SF startup bosses illegally peddled $100M in Adderall, Feds say (opens in new tab)

Looks like Done allowed users to get both ADHD diagnoses and meds without even doing as much as video or audio call, and they allowed for automated refills without doing med management sessions, which are required to re-fill medication. All the while, they were able to receive insurance reimbursement for those consultations that did not happen.

There's an issue with distribution of ADHD medication in this country. It's both dehumanizing and unpredictable. The DEA ought to shoulder some blame for people seeking these type of services. But what Done did was downright irresponsible. Two people died from stimulant overdoes. That just doesn't happen for people who need the medicine for their day-to-day. One of the things that doctors are supposed to do during med management session is to monitor the behavior of their patients for patterns of abuse.

Ignorance of the law is not an excuse.

That is, for FSA reimbursement, there are a slew of "dual purpose" treatments that can only be reimbursed if you get a letter of medical necessity. E.g. want to just get a massage to feel better? That's not covered. But a doctor says you need it to treat a specific condition? Oh, then it's covered.

So basically now there is a cottage industry of companies writing these letters for anyone who asks. But honestly, I just blame the IRS, who created this stupid insanity in the first place. They should just have blanket rules (e.g. all massages in or out), instead of this loophole that is destined to be exploited. Plus, I agree with the critics who say it's just proof that our sick-care system profits on making you sick and then profits on selling the cure. Want to spend money for a healthy diet or an exercise program? That's not covered. But want to spend money on a host of prescription drugs to counter metabolic syndrome? That's covered.

"The indictment also alleges that He and Brody conspired to obstruct justice after a grand jury subpoena was issued to another telehealth company and in anticipation of a subpoena being issued to Done, including by deleting documents and communications, using encrypted messaging platforms instead of company email, and ultimately failing to produce documents in response to a subpoena issued to Done by a federal grand jury."

It depends what you're using it for. Several encrypted messaging programs offer the option of auto-deleting messages, in which case using that program and feature, or using that program without that feature but then refusing to divulge the communications when asked, while discussing certain business matters or arriving at business decisions, would be a violation of at least that state's implementation (if any) of the Uniform Preservation of Private Business Records Act. Many other state and federal requirements apply depending on the circumstances; for example, HIPAA requires retention of any medical information or information used in evaluating medical decisions for a period of 6 years.