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produced a neurology text which she had purchased and enquired about temporal lobe seizures, uncal fits, hypothalamic damage from high fever, and the need for base line evaluation EEG, MRI etc. We agreed. She then told us the whole story. This organized and concerted neglect went on for five years. The child had been left back in school three years, and was grossly deformed by the horrendous obesity secondary to her eating disorder. One month on proper treatment ended the entire issue. The diagnostic tests, the neurologist, medication, and the nutritionist's handling of the weight loss program were all disclaimed as they were out of network and unauthorized." "Make that doubles," Dryfus groaned. Dorothy Bela jumped in, "But wait... uh.... these aren't Medicaid cases. Right?" Macaluso and Shannon both startled and simultaneously looked at each other. That was an unexpected comment to both of them. Shannon hesitantly responded, "Medicaid isn't a problem." Then she clarified, "Medicaid doesn't pay squat to practitioners. Mac does them all for charity. But, Medicaid never refutes proper diagnosis and treatment. They have paper rituals that are pure torture, but you get used to THAT. They do pay hospitals reasonably, just not doctors." And as the two lawyers were having their turn looking puzzled, Shannon clarified further, "They never say use this provider or that vendor over the ones we suggest. They do question costs and refuse payment for prescriptive devices which are priced over established norms which are, actually, pretty reasonable. If you appeal, you get a real appeal doctor who understands and just needs to be sure the client isn't getting raked or somebody isn't ripping off the system." "That happens? I mean that they pick up relative cost problems?" Dryfus asked. "Oh yea," Mac clarified. Finally making an offering, "One mother found a very nice