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	<title>Comments on: DOCTORS SUE TEXAS MEDICAL BOARD FOR MISCONDUCT - Cites institutional culture of retaliation &#038; intimidation</title>
	<link>http://www.aapsonline.org/newsoftheday/004</link>
	<description>from the Association of American Physicians and Surgeons</description>
	<pubDate>Mon, 12 May 2008 02:49:04 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.3.2</generator>
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		<title>By: Michael D. Williams, D.O.</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-367</link>
		<dc:creator>Michael D. Williams, D.O.</dc:creator>
		<pubDate>Wed, 20 Feb 2008 23:44:38 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-367</guid>
		<description>I have discussed the worsening situation with the State Board of Texas with many others and we all agree something must be done but organizing physicians is like “herding cats”.  I am sure Texas is not unique in this issue and many other states will be interested in what we do.  With the increasing rules passed by the board without input by the bulk of the physicians in the state, the board has become an over regulating, over reactive “bull dozer” rolling over good physicians over minor rule violations.  In fact many of the rules should not even exist. We, as good caring physicians, do not need more and more intrusive government invading into our practices.  We all do a nearly impossible job on a daily basis by treating the various simple to extremely complicated patients who walk through our doors and those we see in the hospital.  As one attorney once put it “who else is asked to put their finger up someone’s ass and tell them what’s wrong with them!”  “You do an impossible job in an impossible environment and held to impossible standards.”  We all want the best for our patients and most physicians truly try their best.  We are all human and make mistakes, but do those mistakes require the public embarrassment, financial penalties, unreasonable monitoring and Gestapo like attack by our board?  I don’t think so and I hope you and others agree.

Our state board was designed to license good physicians and to protect the public from dangerous physicians.  But now the extensive rules that have been passed over the years, even encompassing poor hand writing, have become excessive and unnecessary.  Minor violations generate board investigations and reviews.  Most physicians feel helpless against “city hall” and simply rollover and accept the excessively punitive agreed orders they are presented.  The high cost of legal defense is not affordable by many of the physicians who are wrongfully attacked and so accept the penalty despite the injustice.  This unchallenged attack of many of us and our colleagues across the state has set a dangerous precedence.  The board has subsequently become more and more aggressive and pulls in physicians for hearings with little provocation.  

The worse part of all of this is the physicians are practicing more and more defensive medicine, not because of malpractice issues but because of board issues.  I myself am spending more and more time with my charts and not with my patients.  I can’t listen to my patients because my head is in the chart making sure I write enough to satisfy the board so they will not punish me.  I am all for good documentation but there is a point in which it becomes excessive and for defense purpose and not good medicine.  More and more physicians are now using electronic medical records to CYA.  They can simply press a button and print out a massive note, consult or report that covers all requirements weather they actually completed the exam or not.  The citizens of the state of Texas are suffering the fall out that this board attitude has created.  Well meaning Physicians have been attacked so much that they and their colleagues no longer prescribe some life improving medications, over utilize expensive lab and x-ray tests and refer out to high cost specialist to cover their rears.  How many of you will NOT write pain medications any longer and thus allow your patients to suffer needlessly, because of the aggressive attacks by the board on you or your colleagues? 

I have talked to attorneys for the state board and they, off the record, have given me the direction necessary to effect the changes we all know needs to occur in Austin.  My dilemma is getting the word out to the majority of physicians in the state to openly discuss debate and consider action necessary to improve the function of the board and thus improve the healthcare in the state of Texas.  None of us want bad or dangerous doctors practicing medicine but we equally don’t want to be attacked or see our brethren attacked needlessly and punitively over minor issues.  By opening up a forum that all the physicians in Texas can discuss this issue we can hopefully improve the way the board functions and thus improve healthcare to all citizens of the state of Texas.

I am asking you to contact me, your colleagues; your state representatives and senators so that we may affect a positive change in the way the board functions and the practice of medicine in the state of Texas.  This is a very serous call to ARMS!  If we do not act now we may all be victims of this abuse.  We must stand united or we will surely fall divided.

Sincerely, 


Michael D. Williams, D.O.
Cedar Hill, TEXAS
mdwilliamsdo@pol.net</description>
		<content:encoded><![CDATA[<p>I have discussed the worsening situation with the State Board of Texas with many others and we all agree something must be done but organizing physicians is like “herding cats”.  I am sure Texas is not unique in this issue and many other states will be interested in what we do.  With the increasing rules passed by the board without input by the bulk of the physicians in the state, the board has become an over regulating, over reactive “bull dozer” rolling over good physicians over minor rule violations.  In fact many of the rules should not even exist. We, as good caring physicians, do not need more and more intrusive government invading into our practices.  We all do a nearly impossible job on a daily basis by treating the various simple to extremely complicated patients who walk through our doors and those we see in the hospital.  As one attorney once put it “who else is asked to put their finger up someone’s ass and tell them what’s wrong with them!”  “You do an impossible job in an impossible environment and held to impossible standards.”  We all want the best for our patients and most physicians truly try their best.  We are all human and make mistakes, but do those mistakes require the public embarrassment, financial penalties, unreasonable monitoring and Gestapo like attack by our board?  I don’t think so and I hope you and others agree.</p>
<p>Our state board was designed to license good physicians and to protect the public from dangerous physicians.  But now the extensive rules that have been passed over the years, even encompassing poor hand writing, have become excessive and unnecessary.  Minor violations generate board investigations and reviews.  Most physicians feel helpless against “city hall” and simply rollover and accept the excessively punitive agreed orders they are presented.  The high cost of legal defense is not affordable by many of the physicians who are wrongfully attacked and so accept the penalty despite the injustice.  This unchallenged attack of many of us and our colleagues across the state has set a dangerous precedence.  The board has subsequently become more and more aggressive and pulls in physicians for hearings with little provocation.  </p>
<p>The worse part of all of this is the physicians are practicing more and more defensive medicine, not because of malpractice issues but because of board issues.  I myself am spending more and more time with my charts and not with my patients.  I can’t listen to my patients because my head is in the chart making sure I write enough to satisfy the board so they will not punish me.  I am all for good documentation but there is a point in which it becomes excessive and for defense purpose and not good medicine.  More and more physicians are now using electronic medical records to CYA.  They can simply press a button and print out a massive note, consult or report that covers all requirements weather they actually completed the exam or not.  The citizens of the state of Texas are suffering the fall out that this board attitude has created.  Well meaning Physicians have been attacked so much that they and their colleagues no longer prescribe some life improving medications, over utilize expensive lab and x-ray tests and refer out to high cost specialist to cover their rears.  How many of you will NOT write pain medications any longer and thus allow your patients to suffer needlessly, because of the aggressive attacks by the board on you or your colleagues? </p>
<p>I have talked to attorneys for the state board and they, off the record, have given me the direction necessary to effect the changes we all know needs to occur in Austin.  My dilemma is getting the word out to the majority of physicians in the state to openly discuss debate and consider action necessary to improve the function of the board and thus improve the healthcare in the state of Texas.  None of us want bad or dangerous doctors practicing medicine but we equally don’t want to be attacked or see our brethren attacked needlessly and punitively over minor issues.  By opening up a forum that all the physicians in Texas can discuss this issue we can hopefully improve the way the board functions and thus improve healthcare to all citizens of the state of Texas.</p>
<p>I am asking you to contact me, your colleagues; your state representatives and senators so that we may affect a positive change in the way the board functions and the practice of medicine in the state of Texas.  This is a very serous call to ARMS!  If we do not act now we may all be victims of this abuse.  We must stand united or we will surely fall divided.</p>
<p>Sincerely, </p>
<p>Michael D. Williams, D.O.<br />
Cedar Hill, TEXAS<br />
<a href="mailto:mdwilliamsdo@pol.net">mdwilliamsdo@pol.net</a></p>
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		<title>By: Det. Wesley McCullough</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-363</link>
		<dc:creator>Det. Wesley McCullough</dc:creator>
		<pubDate>Wed, 20 Feb 2008 20:13:06 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-363</guid>
		<description>I hope that the governing body of Texas will take the time to determine the truth on this matter and act accordingly.  It is a shame to have this licensing athority under such a cloud of mistrust.  Surely the governer can take the time to hear the complaints of our doctors.</description>
		<content:encoded><![CDATA[<p>I hope that the governing body of Texas will take the time to determine the truth on this matter and act accordingly.  It is a shame to have this licensing athority under such a cloud of mistrust.  Surely the governer can take the time to hear the complaints of our doctors.</p>
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		<title>By: physician, MD</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-341</link>
		<dc:creator>physician, MD</dc:creator>
		<pubDate>Sun, 17 Feb 2008 16:04:15 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-341</guid>
		<description>I am a  physician  licensed in Texas. My husband did his fellowship in Texas(with a temporary permit from the Boards), he graduated from the same medical school as me, and, still, it was impossible for him to get a medical license in Texas. We had to leave our house and move to a different state because of the situation. We were fantasizing about suing the Boards but we just don't have time for this. My husband got a New York license in no time, he also got a Missouri license in 2 months. What relevance has the following question from one of Texas ridiculous application forms " how were the preceptors in medical school compensated?". Does it matter if you are already a Board Certified physician? Do you have to prove  your identity begining with the day care in order to get a Texas license?</description>
		<content:encoded><![CDATA[<p>I am a  physician  licensed in Texas. My husband did his fellowship in Texas(with a temporary permit from the Boards), he graduated from the same medical school as me, and, still, it was impossible for him to get a medical license in Texas. We had to leave our house and move to a different state because of the situation. We were fantasizing about suing the Boards but we just don&#8217;t have time for this. My husband got a New York license in no time, he also got a Missouri license in 2 months. What relevance has the following question from one of Texas ridiculous application forms &#8221; how were the preceptors in medical school compensated?&#8221;. Does it matter if you are already a Board Certified physician? Do you have to prove  your identity begining with the day care in order to get a Texas license?</p>
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		<title>By: Licensing Specialist</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-67</link>
		<dc:creator>Licensing Specialist</dc:creator>
		<pubDate>Thu, 10 Jan 2008 18:44:07 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-67</guid>
		<description>I am a licensing professional who has licensed over 7000 physicians across the 50 States. 400 of these were in Texas. Texas is basically "Anti-Physician". They purposely delay the licensing process. The attitude of the Board Members from top to bottom is one of arrogance and supremacy. Physician are only "allowed" to call their "Licensure Investigator" (notice the title of the representative) between 8-2 on Friday Only. They don't answer emails, phone calls, or written correspondence. It is quite common for applications, verifications, and forms to be lost without recourse by the medical board. They make The licensure time typically takes 6-12 months with the application expiration rate typically running around 35%. Compare this to New Mexico, which has more verification requirements and on paper a more difficult administrative process...  New Mexico averages licensing physicians between 2 1/2 to 4 1/2 months. What is the difference? The management of the Medical Board. They should really change their name to the Texas Medical Mafia Board. It is managed as a Family Business. All Physicians are guilty until proven innocent. Our company has now adopted the policy of trying to discourage physicians from applying to Texas if they have other options.</description>
		<content:encoded><![CDATA[<p>I am a licensing professional who has licensed over 7000 physicians across the 50 States. 400 of these were in Texas. Texas is basically &#8220;Anti-Physician&#8221;. They purposely delay the licensing process. The attitude of the Board Members from top to bottom is one of arrogance and supremacy. Physician are only &#8220;allowed&#8221; to call their &#8220;Licensure Investigator&#8221; (notice the title of the representative) between 8-2 on Friday Only. They don&#8217;t answer emails, phone calls, or written correspondence. It is quite common for applications, verifications, and forms to be lost without recourse by the medical board. They make The licensure time typically takes 6-12 months with the application expiration rate typically running around 35%. Compare this to New Mexico, which has more verification requirements and on paper a more difficult administrative process&#8230;  New Mexico averages licensing physicians between 2 1/2 to 4 1/2 months. What is the difference? The management of the Medical Board. They should really change their name to the Texas Medical Mafia Board. It is managed as a Family Business. All Physicians are guilty until proven innocent. Our company has now adopted the policy of trying to discourage physicians from applying to Texas if they have other options.</p>
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		<title>By: Eric N. Groschm MD</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-28</link>
		<dc:creator>Eric N. Groschm MD</dc:creator>
		<pubDate>Sun, 30 Dec 2007 14:21:21 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-28</guid>
		<description>The AAPS-lawsuit is a flamboyant move and I wish the effort well but the lawyer in black robes who presides at court will very likely favor the establishment-defendants and either dismiss the suit immediately or, if he accepts it for hearing, find in favor of the defendants and establish a precedent of future federal immunity for medical regulators to complement the state-immunity they already enjoy.

The Supreme-Court decision of Daubert v. Merrell-Dow Pharmaceutical Co., Inc. (1993) established a higher standard of scientific evidence than the Frye-standard from the 1920s but federal judges have no clue about science, so they've been mucking it up ever since.  Even so, plaintiffs would do well at least to try and hold the court's feet to the fire and get it to admit only valid science.  If they did that, they could prove, among other things, that peer-review, which relies on retrospective chart-review, is closely analogous to case-control research.  Case-control research is valid only for generating hypotheses, not for definitive conclusions but even it relies on controls.  Peer-review does not.  Therefore, peer-review is inherently invalid, from the start, yet all regulators, in every state and terriory, rely entirely on such invalid peer-review in reaching the invalid conclusions on which they must rely to justify the punishment they mete out.  If some plaintiff could establish the precedent of scientific invalidity of peer-review/regulation in some federal court, medical regulation, as well as hospital-based peer-review, as we know it, would have to vanish but it would be an uphill battle.</description>
		<content:encoded><![CDATA[<p>The AAPS-lawsuit is a flamboyant move and I wish the effort well but the lawyer in black robes who presides at court will very likely favor the establishment-defendants and either dismiss the suit immediately or, if he accepts it for hearing, find in favor of the defendants and establish a precedent of future federal immunity for medical regulators to complement the state-immunity they already enjoy.</p>
<p>The Supreme-Court decision of Daubert v. Merrell-Dow Pharmaceutical Co., Inc. (1993) established a higher standard of scientific evidence than the Frye-standard from the 1920s but federal judges have no clue about science, so they&#8217;ve been mucking it up ever since.  Even so, plaintiffs would do well at least to try and hold the court&#8217;s feet to the fire and get it to admit only valid science.  If they did that, they could prove, among other things, that peer-review, which relies on retrospective chart-review, is closely analogous to case-control research.  Case-control research is valid only for generating hypotheses, not for definitive conclusions but even it relies on controls.  Peer-review does not.  Therefore, peer-review is inherently invalid, from the start, yet all regulators, in every state and terriory, rely entirely on such invalid peer-review in reaching the invalid conclusions on which they must rely to justify the punishment they mete out.  If some plaintiff could establish the precedent of scientific invalidity of peer-review/regulation in some federal court, medical regulation, as well as hospital-based peer-review, as we know it, would have to vanish but it would be an uphill battle.</p>
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		<title>By: N G. MD, MSCR</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-23</link>
		<dc:creator>N G. MD, MSCR</dc:creator>
		<pubDate>Wed, 26 Dec 2007 23:40:45 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-23</guid>
		<description>Why doctors are silent and can’t advocate for their patients any more. Why we see hospitals giving our patients used inhalers that could transmit serious respiratory infections and we are quite about it. 

Why we became ineffective inside the hospitals walking around like chicken without a head, smiling like idiots trying to please people on power and whispering about errors happening every day that is taking the life of many patients. 

Why we are quite about fetal errors happening by the oppressor doctors in the hospital. Why hospitals are transformed to criminals and terror harboring places that are controlling the life of patients and the majority of doctors. I am sick tired of all this hippocracy...

Hospitals and insurance companies not excluding Medicare and Medicaid are manipulating doctors and empowering few doctors to control the majority of doctors to control the cost of medicine. Some classes that I attend are calling it "hurding the cats".

Doctors who are crazy to follow the Hippocratic oath and stand strong against their oppressors defending their patients and the integrity of medicine end paying a dearly price and discover at the end that they did not accomplish anything when their oppressors protected by greedy lawyers celebrate a new kill and hang up their kill in public to terrorize other doctors and dare them. 

It is a system based on Sadaam Hessian way in controlling Iraq. 

Unfortunately, we spent billions of dollars to rote out Sadam Hesain when we have thousands of Sadam Hessian controlling each hospital in USA. 

The first thing we need to do to improve the quality of healthcare in USA is to free doctors from slavery by getting ride of the HCQIA-1986 and giving the doctors the right to take their cases to the court and be judged by a jury that is selected according to the constitution. 

It is the time to get ride of the military tribunes that exist in each hospital and that judge and execute doctors behind doors.

The doctors have the right to see a day of fairness in the court.

Why the doctors should be deprived from their basic rights of being judged by a jury in the court of law? 

As long as doctors are prevented from going to court to protect themselves, doctors will remain silent and we will have more criminals and politicians controlling medicine. The politicaly correct generation of doctors.

I came to America 17 years ago looking for freedom leaving behind me oppressed system. After reaching to the top of medicine in USA and after having all these degrees and qaulifications, I discover that I don’t have freedom to speak up for my patient in the hospital and I discover also that no one care about qualifications or degrees. What is more important is how to suck up and how to get to power or at least serve someone who is on power. 

What a waste!</description>
		<content:encoded><![CDATA[<p>Why doctors are silent and can’t advocate for their patients any more. Why we see hospitals giving our patients used inhalers that could transmit serious respiratory infections and we are quite about it. </p>
<p>Why we became ineffective inside the hospitals walking around like chicken without a head, smiling like idiots trying to please people on power and whispering about errors happening every day that is taking the life of many patients. </p>
<p>Why we are quite about fetal errors happening by the oppressor doctors in the hospital. Why hospitals are transformed to criminals and terror harboring places that are controlling the life of patients and the majority of doctors. I am sick tired of all this hippocracy&#8230;</p>
<p>Hospitals and insurance companies not excluding Medicare and Medicaid are manipulating doctors and empowering few doctors to control the majority of doctors to control the cost of medicine. Some classes that I attend are calling it &#8220;hurding the cats&#8221;.</p>
<p>Doctors who are crazy to follow the Hippocratic oath and stand strong against their oppressors defending their patients and the integrity of medicine end paying a dearly price and discover at the end that they did not accomplish anything when their oppressors protected by greedy lawyers celebrate a new kill and hang up their kill in public to terrorize other doctors and dare them. </p>
<p>It is a system based on Sadaam Hessian way in controlling Iraq. </p>
<p>Unfortunately, we spent billions of dollars to rote out Sadam Hesain when we have thousands of Sadam Hessian controlling each hospital in USA. </p>
<p>The first thing we need to do to improve the quality of healthcare in USA is to free doctors from slavery by getting ride of the HCQIA-1986 and giving the doctors the right to take their cases to the court and be judged by a jury that is selected according to the constitution. </p>
<p>It is the time to get ride of the military tribunes that exist in each hospital and that judge and execute doctors behind doors.</p>
<p>The doctors have the right to see a day of fairness in the court.</p>
<p>Why the doctors should be deprived from their basic rights of being judged by a jury in the court of law? </p>
<p>As long as doctors are prevented from going to court to protect themselves, doctors will remain silent and we will have more criminals and politicians controlling medicine. The politicaly correct generation of doctors.</p>
<p>I came to America 17 years ago looking for freedom leaving behind me oppressed system. After reaching to the top of medicine in USA and after having all these degrees and qaulifications, I discover that I don’t have freedom to speak up for my patient in the hospital and I discover also that no one care about qualifications or degrees. What is more important is how to suck up and how to get to power or at least serve someone who is on power. </p>
<p>What a waste!</p>
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		<title>By: Dr S</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-16</link>
		<dc:creator>Dr S</dc:creator>
		<pubDate>Mon, 24 Dec 2007 15:45:12 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-16</guid>
		<description>You think you have problems now?  

Wait until the 'powers that be' have a new enforcement tool at their disposal:  the electronic medical record, in its current form designed by bureaucrats.  It is a  technology currently built to enrich the fat cats, that is likely going to be imposed on you, at your own expense.  See this posting:

"EMR's: Take it or Leavitt, HHS secretary says (while putting a gun to doctor's heads) - and should physicians boycott EMR's as a political statement?"

at

http://hcrenewal.blogspot.com/2007/12/emrs-take-it-or-leavitt-dhhs-secretary.html</description>
		<content:encoded><![CDATA[<p>You think you have problems now?  </p>
<p>Wait until the &#8216;powers that be&#8217; have a new enforcement tool at their disposal:  the electronic medical record, in its current form designed by bureaucrats.  It is a  technology currently built to enrich the fat cats, that is likely going to be imposed on you, at your own expense.  See this posting:</p>
<p>&#8220;EMR&#8217;s: Take it or Leavitt, HHS secretary says (while putting a gun to doctor&#8217;s heads) - and should physicians boycott EMR&#8217;s as a political statement?&#8221;</p>
<p>at</p>
<p><a href="http://hcrenewal.blogspot.com/2007/12/emrs-take-it-or-leavitt-dhhs-secretary.html" rel="nofollow">http://hcrenewal.blogspot.com/2007/12/emrs-take-it-or-leavitt-dhhs-secretary.html</a></p>
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		<title>By: Dr. Leonard G. Horowitz</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-15</link>
		<dc:creator>Dr. Leonard G. Horowitz</dc:creator>
		<pubDate>Mon, 24 Dec 2007 01:13:43 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-15</guid>
		<description>I am very happy to see the AAPS advancng this assertive, long overdue, litigation. I was proud of you for advancing the vaccination risk considerations that you did for people's health. I was sad that some of your officials chose to prevent my presentation(s) that would have enabled and encouraged your members to take more assertive actions earlier to prevent the damages your litigation now seeks to suspend.

In support of your organization, these litigation efforts, and AAPS members, I am prepared to gift your leadership and membership copies of my latest documentary DVD, In Lies We Trust (See www.inlieswetrust.com).

Moreover, I encourage your leaders to collaborate with other organizations, such as the World Organization for Natural Medicine (See:  http://www.wonm.org/) and the World Organization for Natural Medicine Practitioners. (See: www.wonmp.us) in strengthening the numbers of organized professionals dedicated to restoring scientific integrity to medicine.

Yours in the Spirit of health and public service,

Leonard G. Horowitz, D.M.D., M.A., M.P.H., D.N.M., D.M.M.</description>
		<content:encoded><![CDATA[<p>I am very happy to see the AAPS advancng this assertive, long overdue, litigation. I was proud of you for advancing the vaccination risk considerations that you did for people&#8217;s health. I was sad that some of your officials chose to prevent my presentation(s) that would have enabled and encouraged your members to take more assertive actions earlier to prevent the damages your litigation now seeks to suspend.</p>
<p>In support of your organization, these litigation efforts, and AAPS members, I am prepared to gift your leadership and membership copies of my latest documentary DVD, In Lies We Trust (See <a href="http://www.inlieswetrust.com" rel="nofollow">http://www.inlieswetrust.com</a>).</p>
<p>Moreover, I encourage your leaders to collaborate with other organizations, such as the World Organization for Natural Medicine (See:  <a href="http://www.wonm.org/" rel="nofollow">http://www.wonm.org/</a>) and the World Organization for Natural Medicine Practitioners. (See: <a href="http://www.wonmp.us" rel="nofollow">http://www.wonmp.us</a>) in strengthening the numbers of organized professionals dedicated to restoring scientific integrity to medicine.</p>
<p>Yours in the Spirit of health and public service,</p>
<p>Leonard G. Horowitz, D.M.D., M.A., M.P.H., D.N.M., D.M.M.</p>
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		<title>By: George Yossif</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-14</link>
		<dc:creator>George Yossif</dc:creator>
		<pubDate>Sun, 23 Dec 2007 19:12:55 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-14</guid>
		<description>I have just been through another round of "from-scratch" recredentialing.

All of the United States physicians have had the grueling, annoying, demeaning, and time-consuming experience of such hugely redundant recredentialing by a wide variety of frauds who are never questioned about their own credentials and who are not interested in patient care or consumer protection, but only in justifying their own sinecures.

Medical boards, hospitals, clinics, liability insurance underwriters, health insurance empanellers, Medicare, Medicaid, Human Resource departments, quality assurance departments, and others act as if each one of them is a combination of CIA, FBI, Homeland Security, and Police Departments and as if each physician is a likely impostor, serial killer, sexual predator, or psychotic derelict.  These agencies duplicate each other's investigations, blow derogatory information out of all proportion, cause absurd investigations, delay hiring and services, invent new ID numbers and "performance" criteria that make no medical or even horse sense, generate mountains of paperwork and computer time, maintain enormous staffs on their permanent payrolls, and reap enormous revenues from doctors, patients, and the healthy insured, who pay through their noses for this make-believe security.

Their yield, in terms of discovering rotten doctors or improving patient care is so meager that no sane cost-benefit analysis could possibly justify it.  In addition, they have frequently generated witch hunts and unnecessary legal proceedings whose cost is at least as large.

And doctors meekly submit to this kafkayesque machine, often offering each other as fodder and thus compounding its insanity rather than curbing it.  Is there a way back to sanity?</description>
		<content:encoded><![CDATA[<p>I have just been through another round of &#8220;from-scratch&#8221; recredentialing.</p>
<p>All of the United States physicians have had the grueling, annoying, demeaning, and time-consuming experience of such hugely redundant recredentialing by a wide variety of frauds who are never questioned about their own credentials and who are not interested in patient care or consumer protection, but only in justifying their own sinecures.</p>
<p>Medical boards, hospitals, clinics, liability insurance underwriters, health insurance empanellers, Medicare, Medicaid, Human Resource departments, quality assurance departments, and others act as if each one of them is a combination of CIA, FBI, Homeland Security, and Police Departments and as if each physician is a likely impostor, serial killer, sexual predator, or psychotic derelict.  These agencies duplicate each other&#8217;s investigations, blow derogatory information out of all proportion, cause absurd investigations, delay hiring and services, invent new ID numbers and &#8220;performance&#8221; criteria that make no medical or even horse sense, generate mountains of paperwork and computer time, maintain enormous staffs on their permanent payrolls, and reap enormous revenues from doctors, patients, and the healthy insured, who pay through their noses for this make-believe security.</p>
<p>Their yield, in terms of discovering rotten doctors or improving patient care is so meager that no sane cost-benefit analysis could possibly justify it.  In addition, they have frequently generated witch hunts and unnecessary legal proceedings whose cost is at least as large.</p>
<p>And doctors meekly submit to this kafkayesque machine, often offering each other as fodder and thus compounding its insanity rather than curbing it.  Is there a way back to sanity?</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.aapsonline.org/newsoftheday/004#comment-13</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Sun, 23 Dec 2007 12:52:54 +0000</pubDate>
		<guid>http://www.aapsonline.org/newsoftheday/004#comment-13</guid>
		<description>John: Where do you doctor? Travel to Canada for their Commie Care. You would be happier. 

Try getting care in Canada that costs more than a few dozen dollars. Try reporting your doctor to a Canadian provincial licensing board for abandonment, when you get nothing. Report back.</description>
		<content:encoded><![CDATA[<p>John: Where do you doctor? Travel to Canada for their Commie Care. You would be happier. </p>
<p>Try getting care in Canada that costs more than a few dozen dollars. Try reporting your doctor to a Canadian provincial licensing board for abandonment, when you get nothing. Report back.</p>
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