IN THE UNITED STATES

James F. Osterbur FEDERAL COURT

2191 cr 2500 e 201 S. Vine, URBANA, IL 61801 www.ilcd.uscourts.gov

St. Joseph IL 61873

Vs CASE #_05-2038_

DATED__2/11/05_

Carle Clinic Inc.

602 W. University, Urbana IL 61803-6002

Carle inc

611 W. Park, Urbana, IL 61803

&

the American medical assoc (AMA)

515 N. STATE ST

Chicago, IL60610

&

the State of Illinois

states attorney regional office

1776 E. Washington, Urbana, IL 61802

&

the United States of America

US attorney, regional office

201 S. Vine, Urbana, IL 61801

a case examining the critical relationship between patient and medicine/ its legal complications/ and its demand for public utility status.

A case examining the critical consumption of individual rights when compared to a national business enterprise, strictly devoted to "medicine by their values"/ not ours. The legal implication is simply; when the majority provider of any business practice or service or product maintains a litigation service for the direct benefit of membership financial gain and fundamental control/ then all manner of price fixing and industry control results. When the majority providers of any business practice, or service, or product establish the fundamental parameters of pricing for all industry representatives/ then a requirement exists for consumer protection. When the majority providers of any business practice or service or product have so bound together that they now comprise "an army, of litigators" then the term, anti-trust laws apply. Quote (AMA web site www.ama-assn.org/ama/pub/category/4618.html): "the litigation center is an unincorporated association between the AMA and the state medical societies, organized to coordinated litigation within the federation. Its purpose is to concentrate legal resources in filing

lawsuits or amicus curiae briefs in cases of general interest to physicians and to share information and resources in response to emerging legal issues. ....."

JURISDICTION: IS ANCILLARY

from me/ without religion/ a case defending life.

Discipline says: if you neither do your duty, nor honor your work/ then your life fills with the insanity of your failures, because your soul does not love you. Love is the existence of a friendship conceived by soul. This is a spiritual saying, not a threat/ but a reality designed by truth.

BRIEF

RE: a legal action establishing the question/ does the medical profession own the primary control of billing against the public citizen: or do we/I have a right to professional and accurate information that FUNDAMENTALLY informs and accurately reflects exactly who wants this money and why? In a timely fashion, where deception is not the clear intent/ in like accord with all other business {meaning fair and competent disclosure of what is expected/ prior to any agreement to pay}? It is OUR bill/ it is their request. Request means: in exchange for services and materials, I do expect this as fair compensation, as all billing exists within an inherently unreasonable, anti-competitive behavior. Whereas, Reality states/ every billing is not fair.

A legal action establishing the question/ does a medical association, have a right to control, disguise, or decide what is equitable, [even if it only describes what shall be billed together, or more] to the patients of medical establishments across the nation? Is this not a clear and conscious collusion, perpetrated against the patient: who benefits/ it is not the patient. The assertion of medicine, "we shall all do this together, under these terms" is an orchestrated covenant, to control and manipulate what shall be done, and as a consequence how it shall be priced/ thereby it can be considered a conspiracy engaging price control. If this is a monopoly and the intrinsic and illegal definition of price control, by its reality and orchestration/ then we the patients are franchised and sold by the medical industry: not as patients but are, "sold as slaves". The financial reality is clear, the medical establishment is in control, and we have no say. The question to be constructed, the reality to be questioned is simply: is a coding convention or standard, a tool in any form, for the direct control of pricing, or the direct control of what will be priced and how: irregardless of a cumulative purpose, or a direct agreement in price, is this an established control of that product: when viewed on a national level? The assertions of administrative ease notwithstanding, the reality is a distinct composition for direct comparison of any service, at any facility nationwide; the ability to then in a truly monopolized market/ to claim this is necessary, because they do it. This is not "customer shopping"/ this is monopoly, due to the consequences involved. Therefore a very strict interpretation of anti-trust laws are required. WHERE is the consumer protection information to buffet or give legal contract rights? IT IS NOT in the consumer's hand/ it is not available without court, legal expert, lawyers, and great expense/ in a place where our legitimate complaint will be dismissed as "below reasonable standards/ for the sole purpose of propagating a frivolous lawsuit for financial gain".

ARGUMENT begins as a development of 4 separate billings for a single 1 hour visit to the environments of Carle Inc. This unfortunate experience, that I suspect was the result of "mold laden walls" in the building I was working on. Resulted in my appearance at the carle facility on Mattis ave in champaign/ the closest medical facility I was aware of. They sent me by arrow ambulance a carle subsidiary to carle foundation hospital, where I was subsequently released within the hour. It is my suspicion and theory the oxygen given en route arrested the condition and I improved.

As expected, I received billing from the hospital/ which I paid. I received billing from arrow ambulance/ which I paid. I received billing from "the doctors" which I paid. Then a week or two later I received billing from another set of doctors; and decided THIS IS INAPPROPRIATE, because it steals from me my right to review in accordance with my need for the information/ prior to payment based upon the merits of the price. Not only am I billed 4 separate times for the same entry to their environment, I am billed by the clinic with their staff situated in their hospital [but it is called a separate entity, with separate rights and billing procedures]. After I have paid the doctors, the hospital, and the ambulance, where is my leverage for understanding the bill/ demanding review of the bill/ forming my honest opinion of the validity of the billing/ and expecting the legitimate request for this billing to be explained to me or altered because it does not reflect the truth about treatment? I have no leverage, as is obvious by my request for clarity and honesty from the clinic: they threaten "the bill collector". EVERY other commercial enterprise proves competent at making certain, its customers have informed consent/ before a billing is due. The medical establishment does everything it can to harass the customer [because medicine provides no room for dealing]/ therefore to un-complicate the larceny and theft: they choose to hide the price, and attack in stages. I DO have a legitimate RIGHT to full disclosure/ prior to any billing being paid. YOU have NO RIGHT to attack (demands for money is an attack, when the value of the service is hidden in stages)/ not by the negligence of separating carle inc, into parcels/ not by the inference of a business right to do so: YOU USE the very same advertizing throughout all "carle inc entities" . THE NAME CARLE is your primary focus on all such attempts. Even the phone book declares you to be the same/ and is intended too. Therefore your clear intent is to claim "all of us". Separation is just a ruse.

Some will argue, that's life/ deal with it. I say, if I enter within an environment held together by the same organization, with people that work within the same buildings and all other aspects of a united organization, that also functions and advertizes as one organization/one basic campaign. That is dependent upon a single entity description [called carle], irregardless of the petty and irrelevant excuses they attempt to make, to claim a separation. Then I am entitled to one single billing. I find this method of division a simple means to collect more money. It is understood "the making of money is not the issue/ RATHER the truth and honesty of how that power over a patient translates as money, IS.

CARLE INC. replies in their letter dec 15, 2004

Their financial supervisor Jodi Hollern

They have reviewed and understand the complaint, no questions to ask. And then state:

1. quote "I do understand that medical billing can be extremely confusing"
2. REVIEWED: carle inc states hereby that they know they intentionally create billing confusion. They KNOW the public does not understand their billing. They understand this is important [is it not]? Yet apparently they can do no better. I know of people who are still billed for a visit to carle, MANY MONTHS later. I know or used to know of many people, who are completely lost in the medical billing associated with carle inc. I know of people who were billed for a doctor "sticking his head in the door, yelling you all right, and leaving before the answer was even given. And it is NOT fair.
3. ESTABLISHED: with the intent to confront: "their purpose and the style of their billing IS, to create confusion"; a simple divide and conquer strategy. By creating four separate billings or more correctly four "dummy corporations"/ they can attack the patient who falls prey under their system with 4 different requirements to take four separate entities to court; defend against four separate sets of attorneys; face four separate attempts by separate bill collectors; and so on. Thereby increasing any legitimate complaint by 4 distinct threats: do you not think they will come to each others aid, as "experts". QUOTE (AMA www.ama-assn.org/ama/pub/category/10631.html) the litigation center is a coalition of the american medical association and the state medical societies. Its purpose is to represent the medical profession in the courts, in accordance with AMA policies...." Do you think these experts would fairly represent an "expert for the plaintiff"/ or would they choose the security blanket provided by "shut your mouth, and keep quiet or lie". QUOTE (www.ama-assn.org/ama/pub/category/10631.html Page 6 Fullerton v. Florida medical assoc (leon cit., Fla. Cir. Ct) regarding the expert witness testimony of a doctor against 3 other doctors/ in response, the defendants sued the expert. AFTER ALL carle inc is their true business/ not the dummy corporations. Reality proves " shut up, is the murderer of innocence" and reality as greed can be violent.
4. CONSEQUENCE: by their words, their understanding of the billing system is "it is too confusing for them to find another way". Therefore it must be this way, "because they are too uneducated to approach a more honest method/ or they like this method too much. THEN they must be helped. THIS LEGAL REQUEST IS THEREFORE TO ENFORCE A critical change in billing for the medical industry of which carle inc stand as "the child of record". A child because they are merely pouting/ a "hog" because it can be dangerous to kick a pig from the feeding trough/ they want it too much. Case medical association of Georgia v. Blue Cross and Blue Shield of Georgia, 536 S.E. 2d 184 (Ga. App. 2000) reference www.ama-assn.org/ama/pub/category/10631.html page 3 quote "this was the first court decision in the United States that forced managed care organizations to disclose to physicians, in advance and in the absence of specific contractual provisions, how much they will be paid for their services....."
5. SUMMARY the consequence of this legal case is then to get the medical industry the help, they "so desperately want". After all/ if they state "we can't do better/ we KNOW it's a badly flawed system and can't fix this ourselves"/ BUT WE HAVE TO follow the AMA guidelines. Then it stands to reason under legal scrutiny: that should they resist fundamental change/ their true expectation has been fraud, and conspiracy by means of the confusion they create. Or the AMA has control and legal grasp of their systems and their corporation/ consequently US, the public. CASE Luks v. Empire Healthchoice (N.Y.S. Ct) quote www.ama-assn.org/ ama/pub/ category/1063.html page 3 : this class action lawsuit contested an MCO's practice of reducing payments to surgeons who perform multiple CPT procedures through a single incision, rather than through multiple incisions......statutes that prohibit deceptive practices....."



6. PENALTY; these definitions of fraud and conspiracy seek a similarity in nature to the definitions of racketeering/ because these are, the matters of life, death, mutilation, lifelong consequences: or the same to the ones you love. THEN, when reality is NO ALTERNATIVE, the ability to control the financial future of a person or family in its entirety [apart from some aspects of bankruptcy] has demonstrated an organized effort without options for the individual. It is an extortion/ unless fair and honored opportunity to challenge and decide without bodily harm exists on both sides. This cannot be so/ by the very nature of the reality. The penalty is then "public utility, and the social decisions that present and provide all money issues and concerns/ are to be decided publicly."



7. THEIR QUOTE: depending upon services received, you may receive two separate bills" [from the same location/ the same "dummy corporation"].
8. CONSIDERED: I received 4, the last from the clinic/ therefore the clinic is asked to answer and explain. Not only am I given 4 separate billings from the same primary corporation/ each bill suggests independent contractors, who have billed me through this corporation: none of which represent a fair opportunity for me to challenge in a courtroom of law [BECAUSE, I must hire experts in any medical matter/ making all but the most extreme cases of stupidity or neglect the only ones that appear]. Not only does the potential for legal action become 4 sets of attorneys, four separate cases/ it is clear each of these contractors can employ their own set of attorneys, and gain help from the AMA to counter attack and control the courtroom by outnumbering the judge and slaughtering the intent of law: which is to confront on equal terms/ in a place of no prejudice. I am not a lawyer/ therefore I cannot be on equal terms with a judge who is a lawyer. These potential new matters, are so corrupt of judicial propriety and due process/ that they must be dealt with now: for how could I, a non-lawyer deal with them in a court of law? Lawyers may use a foreign language (latin) if they wish/ and do so simply to confuse the litigant and keep them from understanding: is this non-prejudicial? It is not/ all latin is a clear murder of rights, because of the reality to confuse; and a certain intent to be prejudicial, manipulative, and controlling. The issues of latin in a courtroom are more clear than the many words of medical terminology, and its effects upon society. For the purposes of this trial, then the issues approaching why latin is used at all, how it can be abused, and what needs to be done in the public interest/ confront the same basic reality as medical terminology, and in simple terms shall be used as a foundation for discussion and review. Therefore it is a fair assumption, SIMPLE as possible is the best approach to reviewing these problems. Therefore when the public citizen has an equal footing in the court and in the law, and in the practice of law/ THEN the issues of "racketeering may disappear".
9. REVIEWED: not only did I get 4 separate billings/ it is clear, they could have sent at least one more by the clinic [sub-divided by contractors], and who knows how many more by the other various "dummy corporations affiliated" under the same umbrella carle inc. This, by the measure of their superiority in a courtroom of law/ amounts to an embezzlement: because the ease of presenting excessive amounts and appropriating it to their own uses; is clear and present. What defense do I have/ even when it is clear, the price is too high? These are NOT business dealings/ these are life, death, or pain and sorrow issues, and they cannot be treated the same. THE AMA states www.ama-assn.org/ ama/ pub/ category/2292.html page 1 quote : the physician work component accounts on average for 55% of the total relative value for each service. The initial physician work relative values were based on the results of a Harvard University study. The factors used to determine physician work include the time it takes to perform the service; the technical skill and physical effort; the required mental effort and judgment; and stress due to the potential risk to the patient. {POOR, POOR DOCTORS} to date, I have not found medical practice on the list of 10 most dangerous jobs in the United States? Have you, as to stress, come work at heights, around machinery, or in everyday situations that can easily take your life or mutate your body: and then we will talk.
10. ESTABLISHED: the basis of a conspiracy exists/ because the level of intent to create confusion could not be aggravated further, so it would seem; to any greater extent. They have said so/ see quote 1. The intent of a financial confusion directed against the weak, or otherwise injured party/ is a strategic and unfair advantage/ and it does have purpose. Particularly when reality says the patient cannot fight for themselves, "the real fight is how to survive"/ therefore superiority in all financial matters occur, because, it is or seems incidental to the reality of medical catastrophe, or death. The foundation of this conspiracy is thereby simple: create confusion/ by billing en mass over an extended period of time, and jump on any suspicions of a billing failure with threats, and legal consequences. The patient whose life is clearly affected by financial consequences must then decide; IF they will risk anger and refusal, or worse/ by challenging a medical demand for money; or will surrender [don't complain/ they may let me die] , pay the billing, and hope to survive/ with or without: not only money, but lifelong debt.
11. CONSEQUENCE: It is clear, either the billing must change or the entire medical industry must change/ or both must change. Because legally they exert a guarantee of "police powers, too great for the common citizen, their patient/ to confront". Police powers/ because like governments, they control the outcome/ whether for good or for bad. Like the government, personal control is minimal or non-existent/ or like a criminal organization, the price of refusal can be "too high". AND THEY THE MEDICAL INDUSTRY KNOWS IT! It doesn't matter what papers were signed/ what consultation was given/ or what drugs were used. Listen to your television, every drug summary or other "expert advise" is summarized with "Talk to your doctor/ in other words let him or her decide: you cannot adequately choose". The medical profession demands this is true: do I not have to get a prescription to buy a drug? THEY ARE "in control", and they do what they want/ we are not/ nor can we be.
12. SUMMARY: the objective is not to undermine, or even to fight with the billing at this moment [a matter of $400.00]. Rather this case now comes to question the legitimacy of "private medical enterprise"/ and offers instead the demand for a corrected status of "public utility". Thereby a finding distinctly connected to a legitimate legislative objective/ bringing the judicial matters of a critical understanding in "racketeering/ anti-trust/ consumer protection/ price control/ and so on": " to concentrate legal resources in filing lawsuits or amicus curiae briefs of general interest to"physicians/ substitute people" and to share information and resources in response to emerging legal issues". According to the organization and purpose statement of the litigation center of the AMA (www.ama-assn.org/ama/pub/category/4618.html) this is a fair and acceptable reality of power. If not, then all aspects of public utility status belong only to the court! The issues of billing are fundamental/ the issues of power, are critical as well. As required for public comprehension; a clearer description of the process involved may be viewed in the matter of city water. Wherein the entire city has become dependent upon a business or businesses delivering that water/ and then malicious and unreasonable control appears against the individual. Even where it is a private enterprise, controls and the court is not far away, and the state is involved: help exists. In medicine/ its everyone for themselves! We cannot live without water for weeks/ just as you cannot under some circumstances live without medical treatment for weeks. We, as a society, control water because this is too powerful to rely upon human "kindness and fair play": sooner or later, someone has tainted the reality and must be dealt with. The manipulation of billing through countless and frustrating demand is only the beginning of their power over the patient. They will say, the patient is in charge! Irregardless of the cost applied to them, the VAST MAJORITY of people will say, "help me live. THIS IS a current reality of LIFE/ and the entire medical industry uses it: dentists and all, because the incentive and penalty are too high. Every aspect of medicine, is at fault, the dentist too, exist in the same realm with all medicine: simply pay up or loose your teeth, and in some cases your life/ just look at their billing as well "a filling now has 3 sides/ just so they can charge more". The very simply intent to "divide, surround, & conquer" in all these war games/ IS so fundamentally tainted, upon the entire peoples of this nation, that the entire system is fundamentally wrong. We cannot determine the cost we would deliver to someone else/ to survive: it doesn't work, reality fails. To even consider the reality is evidence of extortion and fraud. All the power is one-sided against the medically infirm/ UNTIL reality makes them a burden, and society makes someone pay; this too is wrong. Therefore as a nation/ WE MUST DECIDE, what is real, ethical to support, and honest. There can be no more "let the patient or doctor decide: and give the bill to the others"/ it is not fair. There can be no more, "keep the invalid on machines" irregardless of the outcome: let the others pay. Already these methods have bankrupted the nation itself/ completely, because greed and the demand called want; simply doesn't care about anyone else. American Medical Association v. United Healthcare (S.D.N.Y.) Www.ama-assn.org/ama/pub/category/10631 page 2 " the class action lawsuit questions whether United Healthcare properly calculates "ususal, customary, and reasonable" charges........" Even so, the truth about money is not in things or numbers either/ but lives; because the excess resources you steal results in the death of those who need them, now and in the future. While time is the human element, and the effort and sanity required to do your duty. Greed is a traitor, consuming the cradle and child/ while it subordinates one life for/ or to another. This is a treason.
13. PENALTY: the demand is a new system, wherein the reality and true nature of medical intervention becomes harnessed with the very real facts/ that we the public must police medicine and ourselves. They, the medical industry are unable to control the greed, the monopoly, or the power. Divestiture or consolidation, for a business. Dispersal for an industry.
14. SUGGESTED: And the reality for the public/ choose now, the truth about what shall be paid and when it shall be paid: [all are equal, you get the same means; a percentage of wealth, and or income/ is my suggestion to you/ is not your life worth the same as mine]. This will apply to drugs, to dentists, to everyone in any medical reality. Drug research is then dispersed as well; the people own the patents, the inventor is paid according to the impact/ but any company desiring to manufacture is allowed. The nation runs the research. SIMPLE ISSUES FOR VOTE. While it may be unseemly for suggestions to be given in court/ GRANTED IT IS NOT, the place. It is otherwise an unfair assertion granted, that no other way exists. That is not true.



15. THEIR QUOTE: "However, the simple fact is that Carle Clinic Association and Carle Foundation Hospital are two completely separate organizations".
16. REVIEWED: the facts are, [there is NO DIFFERENCE in the mind's and heart's of the people of this community when talking about Carle Inc]. This has been a carefully cultivated intentional and deliberate creation by Carle Inc. Otherwise, every segmented "dummy corporation" would have a completely different name. They choose/ they have chosen to all be carefully conscripted, under the Carle name for the purpose of advertizing and fundamental name recognition. Therefore NO legitimate intent exists to separate these business entities: the use of a primary name, prevalent in all advertizing, business recognition, and billing proves the intent to remain the same. If they are separate/ then they steal from one another, and from their advertizer's; by getting four advertisements for the price of one. They steal the name from each other/ a fact NO business allows. The people here do not go to "carle clinic or carle hospital or whatever/ they go to carle/ just as others prefer provena or christie. It is my expectation they share mutual healthcare plans, etc/ therefore an investigation would reveal just how interlocked they are. Case In re Managed Care litigation (S.D. Fla.) Www.ama-assn.org/ama/pub/category/10631.html page 2 "...The principal allegations are that the defendants, through edits in their payment software, have breached their physician provider contracts, violated state prompt payment laws, and conspired to violate the federal Racketeer Influenced and Corrupt Organizations act. Recently, Aetna and CIGNA insurance companies agreed to stop certain "bundling practices", disclose others publicly, and pay approximately....."
17. ESTABLISHED: these businesses are not separate, even though some legal loophole device may provide the impetuous for stealing [stealing because separation produces only two advantages for them/ limit the legal liability, and collect more money]. They share a common name, benefit from and produce a common advertizing, and are separated only for the purposes of collecting money and defending against legal liabilities. That said, the intent herein is to confirm equality, or more correctly consolidate what is clearly a single business and demand: if I am billed or must face trial/ then I will face a single enemy, and not be surrounded by fake degrees of multiple claims. If my responsibility is singular, by the consequence and reality, this is one body. Then a single entity, which has worked a single hour in unison, shall bill me for a single circumstance.
18. CONSEQUENCE: by the demand of this appearance in court/ and the failure of carle clinic to accept their responsibility as a participant directly linked to carle inc. For the reality that they can charge me for their staff being placed directly in the emergency room of the carle hospital/ and still call themselves separate. The charge is contempt, and the issue raised is consumer protection, as declared under legal terms. Here the honesty of knowing the truth about doctors and their work demands: a completely open data base of knowledge for the patient and so on; this compliments honest legal position, for both sides. Although the truth is medical emergency or simple logistics may impede any possibility of choosing "someone else". The reality is we the patient/ customer of these establishments deserve the information and are guaranteed respect by this government: there is no respect in letting one party cut open the body of another party "take out heart & lungs if they so desire" and refuse to allow any information about who does this, to the patient. This is segregation and seizure and insanity sanctioned by the US government and its courts. Amendment 4 of the constitution proclaims I have a right.
19. SUMMARY: in response to my demands for reasonable and fair billing practice/ I am forced to court, or extorted for money, and the blackmail of my good name. The assertion of separation, the legal wrangling of corporate conjecture, and the descriptions of "national usage of the same techniques". All suggest that criminal demands can be found. But shall be mute, as this is not the intent of this case.
20. PENALTY: The legal demands are BE FAIR. The penalty is: stop lying, WORK with me/us. And establish a data base for clear and certain public information.



21. THEIR QUOTE: "this is not done with intent to mislead or confuse our patients" (this quote and the one above are presented in opposing order to the letter).
22. REVIEWED: in response to this assertion, the evidence supports that the intent to confuse is in fact the only reason any of this exists. It may be said/ "they have to protect their facilities from lawsuits". It is rebuked by the simple words: it is the patients who are routinely attacked, fundamentally wounded, and subject to the cannibalism of greed. These are seeking UNFAIR duplicity, with the express intent to confuse/ to divide/ and to conquer. WHERE is the justice for every common citizen? Where is the right or covenant of due process and equal protection under law? It is hidden in the medical terminology and basic education where the courtroom does not function. Therefore an open courtroom, dedicated to these particular lawsuits must be created: and viewed in absolute clarity by the public: camera's everywhere/ that cannot be shut off or manipulated by anyone. WITH a conscious effort to produce language and use language that is friendly to the common citizen.
23. CONSEQUENCE: is not the intent of this quote [#21] a fraud, simply defined instead by the symbolic attempt to ridicule and laugh at my request? If NO other methods of billing exist, then they have a right. However it is clear and certain, other methods are not only possible/ they are simple and plain. Look at the automotive industry/ the car moves from one location to another, one mechanic to another/ through parts and other inventories: and you will get the bill before the car drives away. No intent exists to control the freedom to choose / however, when the patient holds such an inferior legal position to medical inquisition of a patient and his or her finances/ then we must be informed as to costs incurred, actual expenses and labor costs, etc. Their method is least information possible/ it limits legal interrogation/ it limits any alternative pleading. This brings the question of why choose this method of billing? IF NO other methods of corporate structure are available to carle to be honestly secure in their methods of business and interaction with the community/ then they have a right. HOWEVER, if this is not true. Then honesty should reflect profit, because the patient has no real choice/ therefore carle should have no real choice either: an equal footing in the law and in the business of health needs. Carle Inc. is surely going to lead the fight to clean up and revise this mess: here and now/ because all "good corporate citizens" surely would? Is this too much to ask?
24. SUMMARY: let the public in, let them define what they will be able to understand clearly and with certainty, let the billing be consolidated in its entirety, and let there be but one business/ because there is only one business/ only one patient involved. As to the need for protection from legal demands/ let the court be instilled with the FIDUCIARY RESPONSIBILITY to clean itself from under the shit pile of dirty lawyers whose only intent is to gouge and destroy lives. 34 N.E. 2d 68, 70. It is not medical malpractice that is a problem/ it is the lawyers involved. The public awards ignorance and stupidity, only because they are MAD AT YOU, the medical industry. They are mad/ because you steal, and get away with it. And the court sits silent.
25. PENALTY: BE HONEST AND FAIR, or face the administration of this business by others/ called the government. If the court cannot find what is honorable and fair/ then the judge surrenders his or her position: because that is the job. And if you cannot or will not do your job/ if you will not defend the public, and the intent of the constitution: then you are an illusionary promise to the people/ and a fraud and in hostile possession of a position you do not deserve, as a judge: this is a theft. 138 P. 2D 846, 851, 852; 350 S.W. 2d 729, 732 GET THE BILLING STRAIGHTENED UP. GET THE COURT PREPARED, for justice/ and fit to do so. Redefine medical malpractice, so that it is legitimate and fair to all. Remove and disbar the "bastard lawyer"!



26. THEIR QUOTE: it is simply done in order to comply with CPT coding conventions and standards set forth by the American Medical Association.
27. REVIEWED: here reality and truth are confronted with the honesty, that I am billed not simply by methods and means specific to this particular medical facility/ but by the fact that this hospital has joined a national group "the AMA" , to control and manipulate pricing across America or even beyond. This is monopoly : a condition described as "a market condition where all or nearly all of an article of trade or commerce within a community or district is brought within the control of one person or company, thereby excluding competition or free traffic in that article 18 N.W. 2ad 905, 908. The AMA clearly has possession of all billing practice/ and carle inc describes what appears to be, "virtually all medical facilities adhere to their guidelines". It is a reality that to control the billing is to control the business, the trade, the commerce: because price is the ruler of business. The AMA is an organization of "medical professionals"/ the facilities they manipulate are "the article of trade": and the materials or service these produce are "the articles of commerce".
28. CONSEQUENCE: they have formed a monopoly for the purpose of price fixing/ and conformed their members to accept the assignment of their license, legally or not. These professionals, fully understanding the consequence of legal alignments/ can be considered to have hired lawyers for the direct intent of mitigating damages associated with this connection. Thereby joint tenancy occurs/ between all alliances for this purpose of control: all the players have taken a hostile possession to this aspect of medicine/ not just the AMA. They go together.
29. SUMMARY: the assumptions of a medical society, that they do have a right to declare "whatever they choose, in medical billing"/ HAS given rise to the reality, of their addiction to greed. Addiction means the integration of a "door" between what you want, & the description of "a tool" to take what you want: rather than earn the right to experience what truth will provide. Addiction is thereby a lie/ based upon a failure to understand the consequence. That consequence is price control and the infiltration of extortion/ through the "passionate embrace, I DON'T care about anyone but me". This is fully understood, by all who embrace it. It is the associated consequences that produce: THIS poverty of experience, that HAS in turn IMPACTED society, and the individual, by creating economic lies [we can pay this] and the cycle now employed by government: you need/ you can't pay/ THEN OWE ME/ and finally "give everything you have, and get out of my sight"[simply nothing left]. A little over dramatic/ but it creates a clue. It is medicine that leads the way, in stripping away, all that american society can be This is the functioning reality of an American debt over 87 trillion dollars divided by 150 million taxpayers= $580,000.00 dollars apiece/ divided equally. Reference is www.federalreserve.gov/releases Flow of funds table L.5. The government official in all branches HAS used this influence of greed, to blunder and buffoon their way to an ever increasing damage to society: clearly taught by the damages of the medical industry! Money, the demand to pay/ is now meaningless UNLESS you are not a "university graduate"/ someone has to pay. As this blade of indifference cuts through society : the damage, the murder, the mayhem, and the depression it causes/ WILL lead to a terrible and bloody civil war. Think not? Then step across to the other side/ and lose everything you ever worked for, and be ridiculed. For what? The answer is "because a whore, can blackmail you". There is no compensation justified for additional education, "nearly everyone I have ever met said quote: college was the best years of my life"! Why do we owe, for that? We are equal, and that means fair and justifiable compensation no matter who you are, or what you do! The entire medical industry has led the way to ruin [look at the debts]/ the dentist, the drug companies, everyone who expects"millions"more than the average worker. It is extortion, simple and plain/ and it starts with medicine. While I am certain to be accused of "ranting and raving" by bringing this matter up. The consequence is clear, and the reality is certain, by the damages that are evident. Therefore as it is a medical inquisition into practices and consequences of practices of an entire medical industry/ it is fair.
30. PENALTY: for the rape and pillage of society/ the arrogance and greed, and blatant selfishness/ the pathetic mutilations of honor among citizens caused by university driven pride/ and the compulsive larceny of controlling the public for financial gain. The entity called the AMA should be severed from any possibility of control and or guidance to the industry itself. The medical industry itself severed from the business associated as private, and ruled under a "public utility status" with citizens determining all costs and pay-outs. Under the considerations of the Robinson-Patman act 15 U.S.C. 13, 13a and 18a, 19 or any other guidelines used in the direct defense associated with anti-trust laws.



31. THEIR QUOTE: it is the only billing mechanism we have to most accurately report the services provided.
32. REVIEWED: according to their words, "extremely confusing"/ the reality of "accuracy and reporting" IS CLEARLY overstated/ and fundamentally errant. The fundamental requirements of any duty required by law is [all billing is subject to law]: what is honesty/ thereby the descriptions of truth; what is honor/ thereby the foundation that grants the right; what is the description of order and the discipline that it describes/ and what is the evidence that proves the consequence is real? Law means truth has formed a foundation and respect; for that reality that has built the description of values upon which we depend. Words are merely the tools of "love or hate or need". Justice is the work and reality and truth of what you do/ or what they do. The medical industry will surely defend itself stating: as it is, this has produced the health care we know today/ why change it? Greed is a motivator/ but it is also an enemy plotting and planning from the beginning, how you can be enslaved. Greed did not build any healthcare: greed does not care/ therefore it has crippled and damaged or destroyed what could have been; rather than built what does exist, it has limited what could be. Legal Malpractice is greed thrown back at YOU.
33. CONSEQUENCE: there is no honesty in this quote #31: not only do they conflict entirely with the above statements of the same person, they suggest no alternative exists. This is a statement of control by the AMA and its " CPT guidelines". The assertion of "we must" according to the AMA/ has no honor by its clear and certain devaluation of the citizen/ patient. The patient doesn't matter, the billing doesn't matter: only the AMA and its guidelines matter "we must". The consequence of a demand to establish and contain all billing to a separate entities guidelines/ even if that entities supposes to benefit the medical industry; merely establishes control, and thereby price fixing. The words are "we have to". The reality of separation into "dummy corporations"surely follows this lead.
34. PENALTY: affix the meaning of the declaration of Independence to the reality of our time. Redefine the words " we hold these truths to be self-evident, that all men are created equal; that they are endowed by their creator with certain inalienable rights; that among these are life, liberty, and the pursuit of happiness. That, to secure these rights, governments are instituted among men, deriving their just powers from the consent of the governed;...." In more simple terms/ no right of greed or selfishness exists. We are equal with the medical or university degree, and need not be their financial slaves any more. That a vote among the people; used to examine and refine the state of the medical industry in this nation: as either private or public is fundamental to democracy/ is NECESSARY at this time/ and is a legal compensation required by democracy and given by the constitution and its documents: TO "WE THE PEOPLE". What you should recognize in these words and the rest of the constitution is THIS CASE and so many others are not "for government or politics" to decide. Instead where life, liberty, and the pursuit of happiness are distinctly involved: it is WE THE PEOPLE who do have an ultimate right to intervene wherever we choose. FOR WE ARE the government! And this is OUR NATION, it does not belong to the employees/ it is ours. The constitution does give "first opportunity" to the judge and the courtroom/ however it is an opportunity, NOT a right. WE THE PEOPLE, could not be more clear!



35. THEIR QUOTE: at this time, I feel we have already provided with the detailed, "honest" billing you have requested. It is not possible for the clinic to provide you with bills from other organizations.
36. REVIEWED: addiction is the preservation of an image/ so that honesty has no voice. Addiction is the formation of barricades around "the reality of me, so that the truth may not come in". Addiction represents the turmoil of a failure people see in themselves/ and the door by which they expect to prove this image is wrong. The intensity of disrespect for others, establishes only pain for all sides. The reality of addiction dissolves experience to demand you are alone. It is that consequence distinct among the others that allows the "disaster of selfishness" to rule and to spread and to control the destiny of other lives. Addiction is appropriate by the terms of reality that allow one set of people to extort great sums of money from another set of people. This selfishness is confirmed in any surgical or other medical reality that people must then choose between their bodies or minds; or paying anything the extortionist asks. The demand is trust us/ the support for this larceny is insurance: therefore buy it. The exploitation of money is clearly seen in all aspects of government/ the rule of the courts, the tragedy of "billion dollar elections"/ all of it is attributable to the plain and simple truth: those who have raped and pillaged the majority, now have duped and controlled the judiciary as well. How else would you describe the tragedy of words, the flagrant and excessive violation of fundamental court cases in so many circumstances? And all that is not even a possibility of justice in America today: those who stand guard, are traitors {or more correctly lost in the words and insanity of so much greed}.
37. SUMMARIZED: This examination of basic process and the length we will need to go as WE THE PEOPLE to clarify and identify our possession of this government shall not be simple. This is not a rebellion/ this is the consequence of court, and the reality of life. We need to discuss by legal definition the existence of those who have controlled our lives and our nation/ for their own benefit. The issues of carle inc, not being involved in this are mute/ as they do represent the medical industry, and it is GREED that has fundamentally corrupted the nation, and brings the tragedy of economic depression. Who better to represent the greedy, than medicine. NOT SIMPLY carle inc/ but all of medicine. It is clear to me/ this will be used to demand expulsion of the trial from court. It is also clear to me, that a class action suit is NECESSARY. Therefore 100's of informational letters are used to buttress the demand for action and the insistence of: WE THE PEOPLE.
38. SECONDARY review; the reality of insurance has allowed the mutilation of fair billing by presenting the intermediary who makes money too/ irregardless of the price. The reality of insurance for me, when priced a while back was roughly $3000.00 per year. 20 years they collect $60,000.00 whether I need medical assistance or not. There is a risk/ million dollar billings occur regularly. Although this case was not about amounts/ it is now added to billing/ that the reality of functional medical services, at an honest wage/ should be, a fair and merited aspect of this lawsuit. The issue of a public utility arises as well with the truth, of how much money is spent/ that does not go to health care. As a public issue/ it is not unlike any other public utility issue: and the need for actual public vote is demanded. Does this not affect us all?
39. CONSEQUENCE: the question raised by "billing from other organizations"/ defends the assertion of honesty by interacting within the legal dispute of administration. Who administers: is it the subsidiary, or is it the corporate board? IF YOU GET PAID, then you are involved. If you have critical review and decision status/ then you do administer the result.
40. PENALTY: if there is not clear leverage from the corporation/ there is not a relationship. If however control of all subsidiaries comes under any portion or control of the corporate board, THERE IS clear union and these words quote #35 are a lie. The demand is: Choose together/ or separate, with completely different names; formally severed, and publicly advertized as different with clear cut results. Or abandon the lies. ESTABLISH PUBLIC PARTICIPATION.



41. THEIR QUOTE: therefore I respectfully ask that you send payment in full or contact us to set up an acceptable payment arrangement. Should you choose not to do so, your account will be placed with an outside collection agency within the next 15 days. Jodi Hollern supervisor, financial services Carle Clinic Assoc.
42. REVIEWED: the displacement of and review of business procedure in this matter is not intended to attack or surrender to any excuse or legal detriment as may appear. The clear intent is to establish the reality of informed consent in the matter of accounting as it pertains to the medical industry, and the patient. The consequence of separated billing is to confuse and distort the reality/ the purpose of this legal response, is then to "straighten and clarify these realities". And has become; to allow opportunity for all the other problems associated with medicine, a correct and honorable forum for public discussion and legal consequence.
43. CONSEQUENCE: the expectation for payment has not been dismissed/ I am not harassing the defendant/ nor am I "looking for fame or any other such thing"/ no amount of money will take this away, or any other compensation: I am here for JUSTICE. Justice means: I will know, what I am billed for. I will know in advance of payment, what I am billed for/ and I will be aware of the profits involved. I will know, that when I appear at the door of a business with the very same primary name/ the same advertizing/ and the same purposes: there will be one bill/ one time/ and any negotiation as may be needed, or resulting court battle as may be needed will be fair, legitimate, proper, understandable, and in my full view before a decision to pay is asked of me. And now the addition of a fair and legitimate response to questions of a public utility status must also appear. And the intent and legitimacy of a national organization must be questioned.
44. SUMMARY: I did not bring you to court/ you refused to assist me in the matter of fair billing practice: irregardless of current contention, if the community knows you as one name only/ then you are one business. You threaten me with a bill collector if I do not comply with your demands. I produced NO DEMANDS until the 4^th billing resulting from a single one hour visit to your facilities/ I now have made my demands/ and let the courtroom or the people decide.
45. PENALTY: it is my concerted opinion, that these matters are more than personal. This level of examination, and the introduction of a national influence in the matter of the AMA/ do result in a federal trial. The assumption that I can represent the legal interests of all who can be affected by this trial, is simply not real: therefore the court is requested to grant status to this trial of a class action suit. The federal prosecutors are granted knowledge and invitation to join, and to investigate and decide the level of price fixing caused by the AMA. And the various other interests and legal compositions all suggest that "lawyers for the plaintiff" are necessary. Status is granted by me/ to include the "common public citizen"/ however, this is to remain "my case" and that reality is dignified not with pride, punishment, or reward for me/ but with justice for all. In the unlikely event, that I am either dead or unable to attend for the purposes of trial/ then "you have my statement/ it is undeniable and I will not change my mind/ therefore the trial proceeds as the public sees fit."



46. MY QUOTE: it is my duty to review and examine as necessary for the sake of my society/ where it is needed/ when it confronts me directly. It is my concerted opinion that these matters deserve review by the public, and if they choose to discard/ then so be it. I am not their guardian, leader, politician, or whatever/ and do not want to be. Instead these are realities that make a distinct difference in my life as well as all lives/ therefore I do have an intrinsic right to display and promote an education that would produce a honorable solution. And contest any dishonorable solution, or current practice, within the reality of a courtroom. The idea, that it is an inconvenience to you is irrelevant/ the other excuses have been discussed in a previous federal trial/ as it turns out "a case of discovery". In the form of case #2:04- cv 2196 filed in federal court Urbana IL.
47. The defense is certain to make "much" of this mention to another case I was involved in. In reply I say to you: isn't that what you do in court/ refer to past cases? I am not a lawyer/ perhaps you would like to help me? Irregardless of that, I do say to you health care is our concern as a people and a nation/ it is not your business. The only business associated with life or death or significant concerns for body and mind; is the demand for sovereignty over life, too young to decide; or too old , or too badly diseased, or too badly wounded or mutilated to truly survive. These things require a burden of proof, expressed as necessary within a contract/ with the nation to pay. Therefore when a critical decision must be made; because someone has to pay/ even though, no true benefit to society can be expected: then society must choose for itself. One of the concerns intended is a comatose patient, and so on: then it shall be by vote, determined for one and for all/ equally: no exceptions. The medical industry does have a right to reject or make decisions for itself that are fair and justifiable to all/ because in these cases, it is business: someone has to do the work, or the end must come. Ethics are nothing more than values without foundations, what exists within truth comes from reality: not your decisions, your truth, what YOU DO. Like it or not.
48. All these matters are NOT POLITICAL, because they involve a fundamental guarantee by the constitution of the United States of America: amendment 4 "the right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated...... While the amendment goes on to be specific about criminal violations/ this trial is not criminal/ the fundamental guarantee is not defined, as to be only for the benefit of those accused as criminal. The guarantees of the constitution are for the people/ NOT simply for the accused criminal. Amendment 7 agrees, that matters involving values in excess of small amounts SHALL BE DIRECTED TO THE COURT, and that right preserved within the court. What has more value than life? You have no say/ to court we go.
49. CLOSING: I have just received a letter dated 1/20/05 (date received 1/29/05) from "risk management alternatives inc" stating my account is placed in collection/ my name given to credit reporting agencies. Even though I have plainly said to them in writing, be patient: I WILL FILE IN COURT before the second week of February ends [TWICE]. The result of ridicule is often simply a disrespect, where disrespect exists/ it is necessary to teach. Therefore as you would charge me, for an afternoon worth of work/ the time necessary to prepare the lawsuit. I will now seek an additional penalty in like accord to your charges in surgery. The approximate cost of an average surgery for the doctor is applied at $10,000.00 It is fair/ you would charge me/ and this is "surgery": whether it is successful or not. Since you have presented judgment upon me with this ridicule, saying in effect, "he has nothing to say, no cause to hear, no right to contest, no possibility in court, and exhibits no cause for respect"/ I do submit, for arrogance, selfishness, and the failure to respect all life, the additional charge of $50,000.00. Let the court decide.





50. To the court, this is the beginning/ no games allowed by either you or me/ or any other. The questions brought are critical to this society, and they are important to our future as a society. This trial asks, "can you accept duty, and be responsible to life. The failure of any side/ to declare and do what justice requires: is incendiary to the needs of this society. Equal protection under law, is a guarantee. The truth of indefeasible rights to examine and protect this society through the court/ as WE THE PEOPLE cannot be contested/ nor the unfortunate realities of the people or businesses involved cannot be less important. The questions are of life, the battle is financial, the court is mandatory. Here the failures of the judge, the courtrooms of america, the utter disrespect for law, due process, or liberty all describe the reaction of the judge shall be: a frivolous and irresponsible prejudice against "the status quo"/ a latin term for "he who has the gold/ rules". The autopsy of a concerted action against democracy, the United States of America, and freedom itself/ will be a flagrant disregard for life/ the summary judgment of greed/ and the mistrial of power and lust. I have pursued justice within the courts now for years, covering many avenues and looking for much/ but finding very little. The court system of America HAS stolen many thousands of dollars from me/ denied my day in court/ fundamentally lied just to protect the guilty/ and dismissed the innocent claims for freedom and justice with the arrogance of complete bigotry. So say I. After all these things, many known by the judge of the trial mentioned here/ fully knowing perjury is coming against me, I say to the judge, return to me, even "this little bit" of justice, to prove less than outright contempt against all I do stand for/ JUSTICE FOR ALL, FREEDOM AS INTENDED, EQUALITY WITHOUT PREJUDICE, AND LIFE WITHOUT INFRINGEMENT. The judge of that trial proves only hypocrisy, and the flame of terrorism. Therefore I say to the federal court in Urbana IL, and to any other official as may hear. This judge is not allowed in this case/ while there may be no better among them/ prejudice or mainly simple failure, shown in every case/ proves this one cannot hear this case. This is a FORMAL PROTEST. And if you refuse, the matter will be certain to arise in appeals. [I do have a right to proceed in advance with respect to an ongoing prejudice/ prove me wrong]. As to my particular request, in this matter/ it is fair.
51. I warn you in advance; There will be another trial coming. You may find it early at Www.trialforlife.info And its links. That you may prepare, and decide who shall be responsible for it. It is this trial that fundamentally asks very simply: Can you accept truth, and live within the reality that exists, or shall you change it/ because the evidence demands to do less will be your death. Simply prove the evidence wrong. Section 50 is a warning, for your interest/ not a part of this trial.



52. As to me/ I have no say, in your own decisions. The decision to involve the public in my own disputed billing questions, is simply a right granted by the 1^st amendment and the 14^th amendment. Only the evidence as prepared and proposed shall have a say. Only the truth will bring consequences/ it shall not be me. This is about your lives as well as mine in society, it is not about anything else to me/ but that which is written. I have no agenda/ except reasonable justice for myself, and as has been necessary, the allowance of "better for the public/ since these are truths affecting us all".
53. I will not continue beyond these trials. Therefore make up your mind early/ understand the truth/ and then decide, if you will abandon or support justice and life in this society and the world: Or not? It is goodbye beyond these works; I have finished, and you, whoever you are; must continue for yourselves or say goodbye. By the honesty of the evidence, I have completed my duty. You have your chance!

CORRESPONDENCE:

letter from osterbur

2^nd letter from osterbur

letter from Carle Clinic unfortunately neither the logo or the signature came through using the fine reader scanning program