A US software developer must cough up $145m in fines and settlements – for building an application that counseled doctors to prescribe highly addictive pain pills against medical guidelines after it was bribed by painkiller manufacturers to rig the system. Practice Fusion had developed a cloud-based medical record management service that generated alerts if patients' symptoms or circumstances matched certain criteria. These alerts would suggest courses of action that doctors could add to people's care plans. One alert in particular would pop up asking for the patient's level of pain. If the pain persisted, another alert would ask for a more detailed description of the discomfort. Finally, if the patient's pain continued above a certain level, a third alert would appear recommending a treatment plan be set up, with a drop-down menu suggesting various options, from physical therapy to opioids. These alerts, as prosecutors politely put it, "did not always reflect accepted medical standards. "
The Shin Bet did not interrogate him, al-Akhras said. An Israeli military judge then ruled that a secret file against al-Akhras did not warrant an extension of his detention and attempted to release him, he said. But the Shin Bet asked for more time to interrogate him. Al-Akhras said he wasn't interrogated then either, but he was questioned briefly by a police officer. "He said the suspicion is that I am connected to some organization with other people, " al-Akhras recalled. The judge again intended to order his release but delayed it as the Shin Bet said it was considering placing al-Akhras in administrative detention – imprisonment without charge or trial. He then received a four-month administrative detention order. "Freedom or death" Throughout his hunger strike, al-Akhras maintained that his only conditions were "freedom or death. " He stood by his assertion that it was entirely within Israel's hands to release him, but they chose to continue detaining him without charging him. "The state's intention is to execute me and to liquidate me, " he told Haaretz.