AAPS News September 2015 - Planned Inhumanity
Volume 71, no. 9 September 2015 One author admits that he is “not shocked” by videos showing officials of Planned Parenthood speaking callously about the harvesting of fetal organs. “The fact that money is exchanged, and the question of whether this constitutes a ‘market,’ do not particularly matter to me,” writes Robert Oscar Lopez. “Well-educated people believe that ‘planned parenthood’ can lead to a socially just world. That hubris is the main horror from which all these other abhorrent things descend.” “Consider the intellectual consequences of this foundational belief that humanity can be ‘planned.’” It means that humans can be... read more
AAPS News August 2015 - The Rule of Law
Volume 71, no. 8 August 2015 It seems that we are hearing the phrases “the Law of the Land” and “the Rule of Law” with ever-increasing frequency—in certain contexts, especially the Affordable Care Act (ACA). We do not hear them so often with respect to Constitutional protections of property rights, the right to self-defense, or the free expression of religion, when these conflict with ACA or Administration policy. Nor are they invoked so often when speaking of immigration law or laws requiring public access to documents held by government agencies or public officials. The de facto Law of the Land... read more
AAPS News July 2015 - Medicare at 50
Volume 71, no. 7 Medicare, Title 18 of the Social Security Act, was signed into law by President Lyndon Baines Johnson on July 30, 1965. A fundamental transformation of American medicine began. So did the consequences that AAPS predicted from the outset: accelerating costs and government controls. “The Medicare system has been a major catalyst in the destruction of our profession,” writes AAPS president Richard Amerling, M.D., who outlines the development of the regime of price controls (J Am Phys Surg, summer 2015). Government was pushing managed care as early as 1974 in the HMO Act. There is no evidence-based... read more
AAPS News June 2015 - Who Would Be The “Single Payer”?
AAPS News June 2015 - Who Would Be The “Single Payer”?
Volume 71, no. 6 June 2015 Some advocates of a “single-payer healthcare system,” notably Physicians for a National Health Program (PNHP), often begin with a scathing indictment of managed-care plans, including the complexities of dealing with dozens of them. (They know about these first-hand because they are enabling such plans by their participation.) We often find ourselves in agreement—until they get to their proposed solution. Other advocates of “universal” or “national” plans, such as the American College of Physicians (ACP), are not noted for criticizing managed care—either its business model or its major players such as UnitedHealthcare. Models to emulate... read more
AAPS News May 2015 - Involuntary Servitude
Volume 71, no. 5 When doctors advocate opting out of Medicare, naysayers often reply, “They’ll just make us participate as a condition of licensure.” It’s a variant of the argument that we should do it to ourselves first, before “they” do it to us. And of course, if everybody is doing it “voluntarily,” what’s the problem? The threat is not merely hypothetical. As Paul Ginsburg, Ph.D., writes in the JAMA Forum, “The only long-term resolution of the [Accountable Care Organization] ACO [spending] benchmark issue is to make clinician and provider participation mandatory or make opting out and remaining under [fee... read more
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