European Stars And Stripes (Newspaper) - February 16, 1981, Darmstadt, Hesse                                Page 18 the Tarsan stripes february 1981 hundreds of poor audits show illegal sterilizations noted by the Washington Star Washington doctors and hospitals across the country have hundreds of poor women in direct violation of the govern ments own Federal auditors have the Federal government has improperly paid for sterilizations in cases where doctors failed to obtain the woman consent or sign the required according to audits in nine separate the reports also found that some doctors have sterilized medicaid patients under the age of another violation of the Federal several doctors even submitted claims for sterilizing the same patient according to the the which were conducted by the inspector generals office at the department of health and human asked the nine states to return nearly million in improper payments to the the reports confirm charges by some healthcare groups that has officials have failed to enforce the Tough sterilization rules adopted in 1974 and strengthened two years the rules require that medicaid patients must be Over must sign a detailed consent form and then wait 30 Days before having the these rules were adopted after widespread reports in the Early 1970s that some doctors were urging poor and minority women to be sterilized without fully explaining that the operation was some of the patients later said they did not understand that having a tubal or a cutting of the fallopian meant they could not have any More several has officials have admitted that it is difficult to enforce the which arc openly disliked by Many be cause they cannot impose any penalties other than asking doctors and hospitals to repay the Federal there is much concern within has about proper consent being obtained for All situations involving sterilizations or hysteric to especially with those who Are under age or not mentally said John Jan an has he said regional has offices arc actively reviewing a Sample of sterilization procedures in All 50 and that Many states have improved their process to ensure that All consent forms Are properly filled the latest audits revealed that in the state did not Monitor sterilizations under the medicaid causing improper Federal payments for 39 sterilizations and 113 three women gave their consent for sterilization while obtaining an two consent forms were not signed by the nine sterilization claims were rejected As improper but claims were paid one of them in hospitals did not use the proper consent forms in half the 596 operations some patients did not sign i a image Foft this a any consent form at while others did not wait the required 30 Days for the in the state paid for 145 medi Cally impossible operations 10 sterilizations which supposedly were performed for a Sec Ond time on the same and 135 abortions and child deliveries done after the patients had been the state also made 16 duplicate payments to the same in North the states method of counting sterilizations did not provide an accurate sixty six sterilized patients did not give their written while Many other consent forms were incomplete or did not contain the doctors the auditors asked that be in consent forms were not prop Erly prepared for 91 women who underwent or removal of the in 43 the doctors failed to document that the recipient was informed orally and in writ ing that the Hysterectomy would Render her another 86 sterilizations violated the including those performed on five women under in 49 of 77 consent forms were incomplete or contained inaccurate inform eighteen patients failed to sign consent forms before being duplicate pay ments were made for another 23 sterilize the auditors found similar problems in Kansas and including consent forms that did not identify the opera Tion being but the audits did not find any doctors asking pregnant women to sign consent forms while they were in the pain of As some did several years the question of improper sterilizations has been a sensitive political Issue in where it was disclosed last year that patients were sterilized in state hospitals be tween 1924 and four of these patients filed suit against the state in and legislators in Richmond Are now drafting a Bill that would severely restrict the in Many doctors and Hospital officials admitted last year that they Are not familiar with the Federal rules or Are intentionally ignoring including the prohibition on sterilizing patients under across 1 playwright Connelly 5 prefix for pod or sect 8 Large pulpit 12 opera feature 13 Strong urge 14 virile 15 biblical name 16 composite pictures 18 Petty tyrant 20 legislative body 21 eskers 23 alike tool 24 native of Helena 28 River in England 31 japanese Shrub 32 Praise for achieve ment 34 nothing 35 tribe or clan 37 Canadian Island City 39 slight taste 41 hindu legendary hero 42 Zoro Satnan sacred writings 45 Praise ground Squirrel 49 Romeos surname 51 City on the Arno 52 otherwise 53 sea Bird 54 formerly 55 Prophet 56 hold session 57 scotch and Welsh Rivers Down 1 geographical charts 2 Region 3 act or gun 4 vegetable 5 Middle ear 6 Vintage car 7 hostelries 8 actress Blake 9 military Supply depot solution tune 27  216 answer to saturdays 10 decay in overripe fruit 11 Platinum wire Loop 17 afternoon reception 19 showy tree of Asia 22 chemical element 24 heavy cup 25 Pindari work 26 trivialities 27 one who is not a Deputy 29 Inlet 30 House Wing 33 French town 36 sibling 38 today 40 school 42 Singer de 43 Field mouse 44 Iron and Stone 46 engage 47 being 48 hair pieces 50 Swiss Canton today crossword 12 15 18 24 31 35 25 42 49 52 43 26 39 21 36 19 32 40 13 16 37 44 53 56 22 41 50 20 27 45 17 23 33 14 28 38 51 54 57 34 46 10 29 47 11 30 48 216 Onn cinders dear Ann Landers i wonder if you have an explanation for this we have been married 20 years and my husband never addresses me by when he introduces me to he this is Del but when the phone rings and i am upstairs he its for i have told him How much it annoys and still he persists in this habit of dear lock the behaviour you describe int All that men who feel they Are being controlled or bossed around a lot sometimes use this device to get your husbands dogged refusal to comply with your Sim inconsequential request is an act of conscious or subconscious the rationale expressed Here is not out of my own my consultant is a California analyst who wishes to remain anon dear Ann Landers please transform this mess into a decent letter and print commuters across the world will bless if you doubt its i ask Only that you sit next to a person on a train or bus who was in such a great hurry to Rush out the door that she took her Coffee to begin there is no justification for this Gross no matter How frenetic the it is in Stant Coffee can be spooned into the cup the night before and the water boiled while you Brush your an electric Percola Tor can be set to and All you have to do in the morning is plug it it is to fun to keep glancing nervously at a cup just a few inches from your Lap whenever the bus or train lurches or try to imagine How you would feel if you had to show up at work in a dress or a pair of Trou Sers with an ugly Coffee stain Down the in the crowd dear face i wonder How Many people Are Reading this column on their Way to if you happen to be seated next to a person with a cup of Coffee this very do me a favor and show it to the Slob and if you get spilled on i dont want to hear about dear Ann Landers i wish you would say something in your column about grandparents who dont get to see their grandchildren because their Mother had a fight with the old i am not Long in this country and my English is so please fix up my language so you can print it in the we love the Little ones and dont think it is right that we Are deprived of this pleasure because of problems the children have nothing to do i know i am not saying this very in West dear lonesome you said it just parents who keep their children away from grandparents because of adult misunderstand Ings Hurt not Only the old folks but the Young grandparents can add a dimension to the lives of Young people that they cannot get any where its sad when death denies them to lose it due to vindictiveness is c Field enterprises