1. Political.   Key to the operation of the fraud is an alliance between Establishment political people, judicial people, and the multi-levels of the fraud.   Each locality appears to have a similar structure and very strong tie ins to the dominate political party.
2. Judicial.   Keeping the facilities occupied and generating money requires tie-ins with corrupt judges and judicial elite.    Here in Illinois we saw how Jerome Larkin and the IARDC react to the call from ‘on high’   Cynthia Farenga saw a post in PROBATE SHARKS calling for an HONEST INVESTIGATION and the miscreants prostituted themselves to attempt to stop the call.  Adam Stern’s job was to call the offending lawyer not part of the scheme and threaten him (myself) with disbarrment.  Judge Connor’s part was to keep the Mary Sykes case wired (she said in a deposition if there were any “problems” with the case, she would dismiss it, start over, and come to the same conclusions and issue the same orders).  Her role was also to make sure Mary went to a “go-to doctor”  to fill out a CCP211 declaration of incompetency.  When she was told the Mary’s personal physician would not sign one, she replied, “find a doctor that will.”  The presiding judges closed their eyes and signed whatever orders were necessary to enhance the wealth of the program.   In the Gore case – no depravity was too low for the judge – even an expedition into the mouth of the elderly ward to get a few grains of gold was acceptable conduct and 29 gold teeth from a 99 year old woman were pulled and a feeding tube inserted against her will because she ate too slowly.   Indeed, the collection of gold from grandmother’s mouth according to Jerome Larkin and his 18 USCA 371 co-conspirators was in the best traditions of the Illinois Bar.
3. Structural.     The subversion of professionals is old hat and as old as the hills.   Pass a dollar bill under the nose of some professionals and you own his/her for life.    The miscreants are too clever and they no longer need to use dollars – nursing home beds, opportunity to rob an estate, opportunity to be a guardian of an estate and steal, and a horde of sundry payments, mortgages, vacations, opportunities etc

A sheltered care facility has numerous operations.    The facility, for instance purchases pharmaceuticals.     This – Esformes created TOTAL CARE which just happens to have a monopoly on all the facilities drug purchases.

Each operation works essentially the same way, including management, nursing care, linen supply, real estate management, Utilities, professional operations, *****.     Even the billing is outsourced to a related entity which is independently controlled by Esformes Or some other mogul.   These operations even have independent offices and in many of the situations the CEO or person designated to go to jail is a total stranger to the group.     An O’Reilly being the CEO of an Esformes- Enron style corporation is not an anomoly.

The indictment of Philip Esformes found at www.justice.gove/opa/file87o8306/download will give you an idea of what the government investigation has uncovered to date.

I ran across an early version of this scenario in the BURT MORGAN CASE.