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What health reform means for the people of Illinois

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Tuesday, June 14, 2016

NOTICE Act Could Do More for Patients


Starting August 6th, the Notice of Observation Treatment and Implication for Care Eligibility Act, or NOTICE Act, will go into effect. This new law requires hospitals to give written and verbal notice to Medicare beneficiaries who have been on observation status for more than 24 hours.

What is observation status? 

In a nutshell, observation status is a term hospitals use to bill Medicare. Observation status is based on a doctor’s medical determination. Doctors place patients on observation status if their condition is not serious enough for inpatient admission status, but still requires monitoring in case health worsens.

The NOTICE Act is a step in the right direction because patients are often unaware of their observation status or its potential consequences. Prior to the NOTICE Act, the only way to know your status was to ask. Part of the reasoning behind the law is that beneficiaries get hit with serious financial consequences including higher than expected hospital bills and that Medicare won’t cover skilled nursing care needed after discharge from the hospital. However, the law could do better to prevent those consequences.

The issue for many patients is that being on observation status also means they are classified as an outpatient, not an inpatient. That means that rules for Medicare Part B (outpatient services) and D (prescription medication coverage) apply to their hospitalization rather than part A (inpatient).

To understand this better, here is a chart comparing estimated costs. Let’s say a patient stays at the hospital for 4 days, and the care provided ends up costing $10,000. Keep in mind that costs can vary greatly depending on the type of care provided during that time.


Oftentimes, Medicare beneficiaries learn about their observation status when arranging for the skilled nursing facility care they need after discharge. These patients make the very valid assumption that because they are wearing hospital gowns, in a hospital bed, eating hospital food, meeting with nurses and taking tests administered by doctors that they are an inpatient. They learn their actual status, and its consequences, too late and have little recourse.

How could the law be improved?

An appeal process is needed.
The NOTICE Act ensures people know about their observation status and the financial consequences of this determination. And that’s it. They don’t know the medical reasons a doctor made the decision and they aren’t given any avenues to appeal this determination. Patients will be informed of their observation status and the possibility of higher medical costs, but have no recourse to fight the decision.

Use plain-language in the notice to ensure comprehension. 
The Medicare Outpatient Observation Notice, or MOON, used to inform patients about their observation status is not written using easy-to-understand language. In its current form, the MOON is written for a 12-grade reading level, a break from the common practice of writing consumer materials for no more than an 8th grade reading level.

Do you agree Medicare patients deserve more?

Tell the federal government. They are asking for your comments right now in response to the proposed rules. You can use this comment template or submit comments on your own. Submit your comments with these simple steps:

  • Go to the website where comments are submitted. Enter the phrase "Medicare Program: Hospital Inpatient Prospective Payment Systems" in the search box. The first hit will be the rule you want to comment on. Click the "Comment Now!" blue box. 
  • Use our comment template to show how people you know have been hurt by observation status and why changes need to be made by including personal information where indicated with yellow highlights. Adding specific examples of real people makes your case more compelling.
  • You can also write your own feedback directly in the comment box.

Go ahead, make your voice heard! The greater number of people that speak up, the more likely changes will be made.

How can you get ready? 

While the law could be improved, it will be implemented August 6th. Prepare for the changes by getting informed:
Going to the hospital is already stressful. Deciphering complex notices, understanding jargon and dealing with unexpected medical bills increases the strain. Armed with knowledge, you can act as a more effective advocate for yourself, your clients or patients, and loved ones so they can focus on their health and recovery.

Bryce Marable
Health Policy Analyst
Health & Disability Advocates

28 comments:

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  2. I couldn't find the Notice Act or place to comment on it.

    ReplyDelete
    Replies
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  7. IL (PURE) NOTO PEDOFIL-O-MOSESSUALE PAOLO BARRAI DI CRIMINALISSIMA WORLD MAN OPPORTUNITIES LUGANO, CRIMINALISSIMA WMO SA PANAMA, CRIMINALISSIMA BSI ITALIA SRL DI VIA SOCRATE 26 MILANO E CRIMINALISSIMO BLOG MERCATO "MERDATO" LIBERO, FA AZZERARE I RISPARMI DI TUTTI, SEMPRE! INDAGATO DA PROCURA DI LUGANO IN SVIZZERA! INDAGATO DA 7 PROCURE ITALIANE, DA POLIZIA ITALIANA E GUARDIA DI FINANZA ITALIANA! INDAGATO DA EUROPOL ED INTERPOL! CON, SUL GROPPONE, BEN 70.000 EURO DI MULTA DA PARTE DI CONSOB! CONDANNATO A GALERA IN MILANO! CONDANNATO AD 8 ANNI DI CARCERE IN BRASILE! INDAGATO PESANTISSIMAMENTE A PANAMA! NOTO NAZIRAZZISTA ASSASSINO DEL KU KLUK KLAN PADANO, SVIZZERO, INGLESE ED AMERICANO!

    1
    Siamo un foltissimo guppo di risparmiatori truffati dal criminale, gia' tre volte in galera, Paolo Barrai di malavitosissime societa' Bsi Italia srl, Wmo Sa Panama, World man opportunities Lugano!
    Multato da Consob per ben 70.000 euro per sue mega frodi su fotovoltaico
    https://it.linkedin.com/in/figlioditroia-paolo-barrai-ladro-truffatore-azzerarisparmi-257b92119
    https://it.linkedin.com/in/sborratoinculo-paolo-barrai-pedofilomosessuale-bsi-italia-srl-4565b8100?trk=pub-pbmap
    http://www.bluerating.com/trading/179-promotori/28601-qmultaq-da-70mila-euro-per-un-ex-promotore-che-ha-violato-gli-obblighi-informativi.html
    http://www.consob.it/main/documenti/hide/afflittivi/pec/mercati/2013/d18579.htm
    Condannato al carcere in Brasile per estorsioni, stalking via internet, minacce di morte, pedofilia omosessuale, ladrate, truffe, mega riciclaggio di proventi mafiosi, propaganda nazista e razzista, come questi articoli, pero', di appena inizio indagine, dimostrano... poi, il tutto e' divenuto, ben appunto condanna al carcere e per tanti anni... ovvio che il Renato Vallanzasca della finanza mondiale, Paolo Barrai, in Brasile non mette piu' piede... ha paura delle gattabuie locali
    http://www.portonewsnet.com.br/?mw=noticias&w=2996
    http://4.bp.blogspot.com/-aqbT4KlYsmw/TcLbvUUpkeI/AAAAAAAAAe4/TiDPLR0LH_U/s1600/barrai+ind-pag01.jpg
    http://www.osollo.com.br/online/index.php/crimes/3052-blogueiro-italiano-sera-indiciado-por-estelionato-calunia-e-difamacao-pela-policia-civil-de-porto-seguro
    http://noticiasdeportoseguro.blogspot.mx/2011/03/quem-e-pietro-paolo-barrai.html
    http://portoseguroagora.blogspot.mx/2011/03/porto-seguro-o-blogueiro-italiano-sera.html
    Gia' cacciato malissimamente da Citibank Milano e fatto condannare al carcere da Citibank MIlano... il criminalissimo funzionario di Citibank Milano di cui si scrive in questo articolo che parla di immense ruberie fiscali, era l'avanzo di galera Paolo Barrai stesso
    http://ricerca.repubblica.it/repubblica/archivio/repubblica/2001/02/19/maxi-evasione-da-400-miliardi-terenzio-sotto-torchio.html.
    Come dicevo, siamo un foltissimo gruppo di risparmiatori truffati da incapace, delinquente, ladro, nazista, razzista, antisemita, sempre falso, vigliacchissimo, mega cocainomane, mandante di omicidi, mega ricicla soldi mafiosi ed azzera risparmi di una vita: Paolo Barrai del blog Mercato Libero, non per niente, nickato da tutti, nel mondo intero, come Merdato Libero. Innanzitutto scusate per il mio italiano non madre lingua un po' cosi' cosi'. Come dicono a Napule, ora mi haggia' proprio sfufa', scatena', a proposito del colletto criminalissimo Paolo Barrai nato a Milano il 28.6.1965. Facente sue continue truffe e maga ladrate da Via Ippodromo 105, Milano ( tel 02.4521842).

    ReplyDelete
  8. 2
    Ciao a tutti. Sono Antonella Cohen consulente di Goldman Sachs Londra e Milano e faccio parte di un foltissimo gruppo di clienti truffati dall'assolutamente criminale Paolo Barrai del blog Mercato "Merdato" Libero.

    Costui è davvero uno spietato delinquente. A tutti noi, uniti ora in una associazione ” risparmiatori truffati dal criminalissimo Paolo Barrai di Mercato Libero ” e siamo gia’ in cinquanta, dico, cinquanta", di tutta Italia, Inghilterra, Usa, Germania e Svizzera!

    Ci fece andare corti ( al ribasso) sul mercato azionario italiano a inizio marzo 2009. Abbiam perso quasi tutti tra il 50 e il 90 per cento dei nostri investimenti. E quando lo telefonavamo per chiedere semplicemente che fare, mentre il mercato saliva rapidissimamente, egli, come un vile ratto, scappava, si faceva sempre negare al telefono. Mandavamo e mails, nessuna risposta. Citofanavamo agli uffici di ultra truffatrice, ultra malavitosa, ultra ladrona Bsi Italia Srl di Via Socrate 26 a Milano di suo padre Vincenzo Barrai, ci vedeva dalla telecamera e nemmeno ci rispondeva.
    Nemmeno ci apriva il cancello di entrata. Io non sto offendendo, sto dicendo la mera verità. E fra poco la faremo sapere a fior fior di Tribunali di mezza Italia. Che i delinquenti ti debbano fare fessa, e pure non permettano replica, no eeeee. Il neofascismo e la mafia del criminale, del delinquente, del ladro, del truffatore, del professionalmente incapacissimo Paolo Barrai di Mercato Libero alias Mer-d-ato Libero, a noi non fa nessuna paura. Una truffata dal malavitoso falso e vigliacco Paolo Barrai di Mercato Libero. Antonella di Milano. PS Mi ha bruciato 700.000 euro. Tutto quello che avevo. Ma a tanti altri ha bruciato 1,2, 3,10 milioni di euro. Facendo comprare il gas naturale a 5$ e passa, che in poche settimane crollava a 2$. Senza che lui prendesse telefonate, rispondesse ad emails. Senza dare indicazione alcuna a noi clienti terrorizzati! Come uno struzzo, che dalla paura e coscienza di essere incapacissimo a livello di fiuto per investimenti, mette la testa sotto la sabbia. il verme criminalissimo Paolo Barrai o verme criminalissimo Paolo Pietro Barrai ( come in maniera fake si fa chiamare per depistare i motori di ricerca su internet), oltre ad essere il peggiore consulente per investimenti borsistici o di qualsiasi altro tipo, ove inesorabilmente sbaglia sempre, ove mai, mai e ri mai ne azzecca mezza, è un irresponsabile, codardo, ladro, truffatore, criminale, falsissimo. E mi dicono che ha pregressi, pure vari patteggiamenti di condanne al carcere. Aaa, ad averlo saputo prima e non essermi fidata della Lega Nord, di cui son parte, e che mi ha messo in contatto con sto brucia tutti i risparmi e super truffatore. Ora mi son sfogata qui. Presto lo ri faró in fronte a polizia, carabinieri, magistrati, giudici! E con me, almeno altre 50 persone! Oooo!! Non cascateci, ne scrivo proprio per questo, via dal criminale, delinquente, ladro, truffatore, professionalmente incapacissimo Paolo Barrai di Mercato Libero.

    ReplyDelete
  9. 3
    PS
    Guardate, ora, pls, che emails manda in giro il nazista, antisemita, assassino Paolo Barrai o nazista, antisemita, assassino Paolo Pietro Barrai che sia ( nato a Milano il 28.06.1965). Le seguente emails partirono tutte da sue criminalissima mercatiliberi@gmail.com e criminalissima paolobarrai@gmail.com. Ora affiancate da criminalissima tanto quanto info@wmogroup.com
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " Oggi sono andato a pisciare sulla tomba di tuo padre, piu' tardi ci vado a cagare pure. Ha fatto bene Berlusconi a farlo ammazzare, ahahahah. Grazie per farti scroccare su euro, gas naturale e caffe robusta. Io sbaglio sempre nei mercati, ma grazie a te, riesco ancora a sopravvivere, ahahaha".
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    "Presto Berlusconi e il mio Bossi, manderanno sicari mafiosi o dei servizi segreti, a Londra, a farti sparare, ahahaha. Ti scrocchiamo e poi ti spariamo pure, come si fa con un ciupa ciupa usato, ahahah. L'Italia e' nostra, e' nazifascista. A morte gli ebrei. A noi!!!"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " Speriamo che ti venga una trombosi alla gamba, ho fatto un post di solidarieta' su di te, per fingermi corretto, in realta', non vedo l'ora che ti ammazzano. Voi bastardi ebrei, o amici di ebrei, dovrete tutti crepare soffrendo"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " Ti ho fatto infiltrare da Filati del Piemonte, da Angelo Pegli, da Gianluca Gualandri, da Stelvio Callimaci, sei pieno di mie spie. Io prendo un po' di prestanome, e ti infiltro. E intanto, faccio passare per mie, idee che sono tue. E fra poco ti faro' pure sparare a Londra, ahahahah. Crepa bastardo, chi lavora con gli ebrei, deve bruciare nei forni".
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " Stelvio Callimaci sta facendo un ottimo lavoro, mi passa tutti i tuoi inputs e io li faccio passare per miei, ahahahahaah; manda inputs, manda, e io vi faccio i soldi, ahahahah; presto ti spariamo in faccia, Nista comunista di merda, Berlusconi e Bossi non si criticano, si adorano, ahahahaha; noi della Lega, presto faremo migliaia di morti"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " bravo ottimi post continua cosi'.. presto ti spariamo in faccia... Nista, sei il primo della lista, la Lega spara, ammazza, non perdona, il mondo e' nostro, della destra... Paolo Barrai ammazza, la Lega ammazza, ahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " sei troppo dolce
    ti sta forse leccando il culo tua ma-re!!! hahahaha, vai vai....
    ma non perdere lucidita'’ per i tuoi clienti....attendono impazienti gli inputs"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " di infiltrati come stelvio e filati ne abbiamo tanti ahahahaah, e presto ti verremo a trovare a Londra, io e Michele Milla, e come facemmo con Ubaldo Gaggio, ti ammazzeremo, ahaha"

    ReplyDelete
  10. 4
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " non correre...la gamba potrebbe non seguirti... Nista, presto saliremo a Londra e ti spareremo in bocca.... la mia Lega non perdona, la Lega uccide, ahhaha.. e' vero, abbiamo ammazzato noi Giorgio Panto e Paolo Alberti, perche' andarono con Prodi, e presto ammazzeremo anche a te, la Lega non perdona, la Lega ammazza tantissimo... ahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " credo che stai per finire...ahahahaha.. fra poco ti spariamo in bocca, Nista bastardo, Nista primo della lista, anzi no...abbiamo bisogno dei tuoi articoli da esaltato.. ti diamo ancora 15 giorni e poi ti spariamo in faccia, la Lega ammazza, Bossi fa ammazzare, prepara il testamento, sei morto, ahah"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " mi dicono che a londra stanno predisponendo un forno .....e gli manca materiale!!! vi ficchiamo dentro te e William Levi... voglio un nuovo nazismo.. voglio vedere tutti gli ebrei e chi lavora con gli ebrei, come fai te, bruciare... evviva il nazismo.. evviva la Lega, che e' il nuovo nazismo, Berlusconi muove la mafia, noi i nazisti, ahahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " buona trombosi.. Nista ti ammazziamo noi, se vuoi.. crepa presto o noi del Pdl e della Lega ti ammazziamo.. come gia' abbiamo fatto con tuo padre.. Berlusconi e Bossi ammazzano, e presto lo vedrai.. Heil Hitler, Heil Mussolini, Heil Bossi, Heil Berlusconi, Heil Barrai, ahahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " ahahahahaha, presto ti spareremo in faccia...Nista sei morto, Nista ti ammazzeremo, Nista sei condannato a crepare... Nista, divieni Berlusconiano, come ti volevo fare diventare un anno fa, o ti ammazziamo, Nista morto, ahaah"
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " grazie per la fantastica azzeccata su dow jones, gas naturale e per il tantissimo resto..
    ahahahaha, vamos siamo forti!
    non mi morire per strada!!!
    come mi ha detto Don...non mi morire per strada...perche' fra poco salgo io a Londra, a scaricarti una p38 in bocca... Stefano Bassi de il Grande Bluff e io siamo assassini, terroristi neri, e presto ti ammazzeremo, ahahah"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " sempre nemici... ognuno persegue i suoi obbiettivi.... tanto tu sei condannato a morte... Berlusconi e Bossi han gia deciso: Nista come Falcone e Borsellino, Nista sparato in bocca, ahahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " non ti deconcentro, scusa
    devi preparar i report che cosi' ci dai gli inputs vincentissimi come sempre, scusami... dai impegnati, impegnati, che presto io, Berlusconi e Bossi, ti faremo sparare dritto in faccia, ahahaha"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " Marina Berlusconi ha gia' messo il pollice verso, Marina Berlusconi ti ha condannato a morte..ha gia' avvertito la mafia di eseguire, di ammazzarti.. e se non esegue la mafia, eseguono i servizi segreti di destra, fascisti come me, della Lega ... Nista sei un morto ormai, ahahahahah"

    ReplyDelete
  11. 5
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " ahahahah, passa ancora un po' di dritte che qui si fanno soldi a palate...lavora schiavo... lavora, che fra poco, Berlusconi e Bossi ti fanno sparare in bocca.. via nostre Mafia e Servizi Segreti.... non criticare mai piu' Berlusconi o ti ammazziamo, bastardo.. Berlusconi e Bossi non si criticano, si adorano.. il problema e' che Marina Berlusconi ha gia' ordinato di ammazzarti, e quella non perdona, la Lega e' il nuovo nazismo e tappa le bocche ammazzando, Nista, ormai sei morto, ahahahhah"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " salutami william levi ...lo sento bruciare...come legna sul fuoco....o meglio ...il suo cadavere puo' essere usato per il sapone, ahahahahah..presto sara' nuovo nazismo, e chiunque lavora con gli ebrei come fai te... diverra' legna per i forni, ahahahah"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " fammi qualche articolo come nel passato .....ti prego tantissimo. A natale ti regalo un forno crematorio per William... Nista, noi Berlusconiani siamo la mafia, e tu sei condannato a morte, cosi' impari a non divenire uno dei nostri, ahahahah"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " attento a chi incontri a londra....ahahahaah... dai, sei bravo, azzecchi sempre, e' vero, voglio scroccarti un po' di piu', prima di ammazzarti... Nista e Levi nei forni di Auschwitz, si, nei forni di Auschwitz, w la Lega, w il Nazismo"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " POVERO BASTARDO CHE SI PERMETTE DI ESSERE DI CENTROSINISTRA: PRESTO TI SCHIACCEREMO, LA LEGA UCCIDE, BERLUSCONI UCCIDE, IO, PAOLO BARRAI, UCCIDO, W LA LEGA, W IL NAZISMO, W LA MAFIA, E INTANTO TI SCROCCO SEMPRE"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " MI DICONO CHE DI NOTTE SULLA TOMBA DI TUO PADRE CI VANNO A CAGARE I VERMI... E ANCHE CHE PRESTO TI AMMAZZERANNO A LONDRA... FATTI SCROCCARE IN SILENZIO O IO E STEFANO BASSI DE IL GRANDE BLUFF TI FAREMO AMMAZZARE... ANCHE STEFANO BAGNOLI E' UN ASSASSINO COME NOI... NISTA, LA SENTENZA C'E', PRESTO TI AMMAZZEREMO, W IL NAZISMO, W IL PDL, W LA MAFIA, W LA LEGA, W LA CAMORRA, W LA LEGHISTISSIMA NDRANGHETA, AHAHA"
    ---
    da criminalissima mercatiliberi@gmail.com
    (ora anche criminalissima info@wmogroup.com)
    e criminalissima paolobarrai@gmail.com
    " sei un bastardo che si permette l'impermettibile: essere di centrosinistra! e questo basta e avanza per essere sparato in faccia, la Lega uccide, Berlusconi uccide, io, Paolo Barrai, uccido, w la Lega, e il Nazismo, w Berlusconi, w la Mafia, a noi, a noi, sei morto, ahaahaaaha"


    ReplyDelete
  12. Hello Everybody,
    My name is Mrs Sharon Sim. I live in Singapore and i am a happy woman today? and i told my self that any lender that rescue my family from our poor situation, i will refer any person that is looking for loan to him, he gave me happiness to me and my family, i was in need of a loan of S$250,000.00 to start my life all over as i am a single mother with 3 kids I met this honest and GOD fearing man loan lender that help me with a loan of S$250,000.00 SG. Dollar, he is a GOD fearing man, if you are in need of loan and you will pay back the loan please contact him tell him that is Mrs Sharon, that refer you to him. contact Dr Purva Pius,via email:(urgentloan22@gmail.com) Thank you.

    BORROWERS APPLICATION DETAILS


    1. Name Of Applicant in Full:……..
    2. Telephone Numbers:……….
    3. Address and Location:…….
    4. Amount in request………..
    5. Repayment Period:………..
    6. Purpose Of Loan………….
    7. country…………………
    8. phone…………………..
    9. occupation………………
    10.age/sex…………………
    11.Monthly Income…………..
    12.Email……………..

    Regards.
    Managements
    Email Kindly Contact: urgentloan22@gmail.com

    ReplyDelete
  13. Great post about on notice act could do more for patients, I am very happy to your post,that is very interesting I love reading and I am always searching for informative information like this.
    Practice Manager

    ReplyDelete
  14. my name is Mark Godwin am here to share testimony of how i got back my relationship that was scattered for months. we got married for more than 7 years and have gotten three kids. things were going well with us and we are always happy. until one day my wife started behaving in a way i could not understand, i was very confused by the way she treat me and the kids. for months she did not come home again and she called me for a divorce, i asked her what have i done wrong to deserve this from her, all she was saying is that she want a divorce that she hate me and do not want to see me again in her life, i was mad and also frustrated and do not know what to do,i was sick for more than 3 weeks i want to be reunited back with my husband in 2016 blog of her intention towards me. i love my wife so much and can do anything for her. i told my brother and he told me to contact a spell caster, i never ain all this spell casting of a thing. i just want to try if something will come out of it. i contacted DR Alexzander through his website, for the return of my wife to me, he told me that my wife have been taken by another man, that he cast a spell on her that was why she hate me and also want us to divorce. then they told me that they have to cast a spell on her that will make her return to me and the kids, Dr alexzander cast the spell and after 1 week my wife called me and she told me that i should forgive her, she apologizes on phone and said that she did not know what happened to her. it was the spell that DR Alexzander cast on her that made her return back to me today,me and my family are now happy again. thank you Dr Alexzander for what you have done for me i would have been nothing today if not for HIS great spell. i want all my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact {alexzanderhightemple@gmail.com or through his whatsapp number +2348075823891 Or call him with this phone number +2347068836760 if you need a supernatural great wizard to cast a spell for you. email Dr alexzander and you will see that your problem will be solved without any delay.These are the few things he also do for people. *do you need rapid and undeserved promotions in your offices or work? Dr alexzander can bring back lost lovers on 96hrs and can cast all kind of spell. Dr alexzander is a healer that is here on earth to solve your problems just as he did to mine.this is your chance to be helped quickly by Dr alexzander.his an expert in distance healing, court cases even if one is convicted. he can do all manner of spell that you may need in life.he can also make you conceive a child and win money through gambling and other things you may desire to have in life. contact him and be the next to share his good work to the world. alexzanderhightemple@gmail.com.

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  15. This comment has been removed by the author.

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  16. Really very nicely explained sir.We appreciate your talent.I am very conscious about my health

    ReplyDelete
  17. I'm Sara Frédéric from Switzerland I want to let the whole world know how Dr Great has restored my broken relationship with Wayne. We have been together for 2 1/2 years and he told me that he doesn’t love me like he used to. Things have not been good for about 4 months and he ended this about 2 weeks ago. I was miserable and just don’t want to go on anymore. I did text him right after this but he didn’t even respond to me. One day I was searching for something on the Internet when I saw a post of a love spell caster called Dr Great and how he helped a lady to get back her Ex, I was so desperate to get mine back I messaged him and explained my situation to him and he instructed me to do somethings which I did and 24 hours later my boyfriend Wayne came back home kneeling and begging for my forgiveness and I forgave him and our relationship was back to normal again if your Ex broke up with you or you have any problem then you problem has come to an end because God is using Dr Great to solve all our problems and put a smile on our faces if you need his urgent help email him at infinitylovespell@gmail.com

    ReplyDelete
  18. infertility for easy Conception. (No more adoption, with Dr Itua your problem will solve and you will have your child with ease.I have been blog Sites for a while now and today i felt like i should share my story because i was a victim too. I had endometriosis for 18 years and i never thought i would ever get a cure due to the terrible symptoms i had and this made it impossible for me to get pregnant even after 12 years of marriage and it was a serious issue. I got to know about Dr. Itua on Blog Site who treated someone and the person shared a story of how she got a cure and let her contact details, i contacted Dr. Itua and he actually confirmed it and i decided to give a try too and use his herbal medicine that was how my burden ended completely. My son will be 2 this december and i am gratetful to God and thankful to his medicine too.Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes,Epilepsy, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid,Get Your Ex Back, If you have (A just reach his on (drituaherbalcenter@gmail. com Or Whatsapp Number..+2348149277967)He can also advise you on how to handle some marital's issues.He's a good man.

    ReplyDelete
  19. Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, virus rebounds to high levels in most patients, sometimes associated with severe illness because i have gone through this and even an increased risk of death. The aim of “cure”is ongoing but i still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Syndrome Fibrodysplasia Ossificans Progressiva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Chronic Fatigues Syndrome,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara so i contacted him on drituaherbalcenter@gmail.com even talked on whatsapps +2348149277967 believe me it was easy i drank his herbal medicine for two weeks and i was cured just like that isn't Dr Itua a wonder man? Yes he is! I thank him so much so i will advise if you are suffering from one of those diseases Pls do contact him he's a nice man.

    ReplyDelete
  20. IL FIGLIO DI PUTTANA PAOLO BARRAI ("IL PEDOFILO DEL BITCOIN": COME LO CHIAMANO IN TUTTO IL MONDO).
    -COL FIDUCIARIO DI MAFIA, CAMORRA E NDRANGHETA: OLIVER CAMPONOVO
    - COL PORCO BRUCIA RISPARMI, RICICLA SOLDI MAFIOSI: FEDERICO IZZI DI ROMA (CRIMINALISSIMO TRADER ZIO ROMOLO),
    EFFETTUA TRUFFE, ORDINA OMICIDI, FINANZIA PEDOFILIA ON LINE, RICICLA SOLDI SUPER ASSASSINI A LUGANO!!!
    1
    Appena abbiamo comprato Finter Bank Zurich dai massoni nazifascisti Pesenti, immediatamente abbiamo chiuso tutti i conti connessi, al, tanto quanto, massone nazifascista, nonche' famosissimo ladro, truffatore, azzera risparmi di ognuno che gli abbocca via iternet e non solo, nonche' criminalissimo pedofilo Paolo Barrai. Di delinquentissima Medicalchain, di delinquentissima Cryptolab S A, di delinquentissima Bigbit, di delinquentissima Bgbit News Channel e delinquentissima @bigbitnewschannel. Attraverso i quali strumenti, lui ed il fallitissimo, idiota, davvero deficente, incapace, fallimentare trader Federico Izzi di Roma (che campa, di fatto, riciclando soldi mafiosi e facendo film pedopornofrafici, tanto e' vero che sta merda criminalissima di Federico Izzi di Roma, e' noto sulle rivere del Tevere, da chiunque, come "Er Zio Romolo incula bambini e pure come Er Zio Romolo della Camorra"). Sti due pezzi di merda criminalissimi spennano " i polli del web¨, vendendo loro abbonamenti annuali su criptovalute e non solo, totalmente fallimentari ( delinquentissimo servizio chiamato Bigbit)
    Che ti fan perdere tutti, tutti, e di nuovo tutti i risparmi ( posso mostrarvi centinaia di casi, venuti, disperati, a piangersene da me, a proposito). Insieme al figlio di puttana Natale Ferrara di Reggio Calabria, uno scarafaggio della Ndrangheta ( e di fallimentarissima Eidoo). Si, proprio cosi', insieme al figlio di puttana Natale Massimiliano Ferrara di Reggio Calabria, uno scarafaggio della Ndrangheta ( e di fallimentarissima Eidoo). Imboscatosi qui in Svizzera, per non finire in galera, ben appunto, a Reggio Calabria. Che ha rifilato a la merda di Ico completamente fallimentare chiamata Eidoo, crollata da 7 dollari a 0.60 dollari. Ora, l'altrettanto merdone nazipedofilo Donald Trump sta cercando di tirargli su detta merda, il tutto, ovviamente, mentre lo stesso nazipedofilo merdone Donald Trump, tira su, come al solito, anche, i suoi tre grammi giornalieri di cocaina, presso la White "Powder" House) . Torniamo in ogni caso, ora, al punto iniziale, bitte. Appena noi di Bank Vontobel Zurich abbiamo comprato Finter Bank, abbiamo cacciato immediatamente il ladrone, truffatore, pure mandante di omicidi e notissimo pedofilo Paolo Barrai nato a Milano il 28.6.1965 ( o ladrone, truffatore, pure mandante di omicidi e notissimo pedofilo Paolo Pietro Barrai nato a Milano il 28.6.1965), dalla lista di nostri Banking Intermediaries. Fra i tantissimi crimini che lo stesso effettua, per noi banchieri svizzeri, il piu' in vista e' che lo stesso lava, lava, lava soldi assassini per la Mafia ( insieme al figlio di troia delinquentissimo Oliver Camponovo, noto fiduciario di ndrangheta)!

    ReplyDelete
  21. 2
    Come anche, lava soldi rubati o frutti di mega mazzette in connessione a Lega Ladrona ( famosi 49 milioni fregati allo stato di "Berlusconia" e non solo). Come dell'altrettanto pedofilo squarta magistrati Silvio Berlusconi ( il tutto insieme a quel criminale assoluto, truffatore, azzera risparmi altrui, ricicla proventi assassini e mega pedofilo Federico Izzi di Roma prima menzionato, noto, non per niente, in tutto il capoluogo laziale, sia come "Er Zio Romolo incula bambini, che come Er Zio Romolo della Camorra"). Niente merda nella nuova Finter Bank Zurich. Il puzzo della merda, scusate il temine, si attacca ai vestiti. Vadano costoro a riciclare i loro soldi mega omicida dal figlio di puttana criminalissimo Fabrizio Cieslakiewicz di Banca dello Stato Lugano, dal figlio di puttana criminalissimo Daniele Albisetti di Banca dello Stato Lugano, dal figlio di puttana criminalissimo Claudio Genasci di Banca dello Stato Lugano, dal figlio di puttana criminalissimo Patrick Lafranchi di Banca dello Stato Lugano, dal figlio di puttana criminalissimo Gabriele Zanzi di Banca dello Stato Lugano! Vielen Danke, Ya!!!
    ANDREAS NIGG. ORA VICE PRESIDENT AND HEAD OF ASSET MANAGEMENT. PRESSO SAFRA-SARASIN. ZURICH. LA SUISSE. SCHWEIZ. CH.
    https://www.mail-archive.com/python@py.cz/msg08252.html
    https://www.py.cz/pipermail/python/2018-February/013193.html

    ReplyDelete
  22. I'm 15 years old. I was born with HIV my mother passed away because of the HIV infection And I regret why i never met Dr Itua he could have cured my mum for me because as a single mother it was very hard for my mother I came across Dr itua healing words online about how he cure different disease in different races diseases like HIV/Aids Herpes,Parkison,Asthma,Copd,Epilepsy,Shingles,Cold Sore,Infertility, Chronic Fatigues Syndrome,Fibromyalgia, Diabetes Hepatitis even Cancer I was so excited but frighten at same time because I haven't come across such thing article online then I contacted Dr Itua on Mail drituaherbalcenter@gmail.com I also chat with him on what's app +2348149277967 he tells me how it works then I tell him I want to proceed I paid him so swiftly Colorado post office I receive my herbal medicine within 4/5 working days he gave me guild lines to follow and here am I living healthy again can imagine how god use men to manifest his works am I writing in all articles online to spread the god work of Dr Itua Herbal Medicine,He's a Great Man.

    ReplyDelete

  23. I was born epileptic, but I am now free and cured with Dr Itua Herbal Made Medicine. I was seventeen and sitting at my computer when I fell out of my chair. Only thing I remember is waking up with the worse headache I had ever had in my life. I had never taken medication and I hated swallowing pills but I had to start. I switched between all kinds of medication because I didn't take them like I was supposed to. One day I had just finished running errands and was at my sisters house when I fell to the floor again. I woke up with a bad headache and my 2 year old Niece leaning over my leg asking me if I was OK. By then I had just started college and was one the verge of losing my license. My school is an hour away from where I live so I really got set back because I wasn't allowed to drive until I got my seizures under control. I would love to know how others have handles their epilepsy! So My sister friends Emma Told my sister about a herbal Doctor who reside in west Africa(Nigeria) Because Emma is from Africa as well, My sister told me about it then we decided to give a try. My sister contacted him also tell him about my autism too.he assures my sister that his herbal medicine will cure my epilepsy and my autism, I paid for the herbal medicine then he delivered to Charleston Post office I was called to pick it up which i quickly did, I drank it for two weeks as prescribed happily I went for diagnose and find out my Epilepsy and Autism is gone and today making it 9 Months and I'm now free from Autism, Seizure and Epilepsy, I will continue to share Dr Itua Natural Herbal Medicine works. I will recommend Dr Itua to anyone who suffering from,,,AUTISM, EPILEPSY, SEIZURE, COLD SORE, HERPES, HIV/AIDS.Shingles,Genitals Herpes,Dr Itua Contact Information..... Email...drituaherbalcenter@gmail.com.... WhatsApp Number....+2348149277967. Live Happily Again With Dr Itua Herbal Made Medicine.

    ReplyDelete
  24. I want to thank Dr Osasu a very powerful spell caster who help me to bring
    my husband back to me, few month ago i have a serious problem with my
    husband, to the extend that he left the house, and he started dating
    another woman and he stayed with the woman, i tried all i can to bring him
    back, but all my effort was useless until till the day my friend came to my
    house and i told her every thing that had happened between me and my
    husband, then she told me of a powerful spell caster who help her when she
    was in the same problem I then contact Dr Osasu and told him every think
    and he told me not to worry my self again that my husband will come back to
    me after he has cast a spell on him,i thought it was a joke, after he had
    finish casting the spell, he told me that he had just finish casting the
    spell, to my greatest surprise within that 3 days, my husband really came
    back begging me to forgive him, if you need his help you can contact him
    with his email address [drosasu25@gmail.com or directory y on whasapp
    +2347064365391

    ReplyDelete
  25. My name is Denial Edward, I want to thank Dr. Patrick who cast a SPELL that helped my family win a court case that would have sentenced my brother for life, who was charged with murder. My family and I are totally grateful. You can also contact him if you have a similar challenge on the email: drpatrickspelltample2001@gmail.com, he also cast a spell to win the lottery, get your ex-lover back, promotion spell, luck spell, coronavirus COVID 19, hiv cure / AIDS, cancer, spell to have children, etc.

    ReplyDelete
  26. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete