I should not be mandated to PAY-to-Practice this great noble profession of Osteopathy.

IP4PI supporter Gina Reghetti, D.O. shares correspondence regarding continued attacks on the osteopathic profession.

Just a note to let you know that I received a letter today from the AOA, dated 1-9-2017 and signed by Jeffrey L. Weaver, O.D., yes, OD, not DO, an Optometrist who is the Vice President, Certifying Board Services, and from Eunice Lee, Associate Vice President, Client and Member Services, informing me that I have until February 1, 2017 to renew membership to keep my AOA board certification active. My board certification is wrongfully time-dated to expire in December 31st, 2022.

My scanner isn’t connecting to my PC wifi so I am unable to email the letter to you currently.

I called Jeffrey L. Weaver, O.D., this morning to confirm that he is not a DO, and I had a conversation with him for more than an hour regarding my views and concerns of the wrong agendas that the AOA has enforced on their doctors, such as re-certifications, and OCCs and membership dues connected to certifications. Continue reading

I do not want a government “comprehensive replacement plan” for 1/6th of the private sector economy.

Friend of IP4PI and medical freedom warrior Jane L Hughes, MD writes in:


We need something that does not increase the cost to everyone! Approximately 50% of Americans don’t spend more than $1,000/yr on actual healthcare, and 89% don’t spend more than $5,000/year. Also, in my opinion, “Make America Healthy Again” is more a slogan for the public health department, not physicians per se. 100% of Americans who make it past 8th grade have had health class. They know obesity, smoking, drugs, sex, teen pregnancy all lead to problems. They persist in bad habits/lifestyles anyway. That is a societal problem that we all care about, and each of us in our own way influences as a physician. However, our primary job is screening, treating when necessary, managing chronic illnesses with our patients, and stressing behavioral changes that can impact future health issues with our patients. OK, on to what I think we need.

1. Repeal 100% of ObamaCare and start over with transparency regarding cost and sources of revenue for safety net on federal level. Continue reading

The Latest Repeal, Partial Repeal, and Replace Plans

2/27/2017 update: The alleged GOP repeal and replace plan under consideration has been leaked.  Highlights: it would repeal various mandates including the individual mandate; states would receive a capped per-enrollee federal contribution for Medicaid. current ACA income-based tax credits would transition to credits allocated by age of enrollee; and tax breaks would be limited for high-dollar employer-based coverage.

For more details and a link to the draft bill see: http://www.politico.com/story/2017/02/house-republicans-obamacare-repeal-package-235343

There are a few notable newcomers since our previous post on replacement plans:

  1. Ted Cruz has introduced a full repeal bill:S. 106, a bill to repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 in its entirety was introduced by Sen. Ted Cruz (R-TX) and referred to the Senate Finance Committee.”
  2. S. 222 the ObamaCare Replacement Act by Dr. Rand Paul which repeals parts of ACA and replaces with more flexible HSAs (no HDHP requirement) and $5000 tax credits to fund the HSA. Read more at Reason.com: http://reason.com/blog/2017/01/25/sen-rand-paul-introduces-replacement-for
  3. Rep. Darrell Issa’s “Access to Insurance for All American’s Act” would offer federal employee health plans to all Americans  http://www.nbcsandiego.com/news/local/Congressman-Darrell-Issa-Proposes-Plan-to-Replace-Affordable-Care-Act-412059253.html.
  4. Cassidy/Collins contains portions of Cassidy/Sessions and would be a partial repeal tied to provisions that allow states to keep ObamaCare on a state by state basis or fund state-based market-oriented reforms: https://www.collins.senate.gov/newsroom/cassidy-collins-introduce-comprehensive-obamacare-replacement-plan
  5. AEI’s “Improving Health and Healthcare Plan” utilizes tax credits and expands HSAs to some extent. It also has an “auto enroll” feature that places non-enrollees in an HDHP.  http://www.forbes.com/sites/theapothecary/2016/12/30/how-aeis-improving-health-and-health-care-plan-would-repeal-and-replace-obamacare/#68d118953be6

And, of course, President Trump has started the ball rolling with his Executive Order on ObamaCare: http://www.cnn.com/2017/01/20/politics/trump-obamacare-executive-order/

Previously announced plans:

Congressman Tom Price’s plan


Speaker Paul Ryan: A better way


Congressman Sessions/Cassidy plan


(Former Congressman) Dr. Paul Broun plan (needs new sponsor)


Brat/Flake “HSA Expansion Act” would eliminate the “mandate” that HSA holders purchase a government-designed high-deductible health plan. “As a replacement for ObamaCare, Large HSAs would encourage innovative products like pre-existing conditions insurance that make coverage more affordable and secure.”


The 2015 Burr, Hatch, Upton Patient Care Act could make a return:


Ideals and principles

National physicians’ coalition for freedom in medicine 2015


D4PC Rx for Healthcare Reform https://d4pcfoundation.org/about-us/the-physicians-prescription-for-health-care-reform/

Real Stories of the ACA Obamacare nightmare #1

Quoted with permission from anonymous source. This is a real physician, a single mom, in private practice who cannot afford ACA. She gave up her foreign citizenship to become an American citizen and vote against Obamacare. And on a personal level, she ROCKS and I wish her the best:

“It’s embarrassing to explain to the people at Pfizer how a physician doesn’t have insurance and cannot afford their medications…. yet I write medications for my Medicaid kids that will get covered no questions asked. I hate having arthritis. I also hate that because of the goddamn ACA I’m still uninsured. And I’m paying down on a several thousand dollar tab at the rheumatologist… while criminals in jail are getting better health care than our veterans!! And many illegal aliens are getting very expensive medical care at our expense!”


Real Stories of the ACA nightmare #5

“A 44 year old self-employed man with Crohn’s Disease has to get on the ACA exchange on January 1st. The cost? $26,000 out of pocket. He is going to start getting his medications in Canada because the only option he can get through Obamacare does not pay for his Crohn’s meds. He will also lose his neurosurgeon and gastroenterologist. Instead of driving 30 minutes to see his current doctors, he has to drive 2 hours to the nearest doctors under his new plan.”

Real life Stories of the ACA nightmare #4 – The Employer struggle is Real

From a small business owner of a financial services company:

“We have 4 employees and pay $3,200 a month for average Blue Cross insurance. Our policy was going up about 20% for the same coverage, so we took the deductible from $2500 to $5000 to keep the payments the same.”