Fact Checking Sen. Menendez ACA Diatribe

Dear Senator Menendez,

As a N.J. citizen, taxpayer, physician, husband and father, I must offer factual correction on your healthcare policy ACA diatribes.

You tweeted:

Nothing could be further from the truth in your partisan message:

1. Insurance coverage is not healthcare.
2. Forcing citizens into ACA Medicaid at taxpayer expense is foolhardy.
3. ACA through “guaranteed issue(preexisting conditions)” destroyed the risk pools that kept prices stable. Now ALL commercial plans premiums have doubled and tripled.
4. The individual insurance market was decimated by ACA, destroying any semblance of insurance competition.
5. ACA put most private practice independent physicians, that are more efficient and cheaper, out of business and working for hospitals. As you know, hospitals inflated pricing schemes also extorts taxpayer dollars
6. ACA also pushed insurers toward “narrow networks.” eliminated patients long-term relationships with physicians and further limited their choice of physician and facility.
7. ACA and forced government dependence will bankrupt the country and its citizens, as a whole and individually.
8. Remember the three big lies of Obamacare? Keep your doctor. Keep your insurance. Each family will save $2500. All proven false partisan narrative.
9. Attacking the president of the United States is a waste of time, money and energy when he would gladly work with you on these issues.

I would be glad to work with you and other legislators on competitive free-market plans and assure quality and give patients best choice and restore personal responsibility and freedom.

Sincerely
Craig M. Wax DO
Independent family physician, media host and healthcare policy expert

Assisted Suicide Bill on Verge of Advancing in NJ

A warning from veteran NJ physician Louis Keeler, MD:

My message today is mainly directed to the practicing physicians of New Jersey and in a special way to all the citizens of New Jersey.. The subject of discussion is a bill that is to be voted on by both houses of the legislature on March 25. That’s four days away. The name of the bill is both deceptive and euphemistic. It is entitled Medical Aid in Dying For the Terminally Ill Act. It is also known as” assisted suicide” but I assume that by a collective guilt of those legislators who are voting for the bill they have specifically put in the bill a prohibition against using the words “assisted suicide”. Have no doubt what were talking about is voluntary euthanasia.

Euthanasia is defined in the dictionary as the painless killing of a patient suffering from incurable and painful disease or an irreversible coma. Synonyms are mercy killing, assisted suicide, physician assisted suicide. Continue reading

Stop the Rush to Legalize Cannabis/Marijuana

Dear Governor Murphy:

I am opposed to the rush to legalize cannabis or marijuana in New Jersey, without research, trials, adequate review of history, and consideration of risk of collateral damage. With the current heroin, fentanyl, opiate crisis, it is foolhardy to rush into legalization of a gateway drug like cannabis or marijuana. At this time the hurry seems to be all about tax revenue, with no concern for the heath and welfare of the citizens of New Jersey.

https://nypost.com/2019/03/19/stop-ignoring-the-brutal-downside-of-legal-pot/

Please feel free to contact me with any questions or for ongoing discussion.

Best wishes for good health,
Craig M. Wax, DO
Family Physician

P.S. Please see below note in agreement from my fellow NJ physician colleague, Dr. Rob Pedowitz.


The Legalization of Marijuana Is All about the Money!

Dear Fellow Physician,

As a concerned physician and NJ Resident, I am writing today to ask for your assistance on defeating a very significant legislative bill, “The Legalization of Recreational Marijuana,” S2703, due for a floor vote on Monday, March 25, 2019 in Trenton.

Regardless of your political affiliation or personal beliefs, the decision by the legislature to move forward quickly with trying to pass this bill without consulting the medical community, or without fully exploring the legal, social, psychological, financial, and medical aspects of this issue may have significant repercussions. We have fought hard the last few years to battle the opioid epidemic, and though marijuana has many benefits for medicinal purposes, there are very little proven benefits when used recreationally. To legalize marijuana and make it readily available to the public, would only provide an easier gateway for people to desire stronger drugs, including prescribed opiates, heroin, and other psychoactive drugs. There are recent reports of other countries and in several states in the U.S. where people who smoke marijuana are now seeking more potent forms of cannabis, which are causing serious psychoactive complications. Treating mental illness has been difficult in NJ and the rest of this country, and if not properly regulated, we can have a worsened mental health crisis. We also may have to deal with worsened air pollution, which is already a problem in NJ as we have very high rates of asthma and other respiratory conditions.

Additional concerns for the medical community include determining evaluating employees and potential new hires for whether they may be under the influence of marijuana. Since the metabolites of marijuana can stay in the body for at least 72 hours, drug tests may be positive, even if a person did not use marijuana on the day of question. However, we may not be able to fully determine whether or not an employee is under the influence or not. Better testing and better guidance is needed for both the medical community and for employers.

Since there is much still to discuss and much more that needs to be decided, we need to defeat this bill. It is imperative that you call your local State Senator AND Assembly Representative today or Friday. There is still a lot of legislators on the fence and the vote can sway one way or the other. From my discussions with numerous legislators, they were very honest and said that this issue is “ONLY ABOUT MONEY.” They were very clear that the decision to pass this bill only comes down to money – taxes and revenue. In addition to contacting your local legislators, I also urge you to contact a few “key” State Senators who are on the fence but leaning to vote against the bill.

Please call:

Declan O’Scanlon (R) – Holmdel, (732)444-1838
Vin Gopal (D) – Freehold/Ocean/Tinton Falls, (732)695-3371
Paul Sarlo (D) – Passaic, Wood-Ridge, (201)804-8118
Joseph Lagana (D) – Paramus, (201)576-9199

You do not need to have a political background to contact a legislator. Just look up their contact information and call them up. Tell them who you are and that you are a physician, and if you are in their voting district (this matters A LOT!). Please do NOT state you represent any organization or hospital or group, as this will not be helpful or necessarily accurate.

Please contact me individually if you have any questions.

Thank you for your assistance on this vital issue!

Sincerely,

Rob Pedowitz, DO

Insurance denials must stop!

To: Lily Tyson, Chief Health Insurance Bureau
NJ Department of Banking and Insurance

Re: Horizon BCBS discrimination

Dear Chief Tyson,

This letter is to make you aware that Horizon BCBS and its affiliates are harming a patient with their precertification, prior authorization, appeal and denial of services processes. The patient indicated below has diabetes and multiple medical conditions, which he diligently and routinely follows up at our office. For the past three months, the patient and I have aggressively pursued a continuous glucose monitoring device to assist both of us in getting his blood glucose under best control.

Despite the fact that the patient and I agree on this, Horizon BCBS and its affiliates have denied the patient this medically necessary item. Further, while the Endocrinology Society, The American Association of Clinical Endocrinologists and the American diabetes association clinical societies all recommend continuous glucose monitoring for best management of diabetes Horizon BCBS and its affiliates insist on harming the patient by denying him this medically necessary tool.

Furthermore, Horizon BCBS medical directors have denied this patient the necessary medical monitoring device, thereby potentially causing their insured harm, and may be liable as they are making care decisions and denial of care decisions for the patient.

I ask:

  1. Do they have the patient’s informed consent to make care decisions?
  2. Are they licensed physicians in NJ?
  3. What is their malpractice coverage for this activity?
  4. Are they specialty trained in endocrinology?
  5. As employees of Horizon BCBS, do they have a conflict of interest?

Horizon BCBS precertification, prior authorization, appeal and denial of service processses are harmful to both patients and physician providers of medical services.  Please put Horizon BCBS on notice to case and desist making clinical care decisions for patients through their onerous and harmful money making processes. This is especially critical in light of the pending NJ law that would mandate the purchase of insurance products like those offered by Horizon BCBS.

Sincerely,

Craig M. Wax, DO, Family Physician

800 lb gorilla #government #ObamaCare kills best insurance value in #NJ

“Obamacare to end health plan used by 100,000 New Jerseyans,” reports NJ.com in an article published August 18. It continues, “The bare-bones health insurance policy that’s been the plan of choice for New Jerseyans who can’t afford something better is set to go away next year, thanks to the Affordable Care Act. And what those policy holders will be left with may be a choice among pricey, pricier and priciest.”

Read the full article at:

http://www.nj.com/business/index.ssf/2013/08/affordable_care_act_to_end_hea.html