10 Reasons PPACA Obamacare is Failing

With all due respect, “experts” do not agree on the consequences of PPACA. Many practicing physicians, accountants and economists agree that “it:”

1. It is totally unaffordable in the federal budget.
2. It “steals” money from the almost bankrupt Medicare Ponzi scheme.
3. It is causing multiple double digit increases in everyone’s health insurance coverage from 2013 forward.
4. It created expensive health insurance exchanges paid for by borrowing on fed taxpayer dollars, only to force states to make up the funding on their own in future years and thereby likely increasing state income tax.
5. It puts the IRS in charge of data collection and enforcement of the largest new tax penalty in the history of our country. Perhaps you have read of multiple IRS infractions on selective enforcement recently?
6. It puts IPAB, a committee of politicians, not physicians or patients, in charge of care spending decisions.
7. It created ACOs, a hospital owned and driven form of healthcare at preferential treatment to all others. It also makes ACOs dependent on government dollars permanently.
8. It is virtually eliminating the individual private practice of osteopathic and allopathic medicine in all communities by increasing costs and reporting to government entities.
9. It passively forces tax paying patient onto Medicaid, another bankrupt state/fed entitlement program.
10. It effectively removes any remaining capitalist competition from healthcare service, delivery and payment. Competition is the agent in our free society that increases quality and service, while decreasing cost; the very thing america was promised with PPACA, but not delivered. It has completely disappeared from our industry since employer sponsored health insurance entitlement during WW II and the establishment of Medicare in 1960.

We cannot and will not stand idly by as the AOA, AMA, physicians, patients, hospitals, imaging centers & insurance companies bind themselves to a government in decline, desperate to reduce their cost liability for the seniors and all other tax paying citizens of our country. Yes, PPACA is the law of the land and the Supreme Court violated the US constitution to make it so, however it is a bad law and must be changed through peaceful noncompliance and active defunding and repeal.

Best wishes for good health,
Craig M. Wax, DO
Family physician, Editorial Board of Medical Economics
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI

Fight for your private healthcare individual healthfreedom

“Now, more than ever, physicians and patients must resist the so called “stakeholders,” government, hospital associations, insurance oligopolies and money powers to provide high quality direct care for our empowered patients without interference from any entity.

Private healthcare individual healthfreedom has its cost but fascism, socialism and statism take all if good men and women do nothing to defend their freedom.”

Craig M. Wax DO

“If the people let the government decide what food they eat, what medicines they take, their bodies will soon be in as sorry a state as the souls who live under tyranny.”

Thomas Jefferson

Why is AOA board certification test $1,300 for test only?

Hi Dr. Wax,

I do not set the examination fee, but you are correct it does not include conference, CME, hotel or airfare.

Best regards,

Ellie Kraynak
Certification Specialist, Certifying Board Services
American Osteopathic Association
142 E. Ontario St., 4th FL
Chicago, IL 60611-2864
Toll Free: (800) 621-1773
Find the AOA on Facebook, Twitter and LinkedIn

http://www.aobp.org; http://www.aobnm.org; http://www.aobpath.org; http://www.aobpm.org; http://www.aocuhm.org; http://www.aobpmr.org; http://www.aoesm.org; http://www.aocuhm.org; http://www.aobpr.org; http://www.aoepm.org; http://www.aobanes.com


From: Dr. Craig M. Wax
Sent: Thursday, June 27, 2013 12:36 PM
To: Kraynak, Ellie
Subject: Re: American Osteopathic Conjoint Pain Medicine September Application


Thanks for your email. Why is a simple certification test $1300? That fee doesn’t include the conference CME, hotel or airfare. Correct?

Best wishes for good health,

Craig M. Wax, DO

Family physician, Editorial Board of Medical Economics
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI

On Jun 27, 2013, at 11:19 AM, “Kraynak, Ellie” wrote:


The American Osteopathic Association (AOA) will be offering the Conjoint Certification of Added Qualification (CAQ) in Pain Medicine.

This exam will take place at the Osteopathic Medical Conference & Exposition (OMED) on Saturday, September 28, 3013, in Las Vegas, Nevada

Applications for the September 28, 2013 exam are due on Monday, July 15, 2013.

Cost: $1300.00


Certification: September 28, 2013


Monday, July 15, 2013

For an application you can go to http://www.aoepm.org or if you have any questions please contact Ellie Kraynak at or (800) 621-1773.

Dr. Weiss reply to ACP on ABMS and MOC

Dear Dr. Sgrignoli,
Thank you very much for the courtesy of your thoughtful and detailed reply, however I, and many others, still take exception to MOC as well as the ACP’s position on MOC. You state that the ABIM and ABMS “determine the need for and the direction of the MOC program and it appears that MOC, in some for, will be part of the future of medicine for some time.” You say this like it is a fait accompli, but I ask you, why? By what authority does the ABIM and the ABMS determine the fate of practicing doctors. Continue reading

ACP reply to Dr. Weiss on MOC

Dear Doctor Weiss,

The College is sensitive to the frustrations you shared about MOC. We have heard ACP members voice these same frustrations many times. I assure you that the College has worked tirelessly on this issue. MOC has been and continues to be a primary agenda item for ACP’s Board of Regents, Board of Governors and Education and Publication Committee. Continue reading

Dr. Jonathan Weiss’ letter to ACP on MOC MOL

I am in receipt of your membership renewal notice. I was formerly a member, but have allowed my membership to lapse, because I, like many physician colleagues, feel that we are not getting much for our money from the ACP. With each passing day, the medical profession is being over-regulated to the point where functioning as a physician in this country is becoming an overwhelming and nearly untenable task. Worse, organizations such as yours purport to speak out for the concerns of physicians, but those of us on the front lines more and more question whether that is really the case. Take, for instance, the issue of MOC and MOL. Continue reading

Dr. Horvitz’ follow up email to AOA on osteopathic physician independence from insurance and government

Ray Quintero:

Thank you for your reply.

If I may, a few follow-up questions/comments.

You mentioned the AOA’s Bureau of Federal Health Programs.

1- How often do they meet and who is part of this board?
2- Are the board members physicians in private practice, academia, non-physicians? Continue reading

AOA response to Dr. Horvitz on government in medicine

Dr. Horvitz…
Thank you for your email and expressed concerns regarding the future of all osteopathic physicians. Each of the issues you raised are under the purview of the AOA’s Bureau on Federal Health Programs and are discussed regularly at meetings. The AOA works closely to influence Congress and regulatory agencies on all issues affecting the profession and the practice of Medicine. Their primary jurisdiction is over those Federal programs including Medicare and Medicaid. However, there are certainly issues impacting physicians outside of those programs including those within the private payer community. Continue reading

AOA: Rights of private physicians and patients?

To Laura Wooster at AOA

Thanks for the SGR update.

May I now ask what the AOA is doing for Osteopathic physicians who have opted out of Medicare as well as most other third party insurers?

Is the AOA planning on protecting the rights of individual physicians to work outside the SGR government insurance system by declaring it a safe alternative to becoming further addicted to government and third party money for independent practice survival? Continue reading

We are physicians, not “providers” nor “practitioners.”

FYI: We are not “providers,” nor practitioners.” We are physicians with at minimum of 11 years of graduate, doctoral, and post graduate residency education. The other two are insurance industry terms to homogenize, demoralize and unincentivize doctorate postgraduate trained physicians.

The insurance industry began referring to physical therapists as “providers,” around 1970. Decades later, they extrapolated the term to apply to any entirely or person that provides a healthcare service to their insureds. People may be insureds to the insurers, but are patients to physicians; a unique relationship with special responsibilities and privileges.

The AOA, AMA and all physicians cannot accept or employ these insurance industry bastardization terms. We are what we are, what we believe we are, what we say we are, what we demonstrate we are, not what opposing factions imply we are.

We are post doctorate level physicians with lifelong continuing education and experience; nothing less.