Health Impact News Editor Comments
We continue our series on the “Business of Medical Kidnapping,” which addresses the question, “why is this happening?” Our previous articles in this series:
Steve Isham addresses the topic of the multi-billion dollar adoption business.
As we have previously reported at Health Impact News, fertility rates in the United States are at an all-time low. As John P. Thomas has reported in his article, Are GMO Foods, Vaccines, and Big Pharma Producing an Infertile Generation? , fertility rates are plummeting:
- The U.S. fertility rate fell to another record low in 2012, with 63.0 births per 1,000 women ages 15 to 44 years old, according to the Centers for Disease Control and Prevention. That’s down slightly from the previous low of 63.2 in 2011. It marked the fifth year in a row the U.S. birth rate has declined, and the lowest rate on record since the government started tracking the fertility rate in 1909.
- For five years now, America’s teen birth rate has plummeted at an unprecedented rate, falling faster and faster. Between 2007 and 2013, the number of babies born to teens annually fell by 38.4 percent, according to research firm Demographic Intelligence. This drop occurred in tandem with steep declines in the abortion rate.
- A few years ago, statistics from the US Centers for Disease Control and Prevention put the number of women having difficulty conceiving at approximately 10 percent—roughly 1 in 10. Now, using results from this newest survey [reported in 2013], that number appears to be closer to 16 percent—1 in every 6 couples. (Full Article .)
Add to this the growing list of states that are legalizing gay marriages adding more couples unable to conceive children, and it is easy to see that the adoption business is growing due to increased demand.
Much of what Steve uncovers in this article will apply to children taken away from families for any reason, not simply issues related to “medical kidnapping,” such as being charged with “medical abuse” for simply questioning a doctor or wanting to seek a second opinion regarding medical treatment for one’s child.
In future articles we will report more about the financial incentives of the medical industry to remove custody of a child from the parents, thereby gaining access to the vast amount of financial resources available via Medicaid to purchase drugs for these children.
Many reports  have already been published documenting how children who are wards of the State are taking many more prescription drugs than those living with their families. Foster parents or parents of adopted children are often required to administer these drugs whether they agree or not. The medical institution also has the legal right to use these children in drug experiments.
Adoption: It is about the Money!
By Steven R. Isham M.A., L.B.S.W.
Special to Health Impact News
Child ‘protection’ is one of the biggest businesses in the country. We spend $12 billion a year on it.
A recent CDC study, The Economic Burden of Child Maltreatment in the United States and Implications for Prevention, found the total lifetime estimated financial costs associated with just one year of cases associated with child protection services is approximately $124 billion. 
Arizona Leads the Nation in Children Removed from Homes and Sent to Foster Care and Adoption
The State of Arizona has increased the percentage of kids in out-of-home placement by almost 50% between 9/30/2007 and 9/30/2012. That is 20% higher than the next closest state, Oregon, who increased only 20% in those five years. Nationwide 41 states actually lowered the percentage of children in out-of-home placements. Arizona has recently passed the mark of more than 16,000 children in out-of-home placements and is still increasing this trend. 
Why would Arizona be continuing to take more children than ever before and adopt out so many of these children to other families? Is it about the money?
Certainly, “yes”, the state government and the state economy needs every business opportunity it can achieve, and the taking of children by the state and adopting these children to others is a financial windfall for the State of Arizona, the state budget and the economy. It is easily a billion dollar business, and growing every day in Arizona.
According to Wall St., Arizona is the 45th worst run state in the nation, has a poverty rate of 18.6%, the 9th highest in the nation, and a 2013 unemployment rate of 8.0%, 12th highest in the country. 
So why does Arizona lead the nation in percentage of children removed from their parents’ homes?
- Money: Federal Financial Incentives for taking and keeping children. ($72,000.00 Base)
- Adoption Bonuses: $4,000.00 to $6,000.00+ per each time 
- Adoption Subsidies: Even after adoption is completed until 22 years of age
- Physicians: Completing research or hiding medical malpractice mistakes
- Hospitals: Completing research or hiding medical malpractice mistakes
- Pharmaceutical Companies: Endless pool of test subjects
- Employment: Hundreds if not thousands of jobs depend on the state taking these children, especially since they are already built into the state budget now.
Are Arizona Children Entering Foster Care and Adoption Moving on to Better Lives?
So after millions of dollars in services, thousands of employees from hundreds of businesses, both state and federal, including in-state and out-of-state experts, are the children being protected ending up in safe and secure environments? Are the children being treated better or worse in state custody?
A reasonable taxpayer would assume that children are going from a bad environment to a good environment, a sick environment to a healing environment. We would assume they are going to a new environment totally void of any more suffering or trauma, safe from abuse or neglect of any kind, right?
Some of these children have suffered more trauma by being taken by CPS than they ever suffered in their own homes. Being taken from your own home and placed in another home with strangers while often not having any clue why, is extremely traumatizing. The impact is just like that of an illegal kidnapping; but in these cases the kidnapping is totally legal.
Or, imagine being told that your mother tried to harm you when in fact nothing ever happened. Purely speculative areas that are not researched but are based on diagnoses like Munchausen Syndrome By Proxy  (MSBP) and others are often made up signs and symptoms to qualify the child for a disability that can receive massive amounts of federal funding.
Nationwide, Statistics Show Children Entering Foster Homes Suffer More AFTER They Leave Their Families
According to Cornell University, about 68% of all child protective cases “do not involve child maltreatment.” 
According to the National Center on Child Abuse and Neglect (NCCAN) in Washington, the calculated average is for every 1 abused child removed from an abusive home, there are 17 children removed from loving non-offending homes nationwide. 
Take a look at statistics of children who are removed from their families by CPS:
Number of Cases per 100,000 children in the United States. These numbers come from The National Center on Child Abuse and Neglect (NCCAN) in Washington D. C. 
Children in CPS custody:
- Physical Abuse (160)
- Sexual Abuse (112)
- Neglect (410)
- Medical Neglect (14)
- Fatalities (6.4)
Children in Parent Custody:
- Physical Abuse (59)
- Sexual Abuse (13)
- Neglect (241)
- Medical Neglect (12)
- Fatalities (1.5)
A child in CPS custody is:
- Almost three times more likely to be physically abused in CPS custody than at home
- Over eight times more likely to be sexually abused in CPS custody than at home
- Almost two times as likely to be neglected in CPS custody than at home
- Almost equally likely to be medically neglected (How can that be in CPS custody?)
- Almost five times more likely to die in CPS custody than at home
More Children in the Adoption System = More Money for the State
Financial Opportunities for the State of Arizona and Economic Growth; Stability
One local hospital in Arizona was billing the Arizona Health Care Cost Containment System (Medicaid) over one million dollars a year on one child, but then the same physicians/hospitals were testifying in “kiddie court” there was nothing wrong with the child. The Mom must have done something? The true medical condition of the child was never given to the judge!
How do Child Protection Services Pick which Children to Take?
Poverty is the single best predictor of child abuse and neglect. According to one frequently cited federal study, children in families earning below $15,000 a year are 22 times as likely to be considered maltreated as kids in families with incomes above $30,000. These numbers are readily available through documents CPS Investigators have about AHCCCS (Medicaid)  It is also well known that these parents cannot afford private attorneys to represent them and fight to get their children back. They must rely on court-appointed attorneys who are generally quick to encourage them to settle with the State, and lose all custody of their children.
There seems to be a trend in this area as certain Arizona hospitals have relationships with pharmaceutical companies and there seems to be a parallel between CPS reports, the genetics of the child, the medical conditions of the child, Arizona elected officials, and the research of the pharmaceutical company. The numbers are difficult to find, but apparently some parents have found their children in those research studies.
There are several cases where there is no evidence whatsoever of any neglect, physical, emotional, or sexual abuse and CPS is called by the physician or hospital involved. In many of these cases there is specific evidence and expert testimony, from nationally recognized experts, of medical mistakes or care below the community standards. Interestingly, CPS has never done an investigation of many of these cases and yet severs the rights of the parent as quickly as possible. “Bazinga” the medical malpractice disappears, saving hospitals hundreds of millions of dollars in settlements, legal fees, and increased liability insurance costs.
Federal Government Incentives
The United States Federal Government, through an array of laws and grants, provides billions of dollars in incentives to states to take children from their parents. Arizona takes more percentage wise than any other state.
People who do not have children and want children create a market for children. Where is there an endless availability of children? Child Protective Services! The younger and healthier the child the more adoptable that child will be. Younger and healthier children are significantly more adoptable. A reasonable person might conclude the demand is so high that there could possibly be a connection between this demand and the increase in the taking of children before they ever leave the hospital.
It is easier to build a round pizza puzzle with 1,000 pieces, than find the exact money a state gets per child from the moment CPS takes that child and then from month to month. The amount most consistently quoted and spoken about is $6,000.00 per month.
“For instance, in the case of foster care, the present reimbursement to state and local government for each child taken into foster care is approximately $6000/month. Yet the foster care provider (the foster parent) receives only somewhere around $600/month. Allowing about the same for administrative costs, each child in foster care is worth about $5000/month; that’s pure profit on the bottom line!” 
On October 11, 2014, Arizona Central reported the following:
“Arizona had the second-largest increase in the nation over the decade, adding 7,296 children to Texas’ 8,294 (which has 4x the population of Arizona). There were 15,751 foster kids in Arizona at the end of March, according to the latest numbers from the state.” (Data given on March 2013) 
Assuming these numbers are correct, and the accepted dollar amount is correct:
The Arizona State child welfare and adoption services would have generated for Arizona approximately 94.5 million dollars a month or 1.134 billion dollars a year.
Conclusion: American Families Under Attack in Government-Sponsored Children for Profit Adoption Practices
Most American’s find it nearly impossible to believe that our own Government, both state and federal, would allow some scheme this obscene to be perpetrated against the American family unit and our precious children. And yet, there is so much evidence that something perverse is happening that it begs for an independent audit by the United States Department of Health and Human Services and the United States Department of Justice.
A few questions that I believe should be addressed during both investigations:
- How much combined funding is each state getting for each child?
- What is the amount of Medicaid fraud  by state in relation to these children?
- How do race, poverty, medical research, medical malpractice, federal government incentives, and adoptions impact the number of children taken by each state?
- Why have the states or federal government not researched if the current system even works to do anything but pay for itself?
- How many children in the Foster Care system, as it currently exists, end up with criminal records, prison sentences, post-traumatic stress disorder from Foster Care, and suicide attempts and deaths?
About the Author
Steven R. Isham has educated, advocated, and fought for children and families since 1975, going on 40 years. His experience spans education, special education, school administration, behavioral health, juvenile justice, developmental disabilities, curriculum development, coaching, author of a book on Child and Family Advocacy  and service to others throughout his career.
1. Cost of Child Abuse and Neglect Rival Other Major Public Health Problems – The Center for Disease Control (CDC)
2. Child Protective Services (CPS) Oversight Committee – Overview Presentation – October 17, 2013 – Arizona Department of Economic Security
3. The Best and Worst Run States in America: A Survey of All 50 – By Alexander E.M. Hess, Thomas C. Frohlich, Alexander Kent and Ashley C. Allen – December 3, 2014 6:20 pm EST
The Best and Worst Run States in America: A Survey of All 50 – 24/7 Wall St. http://247wallst.com/special-report/2014/12/03/the-best-and-worst-run-states-in-america-a-survey-of-all-50-3/#ixzz3Mea7YyiC 
4. The National Center on Child Abuse and Neglect (NCCAN) in Washington. http://ndacan.cornell.edu/datasets/dataset-details.cfm?ID=187 
5. http://www.acf.hhs.gov/sites/default/files/cb/cm2012.pdf – www.acf.hhs.gov 
6. Arizona Department of Juvenile Corrections – March 2009 Performance Audit – http://www.azauditor.gov/Reports/State_Agencies/Agencies/Juvenile_Corrections_Department_of/Performance/09-02/09-02.pdf 
7. Many Arizona foster children living far from home – By Mary K. Reinhart – Sept. 1, 2012 11:35 PM – The Republic | azcentral.com – http://archive.azcentral.com/arizonarepublic/news/articles/2012/09/01/20120901arizona-foster-children-far-home.html#ixzz3ND5dtH7L 
8. On Child Protective Services, Part 4: Follow the Money – Posted on May 8, 2013 by Michael Minkoff – http://politicaloutcast.com/2013/05/on-child-protective-services-part-4-follow-the-money/ 
9. Number of kids in Arizona’s foster-care system up – Miranda Rivers, Cronkite News 9:44 p.m. MST October 11, 2014 – http://www.azcentral.com/story/news/arizona/2014/10/12/arizona-foster-care-system-more-kids/17143057/ 
10. Demographics: Child Welfare Summary: Arizona: 2009, 2010, 2011, 2012 – http://cwoutcomes.acf.hhs.gov/data/tables/demo_stats?states%5B%5D=3&state=®ion =
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