Thursday,  May 10, 2012 • Vol. 12--No. 301 • 27 of 32 •  Other Editions

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International adoptions drop globally as experts cite fraud crackdowns and policy shifts

• HANOI, Vietnam (AP) -- The number of international adoptions has plummeted to its lowest point in 15 years, a steep decline attributed largely to crackdowns against baby-selling, a sputtering world economy and efforts by countries to place more children with domestic families.
• Globally, the number of orphans being adopted by foreign parents dropped from a high of 45,000 in 2004 to an estimated 25,000 last year, according to annual statistics compiled by Peter Selman, an expert on international adoptions at Britain's Newcastle University.
• Some adoption advocates argue the decrease is also linked to a set of strict international guidelines known as the Hague Adoption Convention. Devised to ensure transparency and child protection following a rash of baby-selling and kidnapping scandals, critics say the guidelines have also been used by leading adopting nations, such as the U.S., as a pretext for freezing adoptions altogether from some countries that are out of compliance.
• "It should have been a real step forward, but it's been used in a way that's made it a force for shutting down countries," Elizabeth Bartholet, a Harvard Law professor who promotes international adoptions. "That affects thousands of children every year."
• She says places where international adoptions are stopped may ultimately see more children stuck in orphanages or on the street where they could fall prey to sex traffickers. "I question whether it's ever true where adoption is all about buying and selling and kidnapping," Bartholet says.
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APNewsBreak: Medicare paid $5.6B to 2,600 pharmacies with patterns of questionable billing

• WASHINGTON (AP) -- Medicare paid $5.6 billion to 2,600 pharmacies with questionable billings, including a Kansas drugstore that submitted more than 1,000 prescriptions each for two patients in just one year, government investigators have found.
• The new report by the inspector general of the Health and Human Services department finds the corner drugstore is vulnerable to fraud, partly because Medicare does not require the private insurers that deliver prescription benefits to seniors to

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