The only way to truly “save medicine” in America

Jef Fernley, DO shares his letter to his Congressman and physician-colleague, Representative Andy Harris, MD.

Hey Andy!

I’m not a huge fan of the frequently Left leaning Medical Economics, (though I am a huge proponent of the Austrian school of economics, as I’ve undoubtedly made clear in the past.)

Their article merely reminded me that I’d been meaning to reach out to you. With a new administration and Republican domination in DC, there is undoubtedly an enormous line already formed for requests of the new hierarchy.

I will add only this, for now. The State/Government does ONE thing when it interferes/regulates/manages/governs free markets, it distorts the signals to both entrepreneurs and customers. We don’t need to “replace” Obamacare with anything. We don’t need to sift through the ACA for the “best parts” to save. The only way to truly “save medicine” in America is to REMOVE the hand of Government COMPLETELY. Continue reading

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Poll: How Much Time, Money Do You Spend on MOC?

Via Medical Economics:

A new study has set out to quantify the time and cost many internists and internal medicine (IM) subspecialists will spend to meet the American Board of Internal Medicine (ABIM) maintenance of certification (MOC) requirements. Over the course of 10 years, a 35% increase in fees and 26% increase in hours spent was found.

The study also found when the dollar value of physician time is added to MOC fees, internists and IM subspecialists will spend $23,607.

ABIM President Richard Baron, MD, disputed the study’s assumption that continuing medical education (CME) credits will only amount to 25% of the requirements. Baron said that CME could easily satisfy 100%, not 25%, of the requirements.

Medical Economics asks: Do these numbers accurately reflect an increase in the time and money you expect to spend on MOC over the next 10 years?

Give YOUR feedback in short poll at: http://www.medscape.com/viewarticle/849196

When Will ABIM Debate?

Paul Kempen, MD, PhD comments on Medical Economics article, “MOC changes aim to lessen burden on physicians, but debate continues” :

I continue to be astounded that the ABIM refuses to openly debate the topic in an open forum. The Benjamin Rush Society invited the ABIM and ABMS to debate MOC in their home town of Philadelphia last April-they failed to come (http://www.youtube.com/watch?v=AetMD0OYVkY). The ABIM does NOT want to debate the issues openly in a neutral forum because the whole extortion process is unwanted by physicians in General, and it provides no index of quality. The ABIM and ABMS are trying to introduce these changes under the radar through the gradual program of lobby congress and hide from Open discussion. MOC is simply a money making extortion program self-serving to the certification industry. The ABIM itself concluded as early as 1986 and themselves published in 2000 the fact that voluntary MOC would not be possible (ANN INT MED 2000; 133:202-08 . THAT is why they imposed it with artificially restricting the certification to 10 then 8 and now to Continuous subscriptions to MOC to maintain a certificate that they themselves deem to be “VOLUNTARY”.

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