Time for the FSMB to Dissolve and Go Away. We don’t need it.

Dr. Ken Christman weighs in on FSMB & Interstate Licensure Compact:

So, what good is telemedicine if the Texas Medical Board is going to prevent doctors from prescribing? Perhaps the TMB should advise the FSMB (also headquartered in Texas) that the Interstate Compact is useless in advancing telemedicine if doctors are not able to prescribe! And, while the TMB is on the phone to FSMB, perhaps it can urge FSMB’s CEO, Dr. Humayun Chaudhry, to obtain a license to practice medicine in Texas. After all, if Dr. Chaudhry lists himself as an Associate Clinical Professor of Internal Medicine at the University of Texas Southwestern, he really should have a license to practice in that state.

Oh, yes, and if Dr. Chaudhry is issued a license to practice medicine, it would also be neat if he could participate in MOC. After all, his Interstate Compact defines a “doctor” as one who is specialty board certified. For all practical purposes, as grandfathered physicians retire, this will in essence mean that a “physician”, according to Chaudhry’s definition, is one who participates in MOC. I suppose that in Texas one can be on the medical school faculty without needing a license to practice medicine. Or, perhaps, if one is CEO of FSMB, he can mandate all sorts of things for fellow physicians, but then exempt himself. Chaudhry appears to fall short of his own definition of “doctor”.

The good news is that medical board of Missouri has voted AGAINST participation in the Interstate Compact. Great. 49 to go. South Dakota votes tomorrow. If you live in South Dakota, contact your state legislators immediately and urge them to vote AGAINST the Interstate Compact. There are at least 11 states with current pending legislation on the Interstate Compact. If you live in any of them, contact your state legislators as well as your state medical societies TOMORROW, urging them to follow the great state of Missouri in just saying NO to the Interstate Compact. These states are: Texas, Oklahoma, Montana, Minnesota, Iowa, Nebraska, West Virginia, South Dakota, Vermont, Utah, and Wyoming.

For all who live in those states, stop this Compact now. Introduce your legislators, especially the “conservative” ones, to the American Legislative Exchange (ALEC) resolution, which opposes the Interstate Compact. Also, introduce the state medical society resolution opposing the Interstate Compact. While your at it, introduce the resolution calling for your state medical board to withdraw from the FSMB. If all states withdraw from FSMB, it dissolves and goes away. We don’t need it. Please allow it to peacefully disappear before it does more harm to patients and physicians. This is your chance to make that happen.

Hospital Empires are Mere Annexs of the Government

Guest post from Jack Iannantuono, CFP®, ChFC®, MSFS, AIF® | Indicon, Inc.:

Being jealous of Romney, when Pennsylvania Governor Ed Rendell launched his State run health care system in his second term, I was asked to present for a legislative hearing held at Mercy Hospital in Norristown.

The CEO of Lankenau Hospital, another presenter, mentioned he already had about 8000 sq. feet of office space and about 25 staff reporting to the state and federal govt and Rendell Care, based on his analysis would double both the sq. feet and the number of staff.

That was prior to the EMR initiative, also prior to Obamacare. Continue reading

We need to Index and License All Data Sellers; it’s Out of Hand…

Guest-Poster Barbara Duck @MedicalQuack Writes:

Issa is our California “nit picking pain” and the richest member of Congress that owns a technology company.  He brings some good questions around but he also stumbles a lot too with his lack of technology knowledge at times.  Again with owning a big car alarm company I’m surprised as some of the crazy stuff he does at times, like tweeting the Constitution at times, as he lost followers a rapid because Twitter is not where you do that.  People got mad, I tweeted and asked him to stop too☺ Continue reading

FACTS: The Effect of Government Interference

Student loan debt more than quadrupled from $300 million to more than $1.1 trillion from 2004 to 2014

2010 student loan debt surpasses credit card debt for the first time in history…credit card debt actually declined from $800 million to $700 million since 2010 while student loan debt increased from $800 million to $1.1 trillion

Student loan defaults, of course, are at a 20 yr. high

Your average politician will look at this as a crisis to throw more money at….like Obama’s community college comments….

Financial institutions like JP Morgan are forecasting  four year costs for newborns in 2014 to be $190,000 for public and $475,000 for private in the coming decades.

Economic fact…subsidize a market (education) and the costs will never, ever go down.

Get the govt out of education on all levels!!!!

The reality of economics is the subsidy of loans drives the price through the roof

Jack Iannantuono, CFP®, ChFC®, MSFS, AIF® | Indicon, Inc.

MOC: the tide is turning

From Paul Kempen, MD, PhD

The tide is turning. Be sure to put this from NEJM on the table of your medical staff and demand all requirements for board certification be removed from privileges, insurance payment and licensing.

If you want a solid understanding of the history and extortion of the ABMS, see this lecture, especially around minute 40 when the obvious requirement for YEARLY payments through threats of losing your certification in spit of a 10 year issued certificate is clearly stated-valid only if MOC compliant printed right on the darn thing! Stop paying extortion and rise up against this ponzi style enrichment scheme. Continue reading

Data Selling is Really Making Me Mad

Barbara Duck @MedicalQuack writes to IP4PI:

I got a call the other day and the data selling is really making me mad. It was an offshore call center as you could tell by the accent of the caller. She addressed me by name and said they were interested in letting me know about a new clinical trial for blood thinners since she said she had noticed that I had a history of using blood thinners. I asked, where did that information come from? Uh…well…it was in the files…wouldn’t dish it out. Anyway I continued on then to at least get my 2 cents in with the fact that I have never been prescribed blood thinners at all. Continue reading

@KevinMD, you are missing the big picture

Dr. Daniel Craviotto – author of WSJ article “A Doctor’s Declaration of Independence” – responds to Dr. Kevin Pho’s article on Kevin MD “MOC is medicine’s self-inflicted wound

Kevin, you are missing the big picture. There are many issues that confront physicians and American health care. But why all the angst now? What has pushed us over the edge? Why now? There is a common denominator here. Those of us who are clinicians and in the active practice of medicine feel that we are being told by those outside of medicine how to practice medicine, how to use an EMR, what is meaningful in an EMR and how to be certified. For those outside of medicine – how dare you. Continue reading

“Your MOC Status Has Changed”

Dr. Jonathan Weiss shares his correspondence with ABIM:

Dear ABIM,

ABIM’s Maintenance of Certification (MOC) program in fact does NOT offer me a structured framework for keeping up with and assessing my knowledge of the latest scientific developments in practice in my specialty. Rather, it offers me a structured program in indentured servitude to the ABIM, a program which, you’ll have to forgive me, I will now take a pass on, after 20 years of foolish and blind participation, with NO benefit whatsoever to my practice of medicine. We understand how busy you are but wanted to inform you that since you did not fulfill your MOC requirements by December 31, 2014 your MOC status changed on January 1, 2015.  Really? I don’t think you have the slightest idea how busy a front line, in-the-trenches clinician is in this country, trying to stay afloat above EMR, MU, MOC and other burdens, but then, how could you know what we go through on a daily basis from your ivory tower?

Log in and view your MOC Status Report to check your status for the certifications you hold as well as your outstanding MOC program requirements. Your Status Report will tell you what you need to do. What I need to do is continue to deliver excellent care to my patients, continue to pursue self-directed inexpensive life long learning of my choosing and to not allow so much as one more dime of my hard earning money to pass into your overflowing coffers.

Your certification status will be restored as soon as your outstanding requirements are met.  There is nothing wrong with my certification status; like a lawyer who passes the bar, I became certified at the completion of my training and I will be forever certified. I am free of you.


Dr. Weiss