Open Letter to All Physicians

D.O.’s and M.D.’s are up in arms about all of the mandates coming down from the federal government, state governments, insurance companies, HMO’s, malpractice carriers, and hospitals.

U.S. physicians are the most over-regulated profession in history.

Doctors, both D.O.’s and MD’s, are particularly disturbed when many of the onerous mandates are instituted by their own parent organizations that were supposed to be representing them.

Let’s work together to turn it around.  AOA and AMA should send a message to all of their members that these membership organizations now actively oppose Maintenance of Licensure procedures that are being promoted by the FSMB.

After that, we can start working on the restrictions created by OCC, MOC, ACGME, ICD-10, CAP, PQRS, Needs Assessment, COMLEX, and all the other burdensome acronyms.

Respectfully submitted,
Robert S. Maurer, D.O, a concerned physician

AOA Dog and Pony Show in Chicago on May 4, 2014

Courtesy Bob Maurer, D.O. 

Approximate Total Cost for Participants: Around $ 80,000-100,000 for airfare.

Additional Costs:   Overnight hotel rooms, hall rental, staff, lunch, handouts, etc, etc.

It probably could have been done on Webinar for around one hundred dollars.

From AOA:  On Behalf of Adrienne White-Faines, MPA, AOA    Executive Director/Chief Executive Officer

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Letter to Fellow Psychiatrists about MOC and MOL

The Practical C-L Psychiatrist

I am as frustrated as you are about MOC and MOL. I wonder if mass noncompliance will be the way younger physicians go in the future. And I wonder if that’s what it will take to make the boards pay attention.

I have been a staunch supporter of the principle of lifelong learning and opposed to Maintenance of Certification (MOC) and Maintenance of Licensure (MOL) for a number of years. You can check my views on my blog site, http://thepracticalpsychosomaticist.com/

The recent ABIM petition opposing MOC shows that nearly 10,000 have signed it. The number of signatures on my petition opposing MOL in Iowa creeps along, but shows a fundamentally similar objection to non-evidence-based processes which burden doctors.

Few physicians will give up their certification. I’m in academia and don’t have the option of simply quitting MOC. I just took the recertification exam for Psychosomatic Medicine only days ago. In…

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To All D.O.’s Nationwide – Opposition to Maintenance of Licensure

Date:       April 22, 2014

Subj:      Opposition to Maintenance of Licensure

On April 1, 2014, the House of Delegates of the New Jersey Association of Osteopathic
Physicians and Surgeons, passed the attached resolution directing the AOA, our
representative organization, to stop supporting Maintenance of Licensure and to
actively oppose it.

A Resolution on this issue was presented to the AOA House of Delegates in Chicago, in
July of 2013, but was promptly side-stepped by referral to Committee.  Since no official
response was received 8 1/2 months after referral, a stronger and more direct Resolution
was submitted to the NJAOPS House of Delegates and passed with little dissension.

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ACA Obamacare debate will be over when the people say it’s over

The #Obamacare debate will be over when it is repealed in full and competition and efficiency of the freemarket individual healthfreedom rules supreme.
http://m.weeklystandard.com/blogs/debate-will-be-over-when-american-people-say-it-s-over_787058.html

Letter to the AACOM Society of Osteopathic Medical Educators (SOME)

Long response to the following question posed after completion of a national conference:

What educational projects can SOME sponsor that will be of benefit to your campus, and the profession?

One of the most perplexing issues that continues to face the profession remains full faced and largely un-addressed in the literature and in research today largely because there has not been a concerted effort to define the Distinctiveness of Osteopathic Medicine on its own terms. What has been promulgated through all our education programs is that DO ≠ MD + OMM.

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Physician Comments on ABIM “2020” Blog

from Dr. Howard Mandel:

I find these comments on this thread quite interesting—-Marilyn as a regulator and as a lawyer, are you advising that all lawyers retake the Bar exam every year or two? If not are you advising that the federal government mandate that lawyers take a national certification or recertification exam? How about architects, engineers, nurses and other professionals? Every time testing goes on there is a pro and a con, a cost and a benefit——where does the money come from to pay for this? If there were proven benefit, we all could have a different discussion, but there is no scientifically proven benefit—-only cost. Lawyers are trained to argue based on law and interpretation of the law; doctors argue based on scientific fact. Doctors opine based on scientific fact, pros and cons, risks and benefits. MOC has never been proven to be beneficial but it does have real costs. Some of those costs are non economic and are harmful to the medical profession. There are decreased attendance to educational meetings that are more relevant to those individuals practice, there is decreased comradery and decreased time for physicians to read/study articles that apply to their specific patient populations. America has a very diverse population—-one size does not fit all. Do you think that all women should only buy a size “4″ pair of jeans? All men drive the same kind of car? Nobody should be uncivil. The tone that we all pick up from the thread is obviously one of anger and frustration. As a lawyer and defender of peoples rights, I can not figure out why you would defend MOC. It is a one size fits all program that has never been proven to improve the quality of care. It takes away individual freedom of physicians who have sought varied approved ways to keep current and it is weakening the profession of medicine by destroying other long proven quality CME programs and meetings.