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Recently, the CHCAA has been working cooperatively with the Canadian Expatriate Association to advise Canadians living abroad about the importance of making sure they are receiving health care lawfully when they return to Canada. Since this criteria is set out by the provincial Ministries of Health, the CHCAA is pleased to provide a list of links (below) that will provide you with the eligibility requirements for each province. If you have any questions regarding this information, please contact the appropriate Ministry of Health and they will be able to assist you.

By Province

1. Alberta

2. British Columbia

3. Manitoba

4. Newfoundland

5. New Brunswick

6. Nova Scotia

7. Prince Edward Island

8. Quebec

9. Saskatchewan

A recent FBI investigation in Los Angeles has led to the discovery of a scheme that allegedly exploited the homeless to commit tens of millions of dollars worth of health insurance fraud.

The investigation began in 2004 when Union Rescue Mission employee Scott Johnson began noticing vans loading up homeless people in front of his workplace on LA’s notorious “Skid Row”. Concerned by what he saw, Johnson notified the state authorities. Security cameras on the building also recorded footage of ambulances disposing of patients on the street corner.

Police investigations allege that a conspiracy between the mission operator and a group of private hospitals sought to bribe the local homeless in exchange for their Medicare benefits information. Apparently, the information was then used by the hospitals to submit false health claims on their behalf. Union Rescue Mission residents said that recruiters would arrive each morning and offer food, cigarettes, and sometimes cash to the homeless.

Recruits often received no medical care, but some received medical treatment even when unnecessary. One patient reported receiving a nitroglycerin patch for a non-existent cardiopulmonary condition. The procedure caused a drop in her blood pressure, leaving her ill.

Three hospitals were investigated in connection with the scheme that began in August 2004 and lasted until about October 2007: Los Angeles Metropolitan Medical Centre, City of Angels Medical Centre, and Tustin Hospital and Medical Centre in Orange County.

The investigation has resulted in the arrest of City of Angels Medical Center executive Rudra Sabaratnam and Union Rescue Mission operator Estill Mills. Both men are charged with conspiring to take and receive bribes and with committing health care fraud.

City of Angels and Tustin Hospital reportedly paid Mills $1,600 - $20,000 a month and distributed salaries for the recruiters Mills managed (New York Times 2008/08/10).

As investigations move forward, more arrests are expected to take place. If convicted of all counts, Sabaratnam would face a maximum penalty of 50 years in federal prison, and Mitts would face a maximum sentence of 140 years in prison (CNN 2008/08/07).

Reader Response

Posted in: General on 7/25/2008

The following is a response from the Canadian Expat Association (CEA) to the CHCAA article entitled “Canadian Expats Getting Free Health Care?” published on May 15, 2008 on this website.

Dear Editor,

I’ve just been made aware of your post on May 15th of this year regarding Canadian Expats getting Free Health Care. I want to first thank you for bringing this out. We agree with the basic premise of the article whole heartedly. Canadians that are living abroad and taking advantage of the Canadian Health Care system should be stopped.

Some of the solutions outlined in the article seem like they might be a little difficult to both implement and then enforce but I want you to know that we would be very happy to work with you where we can.

Perhaps one area that we can be of immediate assistance to your cause is in the area of education and general public relations. We can assist in spreading the word that this type of activity is socially unacceptable.

I would however point out that I truly believe the problem may be not quite as large as implied in the article and perhaps research is another area where we might help as well.

You also noted that there are an estimated 4 million Canadians living abroad. Just so that you know, this seems a bit inflated. Our correspondence with the Canadian foreign diplomatic missions around the world puts our estimate at around 2.3 million. This is our latest estimate as of June 30th. Prior to that, the Asia Pacific Foundation estimated the numbers to be 2.7 million. Of course these numbers are only estimates but 4 million is certainly the largest number I’ve seen so far. I’m curious as to how you got this number.

Regardless, we believe in your cause. The integrity of the Canadian health care system is what is at stake and there is no one that would disagree in the value of that cause.

Please let me know how we might help.

Best Regards,

Allan Nichols
Executive Director
The Canadian Expat Association

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