Elder seniors should be treated with the utmost respect and dignity as they made sacrifices laying the basis for our nation. Why though are they being treated as second-class citizens?
Money. Business has taken over medicine, and with this debacle a two-tied system has been created discriminating against the Greatest Generation. Please read my commentary below as there might be a solution to this problem. Free free to make comments using the link at the end.
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The Two-Tiered System of Hospital Care
Born in Canada, our mother came to the United States after World War II and blended into the Greatest Generation. Raising a family in the second half of the 20th Century saw her contribute to a thriving American society then maintain retirement health on Medicare. But in her early 90s, this tranquility was threatened when her HMO hospital tried to kill her. Continue reading →
Stuart Damon, DO shares his recent correspondence with then-AOA President (now Immediate Past President) John Becher, DO:
From: Stuart Damon Date: April 13, 2016 To: John Becher Subject: Re: What makes you and me different?
Dr. Becher –
Thank you for your reply. I do appreciate your response.
With respect, a HOD resolution isn’t enough. From what I have heard so far, the ACOFP has forwarded a recommendation encouraging review of OCC. Tactically and strategically inadequate. OCC and recertification both need to be done away with by immediate action of the AOA leadership.
OCC and the manner in which came into being is a symptom of a larger problem (more to follow).
There are virtually no data that compare lifetime with time-limited diplomates; I have found two such studies. Neither involved a large sample space, and both demonstrated similar results: though the marker of quality was different between the two studies, there were no differences between lifetime and time-limited certification holders. Continue reading →
A group of the nation’s osteopathic doctors – including IP4PI founder, Craig M Wax, DO, along with Albert A. Talone, DO, Richard Renza, DO, and Roy Stoller, DO – filed suit against the American Osteopathic Association (AOA) to recover millions of dollars in annual membership fees that the doctors have been forced to pay for years to the organization. The money is paid as a condition of obtaining and maintaining physicians’ board certification in any advanced medical specialty. The physicians—who have filed the suit as a class action—contend that the requirement that they purchase memberships is illegal, has no reasonable connection to the advanced certification and violates the antitrust laws
Dr. Wax says, “Our goal is to change the top down business as usual approach at the AOA for the last two decades. For twenty years, the AOA threatens DOs if they don’t pay their dues they will invalidate or take away their board certification status that was rightfully earned. They must change the mandatory dues status as it violates federal antitrust law. The AOA must consider and champion the causes of osteopathic physicians and their patients, not the government and third-party compliance approach. They must eliminate Osteopathic Continuous Certification (OCC/MOC) as it is burdensome, expensive, and doesn’t add to but subtracts from the physicians ability to incorporate new information and spend time with his/her patients. Continuing medical education, CME, on a yearly basis, has always adequately maintained physicians knowledge base and allowed them flexibility and individual freedom to pursue their talents and special patient interests. Our suit is all about fairness and doing what’s right for osteopathic physicians and the patients we serve.”
By the end of the long-range projection period, payment rates for affected providers would be about 57 percent lower than their level in the absence of these reductions. Currently, the Medicare payment rates for inpatient hospital services have declined to about 61 percent of those paid by private health insurance.97 …
It is conceivable that health care providers could improve their productivity, reduce wasteful expenditures, and take other steps to keep their cost growth within the bounds imposed by the Medicare price limitations. For such efforts to be successful in the long range, however, providers would have to generate and sustain unprecedented levels of productivity gains—a very challenging and uncertain prospect.
Opting-out of Medicare seems like a better idea every day – for doctors and patients.
If you’re a cash-based third-party-free practice, I invite you to join CCHF’s new “Wedge of Health Freedom,” an identified free-trade zone in the U.S. and an online site for patients and doctors to join together to break free. See videos of Dr. Brenda Arnett and Dr. Alieta Eck talking at our launch in D.C. www.JointheWedge.com
I would like to take few moments of your time and share with you some ideas on MOC/OCC and board re-certification exams. As a fellow physician and a Son of Dr. A.T. Still, we all share similar concerns. Our burden is to be true and faithful to our profession and to serve the needs of our patients honestly.
As an Osteopathic Physician like many in my situation, I completed my Osteopathic Internship, and participated in an ACGME anesthesia residency program which makes us uniquely qualified to be board certified by the AOA AOBA, ABMS ABA and The Royal College of Physicians and Surgeons of Canada, FRCPC (Canada). All three are fully respected and recognized in the USA. As a matter of fact, in my training program at USC we had many doctors from Canada who were certified by the FRCPC and were fully incorporated with a full Professorship status. The FRCPC has always been a Life-Time board certification process. Now, recently, last year, ABA has also re-adopted the Life-Time board certification process and dropped the EVERY-10-YEARS re-certification exam. Continue reading →