide in his kindergarten class. But their neurologist says would benefit from more intensive therapy. says her son has a right to thrive. " The standard for a school to teach autistic children is … that they are making some progress, " she says. " So their goal is not to recover or cure your child. Their goal is to show some educational progress. " " And schools are not medical professionals, " Jake's father adds. " They are not doctors; they are not there to cure your child. " Therapists concede that some children won't flourish the way has — no matter how much therapy they get. So while the Michelettis' adventure is dramatic, it doesn't answer the toughest questions: What are these children entitled to? How much therapy should they get? And who should pay? Radio piece produced by Marisa Penaloza > > I just came across this article and thought it was worth sharing. Here > is the link http://www.npr. org/templates/ story/story. php?storyId= > 14577821 > > I was wondering if this will set precedence to help us get coverage > from our insurances for Texas. If there is anyone who understands all > the legal loopholes out there, I would love your opinion. > Thanks! > > M. Guppy Don't tell God how big your storm is - tell the storm how big your God is! Texas Autism Advocacy: www.TexasAutismAdvocacy.org " There are some aspects of a person's life that we have no right to compromise. We cannot negotiate the size of an institution. No one should live in one. We cannot debate who should get an inclusive education. Everyone should. We cannot determine who does and who does not get the right to make their own choices and forge their own futures. All must. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2007 Report Share Posted October 18, 2007 Sorry haven't had time to look at it. You know it's funny what people say. Did you know that Aetna has decided that autism isn't a disorder at all and that they don't have to cover it? I actually chided the Harvard neurologist who spoke in town last weekend, Dr. Margaret Bauman, for placing ABA equally with Floortime, DIR, RDI, etc. She did recant and admit that ABA is the only approach with any data to support it. Boy, Stanley Greenspan must really be a charmer in order to get so much support for Floortime without any peer reviewed data to support it. But, it's so common, I don't even let it phase me anymore. Unfortunate, but uncommon. It's kind of like the people who still call the country Myamar by it's former name of Burma. I mean, it's only like the country changed it's name 20 years ago. . . . . S. Re: Re: Interesting Article Wow that was an awesome article. I'm sure is seeting on the part where they say ABA is experimental and unproven.... Keep sharing articles like this - they are inspiring! oliverlulu wrote: Sorry, the link didn't work right. Here is a copy of the article- Morning Edition, September 26, 2007 · Two years ago, Micheletti was diagnosed with autism. His parents say Applied Behavior Analysis (ABA) has transformed their son from a boy who was retreating into darkness into a precocious, gregarious kid. Jake's father, Joe Micheletti, who works for the state of New Jersey, assumed the family's insurance company would cover the treatment costs. They were not, which came as a shock, Micheletti said. So he took the case to the state's highest court — facing off with fellow co- workers along the way — and won. . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 I don't know if this is redundant, I just came across it and found it interesting:Health Canada Vs Unpasteurized Milk Categories Control tactics Health through Nutrition Practical Health The Nature of Government The following news releases are a transparent attempt by the vested interests to discredit the small gains that are underway regarding unadulterated milk. Can it just be a coincident that in less than 2 weeks after a strong presentation made to Health Canada (April 4, 2005 - see meeting summary below) that thoroughly debunked their stance and at the same time, provided strong evidence on health advantages of raw milk that these unsubstantiated and biassed news releases suddenly should appear? It is enlightening to see some data on raw vs pasteurized incidences of illness: RAW MILK: Incidence of food-borne illness from raw milk – 1.9 cases per 100,000 people, 1973-1992. (American Journal Public Health Aug 1998, Vol 88., No 8) PASTEURIZED MILK: Based on CDC website, incidence of food-borne illness from all foods including pasteurized milk – 4.7 cases per 100,000 people, 1993-1997. (US Census Bureau 1997 population estimate 267,783,607) OTHER FOODS: Based on CDC website of reported food-borne illness from other foods – 6.4 cases per 100,000 people, per year from 1993-1997. THEREFORE, the incidence of food-borne illness from consuming raw milk is 2.5 times lower than the incidence of food-borne illness from consuming pasteurized milk; and 3.5 times lower than the incidence of food-borne illness from consuming other foods. On a case-by-case basis, persons consuming milk from ANY source (raw or pasteurized) are: 30 times more likely to become ill from fruits and vegetables 13 times more likely to become ill from beef 11 times more likely to become ill from chicken 10 times more likely to become ill from potato salad 2.7 times more likely to become ill from non-dairy beverages Source: MMWR Vol 45, No SS-5 Given, from the above, that " Of All Foods, Milk has the Lowest Incidence of Reported Food-Borne Illnesses (0.2%) " ; and that the actual milk in question was never tested for bacteria as the source still was only alleged - the jump to the conclusion that the milk was the source for these illnesses by the so called experts is nothing short of hearsay masquerading as " expert science " . Instead of doing some research on the issue Dr. , of University of Guelph, has the audacity to parrot the party line and then added insult to injury by stating, on April 15, 2005, CBC Ontario Today radio interview that except for Vitamin C pasteurizing essentially does not damage milk... From the above, pasteurization not only destroys vitamin C but also the B complex, D (a questionable version of synthetic D is often added), the minerals Zinc, Iron, Copper, enzymes and whey proteins. With this kind of processing of food, along with our highly depleted soils, the quack medical Mafia and there supporters tell us that we get all our nutrients from food! This struggle is about our health and not pseudo science to protect the status quo. It should be imperative to for all to study and follow up on the excellent presentation: Raw Milk and Raw Milk Products Health, Safety, Economic and Legal Issues Prepared by: Lee Dexter, President, White Egret Farms Sally Fallon, President, The Weston A. Price Foundation We continually hear from the so called experts particularly HC that their decisions are based on science and risk reward ratios. This example demonstrates it is anything but science and risk is higher than reward - clearly what they aspire and what they do is totally opposite! Typically these publicly paid experts behave as though they are representing the industry instead of the their constituents. A clear demonstration how vested interests and status quo is maintained though self serving regulatory bloat and inbred lack of accountabilities. The only recourse left it seems is via the courts unless they too are bought! It is truly a disgrace that, lay unpaid health conscious, citizens can research and find information central to their health while the so called experts who we pay handsomely to protect our health (Health Canada, Ontario's chief medical officer of health and a Food Safety Network) seem to be so inept in looking after their constituents with the very services they where hired to provide... Gupta Feb 23, 2005 Letter from Mayers, Health Canada"pasteurization kills the organisms that cause disease" Pasteurization does NOT kill all the organisms that cause disease. Fails to define acceptable risk nor apply it to both raw and pasteurized milk. "Listeria monocytogenes may contaminate between 1 and 10% of the raw milk supply" These figures apply to regular bulk tank milk destined for pasteurization; they do not apply to Grade A certified milk for raw milk consumption. "It can result in still birth or miscarriage if pregnant women become infected." Pregnant women are much more likely to become infected from other foods than from raw milk. Paragraph 3 lists outbreaks of foodborne illness 'associated' with raw milk. Most occurred in farms where there are many sources of infection. In a recent incident at a petting zoo in Florida, 15 school children became infected with virulent E coli (but not drinking raw milk). Most incidents were guilt by association, without proven links. On Vancouver Island, five children from different families were diagnosed with an infection of E.coli O157:h7 after drinking raw goat's milk (http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/02vol28/dr2801eb.html) BIAS: This report provides an excellent example of bias. The title, "Escherichia Coli O157 Outbreak Associated with the Ingestion of Unpasteurized Goat's Milk in British Columbia, 2001" does not reflect the possible sources of infection presented in the report. SAMPLES: One milk sample found "presumptively" positive after "enrichment" with a testing substance; No E.coli found in samples before "enrichment"; no E.coli found in second bottle. OTHER SOURCES: First child infected had also visited a petting farm (a common source of infection); all children lived on a cooperative farm (where contact with animals was the likely source of infection.) "In the USA, where certified raw milk is allowed within certain States, foodborne outbreaks happen regularly." There has been NO proven cases of foodborne illness from certified raw milk in the US, but many cases of foodborne illness from pasteurized milk. "For example, in 2002, an outbreak of Salmonella Typhimurium was caused by the consumption of raw milk purchased at a dairy producing certified milk in Ohio." According to the CDC report : "The source for contamination was not determined; however, the findings suggest that contamination of milk might have occurred during the milking, bottling or capping process." There were many possible of vectors of illness on the dairy besides raw milk. The dairy, which had been in business for decades without incident, caved in to health department pressure. "While some milk protein may be mildly denatured by pasteurization, denaturation does not affect the nutritional quality of the protein and in fact tends to make it more digestible." Pasteurization completely inactivates these proteins, many of which are needed for protection against pathogens and for mineral metabolism. No proof exists whatsoever that pasteurized milk is more digestible. "losses [of vitamins] not considered significant in the context of the Canadian diet." These losses can be very significant for children with digestive problems or whose families cannot afford a diet high in meat and seafood. "there is no evidence that raw milk is better than pasteurized milk" We have presented abundant evidence that raw milk is better than pasteurized milk. The attitude of health officials does not take into consideration those individuals who cannot tolerate pasteurized milk but do well on raw milk. ----------------------------------------------------- Warmly, Verderaime RVT,RN,DHerbwww.mtairyfolkmedicinecenter.comThe whiter the bread, the sooner you're dead. " I cannot undertake to lay my finger on that article of theConstitution which granted a right to Congress of expending, onobjects of benevolence, the money of their constituents... " Madison (Author of the Constitution) " I've seen the village, and I don't want it raising my child. " Autumn Burke " No pessimist ever discovered the secret of the stars, or sailed to an uncharted land, or opened a new doorway for the human spirit. " Helen Keller Quote Link to comment Share on other sites More sharing options...
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