13,000 Sick Florida Children Went Without Care in 2015

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Whether they were politically motivated or not, some seriously dangerous healthcare malfunctions that were endangering Florida children have just come to light.

With about half of all children in Florida on Medicaid in 2015, lives were thrown out of balance when, during the spring and summer, the state switched about 13,000 children out of a program called Children's Medical Services (CMS) and into other insurance programs that don't specialize in caring for extremely sick children.

This meant that children suffering from things like birth defects, heart disease, diabetes, and blindness couldn't get the help they needed.

There were several problems at play here. First off, according to medical experts, the data analysis used to transfer the children was "inaccurate" and "bizarre." Florida Department of Health nurses asked the parents of sick children a very particular question: "Is your child limited or prevented in any way in his or her ability to do the things most children of the same age can do?"—which disqualified children who were seriously ill but could still get by day to day.

"This was a truly duplicitous question," said pediatrician Dr. Philip Colaizzo. Many of his patients, he reports, were taken off CMS.

Second problem: the screening tool the state used had already been dubbed "completely invalid" and "a perversion of science" by experts in children's health. But it was still being used.

And finally, while a state administrative law judge ruled in the fall of 2015 that the Department of Health should stop using the tool, the DOH didn't automatically re-enroll many of the children into CMS.

Then there's the potential political issue: the new version of Medicaid that didn't cover these children was made up of insurance companies that gave money to the Republican party during the last election.

Luckily, the insurance process has since been corrected, so these kids can get the healthcare they need.

While the Florida DOH argues that the recent CNN article with the above allegations is "100% false," they're basing their statement on the current healthcare system—not what Florida had in place during 2015.

Meanwhile, the political element is still getting play. Democratic gubernatorial candidate Chris King recently called for an independent investigation into the situation. 

What Flakka Can Do to You, and Why You Should Care

Flakka, AKA the "zombie drug" is a dangerous new designer drug that
Dr. Nabil El Sanadi likens to bioterrorism.

There’s a new designer drug in town in Broward County, Florida. Its called flakka, and it is rapidly reaching epidemic levels of usage in the Fort Lauderdale area. If you’ve never heard of flakka, think of it as a cousin to bath salts—one that teens are vaping directly into the bloodstream to get high.

“It’s worse than Ebola—this is bioterrorism,” noted Dr. Nabil El Sanadi, CEO of the North Broward Hospital District. El Sanadi has seen the effects of flakka first-hand: it’s so powerful, it can numb someone to the pain of a shoulder popping out of its socket.

The mind-altering substance has also been appearing in other parts of the country, such as Ohio and Texas. But flakka, also called “gravel,” has been a nuisance specifically in Broward County, where law enforcement and healthcare facilities are seeing about 20 cases a day related to it.

 

Your body on flakka

 

When on flakka, your body experiences an excited delirium that involves hyperstimuation, hallucinations, paranoia, aggressive behavior, and even self-injury in some instances.

But what’s especially dangerous about flakka is that its most dangerous form of consumption, vaping, is also the most popular form of consumption among teens. Vaping flakka is particularly popular because it doesn’t give off an odor, making its usage difficult to detect. When vaping flakka, the drug can go directly into one’s bloodstream, making it incredibly easy to overdose, according to NIDA. 

Even without an overdose, some sources report that the symptoms of use can persist for up to 30 days. There is no quick way to detox users, the only real option being heavy sedation and waiting for the drug to exit their system. Videos posted online have some comparing users to mindless zombies, frequently involving harm of themselves or others. Members of communities where flakka is running rampant say that they've even observed erratic behavior continuing for up to four to six months after use.

Flakka on the rise

 

Flakka appears to have first surfaced on the streets in 2013, when Florida’s Department of Law Enforcement crime labs only received 38 submissions for testing the drug. However, that number grew to almost 200 in 2014 and from there, to 275 in just the first three months of 2015.

How has flakka been able to spread so quickly? The key appears to be the compound from which it is made, called alpha-PVP. This chemical is a cousin of cathinone, the amphetamine-like drug found in bath salts. While the active ingredient in bath salts was officially banned in 2011, alpha-PVP was not. Therefore, it is legal in any state without its own ban.

Until a ban on alpha-PVP is put into place, it doesn’t appear that this situation will improve.