Showing posts with label Worker's Compensation. Show all posts
Showing posts with label Worker's Compensation. Show all posts

Tuesday, February 17, 2009

The "Crimes" of Nadya Suleman



Photo: Natalie Suleman on the way into the Kaiser Bellflower Hospital where her eight premature babies are gaining weight at taxpayer's expense. Photo from zimbio.com.


We’ve had plenty of time to digest the misdeeds of Nadya Suleman. I think I am correct in saying there are more people who are outraged by her actions than think what she did was the legally or morally right thing to do.

I am not an attorney or law enforcement person by any means. But I got to thinking, what exactly are the possible crimes that Nadya Suleman has committed?

1. Lied on a FAFSA form. The Free Application for Federal Student Aid is required of any student who is requesting financial aid. Questions are asked regarding past tax returns and also if you have untaxed income, such as worker’s compensation benefits. There is also a section that asks about where you plan to live while attending college. The options are on campus, off campus, or with parents. Wanna bet Suleman checked “off campus” which allowed her to borrow as much money as she was able to? Remember, fees at a California State University run about $1600 per semester for 6.1 or more units. Do the math. Unless you have requested funds to assist in housing, there is no way a resident of the state of California should be borrowing $50K for a 124-unit bachelor’s degree from a CSU.

2. She has three kids on supplemental security income for varying degrees of disability. The truth is the social security system rewards persistence. She has also probably done an excellent job of doctor and clinician shopping and probably has some very compelling reports on just how badly disabled her kids are. What are in those reports, and were all three children examined by a physician retained by the government to honestly assess the degree of disability?

3. She has a “nanny” that she pays $500 a week. It’s my guess this nanny is actually a home health aide hired to help take care of the disabled kids. Who pays? Well duh, taxpayers. I believe that is a social security benefit. (Remember those three kids are also no doubt eligible for Medicare and Medi-Cal due to their disabilities. The remaining three older kids are also eligible for Medi-Cal because of a medically indigent mother. Getting kids on Medi-Cal is easy.)

4. She has a kid in a private school. This no doubt is also paid for by taxpayers under something called an “Individualized Education Plan” (IEP). This frequently happens with disabled children who cannot receive services in their neighborhood school. The money comes from the school district that the kid is supposed to be attending school, but with a good education attorney and a well-written IEP, it’s amazing what you can get a school district to pay for to avoid a discrimination lawsuit. The kid can have a physical, mental or emotional disability.

5. Filing/signing a false document: the babies’ birth certificates. Who is “David Solomon” and does he exist at all? That crime is punishable by three years in prison—a birth certificate is a legal document. We’ve all read the speculation about David Soloman being an Anglicized version of Doud and Suleman (Nadya Suleman was born Natalie Doud). Who is the sperm donor? Don’t those children have a right to know anything about their biological father?

6. She stayed on worker’s compensation temporary total disability (TTD) for entirely too long. Thus far, she didn’t break any laws but she may have broken procedure. When a person is on TTD, if the comp carrier asks the injured worker to show up for appointments for whatever reason, you had better show up.

Cleverly, Suleman managed to stay pregnant so she could never be assessed on just how bad or good her back really was. Any woman who has carried a baby can attest how badly your back hurts, and no doubt that pain is subjective in that you can’t do an x-ray or any clinical exam that tells you just how much that back should hurt. One criterion that will be used in determining the percentage of her disability will be how long she was disabled, even if it’s doubtful she’s been that disabled for some time. Remember, she was 22 years of age when she was reportedly hit with a chair by a mental hospital patient. A one-off blow like that (unless it caused a fracture) cannot disable a young person as badly as she claims. A hit to the back does not cause a herniated disc. Cumulative traumas (including pregnancy) can be enough of a cumulative trauma to herniated a disc. Even though people who do have herniated discs report doing one thing to push their back over the edge, there have been plenty of microtraumas to start messing up the back and disc spaces long before symptoms pop up. And remember, the size of the herniated disc does not necessarily equal the amount of pain a person has.

Thing is, we do not know exactly what her back injury was. My guess is she had a soft tissue injury and she did an excellent job of remaining “symptomatic.” In my job as a worker’s comp case manager, I had two such “back patients,” both of whom “fell” on the job as deli workers, and both of whom had utterly perfect x-rays/MRIs/CAT scans. One was surveilled and found to be faking; in the second case the employer chose to give the woman vocational rehab just to be rid of her.

Nadya Suleman managed to keep her job position open until last fall. That tells me a lot—that her injury (on paper) was not a career-ending injury but because she kept herself pregnant, her health (and a return to work date) could not be assessed or determined. Employers hate paying TTD, and will do nearly anything to avoid paying it. It’s possible that in her case she could not return to the mental hospital because she could not defend herself (which was my case), but it’s my guess she didn’t have enough education to be assigned to a desk job with minimal to no patient exposure.

Obviously most of what Suleman did is not criminal, but it sure looks like a gross manipulation of the system in place for truly down and out people who find themselves in dire straits through no fault of their own. Think of all of the people who were truly in need who were turned down due to lack of funds or because of their inability to manipulate the system as well as Suleman? At best she is guilty of lying on a FAFSA form, lying on the children's birth certificates, and some sort of manipulation of the worker's compensation system.

Another question I have: I read that Nadya’s parents, Angela and Ed, are divorced, but they do live together. That’s not a crime, but what exactly are the benefits? Is Nadya’s mother also receiving public assistance for whatever reason? Did the apple not fall far from the tree? Where did Nadya get the idea—and assistance—to carry out her insane quest for children to give her what she felt was missing in her life? I know I was raised better.

If you were a prosecutor, what would you like to add to the list? If you were a politician what new laws would you work to pass in response to this whole debacle?

Thursday, February 12, 2009

Who Should, and Will, Pay?


Updated!

(Photo of a very preggers Nadya Suleman retrieved from TMZ)

I am going to follow a path we don’t normally follow here at Trials & Tribulations.

We pride ourselves on writing about horrible crimes usually involving death and the worst of human behavior. With today’s “case,” no one has yet died and as of yet there are no charges for breaking any sort of “law,” but certainly this case is worthy of our discussion. It does indeed include the worst of human behavior, selfishness and plenty of delusional thinking.

Because the certifiably crazy mother of 14 Nadya Suleman has retained public relations counsel, consider this writer the PR counsel for the fine bankrupt State of California. I also encourage the reader to simply Google “Nadya Suleman” and be prepared to learn more than what I’ve offered here. To totally cover this story would take too much space, and I know you are here to read about Spector 2.0 (as am I!).

Thirty-three years ago, Angela Suleman gave birth to her only child, a girl named Natalie Doud. Today that girl calls herself Nadya Suleman because changing her surname to Suleman would “simplify things.” Suleman’s father Edward is from Iraq and works in Iraq as a translator or driver to support his wife, daughter and grandchildren.

Suleman claimed she had a lonely, dysfunctional childhood as an only child, and she always wanted a big family from the time she was a teen. Nevermind that she grew up with the undivided financial resources of her parents, was a an above-average student and a cheerleader in high school, and has lived with her parents since January 2000. In worker's comp documents she described her upbringing as "loving and supportive," not dysfunctional, as she claimed to NBC. Today her “dysfunctional” mother is a-okay to take care of Nadya’s collection of kids.

Nadya Suleman obtained a psychiatric tech license and began a career at Metropolitan State Hospital in 1997. Her career was short-lived because she was hurt at work during what is described as a riot in November 1999, suffering a back injury which she has successfully milked for nearly 10 years. She was dating and ultimately married a man named Marcos Gutierrez from August 1996 to January 2000. The couple completed a divorce in January 2008, and the divorce papers stated there were no children as a result of the marriage.

Marcos Gutierrez is not the sperm donor for any of Suleman’s children. Presumably insurance provided by Gutierrez paid for the births of the six older children?

IVF is not a Kaiser benefit; that treatment occurred in Beverly Hills at the West Coast IVF Clinic owned by Dr. Michael M. Kamrava. Unable to conceive naturally due to what has been described as three ectopic pregnancies, Suleman had a batch of babies cooked up in a petri dish with semen obtained from a male friend who is at times described as her boyfriend. Suleman’s oldest child is 7 years old. Her IVF pregnancies all occurred after her on-the-job injury when she was too disabled to work and unemployed, though she also claims prior to injury she worked double-shifts at the mental hospital in Norwalk, saving money or the IVF treatments. Suleman self-reports having spent nearly $100K on IVF alone.

Thus far media accounts do not say if all 14 of Suleman’s children were cooked up at the same time, in other words, multiple ovum were harvested and combined with the boyfriends’ baby batter and then a huge batch of embryos were frozen for future use.

After her work-related injury she attended Cal State Fullerton and graduated with a B.S. (fitting initials, don’t you think?) in child development in 2006. She also found time to give birth to the first six children (including a set of twins) with the help of a full-time child care provider, her mother Angela. Suleman continued college to finish a master’s degree in counseling, but quit in the spring of 2008, presumably to implant a half-dozen embryos into her eager lonesome uterus.

Actually Nadya is said to have wanted “just one more girl” as the reason for this last pregnancy. Did you know it is possible to determine the sex of the embryo? Why wasn’t that done in this case?

After filing for bankruptcy in March 2008 due to what has been described as a bad real estate debt, Angela Suleman presumably downsized into the 1500-square foot Whittier home that she has so generously converted into a child care facility.

Let me go off on a bit of a tangent here. The university Nadya Suleman attended is a California State University, and the fees are nowhere near $50K for a four-year degree. As I write this, fees at Fullerton are $1,260 for 6.1 or more units; graduate fees are $1,551 for 6.1 or more units. There is simply no way that a person, attending a CSU school, needs that kind of money to attend college unless they are also living on those loan proceeds. (Tuition is paid for by taxpayers’ dollars, hence the relatively low cost of attendance.)

This is from the Fullerton State website regarding college costs:

Typical school year budgets for California residents vary widely. Room and board allowances for nine months range from $3,474 for students living at home to $9,035 for students living on campus and $9,792 for students living off-campus. The allowance for books and supplies is $1,116. Total yearly costs include allowances for registration fees, books and supplies, room and board, transportation and miscellaneous personal expenses and range from $11,470 for a student living at home to $16,761 for a student living on campus and $17,788 for a student living off campus. Nonresident students must also allow for nonresident tuition in addition to the costs listed above.

No doubt Suleman lied about where she was living, claiming she needed a housing allowance yet living with parents since January 2000.

Because the back injury was suffered at work, Nadya Suleman was eligible to receive temporary total disability until such time as she is able to go to work or is declared permanent and stationary (P&S), meaning the injury has improved as much as it’s going to. At that point, a percentage of total disability is determined and the injured worker receives a cash award paid in installments.

As far as this writer can tell, for whatever reason, Suleman has never been declared P&S and had been receiving non-taxed TTD for nearly ten years. TTD was cut off last summer, but not before she’d received $165,000. Her TTD had been cut off in July of 2001 but she appealed to the Worker’s Compensation Appeals Board claiming she was still disabled due to pregnancy and a car accident she claims to have had while driving somewhere for treatment.

If a person is injured for more than one year (on-the-job or not), he or she is eligible for social security. That payment currently is around $900 a month. Thus far no one is talking about Suleman receiving this benefit, but she’s eligible to apply (and the government is likely to deny the claim, but there is a nice long appeals process that favors the persistent claimant). There is also SSI, supplemental security income, which is given regardless of work history to people with no income. I believe she is also eligible for CALWORKs, which means financial assistance for herself and her children while she is learning a trade. I’m not saying she’s getting it, but she certainly could go looking for it.

Three of Suleman’s children receive SSI; one is said to be autistic, and Suleman claims that the other two kids receiving SSI are receiving it “temporarily” and that their conditions are treatable/curable (one has attention deficit hyperactivity disorder and another speech delays characteristic of mild autism).

According to one newspaper source, a low-income family can receive payments of up to $793 a month for each disabled child. Three disabled kids equals $2,379. She also receives food stamps valued at just under $500 a month.

Nadya Suleman does not consider any of those checks she receives in the mail welfare of any sort, and she claims the aid is only temporary. As if a crazy person working as a counselor will ever earn enough money to support herself and 14 kids!

When the octuplets were born in January, Kaiser Bellflower and Suleman claimed that the bill was being paid. Yes indeed it was.

In California, pregnancy and labor equals instant emergency Medi-Cal coverage. Kaiser wasn’t donating services at all; it saw a wonderful opportunity for publicity and also the right to bill the fine taxpayers of California for this pregnancy, birth and neonatal ICU costs.

In 2006, according to the U.S. Department of Health and Human Services, the average cost for a preemie infant’s hospitalization was $164,273. A singleton c-section cost $22,762. Nadya Suleman has been hospitalized on strict bedrest since October 2008. She is said to have stopped paying Kaiser premiums in November 2008.

Nadya Suleman is a case study in knowing how to manipulate a system fully to her benefit, and I predict the times may be ‘a changin’ in California.

There are “guidelines” that fertility specialists are supposed to adhere to, and every single fertility physician who has spoken to the media since the birth of these babies has said that Dr. Kamrava did not follow those guidelines. Physicians may implant large numbers of embryos in older mothers, hoping at least one “takes,” and those doctors strongly counsel women to undergo selective reduction should more than three implant. Any doctor who would stick six embryos into a woman who happily carried six prior babies after IVF is plain insane. The doctor no doubt knew Suleman was not only unemployed and single, but also supposedly disabled.

One physician did admit that he would have referred Suleman to counseling had she presented to his office after having the first six babies, but he also noted that the remaining embryos were hers to do with what she wished, and that a threat of a lawsuit could be enough to prod a doctor into doing something he or she knew was not ethically the right thing to do.

Nadya Suleman is said to be in hiding with her first 6 kids due to “death threats,” according to her PR team.

So what do you think will come out of this case? Mind you, I hate the government having to butt into so many things that should be a personal choice, but when taxpayers end up paying for those personal choices, I feel we deserve a say in things.

1. I believe that the fertility clinic “guidelines” which are in no way legally binding will be passed into law, giving real consequences to doctors who implant so many embryos into women, and especially into unstable women with no source of income other than taxpayers. That doctor needs to determine well before a pregnancy occurs just who is paying for the birth and support of a resulting baby.

2. If you are too disabled to work, you are no doubt too disabled to carry a baby. A singleton birth is tough enough if you have a bad back, and heck, if you didn’t have a bad back prior to pregnancy you will afterwards! Worker’s compensation will find a way to disqualify injured workers from TTD payments if they get pregnant while on TTD. Yes, it is a bit “big brotherish” but well within their rights to deny treatment if the injured worker goes against a physician’s advice. What physician in his or her right mind would advocate a gravely disabled woman risk her life by carrying multiple fetuses?

3. If Nadya Suleman is indeed collecting Social Security Disability for herself, no doubt the Social Security Administration will make things more difficult for legitimately injured people who absolutely cannot work.

4. Kaiser hospital had plenty of time to transfer Nadya Suleman and her gravid uterus to a county hospital. But I believe the hospital saw what they thought could be great PR and also knew it would be able to bill the state for the cost of hospitalization of Nadya Suleman and the eight babies. Because the hospital had time to transfer her to a public hospital that is by law required to take medically indigent patients, the state of California should not give Kaiser Bellflower a dime in reimbursement.

What laws would you like to see put on the books to prevent cases like this happening again, and what should the consequences be for Nadya Suleman, Kaiser Bellflower or Dr. Kamrava? Notice I didn’t even go into what is presumed to have been plastic surgery to make Suleman look more like another famous child collector, Angelina Jolie, who can afford to birth and adopt as many children as she wishes, at no cost to California taxpayers, or talk about Suleman’s perfectly-manicured nails that are clearly visible during the NBC interviews.

Taxpayers may have to cover octuplet mom's costs

Birth of Octuplets Puts Focus on Fertility Clinics

Octuplet Mom Filed Worker’s Compensation Claim

LA police to investigate threats to octuplet mom


Nadya Suleman's Excuses in Her NBC News Interview - Blame It on a 'Dysfunctional' Childhood


Normal Births Don't Require a Publicist - What's Wrong With Octuplet Mom Nadya Suleman

Update!
Addendum—readers, please check out this article at the LA Times:

Octuplets fertility doctor at center of another multi-pregnancy

Dr. Michael Kamrava is at it again: a 49-year old woman is pregnant with quads; she is now hospitalized on bedrest at County-USC after being transferred from Good Samaritan because she is uninsured.

And yet another update:

Octomom doesn’t have a PR rep anymore; she’s got an agent!

SoCal octuplets mother now has agent, no publicist

Wes Yoder, who represented the McCaughey 7 and controversial pastor Rick Warren, claims to be the oldest Christian-based talent agency in the United States.

I am Christian, and I’m not falling for it. Interesting tactic though, to play on the publics' faith. I hope it doesn't work. I'm assuming he took on the case because somewhere there is indeed money other than the welfare she's bilking out of the state and federal governments.

The pro-bono PR agency got sick of dealing with death threats (and I believe it was wrong to make any sort of death threats to anyone in this incident!).

UPDATE! Updated story links:

The Irresponsibility of Dr. Michael Kamrava

The "Crimes" of Nadya Suleman

No "Jon & Kate" Deal for Octo-Mom"