20200327: Letter to the President from American Assoc of Physicians and Surgeons.

It’s an excellent letter from the Executive Director of the American Association of Physicians and Surgeons to the President of the United States during the midst of an unparalleled health crisis. https://drive.google.com/file/d/15TwCtLCyP8ptFlQAK_0N_gxINUOHbHxn/view

March 21, 2020

President Donald J. Trump
The White House
1600 Pennsylvania Avenue, NW,
Washington, D.C. 20500

Dear Mr. President:

Members of the Association of American Physicians and Surgeons (AAPS), representing thousands of physicians in all specialties in all states, would like to express our gratitude for your leadership at this time of crisis. We are thankful for your calm, rational approach and for your recognition of the need to control our borders, support private enterprise, restore our capability to manufacture essential items such as drugs and medical equipment, and relieve medical practice and the economy as a whole from the burden of counterproductive taxation and regulation.

Faced with a novel virus that could overwhelm our medical system, we need rapid deployment of testing, adequate supplies of protective equipment, a surge capacity for hospital beds and medical manpower, and better treatment options.

For testing, South Korea is a hundred thousand tests ahead of us. Why is this, despite the immense capability that we have in industry and university laboratories? The entrenched federal bureaucracy in the FDA and CDC blocked these efforts until a window of opportunity had closed.

The federal government has a stranglehold on laboratory medicine because of the Clinical Laboratory Improvement Act (CLIA). Deviation from complex regulations could destroy a laboratory. SARS-CoV-2 testing is complex and fraught with pitfalls. We need independent efforts, not a government-imposed monopoly. In addition to testing for the virus, which has many false positives and false negatives, we need tests for acute (IgM) and convalescent (IgG) antibodies, so far not part of the approved regimen.

Our capacity to manufacture antibiotics, vitamin C, protective gear, and most other drugs was outsourced overseas decades ago. Your Administration needs to investigate the reasons for this, including the single-source contracts that benefit Group Purchasing Organizations (GPOs) and Pharmacy Benefits Managers (PBMs). These are enabled by a safe harbor in the Anti-kickback Statute and the failure of HHS to enforce the safeguards. (This is also a huge factor in high prices.)

The culpability of the FDA must not be overlooked. FDA has the power to shut down U.S. production of a pharmaceutical because of noncompliance issues that have no effect on safety or quality, such as exceeding a production quota or a paperwork oversight. Yet the FDA has no meaningful oversight of the production of the 90 percent of our medications that are made in China and other foreign nations. Nor has it responded to national security concerns about drug supply lines.

The FDA has a crippling effect on innovation, with $1 to $2 billion worth of requirements to bring a new drug to market. This still does not guarantee safety, as shown by the number of drugs that have to be withdrawn. Worse, the FDA is increasingly trying to expand its authority over the practice of medicine as in the “off-label” use of approved medications. Medical practice would be crippled if physicians had to wait years for the approval of each and every use of long-established drugs—or forever if no one saw the benefit in investing billions in the approval process.

We thank you for helping to make the long-established anti-malarial drugs chloroquine and hydroxychloroquine available for treating COVID-19. In our opinion, a “compassionate-use exception” is not needed because these drugs are already approved for another use. It would be needed for a not-yet-approved drug such as resdemivir.

The FDA wants to address this crisis with an FDA-approved vaccine, which takes more than a year to develop and test (and may not even prove to be safe and effective), not by inexpensive generic medication available now without control by the FDA.

Americans need the right to try. This should apply to all, not just to terminal cancer patients. It should certainly include safe interventions such as intravenous vitamin C, which the FDA is trying to ban. Note that 50 tons of vitamin C was shipped to Wuhan recently, and efficacy studies are underway there.

We appreciate your effort to ameliorate the shortage of medical personnel by allowing payment for telemedicine consultations, and your previous efforts to reduce the Medicare documentation burdens. Practitioners estimate that their productivity is decreased by at least 20 percent by electronic medical records, coding requirements, MIPS, and so on. Why should physicians, like other professionals such as lawyers, not set their own fees without being tied to thousands of codes invented by the AMA and the WHO? Why couldn’t doctors get paid for treating COVID-19 without the AMA inventing a code for it? Why should insurers be dictating what care patients may receive, and what they may pay? Insurers should be transparent about what and how much they will reimburse, without interference in private arrangements. Likewise, government should not be dictating the terms of consensual arrangements.

A surge response is hindered by government licensure requirements. In federal facilities such as the Veterans Administration and correctional facilities, physicians may work if licensed by any state. In a national emergency, one state license should be sufficient for a physician to practice either in person or by telemedicine. A medical license might be honored in all states just as a driver’s license is.

Please also consider how medical school graduates who are unable to find a residency program match (approaching 10,000 grads per year) can be put to work helping patients during this time of increased need for medical care. These physicians often have twice the amount of training as nurse practitioners or physician assistants but are impeded from helping patients in clinical care settings.

We applaud efforts at all government levels to allow medical staff to work without time-devouring, pointless regulatory shackles. After a temporary reprieve, we hope that you will consider permanent relief.

We appreciate your understanding of the severe harm caused by the Chinese government’s lack of transparency in the early days. Please do not allow the U.S. to similarly constrain the flow of information from all sources. There are many unknowns. We need input from all who have experiences or ideas. We will not be able to sort out the errors from the facts until much more is known. Censorship should be anathema in these United States!

Most importantly, we need the right to try, and the right to communicate. While we need to minimize casualties from COVID-19, we must also survive as a constitutional Republic. We must not overlook old potential allies like the one George Washington used to protect his troops, the bark that contained quinine, of which chloroquine and hydroxychloroquine are analogs. Americans were protected against the malaria epidemic; the British were not. This unappreciated ally probably turned the tide at Yorktown.

Please let us know how we can be helpful.

Most respectfully,

Jane M. Orient. M.D.
Executive Director
Association of American Physicians and Surgeons

CC Sen. Mitch McConnell, Rep. Kevin McCarthy

CLICK HERE FOR PDF OF LETTER

48 thoughts on “20200327: Letter to the President from American Assoc of Physicians and Surgeons.

  1. Thank you for sharing. This deserves more attention. Big Pharma and these gatekeeping medical boards need be drained with the rest of the swamp.

    Liked by 26 people

  2. agreed! little dictators across the country are showing themselves–governors threatening doctors or outright trying to curtail access to chloroquine…and the FDA is making things worse…power corrupts…and it shows most in government!

    thanks for sharing this Daughn!

    I just saw headlines on yahoo–NY deaths 14 or 15 in one day–and it’s an APOCALYPSE! where were they during the H1N1 season? 14-15 deaths is a slow Saturday night in Chicago…but gotta keep the DOOMSDAY crap going…

    Liked by 20 people

    1. If people do not see the hoax, the Batgate of this by now – they probably enjoy being messed with and having their world torn apart as masochists do. It’s clearly a bioweapon designed to bring the economies down to take money from the panicked around the world. Yes, it’s a communicable disease. No, it’s not the plague or even a flu. But as sundance says, “trillions are at stake.” Billions of people are now learning to wash their hands and stay home when most virus caused diseases thrive. Nothing wrong with that. But hyping and freaking out with the ‘we are all gonna die’ BS is perfect for them to steal your money and your liberty.

      As Laura pointed out, China used their own people working in Northern Italy in the textile trade to infect Italy. The go home for their national holiday in January and come back infected to spread the disease.

      Nobody thought passengers on jets could be used to kill thousands and cripple the greatest nation on earth either. Same deal. As Q posted, infiltration versus invasion.

      Liked by 20 people

    1. Me too – already got a file on my computer.

      Remember the AMA and APA groups (psychiatry and psychology) have gone PC and pretty far left since the 1970s. It would not be surprising to find that the AMA (along with the APA groups) thinks sex change for children is good and counseling to overcome same-sex attraction and/or sexual identity confusion is bad.

      This group is probably the conservative sane response to that leftward movement. I’ll keep investigating and ask my physician family members when things calm down. Right now, they are overwhelmed, one being a pulmonologist in charge of his university hospital ICU system.

      Liked by 13 people

      1. AMA has been trouble further back than 70’s. Look into Dr. Hoxsey and Dr. John Christopher. I believe there can be a blend of science and natural. Hence, Practicing the Art of Medicine. The French Doctors recently released a letter that they are being restricted in treating this virus.

        It is always about the money. No money in cures, only in treatments.

        Liked by 10 people

  3. Thanks so much, Daughn!

    I am certain our President wants to remove political impediments in medicine to save lives and deliver the best care to all patients!

    PDJT is shrewd and canny enough (after all the years in building and remodeling and maintaining hundreds of buildings and businesses) to sniff out the problems and completely revamp our medical care system to make it happen!

    Look at what he’s done to the VA.

    May all the strongest angels surround, protect, sustain and encourage our President, may they bring GOD’s insight, intel, intuitive gifts to PDJT in abundance.

    Thanks be to GOD for this man as our leader!

    Liked by 19 people

    1. Another thought – the AAPS may be unencumbered by big pharma, big money donor entanglements as well as PC/leftist entanglements!

      Let’s hope both my hopes are not naive and incorrect.

      Liked by 5 people

    1. Why not? I believe Adobe has a text-to-voice function. And I am almost certain that there are programs available that can read text to you no matter how that text is presented by the computer.

      Some pdfs are only images. They need to have the text pictures rendered into digital text. This is called OCR. Then any text-to-voice function can read it. My Adobe 7 full program has OCR built in.

      Liked by 1 person

    2. Hi Zoe!!! Good to hear from you!!! Flep posts Are…CHEER PORN!!! It is AWESOME ..Everyday!!! Much love my sweet ZOE! Hugs!!!! (heart emoji) (kiss emoji!)–little smiley faces with hearts for eyes and a a smooch kiss!

      Like

  4. This is a group that the AMA has been trying to drum out of existence for decades. They don’t have nearly the numbers that the AMA does.

    And don’t forget the AMA controls the number of people admitted to medical school on an annual basis.

    I’m just wondering how many physicians are willing to strain at the leash the AMA has on them. I’ve heard enough stories from physicians and nurses and patients about the laid out protocols – and that sometimes the tried and true is all that works – to know that innovation and thinking for oneself is discouraged.

    Liked by 10 people

  5. AAPS vs AMA, good vs evil. Most of the State Health Depts won’t make a move without guidance from CDC or FDA. Bureaucrats hiding behind bureaucracy.

    “When Healing Becomes a Crime” by Kenny Ausubel is e great story of ehat the AMA did to Dr. Hoxsey. You’ll recognize the same money control, slandering, smearing, going on today.

    Liked by 8 people

        1. WHO wouldn’t be a bad target, but they don’t have Donald John Trump on their org chart above their adminstrator, so it would be hard for him to bring him to heel if they want to defy him. (Yes, he can cut off some of their money but they’d still be independent of him–more so in fact once they adapt.)

          Liked by 4 people

  6. The Association of American Physicians and Surgeons – AAPS – is a non-partisan professional association of physicians in all types of practices and specialties across the country.
    Since 1943, AAPS has been dedicated to the highest ethical standards of the Oath of Hippocrates and to preserving the sanctity of the patient-physician relationship and the practice of private medicine.

    Our motto, “omnia pro aegroto” means “all for the patient.”

    https://aapsonline.org/about-aaps/

    Liked by 11 people

  7. This is just one manifestation of a much bigger issue.

    As long as YOU do not pay for your health care, you have very little control. Third party payers dictate a lot and that would be even more apparent once this government fuckery gets taken out.

    And yet people BEG for someone else to pay. Either their employer or their government…

    Liked by 7 people

    1. I’ll tell you what, when I was seeing a physician in a certain physicians’ group, and would go in for an annual and pay cash, the price was SIGNIFICANTLY lower than those who has insurance and included all the tests.

      Honestly, I do think the pre-tax health savings account that begins with a first job, first checking account, first 401k right of passage time is the way to go. I also think the tax withdrawal system needs to be questioned. make people MISS the money and things will change.

      Liked by 7 people

        1. I don’t remember a time when my family didn’t have employer funded medical insurance, BUT my dad was a “white collar” employee for a Fortune 500 company. It was considered to be a perk, not mandatory. And still, my parents talk about paying a small fee at the pediatrician to hear, it’s a virus, let it run its course. There were still fees when all of us were born. It wasn’t COMPLETELY paid for.

          Liked by 3 people

          1. I had a dentist for many years (he retired) whose cleanings cost $3.26 more than the insurance would pay.

            So a month later I’d get a bill for $3.26; only ten times what the stamp cost (for them, and then for me). I begged them to let me pay at the time of service, and they wouldn’t let me do it.

            Liked by 4 people

      1. –and insurance should be for catastrophes, by the way, not routine stuff.

        If we did car repair like we do medicine, we’d have to file paperwork to do an oil change, and it’d end up costing five times as much.

        Liked by 6 people

        1. I would make insurance best for the patient if it involves surgery. There’s some things that are considered “lifestyle” that really are best for the patient. Not many, but the number of women I know whose back pain was relieved by breast reduction is considerable…of course, none of them grew up on a pool deck and developed the muscles…well, you get my drift.

          Liked by 4 people

  8. Hi guys!!! Just jumping in to let you know…I have …NOTHING to add to the convo…😂 but…I Love you ALL!!! and we are in this together!!! Today went from crazy weird to Awesome info.. to WINNING… My opinion! (Which is Always questionable😂)… I’m a conspiracy weirdo… but.. I kinda think………………….IT’S HAPPENING!!! WE WINNING!! And Sylvia is much better today!! So..#winning!

    Liked by 3 people

  9. I ran into this group a while ago when OH!Bummercare was being passed.

    From my old notes:

    Speaking of Grubered, Obamacare is all about removing medical care FROM the elderly and giving it TO the illegals.
    If You Like Your Medicare, You Can Keep Your Medicare By Jane M. Orient, M.D.

    …You can drop Medicare Part B, though there is a penalty for getting back in. But to drop Medicare Part A, you have to give back all the Social Security payments you ever received, as well as forgoing future payments. [MAJOR STICK to beat you into submission.]

    Medicare rules are forcing many independent physicians to give up their practice, and either retire early or become employees. Physicians who do remain in practice may not accept Medicare patients, or limit the number they see. If you are a Medicare patient, the entire Medicare regime is in the examining room or hospital room with you, like it or not. You are not allowed to be free for a day. Neither is the doctor….

    Medicare is also making it increasingly difficult for Medicare patients to get tests, consultations, oxygen or other home-health items, or medications prescribed by a non-Medicare doctor, sometimes even if the patient is willing to pay privately.

    Why should this be?

    Keep in mind that Medicare is not yours. The money you paid in all your working life is long gone. Your benefits are coming out of the wages of people like Larry, John, and Jesus, who toil at Arnold’s gas station, and all of them are having a hard time these days. Now that payroll tax receipts are less than payouts, benefits are coming out of general tax revenues, which redeem the IOUs in the “Trust Fund.” And the ever-increasing Part B premiums pay only 25 percent of benefits. If you are on Medicare, you are a liability—to your doctor and to society.

    Medicare does offer some fine new “benefits”—such as paying for “end-of-life” counseling.

    Medicare counseling, however, is not about life insurance, wills, or funeral arrangements—or about making peace with your family or God. It’s about reducing the cost of your care. The most expedient way to do that is to use “end” as a verb.

    These days you can no longer assume that a hospital will seek to prolong your life and restore you to the health you enjoyed before you fell ill. It is much easier for the hospital if you give them permission ahead of time not to try. The purpose of the “advance directive” is to decline “life-sustaining treatments”—such as food and water… <====Liverpool Care Pathway anyone?

    …..

    The UK Liverpool Care Pathway, Socialism at it’s finest.

    The Fabians in the UK have been offing the over 55 population for a while now. Why is it no matter where you look you find Socialsts/Marxists practice DEMOCIDE: Death by Government whenever they get complete control of a country?

    The news stories started out like this:

    Nearly 1,200 people have starved to death in NHS hospitals because ‘nurses are too busy to feed patients’
    For every patient who dies from malnutrition, four more have dehydration mentioned on their death certificate

    *http://www.dailymail.co.uk/news/article-2287332/Nearly-1-200-people-starved-death-NHS-hospitals-nurses-busy-feed-patients.html

    And this

    Four patients die thirsty or starving EVERY DAY on our hospital wards show damning new statistics
    Data shows 1,316 deaths were linked to or directly caused by dehydration and malnutrition in 2010
    Figures are far higher than in 2000, when 862 deaths were recorded
    One hospital forced to prescribe drinking water for its patients
    *http://www.dailymail.co.uk/news/article-2090332/Four-patients-die-thirsty-starving-EVERY-DAY-hospital-wards-damning-new-statistics.html

    The telegraph reports:

    the NHS comes first in Europe when it comes to the percentage of hospital patients suffering malnutrition: a whopping 58%, compared to 24% in the Netherlands and just over 30% in Denmark.
    *http://blogs.telegraph.co.uk/news/cristinaodone/100131793/visiting-a-patient-in-a-british-hospital-then-take-them-food-and-water-just-to-be-safe/

    The comments in the last article give life to the horrific conditions in the UK hospitals.

    Note how the nurses are blamed and doctors are “forced to prescribe drinking water” — Yeah, right.

    Then one doctor lets the cat out of the bag. The cause of death is deliberate withholding of food and water (The Liverpool Care Pathway) and not ‘neglect’ by the nurses… OOPS
    Top doctor’s chilling claim: The NHS kills off 130,000 elderly patients every year: Professor says doctors use ‘death pathway’ to euthenasia the elderly

    Around 29 per cent of patients that die in hospital are on controversial ‘care pathway’
    *http://www.dailymail.co.uk/news/article-2161869/Top-doctors-chilling-claim-The-NHS-kills-130-000-elderly-patients-year.html?ICO=most_read_

    Then as investigative journalists dig deeper it is found that it is not the Doctors but the GOVERNMENT that is the cause of the deliberate starvation and dehydration of these people.
    NHS millions for controversial care pathway
    The majority of NHS hospitals in England are being given financial rewards for placing terminally-ill patients on a controversial “pathway” to death,

    *http://www.telegraph.co.uk/news/health/news/9644287/NHS-millions-for-controversial-care-pathway.html

    TheGovernment PAYS hospitals to starve the patients to death. They also use the Liverpool Care Pathway on infants and children they deem ‘useless’ Doctors now have Saturday and Sunday off so if you are admitted on a weekend chances are you will be stuck on the Liverpool Care Pathway. Also the UK Govenment is suggesting they need to ‘Check-up” on older folk… so they can toss them in the hospital and starve them to death no doubt.

    Think that is bad? It gets worse.

    Now they are calling for After birth Abortions (NOTE THE DATE!)

    Ethicists call for killing of newborns to be made legal
    by Madeleine Teahan
    posted Wednesday, 29 Feb 2012
    Professors from Milan and Oxford argue that ‘foetuses and newborns do not have the same moral status as actual persons’
    A leading British medical journal has published an article calling for the introduction of infanticide for social and medical reasons.

    The article in the Journal of Medical Ethics, entitled “After-birth abortion: why should the baby live?” states in its abstract: “After-birth abortion (killing a newborn) should be permissible in all cases where abortion is, including cases where the newborn is not disabled.”
    *http://www.catholicherald.co.uk/news/2012/02/29/ethicists-call-for-killing-of-newborns-to-be-made-legal/

    And the people in the USA were told this was the healthcare system that was so much better that what we had!?!?!

    WE WERE GRUBERED!

    Liked by 1 person

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s