Sources of Suffering

Is A Power Of Attorney Good After Death - Sources of Suffering

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Introduction

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Is A Power Of Attorney Good After Death

While even suited and self-consciously 'Christian movements' are affirming that nuclear weapons and Aids are God's divine punishment or response to 'godless communism', needful damage is also done to interpret all suffering as from the devil or through the direct consequence of sin. The lowest line is that the devil and man have a part to play, and the hand of God could be purposefully seen in suffering. Generally, God punishes those who transgress (for instance Achan, Miriam, Abiram, Korah and Dathan) and also allows suffering in others (Job, Joseph, Paul, to mention a few, for a purpose). There is perhaps an additional one source of suffering which cannot be directly attributed to God, the devil or man.

The devil's hand in suffering

The hand of the devil in suffering could be seen as early as Genesis 3. God's rebuke to him after the fall of Adam and Eve clearly reveals his responsibility. That it was his doing cannot be doubted. The clear reprimand was "and I will put enmity in the middle of you and the woman, and in the middle of your offspring and hers; he will crush your head and you will assault his heel..." (Gen. 3:15).

Even though human beings fell into sin, one should stress that they did not build it. They were merely victims and not designers. This clearly explains why the gracious God provides redemption for mankind and not for the devil and his evil angels. Satan, "dethroned, disgraced, destined for destruction, the loathsome potentate of perversion, was (and is) obsessed with fiendish rage to destroy everyone and all that is of God" (Berner 197,320). With all fairness to God, sometimes Christians murmur against Him for sufferings that should be attributed to the devil whose wittiness should not be underestimated.

Satan's hand is clearly seen in suffering right through the Bible. The chance chapters of the book of Job describe that he can control the weather, our health, lives of our children and thoughts of our friends. In the book of Job, the existence of Satan is encountered as a way of insight the nearnessy of suffering and evil in the world. As a tester, a character who seems to enjoy leaning on population to see how much they can take, "Satan can bring us pain and suffering" (Simundson 1980, 85).

With the capacity to enter the minds of population and implanting evil thoughts, Satan has disguised himself as an angel of light, a wolf in sheep's clothing and a roaring lion sometimes using our best or closest friends, sometimes intimate members of our family, to deceive us and finally enforce unimaginable degrees of suffering. The Bible presents Satan as a real being-a spirit nearnessy possessing great power to do harm. Because so many reject the existence of an actual devil, he is an unrecognized cause of much suffering. Whether we perceive it or not, his deception of humanity is the major cause of anguish and grief.

The extent of Satan's influence and power is clearly revealed in the Bible. Revelation 12:9 tells us he "deceives the whole world." John writes elsewhere that "the whole world lies under the sway of the wicked one" (1 John 5:19). When Paul proclaims that "the god of this age" has blinded the minds of many so that they do not believe the gospel (2 Corinthians 4:4), he refers to the devil.
Peter warns Christians that their "adversary the devil walks about like a roaring lion, seeking whom he may devour" (1 Peter 5:8). In the parable of the sower and the seed, Jesus tells us that as soon as many population hear God's Word explained to them "Satan comes immediately and takes away the word that was sown in their hearts" (Mark 4:15). This wicked being wants mankind blinded to the comfort, encouragement and deliverance of God's truth. Throughout history the devil has succeeded in tempting population to indulge in an unlawful and immoral rehearsal of their corporal appetites. He employed this strategy in the garden of Eden, and his game has worked marvelously ever since. everyone has suffered because of it.

Jesus described the devil as "a murderer from the beginning" (John 8:44). Satan's intent has always been to make human life miserable and finally destroy us. His very nature is destructive, and those who commit destructive acts unwittingly succeed him. Revelation 9:11 labels Satan as "the angel of the bottomless pit, whose name in Hebrew is Abaddon, but in Greek he has the name Apollyon. These two names mean "destruction" and "destroyer," respectively. In dissimilarity to God, who is the creator, sustainer and giver of life, Satan is the extreme destroyer and murderer.

Satan is the agitator of war and other conflicts. The book of Revelation depicts demonic spirits at the end of the age that "go out to the kings of the earth" to "gather them to the battle of that great day of God Almighty" (Revelation 16:14). Satan and his demons will instigate a time of distress that will be more terrible than any suffering human beings have ever experienced (Matthew 24:21-22).

We can see from these passages that Satan exerts a pervasive power over mankind. God, however, sets limits on Satan's power (Job 1:12; 2:6). God will not allow Satan to thwart His expert plan for the salvation of humanity. As our Father and "Lord of heaven and earth" (Matthew 11:25), God will never relinquish His extreme control over mankind and the rest of His creation.
The situation is the same in contemporary times. The anonymous report Why does God allow suffering? realistically comments on the craftiness of the devil.

Through the spiritual blindness and ignorance Satan has foisted off on the world, he is the instigator of incalculable suffering. He has blinded humanity to the conjecture for our existence. He has deceived humans into believing that his way-the way of selfishness and sin-is better than obedience to God's commands. Regrettably, humanity has fallen prey to Satan's ploys, not realizing the extreme grief that sin brings (2003, 4).

Jesus, however, was neither ignorant, nor spiritually blind. As Fitch observes, "that our Lord recognized the presence, the malignity, the hostility and the undying enmity of an evil one whom he called the devil, is unmistakable" (1967, 51). When Simundson observed that "there are times when it is a help to recognize that there is an evil force that wants us to suffer" (1980, 147), he is acknowledging the accountability of the devil as a source of human suffering.

Man's accountability in suffering

Although the devil is to be blamed, man has freewill and also made a deliberate choice. In the inventory of Genesis 3, God turned to the woman and said "I will greatly growth your pains in childbearing; with pain you will give birth to children..." (Gen. 3:16). To the man, God said that "because you listened to your wife and ate from the tree I commanded you, 'You must not eat of it', cursed is the ground because of you" (Gen.3:17). But why has that anyone to do with one's suffering today? Suffering originated in the garden of Eden. It exists plainly because of sin. The book of Genesis tells us of the beginnings of sin, sorrow and suffering - the origin of our separation from God. Adam's sin was his deliberate choice. Christians erroneously believe that he was deceived but Paul, by divine inspiration informs us otherwise : "And Adam was not the one deceived; it was the woman who was deceived..." (I Tim.2:14). In other words, the man made a very deliberate option to disobey. It is in this sense that Epp noted - "examine many of your (sufferings) and you will find your name stamped on them as the manufacturer" (1970, 23). A deduction from the above quotation is that man is responsible for most of what he suffers.
To apportion the accountability of each source of suffering by quantifying it could be an additional one useful or relevant study entirely. However, a wrong assumption is that every suffering is deserved. The law of retribution is hereby challenged. Job, for instance, was singled out not because he was bad but plainly because he was good. It would be unfair to charge Job with lack of humility for the Bible in fact states that "there is no one on earth like him; he is blameless and upright, a man who fears God and shuns evil" (Job 1:8).

A realistic quiz, is, are there connections in the middle of sin and suffering? unavoidable expressions of liberal religious and secular opinion tried very hard to dismiss the connection. In some ways, it was both understandable and right to quiz, this connection since forms of Christian orthodoxy had the connection all too explicit. This trust that suffering is punishment for sin, inflicted by God whose punishment begins already in this life, "is firmly rooted in almost all the forms of empirical Christianity" (Hall, 1986,76). Airiohuodion believes that "the disciples of Jesus held the same view like the friends of Job that suffering is as a succeed of some personal sin on the part of the sufferer or victim" (1996, 15). This explains why they were inviting and asked, "Rabbi, who sinned, this man or his parents, that he was born blind?" (John 9:2). Even though these disciples recognized the theological consider Whether an individual, immediate ancestors or even the human race could be blamed for suffering, it would appear as if it is general to assume that suffering is a succeed of someone's sin. Jesus' reply is worth analyzing. He noted that "neither this man nor his parents sinned..." (John 9:3a). Such a response by Jesus could be seen as a very "clear denial... That we should assume that every example of suffering is a direct succeed of sin, Whether by the private (as in Ezekiel 18 and elsewhere) or by the ancestors of the afflicted man (as in Deuteronomy 5:9-10 and elsewhere)" (Simundson 1980,128).

Throughout the history of mankind and even today, man's leisure of option means that he is also responsible for his actions. In the world today, "one may choose to smoke at an early age. He may think that it affects no one but himself. Sadly though, its effects are seen by everyone who breathes the smoke - the smoker and the non-smoker" (Northrop 2004, 3). There are many non-smokers dying today because of friends, relatives, and loved ones who smoke. The spread of Aids knows no boundaries. Innocent population of all races and nationalities are being killed by this dreaded disease. They are not homosexuals, intravenous illegal drug users or promiscuous. They are innocent - often babies. They are guiltless victims of the poor decisions made by others. through the evil intentions of one man, Adolf Hitler, millions of Jews lost their lives. The effects of his brutality are still felt nearly fifty years after the Second World War. The corporal scars can still be seen. The mental scars can still be heard. Since there is nothing new under the sun, it has always been that the innocent suffers because of the decisions of others. The blood of righteous Abel still cries out. Wicked Cain's decision to murder affected not only innocent Abel but Cain's descendants.

The above argument shows that the qoute of human pain and suffering could also lie in man himself. Decisions made in the past to disobey God are still been made today. For instance, a house can suffer when a careless father spends his monthly wage on alcohol. A promiscuous private may experience Aids. Man's decisions of the past influence us today and man's decisions today will influence man in the future. When man makes poor decisions, man becomes man's own worst enemy!

God's hand in suffering

Although God did not embark on suffering, He usually plays a very leading role in it. Genesis 3, the rest of the Bible and human history down to the gift day, all report God intervening, punishing for disobedience and allowing suffering for a meaningful purpose. The antagonism in the middle of man and the snake is used to symbolize the outcome of the ongoing struggle in the middle of God and the evil one, a battle which is played out in the hearts of mankind. The offspring of the woman would at last crush the head of the serpent, a promise fulfilled in Christ's victory over Satan.

A response from God is to cause population to suffer as a succeed of sin. He is a God that "punishes the children for the sin of the fathers to the third and fourth generations..." (Gen. 20:5). How did Miriam suffer from leprosy? Did God approve of the stoning of Achan? Why did Israel lose a battle after Achan's sin? Can anyone argue otherwise that God was not punishing Israel for the act of one man? When Korah, Dathan and Abiram rebelled in Numbers 16, was it not God Himself who put down the rebellion? The above biblical examples clearly show that God could cause population to suffer as a succeed of wrongdoing. terminal his argument on the topic Why do Christians suffer?, Gould admonishes that "it would be good for us to know that many times we suffer because of our wrongdoing" (1980, 28).

Although Clarkson agrees that "God may send suffering into the lives of His children" (1983, 78), the position expressed is that it is for disciplinary training and chastisement. The researcher supports this line of mental since God, as a loving Father, clearly sees the end from the beginning, and seeks to turn His children away from their waywardness into His paths of righteousness and peace. He knows the awful end of the ways of man and the eternal blessedness of His.

Amy Carmichael comments on dissimilar aspects of human suffering in some of her books. In so doing, she casts a meaning and purpose on even the severest difficulties of life which is strengthening as well as enlightening. She forcefully argues that "if we are to be God's knights we must learn to go through flirts of arrows, and so the teaching which was set on fashioning warriors, not weaklings, often dealt with this" (Carmichael n.d., 129). Furthermore, she observes that the trust that no earthly father goes on chastising a loving child is misleading :
That is a common opinion about suffering, but I am quite sure that it is a wrong thought. Paul's sufferings were not that, nor are yours. They are battle wounds. They are signs of high confidence- honors. They Father holds his children very close to His heart when going through such rough places as this (Carmichael 1981, 54).

In the process of denying the universal application of the retributive doctrine in John 9, "Jesus bypasses both sides of that argument and says that the blindness has nothing to do with sin at all but an chance for God's glory to be seen" (Simundson 1980, 128). A similar idea is expressed in Exodus 10:1-2 in the explanation of the hardening of Pharaoh's heart. This is echoed in John 11:4, where it is observed that "this sickness will not end in death... It is for God's glory so that God's Son may be glorified through it".

Deal believes that many Christians fail to see the designing hand of God in their furnace of affliction and are greatly discouraged. He argues, with sufficient justification, that "a permissible observe of God's dealings with His population reveals that behind the human scene is a secret hand that governs all the painful procedure, ...watching with greatest interest and compassion for the final product, terminated and polished" (1978, 19).

Viewing suffering as something that is Father-filtered, Warren (2002) aptly quotes Joni Eareckson Tada of saying that "we learn from God in suffering that we can't learn any other way" (194). leading lessons can be learned from Daniel in the lion's den, Jeremiah being tossed into a slimy pit, Paul and the shipwreck and the Hebrew children and the blazing furnace. Each of the above characters was drawn closer to God as a succeed of the difficult experience.

Long brilliantly analyzes the biblical coming to suffering, observing that God teaches us to seek His comfort which comes to us as a succeed of our connection with him and also through our interaction with other population undergoing similar traumatic experiences. He observes that "when we suffer, we also find comfort through others who have suffered.... Those who have suffered know what real comfort is" (1986, 73). It is out of the overflow of comfort they have received from God that they use to comfort others.

A needful prognosis of the conjecture why Christians suffer could be clearly seen in the argument of Epp (1970). Paradoxically, God cares for His population - that's why He allows them to suffer. He has a great plan for them and suffering is just a part of it. Placing His children therefore in the furnace of affliction and watching as they undergo the process of refinement is perhaps deliberate since He wants to see the total image of Christ in them. As He molds His children into something indescribably beautiful, they will at last adorn heaven as needful masterpieces.

If God is in the refining business, then He wants to purify and cleanse. Suffering therefore plays a role in this purifying since it helps to become more like Him. The apostle Paul demonstrates this clearly in Ii Corinthians 12:7-10 where he found God's grace sufficient for his affliction and found himself strong when he is weak. Hart therefore argues that "we cannot have a theology of healing without a theology of suffering. Sooner or later everyone dies, and in order to die you must get sick" (1987, 31). In other words, the argument is that some sickness or suffering is the unavoidable consequence of living and cannot be avoided. Therefore, he believes that believers must learn how to suffer in order to know how to live gracefully and peacefully. If one receives a miracle from God, he should be grateful. If not relieved of suffering, dissatisfaction should not occur. Probably the need would be for a text "from the laments or from Job or from Paul which allows God to come into suffering and pain and feebleness and bring comfort without necessarily ending the suffering" (Simundson 1980, 129).

It would appear as if phrases like praise the Lord, repeated so often in contemporary Christian gatherings, both formal and otherwise, originate the misleading opinion that all is well when it is not necessarily so. The idea of suffering is Whether swept under the floor covering or disregarded as not being one's portion. Realistically, In the era of praise the Lord theology, the real meaning of words like praise and joy may become lost to superficiality. For it is only in deep suffering that population know the depths of all emotion, Whether it be pain that is almost unbearable even for one occasion more, or joy that sweeps over the soul once that pain is gone (Skoglund 1992, 70).

Writing his book while the very last year of his life, Boyd emotionally observed that having aids is not a rock and roll time. This pathetic experience, among other things, is "painful (both physically and emotionally), dirty, smelly, and just plain awful. But, like so much else in life, where the Lord finds suffering, He provides a compensating grace that some how helps the sufferer to make it through" (1990, 41).

Throughout our lives we know that we never have to pay any penalty for sin, for that has been taken by Christ (Rom.8:1). Therefore, when we do experience suffering, "we should not think that God is punishing us (for our harm). Sometimes suffering is plainly a succeed of living in a sinful, fallen world, and sometimes it is because God is disciplining us" (Grudem 1999, 348). In all cases, however, we are assured by Romans 8:28 that "God causes all things to work together for good to those who love God, to those who are called according to His purpose". The unavoidable purpose for God's discipline is clear in Hebrews 12, where we read that God disciplines those he loves. Not all discipline any way serves to literal, us when we have committed sins; God may allow it to strengthen us so that we may gain greater quality to trust him and to resist sin in the inviting path of obedience. This is clearly seen in the life of Jesus who, though without sin, "learned obedience through what he suffered" (Heb. 5:8). Since He was made excellent through suffering (Heb. 2:10), it is observed that "we should see all hardship and suffering that comes to us in life as something that God brings to us to do us good, strengthening our trust in him and our obedience, and finally increasing our quality to glorify him" (Grudem 1999, 349).

The beginning point for a Christian insight of suffering is the messianic self-understanding of Jesus Himself. A temptation to power and self-exaltation lay in the late Jewish promise to the coming of the Messiah-Son of Man. The Gospel of Matthew describes the temptation of Jesus by Satan in the wilderness as a temptation to worldly power. Jesus Himself disappointed His disciples' notions of aiming at power and exaltation in that He taught them, in accordance with Isaiah 53, that the Son of Man will suffer many things. From the foregoing, a Christian insight of suffering can be clearly seen. Indubitably, it is not the final aim and end in itself in the realization of human destiny; it is the gateway to resurrection, to rebirth, to new creation. This idea receives its clarification from the Christian insight of sin. Sin as the misuse of human leisure has led humans into total opposition against God, who in turn delivers them over to death. Turning to God can therefore take place only when the results of this rebellion are overcome.

In the Christian understanding, suffering does not appear- as in Buddhism- as suffering plainly under the general conditions of human existence in this world; rather it is instead coupled with the specifically Christian idea of the imitation of Christ. private Christians are called to become imitators of Christ; incorporation into the body of Christ is granted to those who subsequently are ready to carry out within themselves Christ's destiny of suffering, death and resurrection. The early church's characterization of the Christian was that of Christophorus - 'bearer of Christ'. Suffering was therefore an unalterable principle in the great drama of freedom, which was identical with the drama of redemption.

It would therefore be misleading to dismiss suffering as pointless. Clark supports this idea when he opines that "the idea that suffering has no point is so threatening to us that we are hardly even able to observe much less embody the implications of such a view" (1986, 31). The issue is that though God may not have planned a single suffering in the life of the Christian, He has most in fact permitted it. Therefore, Whether or not it is an assault from the devil, by the time it reaches him/her, it has the Lord's permission, and therefore will make it work together with all life's experiences for good. If anything, God in fact knows what He is doing. The stimulating lesson from Job is this: instead of finding what the sufferings are doing to us, one should rather see what God is doing through them for the Christian because "the gift agony of suffering is a prelude to the radiant ecstasy of life eternal" (Berner 1973, 51).

The mystery of suffering

There is perhaps a sense in which suffering can be seen as a mystery when it is not likely to be directly caused by the devil, man and God. The argument is that suffering could be the inevitable, unavoidable and unavoidable consequence of living. The white man who walks down the road in an African town and is bitten by a mosquito, which finally causes him to suffer from malaria, cannot realistically blame the devil, man or God for the bite. Commenting on this seeming complexity, MacDonald asserts that "for this conjecture we refer to it as 'the mystery' of suffering" (2000, 235). The reasons why suffering is regarded as a mystery is probably because of the mystery of Whether insight or tracing its exact source.

Perhaps a more vivid illustration is the logical argument put forward by Hart (1987). The fact that man will at last die is probably not a debatable issue in any religious belief. If the above is true, a uncostly end is that "sooner or later everyone dies, and in order to die (some) get sick" (31). The quiz, here is that who is the direct source of that sickness that at last leads to the death of the individual? There are times when one could attribute the cause to the devil, man or God and there are times none could be identified. Who is responsible for the terrible earthquakes that had claimed and continue to claim the lives of many? A terrible qoute or natural disaster in West Africa is the progressive strengthen of the Sahara Desert southwards. Is God punishing man by allowing the desert to expand? Is the devil using his agents to 'push' the watered regions southward? Is the desert increasing because of man's actions? These are in fact seemingly difficult questions to realistically answer. Consequently, "many Christians will use one of the other explanations as long as they work, but when all else fails, they will back on the idea that it is all part of ...mystery and we can never know more than that" (Simundson 1980, 147). That mankind cannot realistically classify the source of all types of suffering is an indication of the human efforts to understand the universe.

Sockman adds an additional one size to this mystery. There is a kind of suffering he believes we do not understand. This is what he calls "the element of chance play in life" (1961, 10). If we accept the definition of chance as the unknown or undefined cause of events that to us are uncertain or not branch to calculation, then we have to agree that chance happens to all.
From the foregoing, one can reasonably halt that devil is the extreme accountability of suffering. His introduction in Genesis 3 is an inventory of his initiation of the opinion in the human race. However, a wrong coming would be to exonerate the role of man in the discussion. Disobeying the divine command cannot be entirely seen as the fault of the devil. Man becomes responsible when he chooses to disobey. Although God did not embark on suffering, He intervenes and punishes the disobedience of man. There is a set of suffering which could be regarded as a mystery.

List Of References

Berner, Carl W. 1973. Why me, Lord? : Meaning and comfort in Times of Trouble. Minneapolis,

Minnesota : Augsburg Publishing House.
Boyd, Terry. 1990. Living with Aids : One's Christian struggle. Lima : Ohio.
Carmichael, Amy. N.d. Kohila. Fort Washington, Pasadena : Christian Literature Crusade.
Deal, Williams. 1978. The Furnace of Affliction : How God through Suffering Develops Christian Character.

London : Great Gospel Publications.
Epp, Theodore H. 1970. Why Christians Suffer. Lincoln, Nebraska : Back to the Bible.
Fitch, William. 1967. God and Evil : Studies in the mystery of Suffering and Pain. Grand Rapids, Michigan:

Wm B. Eerdmans Publishing Company.
Grudem, Wayne. 1999. Bible doctrine : needful Teachings of the Christian Faith. Grand Rapids,

Michigan : Zondervan Publishing House.
Hall, Douglas John. 1986. God and Human Suffering. Minneapolis: Augsburg Publishing House.
Hart, Archbald. 1987. Counselling the Depressed : Resources for Christian Counseling. Dallas : Word

Publishing.
MacDonald, Sebastian. 2000. Suffering : Theological Reflections On Its nature and substance. In

Reflections on the mystery of suffering, 19(1): 330-337.
Northrop, Chuck. Human Pain and Suffering. available [Online].

[http://www.humanpainandsuffering.htm]. (13th January 2004).
Simundson, Daniel J. 1980. Faith Under Fire. Minneapolis : Augsburg Publishing.
Skoglund, Elizabeth R. 1992. Wounded Heroes : the Secrets of Charles Spurgeon... And Others Who

Triumphed. Grand Rapids, Michigan : Baker Book House.
Sockman, Ralph. 1961. The Meaning of Suffering. New York : Women's division of Christian Service.
Warren, Rick. 2002. The Purpose Driven Life : What on Earth am I Here For? Lagos : Integrated Press

Ltd.
Why Does God Allow Suffering : Satan's Role in Suffering. available [online].

[http://www.satan]'sroleinsuffering.htm. 27th January 2004.

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Police Corruption And The Reasons Behind

Is A Power Of Attorney Good After Death - Police Corruption And The Reasons Behind

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The boundary line between corrupt and non-corrupt activities is quite difficult to define. A police officer who takes advantage of his power and authority for personal and organizational gains can beyond doubt be described as a corrupt police officer.

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Corrupt police officials take bribes, launder money, and illegally replacement confiscated goods surrounded by other illegal activities. There has been corruption as long as there have been police soldiery in the United States. Due to some "rotten apples", scandals emerge, defaming the entire police force. Not only lower ranked officers are complex in such malpractices, but also senior officers, and those ranked below them are complex in organized corruption.

One of the best examples of Police Corruption is the Rampart Scandal of the late 1990s where more than 70 officers were caught on account of police misconduct. The anti- gang unit of the Lapd Rampart group was held responsible for police misconduct that included planting of evidence, framing suspects, stealing and dealing narcotics, covering of evidence, unprovoked shootings and beatings. In May 2001, agreeing to the statements of a policeman named Rafael Perez, who confessed to his part in police corruption, the Rampart investigation concerned over 70 officers for wrongdoing with 5 being terminated, 7 resigned, and 12 officers were suspended.

There are various causes of police corruption. agreeing to a report, areas of police work that is branch to least managerial scrutiny such as policing of illegal goods or drugs are more prone to corruption. These areas are connected with financial temptations that lure a singular officer.

The best way to cut corruption among police officials is to control it through various arresting strategies and introduce reforms every time. This is not easy as the reform must look at the society as well as political and task environments. One thing is certain; you cannot wholly judge the whole police force because of a few corrupt individuals.

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Free Online Living Will Forms

Revoking Power Of Attorney Form - Free Online Living Will Forms

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Easy way and availability of data has made the creation of a living will very simple. If you cannot afford an attorney due to financial constraints but still desire to originate a living will, it is entirely potential to do so. Living will forms are available free of fee on the Internet. A few websites where forms can be downloaded consist of familiesonlinemagazine.com, kinseylaw.com, wcpo.com, legal-forms-online.com, webdirectives.com, Doyourownwill.com and LegalDocs.com.

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Living will forms can also be acquired from hospitals in your town or city, free of cost. Hospitals may also supply details regarding the technicalities and can be approached with inquiries about legal requirements or state laws. Some hospitals allow visitors to download forms from their websites without any charge. These forms consist of exact questions pertaining to healing directives. Each someone is free to make his or her own choices.

Each state has its own laws regarding living wills. There may be minor differences, but the normal procedures and rules remains the same. It is advisable to do a appropriate study of the same, before drawing up a living will. Websites such as the U.S. Living Will Registry offer state-specific forms and supply by comparison details pertaining to a living will. If a someone happens to be in one state and the living will was drawn up in someone else state, the document will be honored only if its terms and conditions are in accordance with the requirements of the state where the someone is presently located.

Living wills are an foremost instrument that allows the family members to respect the wishes of those who are taking final steps in life's journey. The person's right and option of wanting to pass away with grace and dignity should be respected and accepted.

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Animal Store

Revoking Power Of Attorney Form - Animal Store

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The prospects for success in a pet-care enterprise are perfect because of the strong increase in the business demonstrates what an leading role pets play in the life of Americans. Pets have become a part of the family that is why they are pampered and are integral to people's lives.

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Most of those who started to put up their animal shop are ordinarily pet-lovers with the intent to help animals and to guide people on how to take care and help animals as well.

Look for a lawyer who specializes in small businesses especially man who is knowledgeable about the state agricultural laws and licensing required. The attorney will also cope all licensing and city ordinance issues. Hire an accountant who focuses on small enterprise accounts to take care of your regular or each year books of accounts.

Choosing for a location to put up your enterprise is not that hard but it is best to put up your pet store enterprise near the suburbs or the residential areas. If it is a new area for a pet shop, check first with the city council if the location is approved for a enterprise like yours before leasing or buying the property. If you are leasing, notify the landlord that it is going to put up a pet shop. Let your attorney check the lease or purchase papers prior to signing or depositing money.

You should also rule on what kinds of animals and services you are going to offer. You also need licenses for animals you are going to sell, which your lawyer can also take care of. Specialize as much as potential so you will stand out from the other pet stores. You can offer added services such as grooming and selling accessories for their pets.

You also have to hire added help for cleaning and animal handling. It is your accountability to properly train your staff about cleanliness and doing the paperworks. Remember that they should take care of very young animals to be adopted by a family.

Get a reputable animal distributor for the species you want to sell in your shop. You must also have a veterinarian to check the animals prior to sale and give a condition certificate. Your lawyer will then draw up a covenant of sale and condition certify which will be given to the buyer of the animal. It should be complied upon and go beyond and above all state requirements on the sale of livestock.

Pet lovers would verily suit this enterprise but since you get to take care of pets and sell them, make sure not to become emotionally attached to them.

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How To Get Over Him - fast

Is A Power Of Attorney Good After Death - How To Get Over Him - fast

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Let me make one thing clear: this has nothing to do with love.

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I'm no expert. The very word makes me nauseous and sets my body to a defensive mode. But I have had my heart broken once or twice. Badly. By some pathetic loser by the way who, in my blissful immature ignorance, contained my whole world: my oxygen, my insides, my speculate for being without whom I'd wither and die to nothingness blah, blah.

Somebody should have whacked me over the head with a Dr. Phil self-help bestseller in hard cover - it may have been adequate to cause selective amnesia. But no, I have had to feel many, many self-inflicted humiliations the magnitude of which almost surpasses George W. Bush's abundant stream of faux pas, which I speculate include nuking someone's ticker.

With no access to a warhead, however, to deploy my heart's retribution, I resorted to good old fashioned emotional meltdown that rivaled Chernobyl. Not only have I said and done it all in the name of witless love - things I loathe to quote lest the wrath of Virginia Woolf strikes me dead - I have listened excruciatingly to my girlfriends and their hearts' lament on losing Mr. Loser, er, Mr. Right. And the twisted plot to get him back.

What I bemoan most of all is that not one good sista gave it to me straight. That I will change.

So, if a looming break-up is coming your way (trust me, we can all see it coming!), read, learn and gain wisdom from the mistakes of others because you don't want to make them all!

For the ladies who have been-there-done-that and, hopefully, out of the singles jungle, enjoying the safety and ease of Tarzan's diminutive love-nest high up on the treetops, be a real friend and show the girls how it's done.

Delete, delete, delete ... All traces of your ex.

If your memory is good than mine, there are two phone numbers you know by heart: your mum's and your ex's. In your quest to "get over him", first, delete him from your digital memory store starting with your mobile phone. Erase his mobile number, work phone, home phone, his best friend's number, his mother's number - especially!

If you're an Im user, block him immediately and blacklist his email address from your mailbox.

Then take off every piece of clothing, toiletry and dirty underwear he left behind in your bathroom. And no, don't even think of washing and neatly packaging these into a bundle for him. The concierge has terminated and will not be re-opening. Ever.

Whatever you do, Do Not call him.

It's pathetic, really. What are you hoping to accomplish? No, you won't get him back because he's not coming back. The bottom line is if he dumped you, he's not into you. Sound familiar? The word on the street is true and there's as a matter of fact nothing you can do about it.

Ok, so there are those lucky citizen that get back together and live happily ever after.

In the movies!

If you're living in the same world as I, you know it's the exception, not the rule. Sadly, most women seem to think, to their detriment, that their situation is somehow always an exception: as if they live in a parallel reality where the rules of engagement do not apply because for some unknown and far-imagined reason, many are under the illusion that they're immune to life's cruel veracity. Well, you're not. The rule of life rules, unless the odd exception, freak-of-nature type event occurs. And it rarely happens. The sooner you realise that, the better.

So, in your occasion of pathetic weakness, it's wholly understandable and even thorough to max out your prestige card for much needed sell therapy. Even indulge in uncharacteristically obscene behaviour along with binge-drinking, a drunken pash or two with faultless strangers, or hysterical emotional outbursts in embarrassingly crowded places. Just make sure you're in the business of citizen who give a damn about you - your friends.

Scream. Cry. Laugh. Do anything it takes to flush him out of your system. But for goodness' sake, do not call your ex.

Should I return the gold watch he gave me?
Are you kidding me? It's yours. Keep it. Or good yet, take all the essential items he's ever given you to cash converters - the gold necklace for your birthday, the beautiful pair of earrings last Christmas and that beautiful bracelet for Valentine's Day. Then buy yourself a new pair of Jimmy Choos. It will elevate your height as well as your mood.

Turning his precious diminutive gifts, which are rightfully yours, into cold hard cash will satisfy a scorned woman's desire for sweet revenge. Albeit briefly. But who cares? Right now, diminutive victories are what you need to get you over the line. And over him.

Let's be friends? Yeah, right!
Oh, please! If you are insisting on remaining friends with an ex who dumped you like vomit, you're up o something and it won't do you any good.

Problem is, you can't see it. So let me make it clearer for you: he's not coming back.

Wake up and smell the stench. You're standing on a weighty pile of horseshit collected over the years starting from the time you believed in the myth of Cinderella. Didn't you know? She divorced her prince two months later: they weren't compatible after all.

So, think long and hard about your real motivations. Life is good but it ain't a fairytale.

If he's the one wanting to remain friends, well, beware. Remember, he dumped you. So it's neither an invitation for renewed romance nor for any kind of "real" friendship you want or need right now.

Let me tell you a diminutive secret. Most guys, unfortunately, are cowards. They are scared to death of hurting our feelings because we all go "emotional on them!. They will do anything to weasel their way out of very difficult situations. The fact is, if he wants you, and I mean want-you-so-badly-it-hurts, there are no mixed messages. He will move heaven and earth to be with you. If he's not in to you, the only thing he'll move is his thumb: "want 2 come over 2nite?"

Need I say more?

Get a life ... Darn good one!
The sweetest revenge is to live a happy life. And it's the only way to live.

But first, change your sheets.

Call your friends. Dance around the house in your underwear or naked if you prefer. Attend a party. Drink good champagne. Wear amazingly red lipstick. Strut around in ridiculously high stilettos. Visit your hairdresser.

Smile.

Chat up a good finding guy at a funky bar. Wear perfume. Flirt. Play games and play it cool. This time, you're the predator, not the prey. Take a risk.

You're so sexy. Who wouldn't want you?

And if you're still weary of rejoining the singles jungle, here's a tip: run an ad for a male flatmate. You may be surprised at what you'll find. Tarzan might just come knocking at your door.

Live life. It's the only one you've got.

Robelen Bajar is a freelance writer with a Mr. Strong Man who's so in to her.

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Hospice Fraud - A delineate For Employees, Whistleblowers, Attorneys, Lawyers and Law Firms

Revoking Power Of Attorney Form - Hospice Fraud - A delineate For Employees, Whistleblowers, Attorneys, Lawyers and Law Firms

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Hospice fraud in South Carolina and the United States is an increasing problem as the estimate of hospice patients has exploded over the past few years. From 2004 to 2008, the estimate of patients receiving hospice care in the United States grew approximately 40% to nearly 1.5 million, and of the 2.5 million people who died in 2008, nearly one million were hospice patients. The extraordinary majority of people receiving hospice care receive federal benefits from the federal government through the Medicare or Medicaid programs. The health care providers who furnish hospice services traditionally enroll in the Medicare and Medicaid programs in order to qualify to receive payments under these government programs for services rendered to Medicare and Medicaid eligible patients.

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While most hospice health care organizations furnish accepted and ethical rehabilitation for their hospice patients, because hospice eligibility under Medicare and Medicaid involves clinical judgments which may corollary in the payments of large sums of money from the federal government, there are colossal opportunities for fraudulent practices and false billing claims by unscrupulous hospice care providers. As modern federal hospice fraud compulsion actions have demonstrated, the estimate of health care clubs and individuals who are willing to try to defraud the Medicare and Medicaid hospice benefits programs is on the rise.

A modern example of hospice fraud spellbinding a South Carolina hospice is Southern Care, Inc., a hospice company that in 2009 paid .7 million to decree an Fca case. The defendant operated hospices in 14 other states, too, together with Alabama, Georgia, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Ohio, Pennsylvania, Texas, Virginia and Wisconsin. The alleged frauds were that patients were not eligible for hospice, to wit, were not terminally ill, lack of documentation of final illnesses, and that the company marketed to inherent patients with the promise of free medications, supplies, and the provision of home health aides. Southern Care also entered into a 5-year Corporate Integrity bargain with the Oig as part of the settlement. The qui tam relators received approximately million.

Understanding the Consequences of Hospice Fraud and Whistleblower Actions

U.S. And South Carolina consumers, together with hospice patients and their family members, and health care employees who are employed in the hospice industry, as well as their Sc lawyers and attorneys, should advise themselves with the basics of the hospice care industry, hospice eligibility under the Medicare and Medicaid programs, and hospice fraud schemes that have industrialized across the country. Consumers need to safe themselves from unethical hospice providers, and hospice employees need to guard against knowingly or unwittingly participating in health care fraud against the federal government because they may branch themselves to menagerial sanctions, together with lengthy exclusions from working in an club which receives federal funds, colossal civil monetary penalties and fines, and criminal sanctions, together with incarceration. When a hospice employee discovers fraudulent conduct spellbinding Medicare or Medicaid billings or claims, the employee should not share in such behavior, and it is imperative that the unlawful conduct be reported to law compulsion and/or regulatory authorities. Not only does reporting such fraudulent Medicare or Medicaid practices shield the hospice employee from exposure to the foregoing administrative, civil and criminal sanctions, but hospice fraud whistleblowers may benefit financially under the reward provisions of the federal False Claims Act, 31 U.S.C. §§ 3729-3732, by bringing false claims suits, also known as qui tam or whistleblower suits, against their employers on profit of the United States.

Types of Hospice Care Services

Hospice care is a type of health care service for patients who are terminally ill. Hospices also furnish preserve services for the families of terminally ill patients. This care includes corporeal care and counseling. Hospice care is normally in case,granted by a social agency or inexpressive company approved by Medicare and Medicaid. Hospice care is ready for all age groups, together with children, adults, and the elderly who are in the final stages of life. The purpose of hospice is to furnish care for the terminally ill inpatient and his or her family and not to cure the final illness.

If a inpatient qualifies for hospice care, the inpatient can receive healing and preserve services, together with nursing care, healing social services, physician services, counseling, homemaker services, and other types of services. The hospice inpatient will have a team of doctors, nurses, home health aides, social workers, counselors and trained volunteers to help the inpatient and his or her family members cope with the symptoms and consequences of the final illness. While many hospice patients and their families can receive hospice care in the ease of their home, if the hospice patient's health deteriorates, the inpatient can be transferred to a hospice facility, hospital, or nursing home to receive hospice care.

Hospice Care Statistics

The estimate of days that a inpatient receives hospice care is often referenced as the "length of stay" or "length of service." The distance of service is dependent on a estimate of different factors, together with but not exiguous to, the type and stage of the disease, the ability of and entrance to health care providers before the hospice referral, and the timing of the hospice referral. In 2008, the median distance of stay for hospice patients was about 21 days, the median distance of stay was about 69 days, approximately 35% of hospice patients died or were discharged within 7 days of the hospice referral, and only about 12% of hospice patients survived longer than 180 days.

Most hospice care patients receive hospice care in inexpressive homes (40%). Other locations where hospice services are in case,granted are nursing homes (22%), residential facilities (6%), hospice inpatient facilities (21%), and acute care hospitals (10%). Hospice patients are commonly the elderly, and hospice age group percentages are 34 years or less (1%), 35 - 64 years (16%), 65 - 74 years (16%), 75 - 84 years (29%), and over 85 years (38%). As for the final illness resulting in a hospice referral, cancer is the diagnosis for approximately 40% of hospice patients, followed by debility unspecified (15%), heart disease (12%), dementia (11%), lung disease (8%), stroke (4%) and kidney disease (3%). Medicare pays the great majority of hospice care expenses (84%), followed by inexpressive guarnatee (8%), Medicaid (5%), charity care (1%) and self pay (1%).

As of 2008, there were approximately 4,700 locations which were providing hospice care in the United States, which represented about a 50% increase over ten years. There were about 3,700 clubs and organizations which were providing hospice services in the United States. About half of the hospice care providers in the United States are for-profit organizations, and about half are non-profit organizations.
General summary of the Medicare and Medicaid Programs

In 1965, Congress established the Medicare agenda to furnish health guarnatee for the elderly and disabled. Payments from the Medicare agenda arise from the Medicare Trust fund, which is funded by government contributions and through payroll deductions from American workers. The Centers for Medicare and Medicaid Services (Cms), previously known as the health Care Financing administration (Hcfa), is the federal agency within the United States agency of health and Human Services (Hhs) that administers the Medicare agenda and works in partnership with state governments to administer Medicaid.

In 2007, Cms reorganized its ten geography-based field offices to a Consortia buildings based on the agency's key lines of business: Medicare health plans, Medicare financial management, Medicare fee for service operations, Medicaid and children's health, gawk & certification and ability improvement. The Cms consortia consist of the following:

• Consortium for Medicare health Plans Operations
• Consortium for Financial administration and Fee for service Operations
• Consortium for Medicaid and Children's health Operations
• Consortium for ability revision and gawk & Certification Operations

Each consortium is led by a Consortium Administrator (Ca) who serves as the Cms's national focal point in the field for their company line. Each Ca is responsible for consistent implementation of Cms programs, course and guidance across all ten regions for matters pertaining to their company line. In increasing to accountability for a company line, each Ca also serves as the Agency's senior administration legal for two or three Regional Offices (Ros), representing the Cms Administrator in external matters and overseeing menagerial operations.

Much of the daily administration and doing of the Medicare agenda is managed through inexpressive guarnatee clubs that compact with the Government. These inexpressive guarnatee companies, sometimes called "Medicare Carriers" or "Fiscal Intermediaries," are charged with and responsible for accepting Medicare claims, determining coverage, and production payments from the Medicare Trust Fund. These carriers, together with Palmetto Government Benefits Administrators (hereinafter "Pgba"), a agency of Blue Cross and Blue Shield of South Carolina, control pursuant to 42 U.S.C. §§ 1395h and 1395u and rely on the good faith and truthful representations of health care providers when processing claims.

Over the past forty years, the Medicare agenda has enabled the elderly and disabled to gain requisite healing services from healing providers throughout the United States. requisite to the success of the Medicare agenda is the underlying conception that health care providers accurately and positively submit claims and bills to the Medicare Trust Fund only for those healing treatments or services that are legitimate, cheap and medically necessary, in full yielding with all laws, regulations, rules, and conditions of participation, and, further, that healing providers not take benefit of their elderly and disabled patients.

The Medicaid agenda is ready only to obvious low-income individuals and families who must meet eligibility requirements set forth by federal and state law. Each state sets its own guidelines regarding eligibility and services. Although administered by individual states, the Medicaid agenda is funded primarily by the federal government. Medicaid does not pay money to patients; rather, it sends payments directly to the patient's health care providers. Like Medicare, the Medicaid agenda depends on health care providers to accurately and positively submit claims and bills to agenda administrators only for those healing treatments or services that are legitimate, cheap and medically necessary, in full yielding with all laws, regulations, rules, and conditions of participation, and, further, that healing providers not take benefit of their indigent patients.

Medicare & Medicaid Hospice Laws Which work on Sc Hospices

Hospice fraud occurs when hospice organizations, by and through their employees, agents and owners, knowingly violate the terms and conditions of the applicable Medicare and Medicaid hospice statutes, regulations, rules and conditions of participation. In order to be able to recognize hospice fraud, hospices, hospice patients, hospice employees and their attorneys and lawyers must know the Medicare laws and requirements relating to hospice care benefits.

Medicare's two main sources of authorization for hospice benefits are found in the social protection Act and the U.S. Code of Federal Regulations. The statutory provisions are primarily found at 42 U.S.C. §§ 1395d, 1395e, 1395f(a)(7), 1395x(d)(d), and 1395y, and the regulatory provisions are found at 42 C.F.R. Part 418.

To be eligible for Medicare benefits for hospice care, the inpatient must be eligible for Medicare Part A and be terminally ill. 42 C.F.R. § 418.20. final illness is established when "the individual has a healing diagnosis that his or her life expectancy is 6 months or less if the illness runs its general course." 42 C.F.R. § 418.3; 42 U.S.C. § 1395x(d)(d)(3). The patient's physician and the healing director of the hospice must certify in writing that the inpatient is "terminally ill." 42 U.S.C. § 1395f(a)(7); 42 C.F.R. § 418.20. After a patient's initial certification, Medicare provides for two ninety-day benefit periods followed by an unlimited estimate of sixty-day benefit periods. 42 U.S.C. § 1395d(a)(4). At the end of each ninety- or sixty-day period, the inpatient can be re-certified only if at that time he or she has less than six months to live if the illness runs its general course. 42 U.S.C. § 1395f(a)(7)(A). The written certification and re-certifications must be maintained in the patient's healing records. 42 C.F.R. § 418.23. A written plan of care must be established for each inpatient setting forth the types of hospice care services the inpatient is scheduled to receive, 42 U.S.C. § 1395f(a)(7)(B), and the hospice care has to be in case,granted in accordance with such plan of care. 42 U.S.C. § 1395f(a)(7)(C); 42 C.F.R. § 418.56. Clinical records for each hospice inpatient must be maintained by the hospice, together with plan of care, assessments, clinical notes, signed observation of election, inpatient responses to medication and therapy, physician certifications and re-certifications, outcome data, enlarge directives and physician orders. 42 C.F.R. § 418.104.

The hospice must gain a written observation of choice from the inpatient to elect to receive Medicare hospice benefits. 42 C.F.R. § 418.24. Importantly, once a inpatient has elected to receive hospice care benefits, the inpatient waives Medicare benefits for healing rehabilitation for the final disease upon which is the admitting diagnosis. 42 C.F.R. § 418.24(d).

The hospice must prescription an Interdisciplinary Group (Idg) or groups composed of individuals who work together to meet the physical, medical, psychosocial, emotional, and spiritual needs of the hospice patients and families facing final illness and bereavement. 42 C.F.R. § 418.56. The Idg members must furnish the care and services offered by the hospice, and the group, in its entirety, must supervise the care and services. A registered nurse that is a member of the Idg must be designated to furnish coordination of care and to ensure continuous assessment of each patient's and family's needs and implementation of the interdisciplinary plan of care. The interdisciplinary group must include, but is not exiguous to, the following superior and competent professionals: (i) A physician of rehabilitation or osteopathy (who is an employee or under compact with the hospice); (ii) A registered nurse; (iii) A social worker; and, (iv) A pastoral or other counselor. 42 C.F.R. § 418.56.

The Medicare hospice regulations, at 42 C.F.R. § 418.200, summarize the requirements for hospice coverage in pertinent part as follows:

To be covered, hospice services must meet the following requirements. They must be cheap and requisite for the palliation and administration of the final illness as well as associated conditions. The individual must elect hospice care in accordance with §418.24. A plan of care must be established and periodically reviewed by the attending physician, the healing director, and the interdisciplinary group of the hospice agenda as set forth in §418.56. That plan of care must be established before hospice care is provided. The services in case,granted must be consistent with the plan of care. A certification that the individual is terminally ill must be completed as set forth in section §418.22.

The social protection Act, at 42 U.S.C. § 1395y(a), limits Medicare hospice benefits, providing in pertinent part as follows: "Notwithstanding any other provision of this title, no cost may be made under part A or part B for any expenses incurred for items or services-... (C) in the case of hospice care, which are not cheap and requisite for the palliation or administration of final illness...." 42 C.F.R. § 418.50 (hospice care must be "reasonable and requisite for the palliation and administration of final illness"). Palliative care is defined in the regulations as "patient and family-centered care that optimizes ability of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and to facilitate inpatient autonomy, entrance to information, and choice." 42 C.F.R. § 418.3.

Medicare pays hospice agencies a daily rate for each day a beneficiary is enrolled in the hospice benefit and receives hospice care. The daily payments are made regardless of the estimate of services furnished on a given day and are intended to cover costs that the hospice incurs in furnishing services identified in the patient's plan of care. There are four levels of payments which are made based on the estimate of care required to meet beneficiary and family needs. 42 C.F.R. § 418.302; Cms Hospice Fact Sheet, November 2009. These four levels, and the corresponding 2010 daily rates, are as follows: disposition home care (2.91); continuous home care (4.10); inpatient respite care (7.83); and, general inpatient care (5.74).

The aggregate yearly cap per inpatient in 2009 was ,014.50. This cap is carefully by adjusting the primary hospice inpatient cap of ,500, set in 1984, by the buyer Price Index. See Cms Internet-Only by hand 100-04, chapter 11, section 80.2; 42 U.S.C. § 1395f(i); 42 C.F.R. § 418.309. The Medicare Claims Processing Manual, at chapter 11 - Processing Hospice Claims, in Section 80.2, entitled "Cap on farranging Hospice Reimbursement," provides in pertinent part as follows: "Any payments in excess of the cap must be refunded by the hospice."

Hospice patients are responsible for Medicare co-insurance payments for drugs and respite care, and the hospice may fee the inpatient for these co-insurance payments. However, the co-insurance payments for drugs are exiguous to the lesser of or 5% of the cost of the drugs to the hospice, and the co-insurance payments for respite care are commonly 5% of the cost made by Medicare for such services. 42 C.F.R. § 418.400.

The Medicare and Medicaid programs wish institutional health care providers, together with hospice organizations, to file an enrollment application in order to qualify to receive the programs' benefits. As part of these enrollment applications, the hospice providers certify that they will comply with Medicare and Medicaid laws, regulations, and agenda instructions, and additional certify that they understand that cost of a claim by Medicare and Medicaid is conditioned upon the claim and underlying transaction complying with such agenda laws and requirements. The Medicare Enrollment Application which hospice providers must execute, Form Cms-855A, states in part as follows: "I agree to abide by the Medicare laws, regulations and agenda instructions that apply to this provider. The Medicare laws, regulations, and agenda instructions are ready through the Medicare contractor. I understand that cost of a claim by Medicare is conditioned upon the claim and the underlying transaction complying with such laws, regulations, and agenda instructions (including, but not exiguous to, the Federal Aks and Stark laws), and on the provider's yielding with all applicable conditions of participation in Medicare."

Hospices are commonly required to bill Medicare on a monthly basis. See the Medicare Claims Processing Manual, at chapter 11 - Processing Hospice Claims, in Section 90 - Frequency of Billing. Hospices commonly file their hospice Medicare claims with their Fiscal Intermediary or Medicare Carrier pursuant to the Cms Claims by hand Form Cms 1450 (sometime also called a Form Ub-04 or Form Ub-92), either in paper or electronic form. These claim forms contain representations and certifications which state in pertinent part that: (1) misrepresentations or falsifications of requisite data may serve as the basis for civil monetary penalties and criminal convictions; (2) submission of the claim constitutes certification that the billing data is true, precise and complete; (3) the submitter did not knowingly or recklessly disregard or misrepresent or conceal material facts; (4) all required physician certifications and re-certifications are on file; (5) all required inpatient signatures are on file; and, (6) for Medicaid purposes, the submitter understands that because cost and satisfaction of this claim will be from Federal and State funds, any false statements, documents, or concealment of a material fact are branch to prosecution under applicable Federal or State Laws.

Hospices must also file with Cms an yearly cost and data report of Medicare payments received. 42 U.S.C. § 1395f(i)(3); 42 U.S.C. § 1395x(d)(d)(4). The yearly hospice cost and data reports, Form Cms 1984-99, contain representations and certifications which state in pertinent part that: (1) misrepresentations or falsifications of data contained in the cost report may be punishable by criminal, civil and menagerial actions, together with fines and/or imprisonment; (2) if any services identified in the report were the stock of a direct or indirect kickback or were otherwise illegal, then criminal, civil and menagerial actions may result, together with fines and/or imprisonment; (3) the report is a true, precise and unblemished statement ready from the books and records of the supplier in accordance with applicable instructions, except as noted; and, (4) the signing officer is familiar with the laws and regulations regarding the provision of health care services and that the services identified in this cost report were in case,granted in yielding with such laws and regulations.

Hospice Anti-Fraud compulsion Statutes

There are a estimate of federal criminal, civil and menagerial compulsion provisions set forth in the Medicare statutes which are aimed at preventing fraudulent conduct, together with hospice fraud, and which help declare agenda integrity and compliance. Some of the more foremost compulsion provisions of the Medicare statutes contain the following: 42 U.S.C. § 1320a-7b (Criminal fraud and anti-kickback penalties); 42 U.S.C. § 1320a-7a and 42 U.S.C. § 1320a-8 (Civil monetary penalties for fraud); 42 U.S.C. § 1320a-7 (Administrative exclusions from participation in Medicare/Medicaid programs for fraud); 42 U.S.C. § 1320a-4 (Administrative subpoena power for the Comptroller General).

Other criminal compulsion provisions which are used to combat Medicare and Medicaid fraud, together with hospice fraud, contain the following: 18 U.S.C. § 1347 (General health care fraud criminal statute); 21 U.S.C. §§ 353, 333 (Prescription Drug Marketing Act); 18 U.S.C. § 669 (Theft or Embezzlement in association with health Care); 18 U.S.C. § 1035 (False statements relating to health Care); 18 U.S.C. § 2 (Aiding and Abetting); 18 U.S.C. § 3 (Accessory after the Fact); 18 U.S.C. § 4 (Misprision of a Felony); 18 U.S.C. § 286 (Conspiracy to defraud the Government with respect to Claims); 18 U.S.C. § 287 (False, Fictitious or Fraudulent Claims); 18 U.S.C. § 371 (Criminal Conspiracy); 18 U.S.C. § 1001 (False Statements); 18 U.S.C. § 1341 (Mail Fraud); 18 U.S.C. § 1343 (Wire Fraud); 18 U.S.C. § 1956 (Money Laundering); 18 U.S.C. § 1957 (Money Laundering); and, 18 U.S.C. § 1964 (Racketeer Influenced and Corrupt Organizations ("Rico")).

The False Claims Act (Fca)

Hospice fraud whistleblowers may benefit financially under the reward provisions of the federal False Claims Act, 31 U.S.C. §§ 3729-3732, by bringing false claims suits, also known as qui tam or whistleblower suits, against their employers on profit of the United States. The plaintiff in a hospice fraud whistleblower suit is also known as a relator. The most common Fca provisions upon which hospice fraud qui tam or whistleblower relators rely are found in 31 U.S.C. § 3729: (A) knowingly presents, or causes to be presented, a false or fraudulent claim for cost or approval; (B) knowingly makes, uses, or causes to be made or used, a false report or statement material to a false or fraudulent claim; (C) conspires to commit a violation of subparagraph (A), (B), (D), (E), (F), or (G);..., and, (G) knowingly makes, uses, or causes to be made or used, a false report or statement material to an compulsion to pay or transmit money or property to the Government, or knowingly conceals or knowingly and improperly avoids or decreases an compulsion to pay or transmit money or property to the Government.... There is no requirement to prove specific intent to defraud. Rather, it is only requisite to prove actual knowledge of the false claims, false statements, or false records, or the defendant's deliberate indifference or reckless disregard of the truth or falsity of the information. 31 U.S.C. § 3729(b).

The Fca anti-retaliation provision protects the hospice whistleblower from retaliation from the hospice when the employee (or a contractor) "is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions of employment" for taking operation to try to stop the fraudulent activity. 31 U.S.C. § 3730(h). A hospice employee's relief includes reinstatement, 2 times the estimate of back pay, interest on the back pay, and payment for any special damages sustained as a corollary of the discrimination or retaliation, together with litigation costs and cheap attorneys' fees.

A Sc hospice fraud Fca whistleblower would initially file a disclosure statement, complaint and supporting documents with the U.S. Attorney's Office in Columbia, South Carolina, and the Us Attorney General. After the disclosures are filed, a federal court complaint can be filed. The Sc agency where the frauds occurred, the relator's residence, and the defendant residence, will decree which agency the case will be assigned. There are eleven federal court divisions in South Carolina. Once the case has been filed, the government has 60 days to decree either or not to intervene. During this time, federal government investigators settled in South Carolina will investigate the claims. If the case complex Medicaid, Sc Medicaid fraud unit investigators will likely come to be complex as well. If the government intervenes in the case, the U.S. Attorney for South Carolina is normally the lead attorney. If the government does not intervene, the relator's Sc attorney will prosecute the case. In South Carolina, expect a qui tam case to take one to two years to get to trial.

Tips on Recognizing Hospice Fraud Schemes

The Hhs Office of Inspector general (Oig) has issued special Fraud Alerts for fraudulent and abusive practices of hospices. U.S. And South Carolina hospices, patients, hospice employees and whistleblowers, their attorneys and lawyers, should be familiar with these hospice fraud practices. Tips on recognizing hospice frauds in South Carolina and the U.S. Are:

• A hospice gift free goods or goods at below shop value to induce a nursing home to refer patients to the hospice.
• False representations in a hospice's Medicare/Medicaid enrollment form.
• A hospice paying "room and board" payments to the nursing home in amounts in excess of what the nursing home would have received directly from Medicaid had the inpatient not been enrolled in the hospice.
• False statements in a hospice's claim form (Cms Forms 1450, Ub-04 or Ub-92).
• A hospice falsely billing for services that were not cheap or requisite for the palliation of the symptoms of a terminally ill patient.
• A hospice paying amounts to the nursing home for "additional" services that Medicaid carefully included in its room and board cost to the hospice.
• A hospice paying above fair shop value for "additional" non-core services which Medicaid does not consider to be included in its room and board payments to the nursing home.
• A hospice referring patients to a nursing home to induce the nursing home to refer its patients to the hospice.
•A hospice providing free (or below fair shop value) care to nursing home patients, for whom the nursing home is receiving Medicare cost under the skilled nursing facility benefit, with the prospect that after the inpatient exhausts the skilled nursing facility benefit, the inpatient will receive hospice services from that hospice.
• A hospice providing staff at its cost to the nursing home to achieve duties that otherwise would be performed by the nursing home.
• Incomplete or no written Plan of Care was established or reviewed at specific intervals.
• Plan of Care did not contain an assessment of needs.
• Fraudulent statements in a hospice's cost report to the government.
• observation of choice was not obtained or was fraudulently obtained.
• Rn supervisory visits were not made for home health aide services.
• Certification or Re-certification of final illness was not obtained or was fraudulently obtained.
• No Plan of care was included for bereavement services.
• Fraudulent billing for upcoded levels of hospice care.
• Hospice did not conduct a self-assessment of ability and care provided.
• Clinical records were not maintained for every patient.
• Interdisciplinary group did not quote and update the plan of care for each patient.

Recent Hospice Fraud compulsion Cases

The Doj and U.S. Attorney's Offices have been active in enforcing hospice fraud cases.

In 2009, Kaiser Foundation Hospitals settled an Fca lawsuit by paying .8 million to the federal government. The defendant allegedly failed to gain written certifications of final illness for a estimate of its patients.

In 2006, Odyssey Healthcare, a national hospice provider, paid .9 million to decree a qui tam suit for false claims under the Fca. The hospice fraud allegations were commonly that Odyssey billed Medicare for providing hospice care to patients when they were not terminally ill and ineligible for Medicare hospice benefits. A Corporate Integrity bargain was also a part of the settlement. The hospice fraud qui tam relator received .3 million for blowing the whistle on the defendant.

In 2005, Faith Hospice, Inc., settled claims an Fca claim for 0,000. The hospice fraud allegations were commonly that Faith Hospice billed Medicare for providing hospice care to patients more than half of whom were not terminally ill.

In 2005, Home Hospice of North Texas settled an Fca claim for 0,000 regarding allegations of fraudulently billing Medicare for ineligible hospice patients.

In 2000, Michigan osteopath Donald Dreyfuss, who pleaded guilty to criminal fraud charges, together with violation of the Aks for receiving illegal kickbacks from a hospice for recommending the hospice to the staff of his nursing home, settled an Fca suit for million.

Conclusion

Hospice fraud is a growing problem in South Carolina and throughout the United States. South Carolina hospice patients, hospice employees, and their Sc lawyers and attorneys, should be familiar with the basics of the hospice care industry, hospice eligibility under the Medicare and Medicaid programs, and typical hospice fraud schemes. Hospice organizations should take steps to ensure full yielding with Medicare/Medicaid hospice billing requirements to avoid hospice fraud allegations and Fca litigation.

© 2010 Joseph P. Griffith, Jr.

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Poea Accredited Agencies - The Licensing Process For Recruitment Agencies in the Philippines

Revoking Durable Power Of Attorney - Poea Accredited Agencies - The Licensing Process For Recruitment Agencies in the Philippines

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The Philippine Overseas Employment agency or Poea is the government arm in the Philippines that accredits would be hidden overseas employment agencies.

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The Poea is tasked with weeding out the many "phony" recruitment agencies" that take benefit of Filipinos seeking greener pastures abroad. Illegal recruitment is rife in places where there is an outflow of migrant workers, so the Poea has its hands full staving off and catching these heartless pretenders here in the Philippines

Many "recruitment agencies" control without a license and/or pose as migration experts, foremost people to believe that they have a license to produce jobs abroad when in fact they are only licensed to "coach" would-be migrants in achieving the steps that will bring them closer to the country of their choice.

There are several thousand Poea accredited agencies in the Philippines as of 2009, and almost 15-30 percent of them a year get their licensed revoked for non-compliance or for a major violation

For the benefit of Filipino Ofw's who wish to work abroad here is a quick look at the licensing process that a possible recruitment agency has to go through:

1. The recruitment agency must posses a contract from employers abroad proving that there is in fact a job order
2. Special Power of Attorney
3. Manpower request
4.Copy of firm License

The Poea then has investigators that effect up on these items and makes sure that all things is above-ground. Only when the investigators are satisfied does the license invite is turned over to higher authorities within the agency.

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Free Living Will and Free Living Will Forms Online

Revoking Durable Power Of Attorney - Free Living Will and Free Living Will Forms Online

Good morning. Yesterday, I learned about Revoking Durable Power Of Attorney - Free Living Will and Free Living Will Forms Online. Which may be very helpful to me and you. Free Living Will and Free Living Will Forms Online

Looking for a free living will? If you are making ready your finances and other personal matters for your resignation and want to make sure that your family members are taken care of in the event of your death, you will need one. There are any useful sites online where you can download a free living will form to use for your needs. You can chose generic forms based on your state, as each state has separate laws about living wills.

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Many of the free living will sites online will advise that you use their free will forms as something to cover normal purposes, but not to act as a substitute for seeking the advise of an actual estate attorney or lawyer. If you have a lot of complicated estate needs, you might think hiring an estate planner or lawyer to write up your will.

Another thing to think as you write your free living will is to make sure that you assign a power of attorney and executor of your will. If you have an urgency and are incapable of making condition decisions (advance directives), you will need a condition care consultant to carry out your requests in the event that you are in a coma or on life support machines. Something is great than nothing, so if you are unable to afford an attorney at this time, at least get started with your temporary free forms so that you have something legal in place for your future.

Did you know that if you cannot afford a lawyer to draw up unavoidable estate papers, that you can find a free living will form online that you can print right at home? If you have a basic need for a living trust and you want to print a free living will form to have on hand in case of your illness or death, it is a good idea when you are making ready for your retirement. Using an online free living trust form should not replace seeking expert guidance from a lawyer, but if you can't afford a lawyer, it is the next best thing.

Once you print your free living will form and fill in your crucial information, you might be wise to have it signed and stamped by a notary group in your area. This notary signature will act as proof of your document's existence and that the signatures on it are valid. You can also find a lot of other free estate planning forms online that you can use when planning your retirement.

In addition to a free living will form, look for durable power of attorney, improve directives (health care advisories) and any other special forms about the executor of your estate. derive all of your leading documents like car pink slips, mortgage loan documents, and anything else that can be useful in the event of your death or incapacity, and make sure that a family member or child, or a lawyer, knows of their location and existence. Planning ahead now will save your children from a headache later.

For more data on resignation planning and senior care visit us at:

http://www.best-senior-care-online.com

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Top 5 Worst Personal Injury Claims

Is A Power Of Attorney Good After Death - Top 5 Worst Personal Injury Claims

Good morning. Today, I learned all about Is A Power Of Attorney Good After Death - Top 5 Worst Personal Injury Claims. Which is very helpful in my opinion so you. Top 5 Worst Personal Injury Claims

Think you've been hit by the worst personal injury? Just to put a dinky perspective on the matter, here are the top 5 worst personal injury claims recorded in South Africa to date. Thankfully there are thought about personal injury lawyers out there who are prepared to fight for payment on our behalf.

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Asbestos fellowships forced to take responsibility

South African asbestos fellowships were coerced by British lawyers to set up a trust for their previous employees (miners) who for years had sucked up asbestos dust and were now vulnerable to lung cancer and other deadly respiratory diseases.

Over R490 million, as payment to the victims, was ploughed into the Asbestos relief fund and although many of the victims will still die and others will become seriously ill, their dependents will at least be taken care of for the next twenty-five years.

Police botch gang-rape investigation - woman sues

A Tembisa woman is suing the priest of police after a botched investigation into an horrific attack on her life that included a particularly brutal beating and gang rape. She was attacked in her home by a group of youths, many of whom she knew, and beaten within inches of her life. She was then gang-raped by eight of her attackers.

What is frightening is that her case was tossed out of court and all the accused released. This was after her court case was postponed time after time because police couldn't find the docket and all the forensic evidence was missing. She is currently awaiting the outcome of her claim.

Dog owner coughs up R1 million after vicious attack

A South African judge ruled in favour of a complainant who sued a dog owner for R1 million. The dog allegedly attacked the woman so viciously that it nearly ripped her nose clean off her face. She had to have over 500 stitches and is due to have plastic surgical operation once her wounds have healed sufficiently.

Boy electrocuted - power utility has to pay

Power giant, Eskom, had to fork out R2.8 million in damages for a young boy who sustained necessary injuries when he climbed over a pylon wall and was electrocuted. The boy has third degree burns over most of his body and will probably never be able to work.

Leading retailer pays out

In 2006, a prominent retailer agreed to accept liability for a claim of nearly R350 000 for personal injuries suffered by a client when an expansive advertising board crashed down on her head. Initially, the retailer claimed they were not responsible as she had not kept a good look out!

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Free Last Will And Testament Forms

Revoking Power Of Attorney Form - Free Last Will And Testament Forms

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A last will or testament is a document that states the ways in which a someone can dispose for the distribution of his or her property and possessions after death. Last will and testament regulates others possession over the testator's property and family after his or her death. Habitancy over the age of 18 are legally entitled to write their wills.

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There are free last will and testament forms that are ready in the shop and also on the net. Many legal agencies or organizations provide free forms of the wills, to encourage Habitancy to make their last wills. The forms help the testator achieve his or her final wishes so that the precious wealth is transferred to the desired people.

The forms are very beneficial, as they forestall the testator from facing any problems with legal jargon and also simplify the process of writing a will. The testator can, swiftly and efficiently make his will, retention all the desirable Habitancy in mind. The forms are generally automatic documents that swiftly and for real generate a last will and testament. It also takes into notice either the someone is married, has children or either he wants to make specific gifts. A testator can mention details about how he would want the residue of his estate distributed. He may also list the number of executors, though usually one executor is sufficient. If there are two executors, they must agree on each decision to be made.

The free last will and testament forms are helpful for those who do not have huge estates or many beneficiaries. These forms can be for real modified agreeing to specific requirements. It is possible to download these forms from the Internet, from websites that specialize on wills. It enables Habitancy to write wills without hiring a lawyer and can also help avoid buying an expensive pre-made testament document. Many Habitancy are using pre-made forms to generate wills as they save time, legal costs and avoid having to deal with involved legal jargon that may complicate time to come beneficiaries.

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Beware Free Last Will and Testament Template Forms

Revoking Power Of Attorney Form - Beware Free Last Will and Testament Template Forms

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I know what you're mental when it comes to drafting your will: "Isn't there just a easy template will form I can download and just say that John Smith gets my stuff? Why do I need to spend thousands of dollars with a lawyer?"

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Well, there's good news and bad news. The bad news is that a "free last will and testament form" is approximately easily a bad selection for you. The good news is that you do not need to spend 2, 3, or 5 thousand dollars with a lawyer. There is an alternative that is a fraction of the cost of a lawyer and gets the same benefits for 95% of citizen out there.

What's Wrong With Free Will Templates?

The biggest problem with free will templates is that no one template can maybe be legal in all states.

Not only does every state have distinct laws concerning wills and estates, but some of the laws are mutually incompatible. For example, some states identify "holographic" (handwritten) wills. Others do not--a handwritten will in these states is unenforceable and the court will treat the estate as if no will was ever created.

Secondly, these form wills do not provide for changes in the future. What if you move to a new state? Does the free form modernize itself? Do you know how to modernize it? Does the cheesy website that you downloaded the form from offer buyer aid where you can email or even speak to a live person?

The Next Best Alternative To "Free" Will Templates

Somewhere between free (but useless) will forms, and a 0/hr attorney, is the extremely efficient legal document preparation industry. The internet has allowed companies to hire great lawyers and great programmers to generate software that can ask you easy questions through your web browser and craft a legally binding will with all the provisions right for your situation.

Just as accounting software like Turbotax can replace tax-prep professionals for most people, ability legal document preparation companies can generate a valid, customized will for you at a fraction of the cost of an attorney.

For colse to 0, you can generate a customized and valid will that is legal in your state, which also includes unlimited revisions for up to one year.

Click on this link to find out more about drafting a easy will for your house without leaving your computer.

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When is a person Too Incapacitated to Sign a Will, Trust, or Power of Attorney?

Revocation Of Power Of Attorney - When is a person Too Incapacitated to Sign a Will, Trust, or Power of Attorney?

Good afternoon. Yesterday, I discovered Revocation Of Power Of Attorney - When is a person Too Incapacitated to Sign a Will, Trust, or Power of Attorney?. Which may be very helpful to me and you. When is a person Too Incapacitated to Sign a Will, Trust, or Power of Attorney?

As an elder law attorney I am oftentimes faced with adult children who realize that they simply have to take over for an aging parent. Maybe the parent is falling behind on bills or has issue dealing with the healing establishment. It is always hard for a "child" to come to be the caretaker of the once-powerful and dominant parent.

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Unfortunately, the parent may be reluctant to sign a power of attorney empowering the child to make legal decisions for the parent, since that act is oftentimes seen as an admission that the parent may in fact need such help. Couple that with the child's reluctance to bring up the branch for fear that it may anger the parent, and you have a recipe for procrastination. Hence the all-too-common situation where the attorney has to resolve if a parent (or spouse) is too incapacitated legally to sign a will, trust, or power of attorney.

Let's start with wills. Many habitancy are surprised to find out that a man with Alzheimer's or under a guardianship may still be legally competent to sign a will. That's because under the laws of most states, a man is legally competent to sign a will if at the time of the signing he or she meets the following tests:
knows the natural objects of his bounty (i.e., is aware of his spouse and children, if any) comprehends the kind and character of his asset (i.e., knows practically his net worth and what kind of assets he owns) understands the nature and follow of his act (i.e., realizes that it is in fact a will he is signing, and what that means) is able to make a routine of his asset agreeing to a plan formed in his mind

Thus, the lawyer must meet with the parent or spouse and try to look the above. In some cases, the lawyer may resolve that the private is too incapacitated and thus the lawyer must refuse to get ready a will.

A slightly distinct test is complicated for signing a power of attorney. Here, the private must be capable of insight and appreciating the extent and follow of the document, just as if he or she were signing a contract. Thus, the parent may be competent to sign a power of attorney, but not competent to sign a will.

A trust is sometimes deemed to be more like a ageement than a will, so that the primary thinking capacity needed to sign a trust may be less than that needed to sign a will. Recognizing that in today's world living trusts are most often utilized as "will substitutes," some modern state statutes have made the test for a trust the same as that set forth above for a will.

The thinking capacity to sign the document should not be confused with the physical quality to sign one's name. The law will permit a man to sign an "X" (known as a "mark"), that, so long as properly witnessed, will suffice just the same as a signature. In addition, if even a mark is not potential for the private to make, then the private can direct man else to sign on his or her behalf.

Of course, the best advice is not to wait until it may be too late, but to have those conversations with family members while they are still competent and able to realize exactly what they're signing and why.

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