Now here is an answer to the whole ABMS extortion racket! Tell them to shove their programs where the sun don’t shine!
Urology Timespublished this physician’s critique of MOC:
“I successfully completed the original certification process and the subsequent recertification process, but enough is enough. The ABU has strayed far beyond its original mandate to ensure excellence in urologic training and has added yet another onerous burden onto the backs of practicing urologists.
The 2002 Physician Charter, which served as the foundation of MOC, is a flawed and disingenuous document that has one surreptitious purpose: to give specialty boards more power and control over their diplomates. How dare the ABU question my demonstrated commitment to lifelong learning! How dare the ABU attempt to lecture me on professionalism and ethics! How dare the ABU place the “benefit of the public” above the welfare of its diplomates! The “public” doesn’t pay the ABU’s expenses.”
The Summit at the Summit, Let My Doctor Practice, National Grand Rounds on the State of American Medicine, is in full swing!
Don’t miss out on this crucial event. Even if you can’t make it in person you can attend online. See http://letmydoctorpractice.org/ for details and a full schedule.
The event organizers explain:
“This week-long national physicians’ townhall gathering, physicians and other leaders will discuss solutions to our most pressing problems, collaborate live with other doctors from around the country, and then vote in support of the top ideas for actionable solutions. … We’ve been rolling over to government mandates and third party intrusions for too long. It’s time to take back our practices and restore our voice. Join us today to change the medical practice environment for good.” Continue reading →
Following the information that AAPS submitted an amicus brief to the United States Court of Appeals fifth circuit to block the federal government from accessing and releasing unauthorized patient medical records, independent physicians for patient independence sent the following email to the American Medical Association and the American Osteopathic Association today:
Perhaps the American Medical Association and The American Osteopathic Association can also take the lead on filing an amicus brief to restore the sacrosanct patient privacy of their medical records. Currently the government is gathering and freely sharing data without regard for individual patient privacy. Last month, the government agency that performs security checks was breached of 21 million government employees records. Need I say more?
Richard Armstrong, MD shares his thoughts on what physicians must do following the King vs. Burwell ruling by the Supreme Court of the United States:
The government is on a fantasy fiscal trajectory and they have been for 5 decades. MACRA accelerated it, but it allowed Congress to wash their hands of the issues for about another decade. This SCOTUS decision simply says that the government can “allocate” about another $700 billion to subsidize health care spending over the next decade…roughly.
Since 1990 the percentage of GDP allocated to all federal spending has remained relatively constant. However, in 1990 1/3 of that spending was on “entitlement” programs. By 2015 the percentage has increased to ½. The projection is that by 2030 the percentage will be 2/3. Spending on entitlements will crowd out everything else. Continue reading →
Excellent, and a powerful story which resonates with everyone who sees clearly where this has been heading for years. Those who haven’t had the courage or resources to do what you have done successfully need to hear this and I would appreciate it very much if you would be willing to post your story to Sermo. Josh, Doug and Lee Gross as well as others have been doing an excellent job nationwide teaching our colleagues how to approach these tough decisions and navigate them successfully. Continue reading →
Back in 2006 I saw the writing on the wall that solo docs were in trouble. Revenues were stagnant due to insurer fee schedule reduction, yet expenses kept rising. My practice style does not fare well with quick visits so adjusting my practice to a treat-em and street-em quickly was not in my plans.
In 2005 United Healthcare and First Health insurers were creating issues with referrals and formularies and since I did not have a large percentage of those patients I dropped those plans. Most of those patients either switched insurance to remain with me or paid me my cash fee. Continue reading →
Dr. Gina Reghetti shares her thoughts on preserving the practice of osteopathic medicine and formation of an alternative D.O. board:
We must fight the system that wants to change a good thing. Osteopathy needs to stay unchanged, and it needs to be practiced as it was practiced in the past, without insurance involvement because it is the big corporate insurance companies that just couldn’t understand our language so they have attempted to destroy it. Harvard has dealt us serious blows because it’s the allopathic profession that is clueless to the medical practice of Osteopathy, yet they are the ones in positions to judge, and define reimbursement for an area of medicine that they just don’t know. We are not allopathic physicians, and we never will be, and never care to be so we need to stop holding DOs to the same standards as the MDs were trained. We are not trained the same that is why we don’t take the same boards; we are very different!
We must keep our identity especially when big government and national medical organizations are forcing us down one pathway. Continue reading →