Principles for individual healthcare freedom

Featured

IP4PI Physicians support the following resolutions for the legislative, executive and judicial branches of the US:

1.  The full repeal, nullification or reconciliation of ACA/Obamacare as it was:

A. ACA passed by a partisan Congress (one party) by reconciliation. B. Changed by the executive branch 43 times without appropriate congressional action. C. Changed by SCOTUS to be a tax bill. D. Tax bills must originate in the House and ACA originated in the Senate. E. ACA has changed healthcare from a professional physician-patient interaction into merely an act of government HHS/CMS unelected bureaucratic compliance. F. ACA lead to an uncontrolled rise in costs for all citizens through increased taxes, insurance costs, hospital costs, physician costs, use of narrow networks and severely limited ACA approved options. G. IRS and tax penalties for any American citizens violate the US Constitution. H. Mutually accepted individual customer-vendor purchases are the ideal way to allow personal choice, encourage excellence and establish price competition for best citizen consumer value. Continue reading

Advertisements

SCOTUS RULING IS EASY, CONGRESS HAS THE HARD JOB: Agreeing on FreeMarket Freedom and Personal Pesponsibility 

SUPREME COURT OF THE UNITED STATES (SCOTUS) RULING IS EASY

CONGRESS HAS THE HARD JOB:  Agreeing on Free Market Freedom and Personal Responsibility 

By Craig M. Wax DO
The Supreme Court (SCOTUS) has its work cut out for it on King versus Burwell case. It is an open and shut case against the “patient protection and affordable care act,” PPACA or ACA, also known as Obamacare. The law was written such that if states didn’t set up their own insurance plan “exchange,” government ruled “marketplace,” by definition, the law states their enrollees were not to be eligible for subsidies to purchase the new comprehensive expensive plans. Thirty-eight states declined to set up their own exchanges, but the federal government intervened, and superimposed the “federal marketplace,” on them and gave their enrollees taxpayer funded subsidies anyway. This is clearly not what the law says, and is a theft of government collected taxpayer money. The only issue that stands in the Supreme Court’s way is their own consideration of “what happens if the law falls?” That question lies beyond their responsibility. Fortunately, this is not a Supreme Court problem by our government’s design and definition. Their job is simple; interpret the law. The difficult job is left to Congress to deal with any circumstances and situations that result from their actions and the Supreme Court ruling.
The so called “Affordable Care Act (ACA/Obamacare)” was written in a convoluted way to deceive the congressional budget office and the tax paying citizens of the United States. Massachusetts Institute of Technology (MIT) consultant Jonathan Gruber proved that with his brazen video declarations on the Internet, unearthed by Rich Weinstein. 
By the time most of the ACA had taken effect in January 2015, three fundamental declarations made by President Obama were proven to be outright lies, including: “If you like your health insurance, you can keep it…you can also keep your doctor…and your family will save at least $2500 per year.” The law has been changed over two dozen times by the president and other entities that are not allowed to change or make laws. ACA/Obamacare must be allowed to crumble into pieces or be fully repealed. 
Failed laws and government policies never seem to be repealed after their overt failure.  Daylight savings time has instituted by the US government each year for the last century is one such example. There are more heart attacks, strokes, motor vehicle accidents, lost wages and other maladies that occur due to the artificial shift in our sleep, mandated by government time changes twice a year. Still, no government department lifts a finger to remove it.  As Milton Friedman said, “Nothing is so permanent as a temporary government program.”
The best option is a solution that allows patients to choose from physicians, hospitals, and insurance companies that all compete in a free, unfettered market. Personal health involves each individual’s priorities, morals and daily choices. The federal government and so called, “stakeholders,” of hospital health systems, insurance companies, big business, has no place at the table. Patients and their choice of caregiver are the true stakeholders here.  Patients must be made responsible as individuals for their own choices, independent of all other factors. They can shop for the care they need and want, and bargain for prices that they are willing and able to pay. This is the only fair way for patients to control their own appetite for needs and services, determined by their own priorities and value systems.

Petition: End Insurance Company discrimination against patients who choose out of network care.

Kathy Brown, MD has launched a petition at Change.org in support of the “Patient Access to Benefits Act.”  Read about it below and click here to sign on today.

We need your help to get this legislation out of committee. This bill is designed to allow patients to have fair access to their health insurance benefits for medical care received outside of the insurance company’s contracted network. Continue reading

Dr. Ben Carson for Pres. 2016 supports freemarket healthcare & competition

Dr. Craig M. Wax was privileged to speak with Dr. Ben Carson on the conference call tonight. Dr. Wax made a statement about re establishing a robust freemarket in health insurance and hospital competition to bring quality and best price to market. He echoed my sentiment and said “Dr. Wax, I couldn’t have said it better myself.” Dr. Ben Carson 2016 is part of the solution to prevent America’s decline.
RunBenRun.org

Congress Reform Act of 2016

1. Congress must equally abide by all laws they impose on the American people.

2. No Tenure / No Pension.  A Congressman/woman collects a salary while in office and receives no pay or any other benefits when they’ve completed their term in office.

3.  Congress loses their current taxpayer paid health care insurance during and after tenure and must purchase their own health care insurance by the same laws and rules as the American people.

4.  Members of Congress can purchase their own retirement plan, just as all Americans do.

Continue reading

We cannot give in.

Dr. Gina Reghetti responds to the events at last week’s AOA House of Delegates meeting in Chicago where the HOD approved the GME merger and brazenly blocked a resolution in opposition to OCC/MOL.

Unbelievable!

They are cowards. They all go with the flow in fear of consequences that would threaten their medical licenses. What good is it being a doctor when non-doctor providers practice medicine and are not bound by the same laws as doctors? We aren’t permitted to do anything anymore due to government and insurance regulations, and now the powers are fighting to take away self-pay for medical services.

Continue reading

ALL DOs must read this now prior to AOA delegates mtg July 18, 2014

CLICK HERE to download this letter and table of resolutions in PDF format.

Dear Osteopathic physician,​​​​​ 7/10/2014

In recent years the American Osteopathic Association (AOA) has strategically traded away their responsibility to their constituent members bringing government and insurance industry regulation ever increasingly in between the physician and the patient. They have done so, in favor of corporate strategies and business models that have eroded patient quality of care, decreased physician efficiency, sacrificed private practice, buried physician offices in paperwork, and cost physicians tremendous expense and anxiety. Through all of this they have not only not provided additional benefit to the patient population but they have detracted from it. The result of their negotiations and agreements has been a collapse of healthcare delivery under the heavy hands of mandatory enforcement, the advancement of third party intervention, the reduction of patient contact time, the reduction of net income to physicians, the decrease in access to quality care for patients and the massive increase in bureaucracy. All this has added great expense for all premium payers and physicians while new corporate structures and businesses are created from that drain on healthcare delivery. They are about to now give away our professions control over our unique educational paradigm and in the contract, force us to give away our uniqueness and our more comprehensive educational requirements, our training sites, and our control of post graduate education to an organization that has no concept of the educational deficit they have regarding our approach to health rather than disease. Our original article “Saving Private Osteopathic medicine,” has been denied JAOA publication for over two years by AOA corporate leadership who are afraid to debate and answer memebership DOs questions. One author, George Watson DO died fighting the process. Read it here: Saving Private Osteopathic Medicine https://ip4pi.wordpress.com/2013/03/31/saving-private-osteopathic-medicine-2/

The proposed ACGME merger, is actually a takeover of OGME that will leave our profession without any autonomy in graduate medical education and will result in the loss of practice autonomy and eventually our Osteopathic schools through the process as it is no laid out over the next 5 years to 2020. This was written about extensively by Norman Gevitz PhD, Osteopathic historian and researcher. http://www.oucom.ohiou.edu/hpf/pdf/bios%20april%202014/2014-AODME%20Presentation%20The%20Unintended%20Consequences%20of%20the%20ACGME%20Merger.pdf

The House of Delegates (HOD) and all practicing DOs must demand the AOA stop their policies toward ACGME merger as proposed, OCC/MOC, MOL, and they must begin to support their osteopathic physician membership unconditionally against ALL competing interests.

Please read 10 point questions below that have been asked of the AOA for answers they have continued to not answer for 3 years this September 2014. If any of the questions raise your “index of suspicion”, contact your AOA State Delegates immediately and prior to the meeting next week, beginning Friday, July 18. The COMPLETE 168 resolutions pending are at the following link: http://www.osteopathic.org/inside-aoa/events/annual-business-meeting/house-resolutions/Pages/default.aspx Please read them and decide for yourself what you might be for or against.

A bulleted list below, of some of the relevant resolution agenda numbers and titles will be followed by recommendations “for or against” them in reference to a large body of physicians in the trenches whose voices are not being listened to by any of the “elected authorities for which our dues pay”.

We as individual Osteopathic Physicians, Osteopathic State Associations members, and as diplomates of Subspecialty Colleges, must take action to change AOA policy direction. Our Osteopathic practice of medicine, our patient populations and our ability to support our families hang in the balance.

10 questions for the AOA that remain un-answered by any executive officer thus far:

1. Why is AOA forcing ACGME merger (takeover of OGME)? What alternatives have also been explored? Why would any organization walk away from millions in government funding that maintain our own unique OGME?

2. Why is AOA pursuing osteopathic continuous certification and maintenance of certification (OCC/MOC) when they are time and money prohibitive for DO physicians? Osteopathic CME has always been flexible and more than adequate.

3. Why is AOA pursuing maintenance of licensure (MOL) against state board autonomy, DO state association preferences and physicians professional independence?

4. Why is AOA not fighting NP and PA expanding practice rights in each state? They are practicing medicine independently in increasing numbers of states without having to complete a full curriculum in medicine. That is condoning malpractice.

5. Why do AOA publications refuse to publish any articles that discuss or question AOA actions and policy?

6. Why is AOA embracing all HHS/CMS policies even before they are written, like pay for performance (P4P) when these policies are being used to deny payment to good practicing physicians instead?

7. Why is AOA complicit in the financial capture of medicine by so-called “stakeholders;” insurance companies, hospital health systems, government, HIT and corporate interests and insistent on excluding patients and physicians in private practice as stakeholders at all?

8. Why is AOA complicit in the regulatory capture of the practice of medicine by government, thus losing all true Osteopathic practice, their professional integrity, and our entire DO professions underpinnings?

9. Why doesn’t the AOA present it’s member DOs with all options of practice including private direct pay options where the patient-physician relationship is paramount and sacrosanct?

10. Why doesn’t the AOA support private independent Osteopathic Medical practice against the competing interest of all others?

40 of the most relevant resolution proposed follow. Please review those of interest to you and make your opinion(s) known to our representative this week.

RES. #

Title

FOR

AGAINST

H-201

Increase in Graduate Medical Education Training Opportunities

FOR

 

H-202

Ensuring Adequate Resources to the Future of Osteopathic Medicine

FOR

 

H-203

Osteopathic Medical Education

FOR

 

H-204

Reversal of Needs Assessment Requirement for CME Programs

FOR

 

H-205

Assure Graduate Medical Education Residency Positions to Graduates of U.S. Medical Schools

FOR

 

H-206

Goal of Osteopathic Graduate Medical Education

FOR

 

H-207

LCME Admission to AOA Residency Programs

FOR: WITH TIME REQUIREMENTS OF EQUIVALENCY IN OPP AND OMT TRAINING

 

H-211

Maintaining the Integrity and Mission of Colleges of Osteopathic Medicine (COM) and University Health Science Centers (UHSC) Granting the Doctor of Osteopathic Medicine Degree (DO) H279-A/09

FOR

 

H-215

Graduate Medical Education – Training Of Us Medical School Graduates (H315- A/09)

FOR

 

H-216

State Mandated Continuing Medical Education Requirements

FOR

 

H-218

Blue Ribbon Commission Report

FOR

 

H-304

Government Funding for Hospitals Not Accepting COCA Students

FOR

 

H-340

Unionization Of Physicians (H233-A/09)

 

AGAINST

H-347

Opposition to Implementation of ICD-10

FOR

 

H-348

Osteopathic Physician Compensation Tied to Patient Satisfaction Surveys

FOR

 

H-404

Correction of Public Information about the Osteopathic Profession

FOR

 

H-500

AOA Constitution & Bylaws – AOA Executive Director – Title Change

 

AGAINST

H-603

Opposition to Maintenance of Licensure

FOR

 

H-604

Dissemination of Evidence Based Osteopathic Medicine

FOR

 

H-607

Government Intervention in Private Practice H213-A/09 (H219-A/04)

FOR

 

H-609

Centers for Medicare and Medicaid Services (CMS) Communications With Physicians H216-A/09 (H222-A/04)

FOR

 

H-627

Industry Transparency Standards (H326- A/09)

FOR

 

H-632

Centers for Medicare and Medicaid Documentation Regulations

FOR

 

H-636

BSGA Report on H-623-A/2013 Opposition to Maintenance of Licensure

DEMAND ACTION ON THIS. PUT IT TO A VOTE

 

H-637

Collaboration to Protect the Integrity of the Physician Testing Process for Unlimited Licensure (H327-A/09)

 

AGAINST LETTING AMA RUN OUR TESTING

H-800

Unified Graduate Medical Education Accreditation System

 

AGAINST

H-801

AOA/AACOM/ACGME Single Unified Graduate Medical Education Accreditation System

FOR

 

H-802

AOA/AACOM/ACGME Single Accreditation System For GME

 

AGAINST

H-803

NJAOPS’ Support For ACOFP Resolution “AOA/AACOM Unified Residency Accreditation System”

WITHDRAWN

 

H-804

AOA / ACGME

FOR

 

H-805

Participation in AOA ACGME Merger

????

???? STOP THE MERGER

H-806

Accepting AOA Board Certification in AOA ACGME Merger

???FOR AOA RECOGNITION AS EQUIVALENT

???STOP THE MERGER AS IT IS PROPOSED

H-807

AOA / ACGME

FOR

 

H-808

Single Graduate Medical Education Accreditation System

???? AOA DOES NOT HAVE THE CAPACITY TO DO THIS

??? STOP THE MERGER AS PROPOSED

H-809

Unified Graduate Medical Education Accreditation System

 

AGAINST

H-810

Support of Unified Graduate Medical Education

 

AGAINST

H-811

Creation of an Osteopathic Emphasis Track for the Unified Graduate Medical Education (GME) System

 

AGAINST: THE EDUCATIONAL REQUIREMENT STANDRDS ARE LOWER THAN THOSE OF A FULL TIME OSTEOPATHIC STUDENT. UNACCEPTABLE

H-812

AOA/AACOM Unified Residency Accreditation System

FOR

 

H-813

AOA/AACOM Single Accreditation System

FOR

 

 

DOsCOMITT – DOs Committed to Osteopathic Medicine Today and Tomorrow

Craig M. Wax DO corresponding author
Carlisle Holland DO
Dane Shepherd DO
Richard Koss DO
David Zeiger DO
George Watson, DO, Emeritus
Steven Horvitz DO
David Dornfeld, DO
Robert Maurer, DO
Albert Talone DO
Brad Kline, DO
Gina Reghetti DO
Michael Ward DO
Kelli Ward DO
Charles J. Smutny III DO, Editor