As a family physician, medical reporter, independent practice doctor who sees patients and helped pioneer COVID19 early treatment protocols, there are many things you must consider. First, natural immunity following COVID infection must be recognized as contributing toward herd immunity. People with natural immunity should be exempted from receiving COVID New Vaccines since they are contraindicated as they may cause potentially severe disease in the form of antibody-dependent enhancement, the worst of which won’t be seen for years. Second, the vaccine experiment is not for everyone, but should be reserved for those at highest risk over 70 years old and in nursing homes. Vaccine risk to healthy adults, children, and pregnant women far outweighs any possible benefit. Third, the principle of bodily autonomy and informed consent were never properly executed for anyone receiving this experimental intervention. Therefore, pharmaceutical industry should be 100% responsible for any adverse outcomes, monetarily and legally. Informed consent must be thoroughly and completely detailed and documented for all involved immediately. Fourth, these so-called vaccines have unproven long-term safety and should not become approved for use at this time until years of study can be completed, Last, because early treatment works and was blocked by nefarious corporations, hospitals, pharmaceutical manufacturers, media, and government entities, the emergency use authorization EUA for vaccines and Remdesivir should be immediately withdrawn. Thank you for your time and consideration.
Best Health Craig M. Wax DO Family physician Independent physicians for patient independence IP4PI
I’ve long felt that administrative tribunals set up to judge the validity of a vaccine exemption are precisely this: practicing medicine without a license. CA has been doing this with childhood vaccinations for some time, increasingly squeezing and attempting to strong-arm physicians who write exemptions. It is wrong.
These tribunals also violate CA law by practicing medicine without having done what the law calls a “good faith medical evaluation,” which I am sure is likewise required by other state’s laws. What they actually do is slavishly apply some list that the CDC published to specific cases. But there is no reason to believe that the CDC list is comprehensive, given the individual variation and patient-specific factors that are found everywhere in medicine. It is in part because each patient is unique that physicians — until recently — are generally granted wide discretionary latitude in patient care.
Practice guidelines published by the CDC or professional societies are not recipe books for the practice of medicine. They are general guidelines, nothing more. Clinical prudence is always required to apply evidence and principles to specific cases, and no guidelines are sufficiently comprehensive to cover all cases or include all statistical outliers. What we see here represents an egregious example of a trend in medicine toward homogenization that will not have salutary consequences.
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Subject: No Vaccine Mandate
Dear President Holloway,
I respectfully ask you to reconsider and reverse the COVID vaccine mandate being imposed on Rutgers students wishing to return to in person learning.
Although, at first glance, the policy may seem prudent, it coerces students into bearing unneeded and unknown risk and is at heart contrary to the bedrock medical principle of informed consent. Also, a blanket mandate will harm many college students, including those who have already had COVID-19, those who are pregnant, those with coagulopathies and many more with short term and long term health consequences.
For additional medical, ethical, and legal reasons the mandate should be reversed, I urge you to read the following letters from doctors and attorneys who have closely analyzed the issue.
As more Colleges and Universities announce their misguided plans to require students receive COVID-19 vaccines before returning to in-person learning, the Association of American Physicians and Surgeons is speaking out to ask these schools to reverse their unscientific and unethical mandates.
Dear Deans, Governing Boards and Trustees,
On behalf of the Association of American Physicians and Surgeons, I am writing to ask you to reconsider your new policy mandating COVID-19 vaccination of students prior to returning to campus.[i] Institutions of higher learning are divided on this issue.[ii] ,[iii] Although, at first glance, the policy may seem prudent, it coerces students into bearing unneeded and unknown risk and is at heart contrary to the bedrock medical principle of informed consent.
There are multiple reasons to reverse your policy. I ask you to consider the following:
By Peter A. McCullough, MD, MPH, Baylor University Medical Center, Dallas TX
There is considerable attention on the potential to be infected a second or third or fourth time with SARS-CoV-2 and be hospitalized over and over again with COVID-19. Thankfully, at over 110 million cases worldwide, we have not seen thousands of rehospitalizations. In fact, reports of possible recurrence are very rare, yet are used as public health rationale for COVID-19 recovered patients to undergo vaccination with its intendant risks including death.
A recent case from France reported that a 58-year-old man had a brief illness with a positive SARS-CoV-2 nasal PCR test in September 2020 and then was infected with the South African variant 501Y.V2 strain in January 2021 and was hospitalized and required mechanical ventilation. Although details are not given, when the nasal PCR test is run at cycle thresholds >35 ct, the test picks up pieces of RNA in the nasal secretions from influenza and other viral fragments. Since the patient is 58 and has asthma, the September illness was almost certainly not COVID-19, since in a man his age and with asthma COVID-19 will last for 14 to 30 days or more. His first and real COVID-19 illness occurred in January 2021.
The rumor that the AMA rescinded its March statement discouraging the use of Hydroxychloroquine for COVID-19 had gone viral. But the sad truth of the matter is that the rumor isn’t true. The AMA refuses to stand for patients and agree to let doctors be doctors.
So what happened?
A brave group of physicians led by Atlanta rheumatologist John Goldman, MD were compelled to try to reverse the AMA’s dangerous position against early treatment. So they drafted a resolution and took it to the AMA House of Delegates for consideration.
Unfortunately AMA Leadership decided to make sure the resolution failed. In the committee hearings at the meeting the “AMA Board of Trustees (BOT) provided testimony in opposition of this Resolution and supportive of the AMA statement.”
The result? The resolution brought by Dr. Goldman and his colleagues was defeated.
It is clear more than ever that AMA decisions are based on a political agenda. It the organization’s decisions were evidence based then the bad policy would never have been put in place to begin with. Because the evidence is clear, HCQ and other common inexpensive medications are saving lives (https://c19study.com/.)
PBM stands for Pharmacy Benefit Manager. Examples are Caremark (CVS Health); Express Scripts; OptumRx; Humana Pharmacy Solutions.
GPO stands for Group Purchasing Organization. Examples are Premier; Vizient; Intalere; Cardinal Health.
These corporate giants are wealthymiddlemen that control the pharmaceutical and medical device markets in the United States.
Much of their power and wealth derive from “acts of Congress,” which established a “safe harbor” (42 U.S.C. 1320a-7b(b)(3)(C)) for GPOs and PBMs to receive kickbacks from manufacturers of drugs, medical solutions, and medical devices. Unlike nearly all companies operating in other sectors of the economy, the middlemen in the American healthcare system can collect kickbacks without fear of prosecution.
America’s Frontline Doctors warns: “The National Institutes of Health (NIH) recently announced that the federal agency would take the radical step of prohibiting early treatments nationwide for COVID-infected patients, except those already hospitalized and requiring oxygen. America’s Frontline Doctors (AFLDS) founder, Dr. Simone Gold, M.D., J.D., FABEM, released the following statement in response to the decision.”
Independent testing sites and protocols with universal precautions
Guidelines for Medicare and insurance companies to pay for telemedicine (Audio and Video) to screen patients from their homes (Full fee schedule)
1. Temporary regs x 6 months and return to in-person standard of care
Eliminate insurance red tape: prior authorizations (Rx) and precertification (procedures)
Eliminate insurance networks to allow all physician to aid all patients
Support for independent physician practices to remain viable
Running a highly regulated business with employed staff in an epidemic
Regulatory, legal, contractual, taxes, overhead, need to pay staff despite changing model from in person medicine to audio and video telemedicine
Safety for physicians and staff to continue to provide medical care
Issue all physicians all protective gear if they are to see patients in their offices
Physician direct Rx dispense (only legal in certain states, not NJ, NY,MA, TX…)
Eliminating mandatory eRX as it limits physician and patient options.
Suspend federal law to allow Medicaid non-par physician to Rx and order tests
Suspend MACRA MIPS and all “quality measures”
Suspend or eliminate MOC (maintenance of certification) and OCC (Osteopathic Certification) mandates imposed by hospital and insurance companies (currently blocks patient access)
Any available physician who completed MD and DO school and two steps of USMLE or NBOME should be eligible to practice. There’s a population of trained physicians who can’t secure a residency slot due to inadequate number of US slots (Missouri state model). They have more training and experience than NPs and PAs.
HOMELAND SECURITY AND CORONAVIRUS COVID 19
Chinese Government Endangered the World1
COVID 19 cases began November but covered up through end of December
China Rx – China is contractor and subcontractor for most pharmaceuticals,2,3,4
World pharmaceutical, protective equipment and technology supply chain compromised.
D. Critical Rx and Supply Shortages 2
F. COVID19 potential treatments: Chloroquine and hydrocycholoquine (Plaquenil)5
1. generic and inexpensive
2. not FDA approved for COVID19 virus treatment
3. no complete controlled studies, beginning use abroad and domestic
4. Dosage and indications unclear to get benefit and avoid toxicity
How to Increase Access to Medical Care and Lower the Cost
Through Competition and Choice
A. Unleash the Power of the Free Market in the Healthcare Sector
Expand patients’ freedom and choice in the use of health savings account dollars, especially as payment for direct primary care and other models of coverage, such as periodic-fee, membership subscription services.
Codify the use of Association Health Plans (AHPs) and Short-Term Limited Duration Insurance (STLDI) as affordable, portable alternatives to current models of coverage.
Allow Medicaid patients to use provided monies as a voucher to purchase periodic fee services.
Repeal the “Safe Harbor” protections of 42 U.S.C. 1320a-7b(b)(3)(C) for kickbacks to PBMs and GPOs.
Repeal the ACA’s prohibition of physician-owned hospitals.
Solve “surprise billing” via the arbitration model already working in New York and Texas. Benchmark rate-setting is tantamount to price controls, an anti-free market mechanism with an abysmal track record.
B. Repeal Onerous, Unnecessary Mandates
Remove Electronic Health Record (EHR) and Merit-Based Incentive Payment System (MIPS) mandates for practices having fewer than 50 physicians.
Streamline and reform the prior-authorization requirement in Medicare Advantage and other third-party markets.
C. Mandate Transparency
Codify the measures in the Administration’s two executive orders on transparency.
Direct a study by the GAO of the accounting of PBMs ( already a bill), and eventually the GPOs.
Mandate transparency regarding the training of all levels of medical practitioner.
Make fully transparent the funding that flows FROM pharmacy “channel companies” (such as PBMs, GPOs, and distributors) TO advocacy groups, physicians, and think tanks. This transparency should be retroactive, so as to establish histories of possible conflicts of interest, as called for on page 33 of the white paper referenced in footnote 4.
Bridge to better healthcare:
Reducing Cost and Waste in American Medicine: A physician-led roadmap
IDEAL HEALTHCARE – Freemarket competition to improve quality, decrease price and provide choice for patients
CBO report shows full Obamacare repeal is better than partial, The Hill