Disease, Medicine and Society in England, 1550-1860

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Cambridge University Press, Sep 14, 1995 - History - 78 pages
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In his short but authoritative study, Roy Porter examines the impact of disease upon the English and their responses to it before the widespread availability and public provision of medical care. Professor Porter incorporates into the revised second edition new perspectives offered by recent research into provincial medical history, the history of childbirth, and women's studies in the social history of medicine. He begins by sketching a picture of the threats posed by disease to population levels and social continuity from Tudor times to the Industrial Revolution, going on to consider the nature and development of the medical profession, attitudes to doctors and disease, and the growing commitment of the state to public health. Drawing together a wide range of often fragmentary material, and providing a detailed annotated bibliography, this book is an important guide to the history of medicine and to English social history.
 

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Brookline Doctor MAD DOG MILLIONAIRE a.k.a. Punyamurtula Kishore MD Pleads Guilty, Sentenced to Jail and Ordered to Pay $9.3 Million for Running Medicaid Kickback and False Billing Scheme
Dr. MAD DOG
to Surrender Medical License, Sentenced to House of Correction
BOSTON – A Brookline doctor MAD DOG MILLIONAIRE a.k.a. Punyamurtula Kishore MD has pleaded guilty, was sentenced to jail, and has been ordered to pay $9.3 million in restitution for running an intricate Medicaid fraud scheme involving millions of dollars in taxpayer funds, Attorney General Maura Healey announced today.
Dr. Punyamurtula Kishore, 64, along with his company Preventive Medicine Associates, Inc. (PMA), pleaded guilty on Monday in Suffolk Superior Court. PMA pleaded guilty to charges of Medicaid Kickbacks (8 counts), Medicaid False Claims (19 counts) and Larceny over $250 (11 counts). Dr. Kishore pleaded guilty to one count of Larceny over $250.
“Dr. Kishore orchestrated a complex kickback scheme to funnel a lucrative drug screening business to his laboratories and then billed taxpayers millions of dollars for those services,” AG Healey said. “This case exhibited blatant theft of state funds that were supposed to go toward care for some of our most vulnerable residents. This is fraud that undermines the integrity of our health care system.”
Today, Superior Court Judge Janet Sanders sentenced Kishore to 360 days in the House of Correction, with 11 months to serve and the balance suspended for 10 years. As a condition to his sentence, Kishore has also agreed to surrender his medical license. Judge Sanders also ordered Kishore and PMA to pay, jointly and severally, a total of $9.3 million in restitution.
Dr. Kishore previously owned and managed PMA, a network of 29 medical branches throughout Massachusetts, including physician office laboratories and one independent clinical laboratory. Based on the AG’s investigation, Dr. Kishore used bribes, or kickbacks, to induce sober house owners to send their residents’ urine drug screening business to his laboratories for testing. Residents were typically screened three times per week.
A urine drug screen may be billed to MassHealth by a physician if the screen is medically necessary. Drug screens generally are billed to the MassHealth program for approximately $100 to $200. Dr. Kishore manipulated his business relationships with sober house owners to illegally obtain tens of thousands of drug screens paid for by MassHealth for sober house residents who were never treated by PMA providers.
In September 2011, Dr. Kishore and PMA were indicted, and individually charged with Medicaid Kickbacks (8 counts), and Medicaid False Claims (8 counts). In November 2013, Dr. Kishore and PMA were indicted on additional charges of Medicaid False Claims (11 counts) and Larceny over $250 (11 counts) for billing MassHealth for millions of dollars in drug screens using the names of PMA physicians and nurse practitioners who were not actually treating the patients or determining the drug screens to be medically necessary. State regulations require that the services must be medically necessary and the provider must be physically present and actively involved in the treatment of the member.
Two other individuals previously pleaded guilty to one count of Medicaid Kickbacks in connection with their involvement in Dr. Kishore’s scheme to defraud MassHealth. In June 2012, Damion Smith, 42, of New Jersey, president of Fresh Start Recovery Coalition, was sentenced to two years in the House of Correction suspended for two years with probation. Carl Smith, 69, of Dorchester, manager of New Horizon House, pleaded guilty in January 2015 and was sentenced to two years in the House of Correction suspended for two years with probation.
The case against Thomas Leonard of Malden, the part owner and manager of the Marshall House, a sober house located in Malden, is ongoing. John Coughlin of Carver, president of Gianna’s House Inc., which operates several sober houses located in Wareham, New Bedford
 

Contents

Disease death and doctors in Tudor and Stuart England
5
The practice of medicine in early modern England
11
Experiences and actions countering illness in the seventeenth and eighteenth centuries
17
Medicine in the market economy of the Georgian age
27
The medical profession and the state in the nineteenth century
45
The role of medicine what did it achieve?
59
Select bibliography
64
Index
77
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About the author (1995)

Roy Sydney Porter was born December 31, 1946. He grew up in a south London working class home. He attended Wilson's Grammar School, Camberwell, and won an unheard of scholarship to Cambridge. His starred double first in history at Cambridge University (1968) led to a junior research fellowship at his college, Christ's, followed by a teaching post at Churchill College, Cambridge. His Ph.D. thesis, published as The Making Of Geology (1977), became the first of more than 100 books that he wrote or edited. Porter was a Fellow and Director of Studies in History at Churchill College, Cambridge from 1972 to 1979; Dean from 1977 to 1979; Assistant Lecturer in European History at Cambridge University from 1974 to 1977, Lecturer from 1977 to 1979. He joined the Wellcome Institute fot the History of Medicine in 1979 where he was a Senior Lecturer from 1979 to 1991, a Reader from 1991 to 1993, and finally a Professor in the Social History of Medicine from 1993 to 2001. Porter was Elected a fellow of the British Academy in 1994, and he was also made an honorary fellow by both the Royal College of Physicians and the Royal College of Psychiatrists. Roy Porter died March 4, 2002, at the age of 55.

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