by Chris Hoffman on September 22nd, 2016'
We discussed last week a few examples of how having every industry in what was a sovereign US bankrupted and closed replaced by global corporations from foreign nations-----makes our US 99% COLONIAL entities---not sovereign citizens because sovereignty requires business with interests in the welfare of that community or nation-----it requires a set of business standards written to bring QUALITY OF LIFE to those citizens and not simply global 1% and their 2% tied to being SHAREHOLDERS in those multi-national corporations. Remember, US Wall Street will disappear soon---and US 99% WE THE PEOPLE will no longer be SHAREHOLDERS----able to buy CORPORATE STOCK----because DARK AGES only allows the global 1% on corporate boards and to be shareholders.
The US 99% are being told we can no longer afford the PRINT journalism----the PRINT for computer copy-making----because all INK is manufactured by foreign corporations which are profiteering just to push all small, regional, and US national corporations out of business.
This is a great video showing the manufacturing process of INK-MAKING---now controlled by foreign global corporations.
Think how easy to make PRINTER INK too expensive for all those home computer printers---for all those public and private library printers---for all those local print media newspapers. MOVING FORWARD 99% WE THE PEOPLE have no ability to communicate
'The amazing art of ink-making
August 9 at 7:15 AM · YOU TUBE'
Printer ink is expensive, more expensive per drop than fine champagne or even human blood. If you haven’t gone paperless, you’ll notice that you’re paying a lot for new ink cartridges — more than seems reasonable.
Purchasing the cheapest inkjet printer and buying official ink cartridge replacements is the most expensive thing you can do. There are ways to save money on ink if you must continue to print documents.
Cheap Printers, Expensive Ink
Ink jet printers are often very cheap. That’s because they’re sold at cost, or even at a loss — the manufacturer either makes no profit from the printer itself or loses money.
The manufacturer will make most of its money from the printer cartridges you buy later. Even if the company does make a bit of money from each printer sold, it makes a much larger profit margin on ink. Rather than selling you a printer that may be rather expensive, they want to sell you a cheap printer and make money on an ongoing basis by providing expensive printer ink.
It’s been compared to the razor model — sell a razor cheaply and mark up the razor blades. Rather than making a one-time profit on the razor, you’ll make continuing profit as the customer keeps buying razor blade replacements — or ink, in this case.
Many printer manufacturers go out of their way to make it difficult for you to use unofficial ink cartridges, building microchips into their official ink cartridges. If you use an unofficial cartridge or refill an official cartridge, the printer may refuse to use it. Lexmark once argued in court that unofficial microchips that enable third-party ink cartridges would violate their copyright and Lexmark has argued that creating an unofficial microchip to bypass this restriction on third-party ink would violate Lexmark’s copyright and be illegal under the US DMCA. Luckily, they lost this argument.
What Printer Companies Say
Printer companies have put forth their own arguments in the past, attempting to justify the high cost of official ink cartridges and microchips that block any competition.
In a Computer World story from 2010, HP argued that they spend a billion dollars each year on “ink research and development.” They point out that printer ink “must be formulated to withstand heating to 300 degrees, vaporization, and being squirted at 30 miles per hour, at a rate of 36,000 drops per second, through a nozzle one third the size of a human hair. After all that it must dry almost instantly on the paper.” They also argue that printers have become more efficient and use less ink to print, while third-party cartridges are less reliable.
Companies that use microchips in their ink cartridges argue that only the microchip has the ability to enforce an expiration date, preventing consumers from using old ink cartridges.
There’s something to all these arguments, sure — but they don’t seem to justify the sky-high cost of printer ink or the restriction on using third-party or refilled cartridges.
Ultimately, the price of something is what people are willing to pay and printer companies have found that most consumers are willing to pay this much for ink cartridge replacements. Try not to fall for it: Don’t buy the cheapest inkjet printer. Consider your needs when buying a printer and do some research. You’ll save more money in the long run.
Consider these basic tips to save money on printing:
- Buy Refilled Cartridges: Refilled cartridges from third parties are generally much cheaper. Printer companies warn us away from these, but they often work very well.
- Refill Your Own Cartridges: You can get do-it-yourself kits for refilling your own printer ink cartridges, but this can be messy. Your printer may refuse to accept a refilled cartridge if the cartridge contains a microchip.
- Switch to a Laser Printer: Laser printers use toner, not ink cartridges. If you print a lot of black and white documents, a laser printer can be cheaper.
- Buy XL Cartridges: If you are buying official printer ink cartridges, spend more money each time. The cheapest ink cartridges won’t contain much ink at all, while larger “XL” ink cartridges will contain much more ink for only a bit more money. It’s often cheaper to buy in bulk.
- Avoid Printers With Tri-Color Ink Cartridges: If you’re printing color documents, you’ll want to get a printer that uses separate ink cartridges for all its colors. For example, let’s say your printer has a “Color” cartridge that contains blue, green, and red ink. If you print a lot of blue documents and use up all your blue ink, the Color cartridge will refuse to function — now all you can do is throw away your cartridge and buy a new one, even if the green and red ink chambers are full. If you had a printer with separate color cartridges, you’d just have to replace the blue cartridge.
If you’ll be buying official ink cartridges, be sure to compare the cost of cartridges when buying a printer. The cheapest printer may be more expensive in the long run.
Of course, you’ll save the most money if you stop printing entirely and go paperless, keeping digital copies of your documents instead of paper ones.
Another example of global foreign corporations controlling our US, state, and local sovereignty ----here we have the ARNOLD family made rich from the ENRON massive frauds during Bush Sr terms in office-----this ENRON was used to push all our US local and regional energy suppliers out of business after a REAGAN era deregulation of ENERGY---MOVING FORWARD ONE WORLD ONE ENERGY GRID.
All Enron employees lost jobs, wealth, stock options, pensions----MR ARNOLD kept those fraudulent gains.
Now, our US 99% WE THE PEOPLE KNOW one does not bring a massive fraudster into a sovereign US city like BALTIMORE----but our local Baltimore City Council and mayor are global banking 5% freemason/Greek players ----MOVING FORWARD ONE WORLD ONE DEEP, DEEP, REALLY DEEP STATE which is what this SURVEILLANCE PROJECT is about. It does not matter if the surveillance is underground---via GLOBAL GOOGLE HOMELAND SECURITY internet spying----or if that surveillance is called SMART METERS spying on all our 99% of citizens are doing inside their homes----or if that surveillance is overhead---attached to buildings and poles---or flying circular patterns in the sky.
WONDER IS THIS MR ARNOLD IS RELATED TO THE TURN-COAT---BENEDICT ARNOLD----THAT IS WHAT IS REQUIRED DURING CLINTON/BUSH/OBAMA----
'The Dallas-born Arnold was a millionaire Enron trader who became a billionaire hedge fund manager. He quit at 38, having amassed a reported $4bn fortune, and started the Laura and John Arnold Foundation with his wife, a former attorney. They have committed to giving the bulk of their wealth to philanthropic causes and have an appetite for forensic examination of complex and often divisive issues'.
THE ARNOLDS donated the bulk of their fortune-----which was fraudulent gains to a foundation. Let's be clear---if that foundation is tied to FORENSIC operations----then THE ARNOLDS will never uncover the massive frauds of ENRON---and the fact THE ARNOLDS should never have amassed any wealth. Considering the need here in Baltimore to recover MASSIVE CORPORATE AND GLOBAL BANKING FRAUDS of Baltimore's wealth and 99% of WE THE PEOPLE assets-----we don't think all this SURVEILLANCE has anything to do with US RULE OF LAW-----it is completely tied to DEEP, DEEP, REALLY DEEP STATE---you know, far-fight wing, authoritarian, militaristic, extreme wealth extreme poverty LIBERTARIAN MARXISM---global corporate campus SOCIALISM----AKA-----DEMOCRATIC SOCIALISM.
Bush Sr era of energy deregulation created wild-cat destruction of US free market economy in our energy sector----electricity as well as gas. Is Mr Arnold a business man? No, he is a figurehead still operating criminally a corporation in global markets. Mr Arnold is that global banking 5% freemason/Greek player---JULIEN SOREL-----who lives for today knowing all financial gains go to OLD WORLD KINGS AND QUEENS.
Eye in the sky: the billionaires funding a surveillance project above Baltimore
An experimental police surveillance program funded by Texas philanthropists John and Laura Arnold worries observers of private influence in the public sphere
@Tom_Dart Sat 15 Oct 2016 1
Thousands of runners will sweat their way past the scenic highlights of central Baltimore in the city’s marathon on Saturday, but the action will not only be at ground level. An aircraft equipped with advanced cameras is set to circle high above their heads, as part of a secretive surveillance programme funded by Texan billionaires.
Last year, Radiolab, a public radio show, featured a company called Persistent Surveillance Systems, which specialises in wide-area eye-in-the-sky technology. It flies a small plane for hours above urban areas, taking thousands of photographs that are sent to analysts who then track movements at street level.
After the radio segment aired, the philanthropist John Arnold got in touch with the owner of Persistent, Ross McNutt. Arnold and his wife, Laura, were intrigued by the technology’s crime-fighting potential and agreed to fund a trial somewhere. With $360,000 from the Arnolds, McNutt struck a deal with Baltimore.
From January to August this year, Baltimore police said at a news conference last week, the plane flew over the city for 314 hours, taking more than a million images. The police added that the plane would operate as an anti-terrorism measure during Fleet Week, which started on Monday, and the marathon.
This spurt of transparency was more than a little tardy. Until Bloomberg Businessweek ran a story in August, virtually no one knew about the surveillance programme, not even the mayor. Yet the technology raises obvious civil liberties questions, as does the way the plan was funded: by unaccountable private citizens in Houston whose wealth silently enabled a blanket tracking tool in a large city with notoriously strained relations between police and residents.
“[John Arnold] called me, and he just heard it on the Radiolab piece and asked what he could do to help, and he thought we could run a test with the system and I said we would love to and we appreciate his help,” said McNutt. “They’re fantastic people, they really are, and they’re doing great things and trying to help out as much as they can.”
They’re fantastic people, they really are, and they’re doing great things and trying to help out as much as they can
Ross McNutt, Persistent Surveillance Systems, on the Arnolds
The Arnolds are not universally loved. Two years ago, a Bloomberg profile of John Arnold was headlined: Giving Back Has Made This 41-year-old Retired Billionaire Less Popular.
As with ENRON shareholders always lose as ARNOLDS move investment wealth to global corporation PRETENDING to be non-profit.
The Dallas-born Arnold was a millionaire Enron trader who became a billionaire hedge fund manager. He quit at 38, having amassed a reported $4bn fortune, and started the Laura and John Arnold Foundation with his wife, a former attorney. They have committed to giving the bulk of their wealth to philanthropic causes and have an appetite for forensic examination of complex and often divisive issues.
According to the Foundation, it has awarded more than $617m in grant money since 2011, in line with its aim of seeking “transformational change” through “strategic investments in criminal justice, education, evidence-based policy and innovation, public accountability, and research integrity”.
The Foundation has helped a wide range of institutions and causes, from universities to civil rights groups such as the American Civil Liberties Union Foundation and the Southern Poverty Law Center, both of which received grants to combat the problem of indigent defendants being detained because they cannot afford to pay court fines.
Personally, the Arnolds have backed Democratic politicians including Barack Obama and Chicago mayor Rahm Emanuel, and sent at least $5m to Planned Parenthood’s political wing.
US CITIES DEEMED FOREIGN ECONOMIC ZONES CONTROLLED BY CLINTON/OBAMA NEO-LIBERALS. These global security corporations tied to SMART CITIES----are where global Bush neo-cons meet global Clinton neo-liberals.
Until now, the Foundation’s efforts on pension reform have drawn the most media attention, with some unions expressing outrage at proposals they claim would drastically cut back the retirement incomes of public sector workers.
An example of the ‘eye in the sky’ technology from Persistent Surveillance Systems.“What I like about their philanthropy is that they are bold and they are more willing to take risks and be controversial than your typical foundation,” said Aaron Dorfman, president and CEO of the National Committee for Responsive Philanthropy, a research and advocacy group. “That said,” he added, citing their pensions work and the surveillance scheme, “some of the things that they are trying to make happen in the world are of dubious merit.
DID WE MENTION ALL OF ENRON 99% OF EMPLOYEES AS WELL AS ARTHUR ANDERSON AUDITING CORPORATION LOST THEIR PENSIONS? PENSION WORK????
“The problem here is that policing is a public good and decisions about how to do policing ought to be made by the public and in the sunshine with full transparency. In this case you had none of that – you had donors who thought it would be a good idea to test this new technology and a police force that was willing to take their money and try this out and the community had no idea this was going on. To me that’s a big problem.”
The Arnolds, who for the Baltimore project gave money personally rather than through their foundation, turned down an interview request, via a representative. “We invest in a wide array of criminal justice issues and policies, including strategies for improving the clearance rate of criminal cases,” they said in a statement.
“One such strategy is to use technology to assist police in early-stage investigations. To that end, we personally provided financial support for the aerial surveillance tool being piloted in Baltimore. As a society, we should seek to understand whether these technologies yield significant benefits, while carefully weighing any such benefits against corresponding tradeoffs to privacy.”
A sceptic might argue that society cannot understand something it does not know about. David Rocah, senior staff attorney at the ACLU of Maryland, said his organisation was concerned by the nature of the surveillance and the opaque way it was adopted.
“What the secret funding from the Arnolds meant,” he said, “is that it didn’t even have to be disclosed to the city’s purchasing folks and the mayor didn’t know, the city council didn’t know … nobody knew.
YEAH, ACLU WE THINK THE FUNDING IS THE LEAST OF THE PROBLEMS OF LOST CITY, STATE, AND NATIONAL SOVEREIGNTY.
“The fact is that surveillance technologies are acquired by police departments all over the country all the time with zero public input, even where the Arnolds aren’t secretly funding it. This case is just an extraordinary, an extreme, example of a larger problem.”
Surveillance technologies are acquired by police departments all over the country all the time with zero public input
David Rocah, ACLU of Maryland
Most of the money was passed to Baltimore through the Police Foundation, a not-for-profit research body in Washington that previously worked with the Arnold Foundation on a study of eyewitness identification procedure. As soon as next week, the Police Foundation intends to release a report that will examine the potential value of McNutt’s surveillance technology.
“It is very common for philanthropic organisations that are interested in advancing policing or studying it, or something [similar], to fund studies,” said Jim Bueermann, president of the Police Foundation.
“It’s my belief that there are other police departments that are currently using similar technology or will be in the future and we want to find out: is it effective? And where are the limits to this in terms of civil liberties? And how does a police department go about using this kind of technology and doing so in a way that enhances community trust and confidence in the department and not detract from it?”
Dorfman expects more city governments to cultivate relationships with wealthy donors, citing the example of Kalamazoo, Michigan, which recently asked local philanthropists for an endowment so the city could lower taxes but increase services.
“As government is more and more starved for resources, there are increasingly efforts to replace what should be government spending with philanthropic dollars and that can be for police or other public services,” he said.
“The problem with this is that we are a democracy, or supposed to be a democracy, and we should be willing to tax ourselves at rates where we can pay for the public services that we want and need for our communities – and it should not be left to the whims of billionaires to decide which public goods get paid for and which don’t.”
This week we will look more closely at the LYING AND HIDING of both multi-national corporations being allowed to build in US FOREIGN ECONOMIC ZONES-----this time looking at operational public policy-------last week we discussed how these global campuses are illegal and US un-CONSTITUTIONAL. This week we will look more closely at how the goals of these global corporate campuses are to undermine the future of AMERICA and its 99% WE THE PEOPLE----and new immigrant citizens.
We posted this earlier but will look at the skewing of DATA in the ranking of states according to HEALTH CARE COVERAGE---FAKE NEWS---FAKE DATA.
Texas after several decades of BUSH-FAMILY is completely captured---Texas 99% have absolutely no voice or power---much as Maryland and both states were tied heavily to massive, systemic health industry frauds of MEDICARE AND MEDICAID TRUSTS----so, neither has a goal of providing our 99% WE THE PEOPLE or new immigrants quality health care and access.
Texas ranks dead last in percentage of adults with health insurance
by CBS Austin
2018’s Best & Worst States for Health Care
Aug 6, 2018 | Adam McCann, Financial Writer
According to the CDC, 88.1 percent of the population has a regular place to go for medical care. But the cost and service quality of that care can vary widely from state to state. The overall health of the population, more advanced medical equipment and a general lack of awareness regarding the best types of treatment, for instance, can all affect costs. Today, the average American spends more than $10,000 per year on personal health care, according to the most recent estimates from the Centers for Medicare & Medicaid Services. That’s about 17.9 percent of the U.S. GDP.
But higher costs don’t necessarily translate to better results. According to a study by the Kaiser Family Foundation, the U.S. lags behind several other wealthy nations on several measures, such as health coverage, life expectancy and disease burden, which measures longevity and quality of life. However, the U.S. has improved in giving more healthcare access for people in worse health, and healthcare cost growth has slowed somewhat.
Conditions aren’t uniform across the U.S., though. To determine where Americans receive the best and worst health care, WalletHub compared the 50 states and the District of Columbia across 40 measures of cost, accessibility and outcome. Read on for our findings, expert insight on the future of American health care and a full description of our methodology.
We watched this today on CNN-----MAO CLINIC is that health system tied to massive health industry fraud used to expand the MAO CLINIC brand overseas while depleting all our US medical health savings accounts---after literally sucking dry a thriving public health care system-----
What we are seeing MOVING FORWARD AFFORDABLE CARE ACT---with all that EVIDENCE-BASED DATA----is complete control of a global corporation over all 5Ws ---who, what, when, where, why of our BODIES. We hear in this video MAO CLINIC saved Melissa's life---but that was the job----that is what US medical institutions have been doing for all last century. When Affordable Care Act says that global medical corporations following global health insurance corporations' protocol for treatment---all HUMAN COMMON SENSE ----is removed.
Let's remember, an institution using religious names like ST MARY'S CAMPUS---is not religious---it is driven by freemasonry-----that is NOT COMMON GOOD.
MAYO CLINIC markets as 'WORLD RENOWN' because it it expanded globally through massive US health industry frauds that left hundreds of millions of American 99% without medical attention they PAID to receive. This is not a WORLD RENOWN clinic----it simply gets money to do what any PUBLIC HOSPITAL could do if it received MONEY.
Watch teen escape from Mayo Clinic 04:42
Escape from the Mayo Clinic: Parents break teen out of world-famous hospital
By Elizabeth Cohen and John Bonifield, CNN Health
Updated 8:23 AM ET, Mon August 13, 2018
This is the second part of the series,"Escape from the Mayo Clinic."
Sherburn, Minnesota (CNN)One winter afternoon last year, Duane Engebretson sat in his stepdaughter's hospital room at the Mayo Clinic in Rochester, Minnesota, trying to figure out how she could escape.
Alyssa Gilderhus, 18 and a senior in high school, had been a patient at Mayo for about two months, ever since having a ruptured brain aneurysm on Christmas Day.
Alyssa Gilderhus before her ruptured brain aneursym and hospitilization at the Mayo Clinic.
Mayo neurosurgeons saved her life, but she and her parents were unhappy with the care she was receiving in the rehabilitation unit, and they say they repeatedly asked for her to be transferred.
But they say Mayo refused to let her transfer to another hospital, even after a lawyer wrote a letter asking Mayo to make the arrangements.
Alyssa and her family began to suspect that Mayo was trying to get a guardian appointed to make medical decisions for her. They were right: Hospital staffers would later tell police that they had gone to two county adult protection agencies to make guardianship arrangements.
Alyssa Gilderhus with her siblings at the Mayo Clinic.
Duane and his wife, Amber Engebretson, weren't sure how to get their daughter out of Mayo. Two nurses had been assigned to watch over her at all times.
But on February 28, 2017, an idea struck Duane as he sat in Alyssa's hospital room.
He looked at one of the nurses. She had been with them a few weeks before, when Alyssa's great-grandmother had come for a visit.Betty Stalheim was 80. She'd just had knee surgery. She was fragile.
If he told the nurses that Grandma Betty wanted to visit but couldn't make it all the way upstairs to Alyssa's room, it might just sound believable, he figured.
He put his plan into action about 4 p.m., with his 9-year-old daughter, Allie, secretly videotaping with a small GoPro camera hidden in her hand. He told CNN he wanted the videotape to show that Alyssa had left the hospital willingly and that he hadn't been violent with staff, and to record actions taken by Mayo employees.
Duane told the nurses he wanted to take Alyssa downstairs to say hello to Grandma Betty in the lobby.
The video shows Duane pushing Alyssa in her wheelchair down the hospital hallway. She has a bandage on her neck where her breathing tube had been removed a few days before.
Two women in scrubs follow them.
When the group arrives in the lobby, there is no Grandma Betty.
Duane says he sees Grandma Betty's car at the entrance and walks out the hospital doors with the two staff members trailing behind him.As he approaches the car, the front passenger door opens.
There is no Grandma Betty. She was never there. Instead, Alyssa's mother is in the driver's seat.
"Alyssa, we're going to go home, honey. Come on," Amber says to her daughter.
As Duane helps his stepdaughter out of the wheelchair and into the passenger seat, the two women in scrubs run toward her, and someone yells, "No!"
"Yes, she is! Yes, she is!" Duane and Amber yell back.
The video shows a hand grabbing Alyssa's arm as Duane helps her into the car. A nursing aide would later tell police she had tried to grab her.
"Get your hands off my daughter," Duane yells at the aide.
Duane closes the car door and gets in the back seat."Get out of here, Amber," he tells his wife. "Go, go, go, go, go, go!"
The car drives away from Mayo.
Recalling her escape some months later, Alyssa says it felt "phenomenal."
"It was like the biggest weight off my shoulders," she said.
'We have a patient abduction'
At 4:28 p.m., a Rochester Police dispatcher received a call from Mayo Clinic security.
"We have a patient abduction," the caller said.
An officer arrived on the scene 20 minutes later.A Mayo social worker told him that Alyssa "cannot make decisions for herself" and that her mother couldn't care for her "because Amber has mental health issues."
The social worker also told police she "understood there was no formal diagnosis" for Amber.
Amber told CNN she has no history of mental illness and took offense to the social worker making such an unqualified pronouncement.
Alyssa Gilderhus as a child with her grandmother Betty Stalheim, mother, Amber Engebretson, and younger siblings.
"It's absolutely absurd," Amber said. "She said it to the police department. She has no reasoning. She has no justification."
The social worker told the police she'd been working with adult protection services in two Minnesota counties "trying to get emergency guardianship" but had been unable to get court orders to do so.
An Olmsted County Adult Protective Services official told police that "Mayo was requesting [assistance] in gaining guardianship of Alyssa because they were concerned for the mother's mental health and the medical decisions that were being made for Alyssa."
But something didn't quite make sense to John Sherwin, captain of investigations for the Rochester Police Department.
If Alyssa couldn't make decisions for herself, as the social worker had said, and if she needed a legal guardian appointed for her, then who had been making decisions for her while she was in the hospital?
When police asked that question of Mayo staffers, Sherwin said, they replied that Alyssa had been making her own medical decisions.
"When doctors were consulting with her in regards to her medical care, they weren't doing so through a guardian or someone that had been appointed by the courts. It was in direct contact with the patient," Sherwin said.
He said it became clear to investigators that Alyssa "in fact could make decisions on her own" -- including the decision to leave the hospital against medical advice.
"There was no abduction. This was done under her own will," he said. "You had a patient that left the hospital under their own planning."
Though satisfied that Alyssa was capable of making her own decisions, Sherwin still was concerned about her health.
"What was relayed to us [by Mayo staff] was that the patient was in danger of dying if they were not in the hospital," Sherwin said.
Mayo sent the police an order for a 72-hour hold, which allows police to admit someone to a hospital emergency room against their will if they're a danger to themselves.
But first, the police had to find Alyssa.
Police search for Alyssa
Alyssa and her parents were on the run. They weren't answering their cell phones, and they weren't at home, either.
They later told CNN they figured the police would bring Alyssa to a hospital, and given the large number of Mayo facilities in Minnesota, there was a good chance that hospital would be a Mayo hospital.
"We felt that if [Mayo] got their hands on her, they would latch on and we wouldn't get her back again," Duane said.
Unable to find the family, the police pinged their cell phones. This pointed them to an Applebee's restaurant in Mankato, Minnesota, about 85 miles west of Rochester. Officers searched the restaurant anrd a nearby Five Guys but couldn't find Alyssa, according to a Mankato police report.
It turned out the ping was a bit off: The family was down the street at Walmart, purchasing a wheelchair, a walker and a syringe for Alyssa's feeding tube, which Duane says he'd been trained to use. They then checked into a nearby hotel.
While at the hotel, the family received a phone call from a Martin County sheriff's deputy. They say they told the deputy that their daughter was doing well, and they planned to bring her to a doctor the next day to get her checked.
The deputy said that wasn't good enough. He told them they were on their way to them, according to the family.
Alyssa and her parents scrambled and left the hotel.
It was now almost 9 p.m., and nearly five hours had passed since they'd left Mayo. The family was on the road with three police agencies -- Rochester, Mankato and Martin County -- on their heels.
As Alyssa's stepfather drove down the highway, a sheriff's deputy called, urging them to bring their daughter to a hospital right away. They told him they'd bring her to a hospital in Jackson, about 75 miles away.
But then, the family reconsidered. They'd chosen Jackson because it had a hospital that wasn't owned by Mayo. But they feared that the doctors there might transfer her to a Mayo facility.
After the calls from police, Alyssa's parents figured out that their phones were being pinged and took the batteries out.
They got off the highway and drove on gravel roads without a map.
"I just kept heading west. I knew I would run into South Dakota sooner or later," he said.
'This kid is in danger'
The next afternoon, March 1, one of Alyssa's doctors, a pediatric rehabilitation specialist at Mayo, spoke on the phone with Sherry Bush-Seim, a Rochester police investigator.
The doctor warned that Alyssa was in grave danger.
"The longer she's away, the higher likelihood that she's gonna get very, very sick," the physician said, according to a transcript of the conversation that police provided to CNN.
The day Alyssa left Mayo, that doctor and a colleague had written a discharge note.
"Alyssa's medical condition, medical status, cognition, and physical impairments require an ongoing inpatient level of medical care," the doctors wrote. "She was not medically or functionally safe to leave the hospital at the time of her removal from the hospital by her stepfather."
Alyssa was at risk for pneumonia, malnourishment, dehydration, aspiration, infection and falling, according to the note. She didn't have her medications with her, and her parents weren't trained on how to use her feeding tube, according to the discharge summary.
The doctor said Alyssa was probably "a ways from here by now" and requested a wider-scale search.
"[It's] incredibly frustrating that something isn't out nationally given that [this] family may be hopping from doctor to doctor," the doctor said.
"We wouldn't do that nationally," Bush-Seim responded. "That wouldn't be done."
Without a national search, the doctor said, "we're not gonna find her."
Bush-Seim assured the physician that the Rochester police had "done everything they possibly could to find her."
"There's got to be something more. This kid is in danger," Alyssa's doctor responded.The police back off
But other doctors disagreed with the Mayo physician.
Less than 12 hours after leaving Mayo, she and her parents arrived at the emergency room for Sanford Medical Center in Sioux Falls, a teaching hospital for the University of South Dakota.
They explained to Sanford doctors that she'd had an aneurysm and left Mayo against medical advice, according to medical records from that emergency room visit.
The Sanford doctors disagreed with the Mayo doctors on two crucial points.
Although Mayo doctors had insisted that Alyssa needed to be in the hospital, the Sanford doctors came to the opposite conclusion: They prescribed Alyssa medications, gave instructions for her to follow up with a doctor and told her she could go home.
Mayo had determined that Alyssa lacked the mental capacity to make her own decisions. The Sanford doctors again came to the opposite conclusion: They allowed her to make her own decisions and sign her own forms consenting to treatment.
When police learned that a hospital had cleared Alyssa to go home, they stepped aside.
"If a doctor at another facility says she's fine and comes up with a second opinion, that kind of takes the law out of it," said Chris Vasvick, a Martin County sheriff's deputy. "That's one doctor's opinion against another, and that doesn't have anything to do with law enforcement at all."
Sherwin, the Rochester detective, agreed.
"We didn't have any reason for the police to intervene," Sherwin said.
He added that Alyssa and her parents had done nothing illegal. No charges were filed against them.
"As parents, they were probably thinking that they were acting on her best interest. I think the same could be said for the doctors and staff at Mayo Clinic. I think that they also felt they were acting on her best interest," Sherwin said.
A few days after her visit to the Sanford emergency room, Alyssa and her parents went home.
A letter from Mayo was waiting for them, thanking Duane for getting in touch with the patient experience office.
The family found it ironic, given that it was dated March 1, the day after Alyssa left the hospital.
A few days later, another letter arrived from an administrator at Mayo, saying that it would not treat Alyssa or her parents.
"We have made this decision because of your actions which demonstrate a lack of trust and confidence in Mayo," the administrator wrote.
On Facebook, Amber shared that Alyssa's health was improving.
"This kid amazes me every day!! And we all could not be more proud!!" she wrote.
'Hospitals aren't prisons'
To understand the legal and ethical issues in Alyssa's case, CNN showed experts key documents, including law enforcement reports; a transcript of portions of CNN's interview with Sherwin, the detective at the Rochester Police Department; and summaries of her care written by doctors at Mayo and Sanford.
The experts emphasized that those documents don't tell the whole story; only a thorough reading of her full medical records and interviews with Mayo staff would provide a complete picture.
"You're only hearing one side," cautioned Dr. Chris Feudtner, a professor of pediatrics, medical ethics and health policy at the University of Pennsylvania Perelman School of Medicine.
After reviewing the documents, the experts wondered why Mayo did not allow Alyssa, who was 18 and legally an adult, to leave the hospital when she made clear that she wanted to be transferred, according to the family.
They said that typically, adult patients have the right to leave the hospital against medical advice, and they can leave without signing any paperwork.
"Hospitals aren't prisons. They can't hold you there against your will," said George Annas, an attorney and director of the Center for Health Law, Ethics & Human Rights at the Boston University School of Public Health.
But Alyssa's doctors say she wasn't a typical patient.
"Due to the severity of her brain injury, she does not have the capacity to make medical decisions," her doctors wrote in her records after she'd left the hospital.
In that report, the doctors specified that assessments in the last week of her hospital stay showed that she lacked "the capacity to decide to sign releases of information, make pain medication dose changes, and make disposition decisions. This includes signing paperwork agreeing to leave the hospital against medical advice."
That hadn't jibed with the captain of investigations for the Rochester police. Sherwin said it didn't make sense that Mayo staffers told police Alyssa had been making her own decisions, yet in the discharge note, they stated she wasn't capable of making her own decisions.
It didn't jibe with the experts, either.
"They can't eat their cake and have it, too," said Feudtner, the medical ethicist at the University of Pennsylvania.
Even if Alyssa truly did lack the capacity to make her own medical decisions, the experts had questions about Mayo's efforts to obtain emergency guardianship for Alyssa.
Brian Smith, the Rochester police officer who responded to Mayo's 911 call the day Alyssa left Mayo, said a Mayo social worker told him she'd been working for a week or two to get a Minnesota county to take guardianship over Alyssa.
"The county would have guardianship over her and would make decisions for her," he told CNN.
If that happened, Alyssa most likely would have stayed at Mayo, as she was already receiving treatment there, Smith said.
Bush-Seim, the Rochester police investigator, spoke with an official at one of the county adult protection agencies. She said it was also her understanding that Mayo wanted the county to take guardianship of Alyssa, or that perhaps Mayo itself wanted to directly take guardianship of her.
The legal experts said they were not surprised that Mayo was unable to get court orders for such guardianship arrangements. It's a drastic and highly unusual step for a county or a hospital to take guardianship over a patient, they said, rather than have a family member become the patient's surrogate decision-maker.
Robert McLeod, a Minneapolis attorney who helped the state legislature draft its guardianship laws, did not review the documents pertaining to Alyssa, as he did not want to comment on any specific case.
He said that before appointing a county or a hospital as a legal guardian, a judge would ask why a family member or close friend hadn't been selected as a surrogate.
"From my 25 years of experience, a judge is going to say, 'why isn't the family the first and best choice here?' and it had better be a good reason," said McLeod, an adjunct professor at the Mitchell Hamline School of Law in Saint Paul, Minnesota.
Other experts agreed.
Saver, the professor at the University of North Carolina School of Law, said that in his four years working in the general counsel's office at the University of Chicago Hospitals and Health System, he doesn't once remember the hospital seeking guardianship for a patient who had a responsible relative or friend who could act as surrogates.
"It's thought of as kind of the atom bomb remedy," Saver said. "I'm a little flummoxed what to make of this. They had family members on the scene to look to."
Alyssa said her biological father, Jason Gilderhus, told her that Mayo asked him to become her guardian. He did not become her guardian and did not respond to CNN's attempts to reach him.
Even if Mayo had concerns about Alyssa's mother and her biological father didn't work out, there were other friends and relatives to turn to, such as her stepfather, grandmother, great-grandmother, aunt or boyfriend's mother.
"It's so baffling why they didn't try to designate a surrogate before trying to get a guardian," added Dr. R. Gregory Cochran, a physician and lawyer and associate director of the Health Policy and Law program at the University of California, Hastings College of the Law in San Francisco.
Another feature of Alyssa's case also surprised the experts.
Caplan, the NYU bioethicist, said that in complicated and contentious cases like this one, doctors typically reach out to their hospital's ethics committee for help.
An ethics committee would listen to the doctors, other staff members, the patient and the family to try to resolve the conflict.
The family says no one ever mentioned an ethics committee to them, and there's no mention of an ethics committee consult in the discharge summary in Alyssa's medical records.
Annas, the lawyer at Boston University, agreed that an ethics committee consultation would have been an obvious and important way to help resolve the dispute before it spun out of control.
"Disputes between families and hospital staff happen all the time, and they can either escalate or de-escalate," Annas said. "An ethics consult can help sort out the issues so they de-escalate."
The experts said they were disappointed that in Alyssa's case, the conflict escalated.
"I was shocked to see that parents had to pull a fast one to get their daughter out of the hospital," said Cochran, of the University of California.
"I felt sad," said Feudtner, the ethicist at the University of Pennsylvania. "Viewed in its entirety, this did not go well for anybody who was involved."
Gaalswyk, the former Mayo board member, said he hopes the hospital learns something.
"I hope that someone somewhere will look at what happened in this unfortunate case and improve both our Mayo employee's actions and patient systems so that it not need happen again to any other patient at Mayo," he wrote a Mayo vice president after Alyssa left the hospital. "The situation need not get out of hand like it did."
Being 'held hostage in an American hospital'
While the details of Alyssa's case are extraordinary -- the Grandma Betty trick, the escape from the hospital with police on their heels -- the core of her story is not uncommon in many ways, according to patient advocates.
Dr. Julia Hallisy, founder of the Empowered Patient Coalition, says families often tell her that a hospital won't allow their loved one to transfer to another facility. Often, they're afraid to say anything publicly or on social media.
"You sound like a crazy person -- that your family member was held hostage in an American hospital," she said. "People can't believe that would happen. It's like the stuff of a science fiction story."
Kristen Spyker said it happened to her family.
When Spyker's son was born with a rare heart defect, she says she told doctors at the Ohio hospital where he was born that she wanted him to have a surgical repair at a hospital with a larger pediatric heart program.
She said the heart surgeon at the first hospital refused to send her son's medical records to other hospitals. She also says a surgeon resisted her efforts to transfer her newborn son to another hospital to get a second opinion on what surgery he should have for a rare heart defect.
"The surgeon said, 'This is my patient. This is my show. I'm the boss, and I say what happens,' " she said.
She said a social worker, accompanied by hospital security guards, then came into her son's hospital room and said she was worried that Spyker had postpartum depression that was affecting her ability to make decisions for her son's care.
Spyker said the hospital discharged her son only after she threatened legal action.
Her son then had a successful procedure at another hospital -- a different procedure than the one recommended by the first doctor.
When she told her story on Facebook, Spyker said, other parents shared similar stories.
"It was parent after parent after parent saying 'this happened to us,'" she said. "They had been so embarrassed to talk about it, but they felt freer when I said it happened to us."
Spyker was one of several people who spoke with Alyssa's parents last year while their daughter was at Mayo.
In a statement to CNN, the American Hospital Association addressed conflicts between families and hospitals.
"Communication between physicians and patients is extremely important in working to identify the best treatment," said Dr. Jay Bhatt, senior vice president and chief medical officer of the organization. "Each patient is unique. It is for this reason that the majority of hospitals have patient advocates on staff to help patients and families navigate the care process. Hospitals recognize that patients are critical members of any care team and many are employing new strategies to ensure their voice and perspective is heard and accounted for."
When hospitals and families get into intense conflict, Hallisy, a dentist who practices in San Francisco, says human emotions can run amok. She says she saw it happen when her daughter, Katherine, was being treated for cancer.
"People think that doctors are immune to petty disagreements, but they're human beings, and sometimes ego and primitive emotions take over," she said.
She said that in Alyssa's case, she wonders whether a sensitive hospital staffer, perhaps a social worker, could have prevented the situation from becoming as contentious as it did.
She thinks back to her daughter, who died at age 10. She remembers the sadness and fear of having a very sick child, as well as the stress of taking care of her two other children and keeping her dental practice afloat while her daughter was in and out of the hospital.
She thinks about how Alyssa was near death and how her parents had five younger children 130 miles away, as well as farms and a family business to run.
"They were under incredible stress," Hallisy said. "They'd almost lost a child, and they had other responsibilities, too. You would think that someone at Mayo would be trained to see that."
The prom queen graduates
More than a year after leaving the Mayo Clinic, Alyssa, now 20, has belied her "grim prognosis."
The students of Martin County West High School crowned Alyssa Gilderhus prom queen.
Last year, she graduated from Martin County West High School, receiving a standing ovation from her class. She stayed out all night at her senior prom, where her classmates voted her prom queen. The local chapter of Future Farmers of America gave her the Star Farmer award.
Her feeding tube came out a few months after she left Mayo, and she can eat and speak normally now. She can walk on her own without any assistance. Last summer, she presented her fantail pigeons at the Minnesota State Fair and competed in the poultry princess competition.
She finished up her physical and speech therapy in March, about a year after leaving Mayo. She'll be a freshman at Southwest Minnesota State University in September.
Alyssa Gilderhus on her family's farm in Sherburn, Minnesota.
Alyssa has not filed a lawsuit, but has engaged Martin, the lawyer who is also representing the Pelletier family.
Alyssa and her parents say they haven't recovered emotionally from what happened at Mayo. They say they still sometimes wake up in the middle of the night, panicked about what would have happened if they hadn't snuck her out of the hospital.
"I think she would be [at the hospital] and nobody would be able to see her," her stepfather said.
They say Mayo still hasn't given them an explanation for why it was trying to arrange guardianship for Alyssa.
They think Mayo was trying to get guardianship in retaliation for questioning the staff, especially a senior physician.
"I think that the doctor I made mad wanted to make sure that I paid for it no matter what," her mother said.
She's told that's a pretty hefty accusation.
"We stand by it 100 percent," her stepfather said.
What we saw in today's CNN new regarding a MAYO CLINIC illegal use of POWER----happened because MOVING FORWARD CLINTON/BUSH/OBAMA are REDEFINING what it means to have legal GUARDIANSHIP and what constitutes an ADULT having POWER/RIGHTS regarding INTERNMENT.
We have shouted against goals of AFFORDABLE CARE ACT----addiction treatments made to sound SOCIAL BENEFIT helping the poor----really leading to imprisonment in rehabilitation camps----those rehabilitation camps will of course be labelled -----HEALTH CARE FOR COMMON GOOD.
These GUARDIANSHIP public policies go far beyond our addicted citizens as we saw in that MAYO VIDEO----where Melissa's rights as a patient were under attack with MAYO thinking it could make themselves INSTITUTIONAL GUARDIANS of Melissa just because she was a PATIENT. These guardianship policies being passed in US CITY/COUNTY councils AND state assemblies---while national news has our US 99% YELLING AT TRUMP-----are extremely FAR-RIGHT WING-----extremely AUTHORITARIAN----extremely 99% of people having absolutely no RIGHTS.
In 2013, the Indiana General Assembly provided funding to establish the Adult Guardianship Office under the Indiana Supreme Court.
- serves as a resource for courts and general public on all issues related to adult guardianship
- administers grant funding to increase the number of volunteer-based guardianship programs throughout the state
In 2018, more than $1.1 million in grant funding was awarded to eighteen volunteer-based guardianship programs, serving 42 counties. These programs currently serve close to 600 vulnerable and incapacitated adults in Indiana who are unable to make personal and financial decisions regarding their care.
The Indiana Adult Guardianship State Task Force is a multidisciplinary work group of public and private key stakeholders and advocates convened to examine the public policy and service delivery issues and needs related to adult guardianship in Indiana. Read the February 2012 report »
Online Guardianship Registry
The Adult Guardianship Office is also involved in the development of an online guardianship registry. The registry provides non-confidential information to the public, including: the name of the protected person, the name of the appointed guardian, the protected person’s year of birth, whether the guardianship case is active or expired, when the letters of guardianship were issued, the county issuing the guardianship, and the guardianship cause number.
The registry will
- provide useful and timely information to the public on the current status of guardianships throughout the state
- be a vital tool for hospitals, banks, law enforcement, mental health facilities, government agencies, and other service providers who are often placed in emergency situations where knowing whether someone is under a guardianship and who needs to be contacted is critical
- be an important tool for courts, tracking the number and types of guardianships filed in each jurisdiction
On May 17, 2018, the Adult Guardianship Office, along with the WINGS-Indiana Adult Guardianship State Task Force, Indiana Association of Area Agencies on Aging, and Indiana State Guardianship Association sponsored an adult guardianship symposium discussing new possibilities in adult guardianship across the state and in our communities.
So, the global banking 5% freemason/Greek players attend these meeting having no intention of saying WHAT THE HECK??????? They simply write down ready to MOVE FORWARD----doing anything global banking 1% OLD WORLD KINGS AND QUEENS tell them.
OUR US 99% WE THE PEOPLE BLACK, WHITE, AND BROWN CITIZENS MUST GET RID OF GLOBAL BANKING PLAYERS AS LEADERS IN EACH COMMUNITY.
What we have today in US being allowed to call themselves WORLD RENOWN----as MAYO--as JOHNS HOPKINS are the worst institutional offenders of RULE OF LAW----HIPPOCRATIC OATH-----
This is where WE KNOW BEST---coming from global banking 5% players who do not KNOW BEST-----creates widespread ABUSE.
ANY US organization calling itself LABOR OR JUSTICE-----would be climbing the walls to STOP MOVING FORWARD. Instead global banking FAKE left social progressive groups are PRETENDING AFFORDABLE CARE ACT is helping 99% of citizens be INSURED.
INDIANA ADULT GUARDIANSHIP SYMPOSIUM
May 17, 2018
Indianapolis Marriott East,
7202 East 21st Street
, Indianapolis, IN 46219
9:00 AM–9:30 AM
Indiana’s Opioid Crisis and Its Impact on Older Adults
Adult Guardianship Needs Assessment Update”
10:00 AM–10:15 AM
Break and Networking
“An Introduction to Supported Decision
Making: the Massachusetts
Indiana Supported Decision-Making Grant Project
Breakout Session #1
Family Guardianship 101
Working with the Veterans Affairs Administration
A Matter of Trusts: ABLE
Accounts, Master Trusts, and Special
“Determining Decision-Making Capacity”
Breakout Session #2
“Love and Mercy: The Guardianship of Brian Wilson”
A Discussion with Social Security: How to
Seek SSI and Disability Benefits”
Stress Management and Compassion Fatigue for Caregivers and Guardians
Accessing Indiana Waiver and Independent Living Services
3:15 PM–3:30 PM
Breakout Session #3 (Concurrent Workshops):
Understanding the Indiana Medicaid System
INPALL: The Indiana Project on Abuse in Later Life
Financial Accountings for Guardians 101
Navigating the System: Fostering Collaborative Relationships for Individuals with Dual Diagnosis”