Cancer research dollars diverted on “study” linking Trump support with opioid abuse?

National Institute of Health funded researchers are hard at work seeking cures for America’s patients… except when they’re not.

The venerable Journal of the American Medical Association is out with a new NIH-funded “original investigation.” What medical breakthroughs are being announced do you ask? Not. A. Single. One. Instead JAMA has published a “study” the authors tout as “adding to the emerging literature on the relationship between health status and support of Donald Trump in the 2016 election.”

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2685627

Here’s what James S. Goodwin, MD et al claim to have “discovered”:

An analysis of a national sample of Medicare claims data found that chronic use of prescription opioid drugs was correlated with support for the Republican candidate in the 2016 US presidential election.

You read that right. Trump supporters are more likely to abuse drugs, according to Dr. Goodwin and his colleagues. However reading through the article, it becomes clear that the boldness of their claim is inversely proportional to the strength of the evidence backing it up.

It’s bad enough that the researchers are digging through and torturing medical data (statistically) for a political purpose. It’s equally bad that the patient data was used without any informed consent (because the data is “de-identified” don’t ya know).

What’s worse? A source of funding for this junk science appears to be a taxpayer funded NIH grant ostensibly for cancer prevention and control.

Whether you support Trump or not, there’s no debate over this: the diversion of cancer research funds for political purposes is bad for patients.  In addition, it is improper to use health crises like the opioid epidemic in this manner. The NIH should demand that the taxpayer dollars spent on this “study” be returned.

IP4PI Participates in National Day of Solidarity to Prevent Physician Suicide

August 20th was a National Day of Solidarity to Prevent Physician Suicide.

Learn more at http://www.care2.com/savedoctors and watch Dr. Craig M. Wax speak at the Philadelphia County Medical Society about ending this epidemic on the Health Is Number One YouTube Channel.

Medical Economics has published a transcript of the talk:
http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-abused-ignored-and-silenced-no-more?page=0,0

Thank you to Dr. Pam Wible – http://www.idealmedicalcare.org/blog/ – for launching this much needed initiative to save physician lives.

wax-pcms

Fighting Back When No Good Deed Goes Unpunished

Dr. Richard Willner of the Center for Peer Review Justice writes in: 
This is the last letter I received from a client.  M is a 63 yo cardiologist living in XX.  This letter was ghosted by his boy, a lawyer in YY.   M had the “nerve” to question the billing of his patients.  As an employee, the billing is done by the billing department of the employer.   He should have benefited as he has earned more “credits”, as per the usual and customary contracts, insurance payers, etc. The Employer retaliated with a Suspension, Data Banking by the National Practitioner Data Bank,  and other actions.  
Under the Health Care Quality Improvement Act of 1986, MDs do not have substantive due process rights.  All of these actions often result in a suspension at the state licensing board level, and other actions.  I specialize in “fixing” these type of cases.
The Cardiologist is making nice progress, and we are in the process of getting him significant employment in a hospital.
This letter followed:

Continue reading

$23 Million Hospital Propaganda Against Doctors

Guest Post from Gene Uzawa Dorio, M.D.

When well-educated medical professionals have no voice, and hospital administrators control public relations, swaying opinions can be harmful to patient care.

Below is my recent posting revealing intentional finger pointing away from the true cause of poor healthcare in our country. It is nationwide, and should be examined in your community.

Thank you for listening.

Gene

$23 Million Hospital Propaganda Against Doctors

On occasion, I feel compelled to put in my two cents at Santa Clarita City Council meetings. Recently there was a five hour meeting about whether the city should subsidize the artsy Laemmle theatre as an anchor to revitalize business in Old Town Newhall.

This is what I said:

As a physician, my job is to weigh risks and benefits.

Advancing technology and research has improved my ability to practice medicine. We don’t give children cough syrup laced with morphine or heroin anymore. Blood letting has been discontinued. Lobotomies are now only reserved for Washington D.C. politicians. Continue reading

We Must be the Paradigm Shift and Mount an Innovative Goliath Offense

Guest Post from Kris Held, MD

After spending the last 7 years treading water naively and optimistically waiting for things to be repealed and fixed and after countless trips to DC and across the country trying to cry from the wilderness of the practice of medicine from the trenches with many of you and our organizations, I am convinced this is beyond repair and will never be repealed by those in power.

The Philosophy of the architects of the current system we are floundering in is the antithesis of Hippocratic medicine and in fact works to undermine and dismantle it. Just take innovation- look at Ezekiel Emanuel’s own words on this- he believes innovation is too expensive and the taxes in Obamacare reflect this opinion. He also is an ethicist whose roots stem from his area of expertise which is dying with dignity and systems of rationing like the complete lives system. Continue reading

How to return healthcare to real healing

“Osteopathic family physicians have always had patient centered medical home practices. We don’t need insurance or government bodies to certify us for money. We also shouldn’t be forced to sell patient and physician private data for money. we shouldn’t be forced to work for hospital systems due to complicated cronyism federal law. DPC Direct primary care changes 70 years of insurance and government lies and deceit back to the privileged individual patient-physician relationship.” Craig M. Wax DO

National Physicians Solution Forum | Let My Doctor Practice

Patients and doctors alike are being crushed by the current health care system, where government and insurers, instead of patients and medical professionals, make health care decisions. Check out the new letmydoctorpractice.org, national physicians town hall. This is not a membership organization. This is a solutions forum, to which all doctors and their organizations are invited. View all content free, add your voice.

  • 45+ Speakers
  • 30+ Hours of Solutions/Alternatives Content
  • 30+ Organizations Participated
  • “Key Ideas, Resources and Solutions” with links

letmydoctorpracticeBest to all,
Mike Strickland

National Physician Coalition for Freedom in Medicine

Dear Physician Colleagues,

Obamacare continues to wreak havoc. The decision by the Supreme Court to hear the King v. Burwell case in March creates a glimmer of hope. There is a real chance the Court will invalidate subsidies issued without statutory authority through federal exchanges. This would pull the rug out from under Obamacare, as some 90% of enrollees could lose their premium support. There have been many calls for Congress to prepare legislation to address this potential crisis, and to have it ready to go in June, when the Court decision is due.

We see this as a rare opportunity for a coalition of freedom-oriented physician groups to make our priorities known to Congress.

You are cordially invited to attend a meeting of the National Physician Coalition for Freedom in Medicine to be held in Washington, DC on March 25 and 26th. The limited goal of this meeting is to discuss, finalize and publicize a simple one-page plan to propose to Congress. We will focus on legislative items that will neutralize the worse aspects of Obamacare, and thus increase patient and physician freedom.

All practicing physicians who are concerned about the direction health care has taken are invited to participate.

AAPS has secured a meeting room and has preferred rates at the Cambria Hotel and Suites right in the heart of Washington, DC. We have chosen March 25 and 26, so ask that you save the dates, secure a room, and invite your colleagues. More details to follow.

Here is the link for hotel reservations. Ignore the error message and put in the dates to secure the preferred rate of $229 for this landmark event.

Space will be limited, so please register today by clicking here to fill out a short RSVP form. The form will also collect a $25.00 fee from each doctor (spouses and guests are free) to help cover the costs of this event.

Sincerely, 

 National Physician Coalition for Freedom in Medicine

Richard Amerling, MD, President, Association of American Physicians and Surgeons 

Alieta Eck, MD, Past-President, AAPS 

Ken Fisher, MD, Michigan 

Arvind Cavale, MD, Pennsylvania 

Craig M. Wax, DO, Independent Physicians for Patient Independence, New Jersey 

Herb Kunkle, MD, Patient-Physician Health Care Alliance 

Marion Mass, MD, PPHCA, Pennsylvania 

Jane Hughes, MD, AmericanDoctors4Truth.org 

Kris Held, MD, AD4T 

Parvez, Dara, MD, New Jersey

John Tedeschi, MD, New Jersey 

John Perry, MD, Pennsylvania & Florida

Marcy Zwelling, MD, California

 

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Obama’s Care vs Obamacare

Friday afternoon, it was reported through the media that Pres. Obama was seen at Walter Reed Hospital health system for sore throat complaint for two weeks. Interestingly enough, despite advocating for, lying about, and forcing Obamacare ACA, so called healthcare reform on our nation, he continues to have private “Cadillac plan” health insurance completely paid for by taxpayers. As per the reports, within a half hour timeframe, he had a consultation and multiple tests. He was said to have an ENT specialist consultation($300), nasolaryngoscopy($300), and a neck CT scan($800). All this resulted in a diagnosis of GERD, gastroesophageal reflux disease.

Let’s break this work down as if he had Obamacare ACA compliant, high cost, high deductible insurance. Since he would have Obamacare, chances are he couldn’t keep his regular doctor as they use narrow networks for cost control. After he found another doctor that was in his insurance network and compliant with the plan, he could get an appointment with his family physician or internal medicine physician within a couple of weeks. With Obamacare compliant plans, they act like managed care HMOs and require a primary care visit prior to specialist referrals. Pres. Obama’s direct access to a specialist ENT physician, would have been uncovered and out of the question. Because it was a symptom or disease based complaint visit, it would have been applied to his deductible and he would have had to pay.

Further, he had a nasal laryngoscopy procedure in the office at the same time. With Obamacare compliant plans, it would not have been able to be done the same visit as they require precertification; an insurance mandated procedure where the primary care physician must follow an appeal process to get insurance to consider coverage. A follow-up visit would then be required to do the procedure and billed for another consultation.

Furthermore, the president had a neck CT scan which is an expensive high-tech procedure using radiation to form images and read by a radiologist. This procedure also would not have been immediately covered by Obamacare compliant plans, and would have required precertification and would have been subject to a large deductible.

Last of all, all the care and expensive special studies would have been applied to his deductible. Pres. Obama would have received a bill for as much as $1,400 for the overblown and overpriced work up. Then the phone call complaints to his insurance company, doctors, and Congress people would begin.

All in all, the president’s specialist consult and two expensive high-tech procedures would likely not have been done for paid for if he had Obamacare compliant health insurance. Like the rest of us, he would have likely waited to see his primary care physician till an appointment was available for someone with his Obamacare compliant health insurance. His eight minute exam yielding the same diagnosis of GERD would have resulted in his doctor giving lifestyle advice like quitting his smoking addiction and his use of coffee and other acid provoking habits. Perhaps, he may have also been given a trial of an acid reducing medicine as he likely was after his expensive and Obamacare uncompensated work up.

It is time that the citizens of our country stop allowing the elected and appointed leadership to act like royalty with different laws and benefits applying to them exclusively at the burden of the taxpaying public. Obamacare ACA must be completely repealed in the new year by the new Congress the people elected to do so. Then, and only then, can all parties including physicians and patients this time, come to the table to provide free market competitive healthcare options that patients can freely choose of their own accord, with their own value systems, and directly pay for accordingly.

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
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI
IP4PI.wordpress.com

EHR vs paper record – debate rages

(Excerpt from LinkedIn)

How much Epic, Cerner, other vendors spent to lobby Congress

http://www.beckershospitalreview.com/healthcare-information-technology/how-much-epic-cerner-other-vendors-spent-to-lobby-congress.html

Paper files are reliable, medical legal standard and ultimately recyclable. How about your computer? They look bad and are toxic to landfills for a thousand years. Your old hard drives when discarded may still be accessible to piracy. By the way, I support your right to keep medical records in any way, shape or form that you and your patients see fit. The government HITECH HIPAA ACA/Obamacare violates my right to record keeping systems that might benefit my patients, yet force me to comply, and make me subject to penalties when the mandates system fails. #EpicFail

Craig M. Wax DO