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 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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Engage Independent Physicians, Dr. Wax asks AOA

Dr. Craig Wax writes AOA Pres. Bob Juhasz, DO

Bob

Thank you for having me at the AOA advocacy meeting in Phoenix AZ. The lectures and workshops were informative and interactive. More importantly, thank you for your personal meeting with me on adaptive leadership and listening to the information to improve the AOA that I bring from independent physicians and all their contacts:

1. AOA needs to listen to all DOs in all practice specialties and practice styles from solo to health system leader. All have both core values and needs, but each has unique issues that the AOA needs to know, value and act on.

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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

 

 

Use the term physician and surgeon, says Dr. Chip

Dr. Chip explores the definition of “doctor” vs. “physician and surgeon”

For clarification or just plain precision we must learn to use the term physician and surgeon since this is a more distinct and clearly defined entity in our culture for the moment. Our diploma and licenses speak to this directly.

Doctor has come to mean anyone achieving a “doctoral level of study” from an accredited institution having satisfied a specific set of credential requirements, examination(s) and practical observation(s) where indicated, published in peer reviewed journals and completed a research (literature, theoretical or practical science project) component to base the thesis upon and a defense of the thesis.

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Patient’s bill of rights by Carlisle Holland DO

1. I have the right to decide what happens to my body
2. I have the right to decide who I trust for my medical advice and treatment.
3. I have the right to decide what medications I take
4. I have the right to decide what medical treatments are done for my condition
5. I have a right to privacy of my medical information with my physician.

Now It’s Official: The $1 Million Mistake is Becoming A Doctor

As you can see, the loss of autonomy and income due to insurance red tape, government ACA Obamacare onerous over regulation and AMA/ABMS AOA lifetime continuous certification requirements (OCC MOC), make the time and money investment unworthy and unwise to become a physician. The crisis created by health insurance profiteering and government takeover will lead to physician loss and less care access. Perhaps them we can try competitive freemarket healthcare individual healthfreedom as was successful and fair prior to government and insurance intervention in the 1940s.

$1 Million Mistake: Becoming A Doctor
http://www.cbsnews.com/news/1-million-mistake-becoming-a-doctor/