Take Back Medicine is a project of AAPS - The Association of American Physicians and Surgeons.



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Upcoming Events

4/15/2013 - Tax Day Tea Parties - Presented by Doctors Tea Party

3/30/2013 - "The Determinator" Ramona, CA Constitution Forum

9/8/2012 - Doctors featured at East County Tea Party

5/18/2012 - Restoring Liberty Town Hall - New Jersey

1/20/2012 - Thrive Not Just Survive - Las Vegas

9/28 - 10/1/2011 - AAPS 68th Annual Meeting, Atlanta, GA

9/17/2011 - ObamaCare Educational Workshop - DeSales University - Center Valley, PA

Movie Screening - Sick & Sicker, La Jolla, CA

Doctors Town Hall, Nashville TN

Recent Events:

Capitol Hill Briefing: Prevention & PPACA

Capitol Hill Briefing: Doctor/Patient Relationship

Thrive Not Just Survive - Omaha, NE

Doctors Town Hall, Irvine CA

ObamaCare Education Seminar - Morristown, NJ

5/10 & 5/12 2011
AAPS Director to Speak at Texas Educational Seminars on ObamaCare

Thrive Not Just Survive - Dallas, TX

AAPS members featured at Fallbrook, CA Teaparty

AAPS Pres. George Watson, Live on "Point of View" with Gabrielle Nolan

Tea Party of Lafayette, Louisiana ObamaCare Forum

AAPS PAC to Present Anna Little with Check

AAPS Executive Director Interview on KPEL Radio

AAPS General Counsel Speaks in Bismarck, ND


Candidate Forums in Roseburg and Coos Bay, OR

AAPS Members Hosts Event for Sharron Angle

AZ Chapter Meeting - Special Guest from Goldwater Institute

Health Care Freedom Coalition Event for Rick Scott

AAPS Director Lee Vliet, MD holds forum for AZ-7 Candidate Ruth McClung

AAPS Member Hosts Event for Ben Quayle

Oral Arguments - AAPS v. TMB

AAPS Dinner - Houston, TX

AAPS President appears in Iowa with Ken Cuccinelli

Austin, TX Doctor's Tea Party

AAPS 67th Annual Meeting, Salt Lake City, UT

Teaneck, NJ Doctor's Tea Party

Thrive Not Just Survive XII, Building a Healthy Independent Practice, Atlanta, GA

Free Market Healthcare Lecture Series, Philadelphia, PA

AAPS' Michael Ostrolenk Participates in National Press Club Briefing

AAPS Member Eric Novack Speaks at Healthcare Townhall, Scottsdale, AZ

Physicians at NYC Tea Party

AAPS physicians speak at Health Care Town Hall, Tucson, AZ

AAPS Past Pres. Mark Kellen, MD Live on radio 7am

Doctors & Patients Needed at Code Red Rally, Washington, DC

Doctors & Patients Needed at Code Red Rally, Washington, DC

AAPS Member Lee Kurisko Speaks at Kill the Bill Rally St. Paul, MN

Defending the American Dream Summit - Wisconsin Dells

AAPS Past President Mark Kellen, MD Speaks at Rockford, IL Tea Party

AAPS Director Wayne Iverson, MD Speaks at San Diego Tea Party

Thrive Not Just Survive XI, Building a Healthy Independent Practice
Webinar: How Doctors Can Protect their Profession from a Hostile Government Takeover
Health Care Town Hall Take Back Medicine Now

9pm EST Nationwide Virtual Vigil to Wake Up the Senate

2pm EST Press Conference with Physicians from 40-medical societies that oppose the Senate Bill

Candlelight Vigils to Wake Up the Senate

Opinion Web Radio Show Features State Legislators
Press Conference - State Leg
islators Blast Senate Health Bill

Second Opinion Web Radio Show

Second Opinion Web Radio Show

Houston Area Million Med March 1pm

Listen to TakeBackMedicine Webcast 8pm to 9pm EST

Listen to TakeBackMedicine Webcast 8pm to 9pm EST

Meet the Tea Party Express II as it travels across the USA

AMA "Shout-Out" - Tea Party Express Stop - Houston, TX

Meet AAPS Executive Director, Charlottesville, VA

House Call-God Bless America at U.S. Capitol

Doctors' Reading Room

Our Town Hall - Town Meeting on H.R. 3962

GOP Doctors Hold Their Own Health Care Reform Hearings
Tea Party Express Kickoff, San Diego
Take Back America Rally, Springboro, OH 1 to 4pm
AAPS Director to Participate In Glenn Beck TV Special 5pm EDT FOX News Channel
Take Back Medicine on The Matt Patrick Show, WHLO, Akron, OH - 10am ET

Take Back Medicine on Martha Zoeller Show (throughout Georgia) - 10:10am ET

Take Back Medicine on Scott Hennen Show WZFG The Flag - 11:10am ET
Jane M. Orient, MD on Rollye James Show, 7pm PDT

Take Back Medicine on Fox News - 9:15am

Take Back Medicine on Fox News - 1pm

AAPS 66th Annual Meeting - Nashville
AAPS Pres. Dr. Kellen speaks at Rock County Voter Education Forum
Kathryn Serkes to speak at Constitution Day Tea Party, Lancaster, PA
AAPS Pres. Dr. Kellen on WNTA radio 8am CDT
TBM at Nevada Small Business Summit
Kathryn Serkes to speak at 9/12 rally
Physicians Stand Together Rally - Washington, DC
AAPS on Fox News
AAPS President Mark Kellen, MD-Radio Interview
Town Meeting - Seattle metro 
Kathryn Serkes on Fox 1pm EDT
Lou Dobbs Tonight - CNN - Kathryn Serkes faces off with the AARP

National Physicians Working Group on Medical Liability Reform

KVI Radio - Kirby Wilbur Show-Kathryn Serkes - 10am EDT

Doctors Declare Independence - Oklahoma City

AAPS Member Attacked at Health Care Forum

Winning Strategies by AAPS - San Diego
Real Healthcare Reform - SOLD OUT - featuring AAPS President Mark Kellen, MD, Rockford, IL
2 Tea Party Patriots Health Care Freedom Town Halls on the Web @ 10am EDT & 3pm EDT
AAPS Director, Jules Dersch, MD, LIVE on Radio - 12:35 EDT
Download Take Back Medicine Interview on WMAL, Washington, DC
Podcast/Download Take Back Medicine Interview on Herman Cain Show
Free Our Healthcare Town Meeting - Lexington, KY
Health Care Tea Parties - Nationwide
Doctors' Tea Party - Wichita


Rand Paul, MD visits Boston

8:00-9:00 A.M.

Roundtable Breakfast

  Friday, April 25


The Westin Boston Waterfront 
425 Summer Street 
Boston, MA 02210  



*We will discuss healthcare  and other issues facing the medical community.

Attendee: $500 Sponsor: $1,000 

Make Checks Payable and Return to: “Rand Paul Victory Committee” PO Box 15299 Washington, DC 20003

RSVP to Amanda Weaver: 703-966-7562 Amanda.Weaver@RandPaul2016.com



Hillary Clinton San Diego Appearance Changes To Satellite As Protest Swells

Wayne Iverson, MDFormer US Secretary of State Hillary Clinton had a sudden scheduling change related to her appearance in San Diego on April 11, 2014 at a major healthcare conference. Local residents made aware of Hillary Clinton’s coming to San Diego organized a protest rally addressing the former Secretary’s role in what has been termed the Benghazi Cover Up. According to Pat Smith, mother of one of the fallen heroes Sean Smith, attendees were given a notice last week that Hillary’s appearance as Key Note Speaker had been changed to a satellite presentation.

Hillary Clinton’s swing through California for April 2014 was mentioned on the CNN Political Ticker blog January 22, 2014. The web posting said: “Hillary Clinton will make a multi-day swing through California in April, speaking at events in San Francisco, San Jose and San Diego that are sure to spark more talk about whether the former First Lady will run for President in 2016.” The article went on to say that the tickets for the San Diego conference were as high as $1,195.

Mary Kafka, one of the women organizing the protest rally addressed a group of about 75 people in Ramona, CA on Saturday March 29, 2014. Kafka stated that Hillary’s change of plans would not stop the protest from happening.

Lynette Williams, another one of the organizers and long term San Diego resident, attributed Hillary’s appearance by satellite instead of in person a result of the protest. Williams also raised the question as to whether Hillary’s schedulers saw the attendee list which included Pat Smith.

Kafka said the protest has been named “The Difference Matters”. The protest involves walking along public areas and sidewalks adjacent to the San Diego Convention Center where Hillary will be making her address. Kafka went on to say the protest website was “TheDifferenceMatters.org” and the Facebook page was under the same title.

Hillary Clinton, a potential candidate for President in 2016, has been touted by the press and media as being insulated from criticism because of allegations directed at her opponents about a “war on women”. However, the San Diego protest, The Difference Matters, defangs that argument as the protest concerning Hillary Clinton’s role in the Benghazi Cover Up is organized and led by women.

Any debate about the protest being part of the old “right wing conspiracy” theory mentioned by Hillary Clinton when challenged in the past similarly will not hold. Protest organizers maintain the protest is non-partisan and not politically based. Rather, the protest addresses the issue of good government and elected officials speaking honestly, an issue that crosses party lines.

San Diego recently made national headline news as a result of a stunning victory by Kevin Faulconer for San Diego Mayor. Many of the same San Diego citizens that helped secure that victory will now be exercising their First Amendment Rights speaking out on Benghazi.

Also noteworthy is the fact that San Diego County has one of the Congressional Districts held by Darrell Issa. Issa is the Chairman of the House Oversight and Government Reform Committee. This Committee is in charge of investigating the confusing and misleading communications put forth by the former Secretary of State related to Benghazi.

In testimony before the Senate Foreign Relations Committee on January 23, 2013, in questions related to the facts surrounding the attack on the American Consulate in Benghazi, Hillary Clinton angrily retorted “What difference…does it make ?” On April 11, 2014, concerned citizens will let everyone know The Difference Matters.

Written by Wayne Iverson, MD, AAPS Board Member, Coordinator, AAPS California Chapter, San Diego Physician and Former Candidate for Congress 2012 CA D-52

Media Contact: Wayne Iverson, The Difference Matters, 858-674-4542,info@thedifferencematters.org


Meet Senator Rand Paul, MD


8:00-9:00 A.M.

Roundtable Breakfast

  Tuesday, March 18

The Olympic Club 524

Post Street San Francisco, CA 94102

*We will discuss healthcare  and other issues facing the medical community.

Attendee: $500 Sponsor: $1,000 Host: $2,500

Make Checks Payable and Return to: “Rand Paul Victory Committee” PO Box 15299 Washington, DC 20003

RSVP to Amanda Weaver: 703-966-7562 Amanda.Weaver@RandPaul2016.com



ORIENT: Medicaid as a tax on the ‘estates’ of the poor

By Jane M. Orient Monday, March 11, 2013


Most people think they’re exempt from the estate tax (often called the “death tax”) because they don’t have $2 million. A lot of people with low incomes do have some assets, however, and if they have used any Medicaid benefits, their heirs may be in for a shock.

Depending on state law, the state may have the right to everything, up to the cost of Medicaid benefits received — house, car, bank accounts, tools, annuities, piano, furniture, everything — and not just 50 percent of it.

This situation is not exactly new. The Omnibus Reconciliation Act of 1993 requires states to pursue Medicaid asset recovery from persons who receive benefits at age 55 or older. At first, this applied mainly to nursing home benefits, but at state option, it could now include any items or services provided under Medicaid.

There are some limits on what the state can take, as in the case of hardship or to protect surviving spouses, but the law is extremely complex. “The only certainty is controversy,” writes lawyer David L. McGuffey, a member of a Georgia law firm specializing in estate law, in a 77-page document.

“Estate recovery tends to reach individuals of very modest means and has a chilling effect on low-income people seeking benefits to which they are entitled,” he notes. To enroll in Medicaid, people have had to sign a disclosure form explaining this requirement, and some decide to forgo the benefit.

A plaintiff who represented himself described estate recovery as “nothing more than a vast, unlawful conspiracy to deprive the plaintiff, an American who is black, of his property, his dignity and his constitutional rights, simply because they could.” (Drake v. Miller)

A potential for greatly expanded use of estate recovery was created in Obamacare, as pointed out in an anonymously authored, well-documented article distributed by economist Paul Craig Roberts. Obamacare increases the number of people eligible for Medicaid by dropping the asset test for enrollment (Page 162 of Obamacare).

It is not clear how disclosure can work if people are automatically enrolled — for example, if they appear to be eligible when they sign up for another program, such as food stamps. In addition, people who apply for mandated insurance through an exchange will have to enroll in Medicaid, if eligible, or pay the penalty — a “tax,” as determined by the U.S. Supreme Court — for being uninsured.

In Arizona, where all Medicaid beneficiaries are enrolled in a managed-care plan, their estates could be repaying “benefits” even if the enrollee never actually received any goods or services. Information provided by the Arizona Health Care Cost Containment System (Arizona’s Medicaid program) explains that the program makes a monthly capitation payment of around $3,340 to “program contractors,” who arrange for services, if any. It warns, in bold print: “It is important to be aware that capitation payments can exceed the actual costs of services provided during the month.”

For comparison, the privately paid cost for my father’s private room, decent meals and kind and competent 24-hour care in a comfortable group home was around $2,500 per month. Many people would probably pay less for services they need and choose than their estates would be charged for merely being a “covered life” in a program contractor’s inventory.

Federal and state governments are desperate for revenue. Pollyanna herself would find it hard to believe that estate recovery will diminish rather than increase.

Medicaid, supposed to be a program to help the poor, has become a cash cow for multibillion-dollar, managed-care companies, who milk federal and state taxpayers. Expanding Medicaid to persons with modest assets will enable estate recovery to become a cash cow for states to milk the poor and the middle class.

Dr. Jane M. Orient practices internal medicine in Tucson, Ariz., and is executive director of the Association of American Physicians and Surgeons.


The Obamacare Revolt

Reason Magazine has an interesting article about physicians fighting back against Obamacare. This article has been recommended by: 
Marilyn M. Singleton, MD, JD

The Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health Care
Jim Epstein | March 13, 2013

Will it make a difference?

Jim Epstein | March 13, 2013

Dr. Ryan Neuhofel, 31, offers a rare glimpse at what it would be like to go to the doctor without massive government interference in health care. Dr. Neuhofel, based in the college town of Lawrence, Kansas, charges for his services according to an online price list that's as straightforward as a restaurant menu. A drained abscess runs $30, a pap smear, $40, a 30-minute house call, $100. Strep cultures, glucose tolerance tests, and pregnancy tests are on the house. Neuhofel doesn't accept insurance. He even barters on occasion with cash-strapped locals. One patient pays with fresh eggs and another with homemade cheese and goat's milk. 

"Direct primary care," which is the industry term for Neuhofel's business model, does away with the bureaucratic hassle of insurance, which translates into much lower prices. "What people don't realize is that most doctors employ an army of people for coding, billing, and gathering payment," says Neuhofel. "That means you have to charge $200 to remove an ingrown toenail." Neuhofel charges $50.

He consults with his patients over email and Skype in exchange for a monthly membership fee of $20-30. "I realized people would come in for visits with the simplest questions and I'd wonder, why can't they just email me?" says Neuhofel. Traditional doctors have no way to get paid when they consult with patients over the phone or by email because insurance companies only pay for office visits.

Why did he choose this course? Neuhofel’s answer: “I didn’t want to waste my career being frustrated.”

"Since I started my practice, I seem to hear about another doctor or clinic doing direct primary care every other week." says Neuhofel.

Direct primary care is part of a larger trend of physician-entrepreneurs all across the country fighting to bring transparent prices and market forces back to health care. This is happening just as the federal government is poised to interfere with the health care market in many new and profoundly destructive ways.

Obamacare, which takes full effect in 2014, will drive up costs and erode quality—and Americans will increasingly seek out alternatives. That could bring hordes of new business to practitioners like Neuhofel, potentially offering a countervailing force to Obamacare. (One example, the Surgery Center of Oklahoma's Dr. Keith Smith, profiled for Reason TV in September, is doing big business offering cash pricing for outpatient surgery at prices about 80 percent less than at traditional hospitals.)

Health "insurance" is more than just insurance; it's also "a payment plan for routine expenses," as University of Chicago business school economist John Cochrane puts it in a superb recent paper. The late free-market economist Milton Friedman pointed out that we insure our houses against fire and our cars against major damage, but we don't also insure ourselves against cutting the lawn and buying gas. That's the main reason innovation almost never makes health care cheaper. Most patients never see the bill for an ingrown toenail removal or a glucose tolerance test, so doctors have little incentive to seek ways to offer their services for less. For simple consultations, why bother with Skype when insurance will pay full price for an office visit.

Insurance plans that cover everything, a situation that came about largely because of a quirk in our tax code, have also led to the "bureaucratization of medical care," Friedman wrote in a 2001 essay, in which "the caregiver has become, in effect, an employee of the insurance company or...the government."

Dr. Lisa Davidson had 8 years of frustration while running a successful traditional practice in Denver, Colorado. She had 6,000 patients when she decided to stop taking insurance and adopt the same business model as Neuhofel. Her patient list has dropped to about 2,000. She used to spend about 15 minutes with each patient and now it's more like 45 minutes. "We're on track to make more money and take better care of our patients," says Davidson. "It's a win-win all around."


Before adopting direct primary care, Davidson was unhappy working at the practice she had built because the insurance system imposed a way of doing business that resembled an assembly line. "It's true that in 2014, many more people will have insurance, so there will be a profound need for primary care doctors," says Davidson. "You might say I've done a disservice by dramatically cutting the size of my practice. However, if we make it desirable again to be a primary care physician more people will want to do it."

Under Obamacare, more and more doctors are becoming employees of large hospitals, where there will be more control over how they practice medicine. Hoover Institution Senior Fellow Dr. Scott Atlas fears this will cause a brain drain in medicine. "Really smart people want autonomy, and when you take that away it's naive to think you're going to get really bright people becoming doctors," says Atlas. "The best doctors could excel at any profession, so why go into medicine if they won't have the opportunity to be their best?"

When she was operating a traditional practice, Davidson witnessed firsthand how our "payment plans for routine expenses" drive up prices and block innovation. She recalls that one insurance company paid $118 for a routine PSA test. Now that her patients pay the bill directly the cost is $18. Insurance used to pay $128 for a bag of IV fluid. Now Davidson doesn't bother passing on the cost of IV bags because they run $1.50 each.


Doctors keep it simple, ditch insurance

Millions of Americans are eligible for health insurance for the first time through the Affordable Care Act, but a small segment of doctors say they want out of the third-party payer system.

The practice models vary considerably, from low-overhead cash practices to direct primary care. But the reasons for parting ways with insurance companies are pretty much the same. Physicians say they are fed up with declining payments, stacks of preauthorization forms, and the hamster wheel of 8-minute patient visits.

So they’re taking a leap of faith, tearing up their insurance contracts, and in some cases, opting out of Medicare.

"I was really scared that I wouldn’t have patients," said Dr. Juliette Madrigal-Dersch of Marble Falls, Tex., who started her own cash-only practice about 11 years ago.

Dr. Juliette Madrigal-Dersch

For the first 6 years, Dr. Madrigal-Dersch’s internal medicine–pediatrics practice was cash only but accepted Medicare patients. But she soon realized she wanted out of Medicare too. That was the scary part for her. She said she worried that she wouldn’t have any patients over age 65 once she made the switch.

Her fears turned out to be unfounded. Although many of her Medicare patients did leave the practice, some stayed and then some returned. The ones who came back told her that they missed the long visits – typically 20 minutes to an hour – and felt like they couldn’t always get the care they wanted from other doctors who participated in Medicare.

Leaving Medicare

Dr. Madrigal-Dersch, who is a past president of the Association of American Physicians and Surgeons (AAPS), is part of a growing and vocal minority of physicians who are opting out of Medicare.

The AAPS, which is outspokenly critical of the Affordable Care Act (ACA), has been hosting a series of workshops providing tips to physicians on how to move to cash-only practice and how to drop Medicare. The sessions are in high demand, said Dr. Jane Orient, AAPS executive director.

Dropping insurance and going cash only is a model that works not just for primary care physicians, but for lots of specialists too, she said, including surgeons. It can be harder to do in fields like neurology where most of the patients are older and the procedures are expensive, she added.

Although the number of physicians who are opting out of Medicare is still small, the momentum is growing, Dr. Orient said. "I think some of the physicians who do it want to stay under the radar, particularly with Medicare."

Federal officials have acknowledged the trend, but said it is not impacting access to care. A recent analysis from the Health and Human Services department shows that about 650,000 physicians participate in the Medicare program nationwide. In 2012, 90.7% of physicians were accepting new Medicare patients, up 87.9% in 2005, according to the report.

Dr. Lee H. Beecher, a psychiatrist and addiction specialist in St. Louis Park, Minn., said he also maintains a cash-only practice. He stopped accepting all insurance, including Medicare, about 8 years ago.



John Goodman, PhDBy John Goodman, PhD

 It’s as though two completely separate conversations have been going on. From day one, the health policy community has correctly seen the Affordable Care Act as an attempt to completely change the health care system. This isn’t even controversial. It’s accepted by all as an undisputed fact.

However, no one has ever said this to the American people. In fact, the message of the Obama presidency — going all the way back to the 2008 campaign — was just the opposite. In that election, Barack Obama rejected Hillary Clinton’s call for an individual mandate (a proposal that would obviously affect everyone) in favor of his own proposal which appeared to mainly help those who couldn’t afford insurance. And how many people would that be?  You could be forgiven if you thought it was about 10% of the population.

Then, on the eve of the passage of the ACA, virtually every Democrat who appeared on TV to defend it had one and only one message to offer: people were being discriminated because of pre-existing conditions. And how many of those people are there? Well for the first three years under the law, anyone denied insurance because of a pre-existing condition was able to enter the new (ObamaCare) risk pools and pay the same premium a healthy person would pay. How many did that? About 107,000. That’s out of a U.S. population of approximately 314 million!

To allay concerns about ObamaCare’s individual mandate, the president repeatedly promised that “if you like your health insurance plan you can keep your health insurance plan” and “If you like your doctor you can keep your doctor.” Over and over again the message was the same: most people will be completely unaffected by the new health law.

Then over the past week or so, the general public woke up to some stunning revelations. It now appears that as many as 10 million people will lose their individual health insurance policies as of January 1. To put this number in perspective, the administration’s goal for next year is to sign up 7 million people. We could actually end 2014 with more people uninsured than there were at the end of 2013.

On top of that, The Washington Post has just awarded the president Four Pinocchios for his statements. Although it took them five years to do so, when they finally got around to it the write up was devastating. “Four Pinocchios” is a nice way of saying that the president has been lying all along. [Or, is it possible the president didn't know? More on that below.]

- See more at: http://healthblog.ncpa.org/the-selling-of-obamacare/?utm_source=newsletter&utm_medium=email&utm_campaign=HA#more-33855


Milton Wolf, MD running for U.S. Senate

Milton Wolf is a doctor, not a politician. He believes America must re-embrace the Constitution and the divinely-inspired American Idea of individual liberty, limited government and free-market values.

Learn more about his campaign at: http://www.miltonwolf.com/


U.S. Senate seat up for grabs!


I want to make sure everyone knows the voters in New Jersey will have a chance to see who is the best person to represent the Republican ticket in a Special Election that is only weeks away. I am working on behalf of my friend and colleague Dr. Alieta Eck who wants very much to be your next US Senator from New Jersey.
This whole race has is not even 1 week old.  The Special Election was only announced by Gov. Christie 5 days ago. Unfortunately there may be many folks like this misguided Mary P. who don't know who all the candidates are. I have known and worked closely with Dr. Alieta Eck for four years. She is a solid conservative doing a great deal of Christian charitable work for the poor. She actively supported and fought for our friends like Sharron Angle for US Senate in Nevada, Nick Popaditch for Congress here in San Diego and Elizabeth Emken for US Senate in California. She has also held up the east coast end of the National Doctors Tea Party with rallies and town hall meetings. Like myself, she has been out in the streets fighting ObamaCare. And, like myself she is a member of the Association of the American Physicians and Surgeons who has been fighting the Affordable Care Act all the way to the Supreme Court.
No, unfortunately there are activist folks on the right that will do a "knee jerk" endorsement for the wrong person. Please be patient, see how the race for US Senate in New Jersey unfolds, and then decide for yourself. I am sure if you watch the New Jersey US Senate Special Election Race carefully you will agree with me Dr. Alieta Eck is the best person for the job.
Please visit Alieta's website at: http://www.eckforsenate.com and Facebook page at: http://www.facebook.com/ElectDoctorEck .
Thank you !
Wayne Iverson, MD
Former Candidate for Congress District 52 CA 2012



Ask Gov. Christie to Appoint Dr. Alieta Eck to Senate

New Jersey physician Alieta Eck is the right person to fill the newly vacant Senate seat.  Go to http://www.state.nj.us/governor/contact/ and/or call 609-292-6000 to contact Governor Chris Christie TODAY and ask him to appoint Dr. Eck. 

Dr. Eck, has the solutions to put American health care back in the hands of doctors and patients.

She has, for over 10 years, run a volunteer health care center serving the uninsured and poor in New Jersey without a dime of tax payer funding.

Dr. Eck - the immediate past president of the Association of American Physicians and Surgeons is a leader in the physician community and has advocated for patient-centered solutions for over 20 years.

Through her volunteer health center she understands what will really help get those in need back on their feet so they are no longer dependent on government assistance.  

Dr. Eck regularly testifies before Congress to present the ideas that will lower costs, and increase access to care for all Americans without a big government take over.





News from the Benjamin Rush Society

Please read this exciting update from our friends at the Benjamin Rush Society:

2013 National Student Leadership Conference

April 19-21 Philadelphia, PA

This past weekend, thirty-two medical students from twenty schools across the country gathered in Philadelphia to meet each other, exchange ideas, learn about effective leadership and gain a better understanding of the challenges we face in protecting the health care freedom of doctors and patients.

The festivities began Friday evening with hors d’oeurves, drinks and socializing. We were joined by a number of supporting local physicians, including Drs. Arvind Cavale and Herb Kunkle of Docs 4 Patient Care, Dr. Aleita Eck, past president of the American Association of Physicians and Surgeons, and her husband Dr. John Eck.  Each of the chapters gave a brief report on this past year’s events, and then resumed getting to know one another in the hotel lounge.

Designed to address the challenges of chapter continuity and to strengthen chapter performance through leadership training, Saturday’s program consisted primarily of workshops on how to organize, run and build an effective BRS chapter. For several sessions, we partnered with the nationally recognized Leadership Institute, which exists to help train future leaders and activists about how to build and sustain on-campus activities like BRS Chapters. Throughout the day, students constantly exchanged experiences and ideas on how to reach more students, types of programs and topics, and new ways to interact among themselves. By timing the annual meeting in late April, were able to involve the currently active second-year and upper-class medical student leaders as well as begin to work with their identified first-year student successors.

The conference highlighted the efforts of student leaders who have proven entrepreneurial in spreading the BRS message. For example, Alex Chamessian, a student from our Duke BRS chapter, set up a live webcast interview with Dr. Keith Smith, co-founder and managing partner of the physician-owned Surgery Center of Oklahoma. All BRS members were invited to watch and participate in an online Q&A. At the National Conference, Alex instructed fellow students on how to create similar online events. In addition, Dr. Raymond Raad, a former BRS chapter president and now a resident at New York Presbyterian Hospital/Weill Cornell Medical Center, spoke about conducting and publishing health policy research while in medical school and residency. Dr. Raad also presented his 2009 paper published by the Cato Institute, “Bending the Productivity Curve: Why America Leads the World in Medical Innovation.”

In the afternoon, BRS board members provided number of policy-oriented lectures. Sally Pipes, BRS founder and Chair, spoke on why our country needs the Benjamin Rush Society. BRS Executive Board member, Dick Armstrong, MD, recounted the history of government’s involvement in medicine, providing an important perspective on how we got to where we are today.  Jan Breslow, MD, also a BRS Executive Board member, talked about the future of research and innovation under the new health care law. Beth Haynes, MD, Executive Director of BRS, led a discussion on how to think about and explain free market medicine so that those initially hostile to these ideas will be more likely to give them genuine consideration. The last session of the afternoon was a panel discussion between the Executive Board and the students, addressing matters of both policy and messaging.

With barely time to freshen up, the entire group boarded a bus to head off to the Perelman School of Medicine at University of Pennsylvania for an Oxford-style debate: “Be It Resolved: “Maintenance of Certification requirements fail to improve the quality of medical care while placing unnecessary burdens on physicians.” The debate was attended by over 100 students, residents, faculty and practicing physicians. The format was unusual in that we ended up with three debaters for the opposition, each taking a unique and challenging point of view.  Thanks to the graceful moderating by Dr. Stanley Goldfarb, Professor of Medicine and Associate Dean for Curriculum at Perelman, the debate on this controversial topic remained civil – though lively and sparked by passion on both sides. Although live-streaming allowed physicians across the country to view the debate while in action, the quality of the UStream archive is less than ideal. A high-quality recording of the debate will be posted on BenjaminRushSociety.org sometime in the next week or two.

After the debate, dinner at a local restaurant capped of the formal part of the conference with the opportunity for students to continue to get to know each other and the BRS Board, and to continue discussing MOC and healthcare with the debate participants. In the spirit of supporting meaningful communication, BRS debates are always followed by a social event, giving people on opposite sides of an issue the opportunity to see one another as human beings. These gatherings are often the highlight of the event for student organizers and the debate participants.

We believe such a national meeting, held annually, will significantly boost the effectiveness of BRS chapters and help provide the sustainability we require. Reactions to the conference are typified by the comments below from two student attendees:

"The BRS leadership conference was a huge success. It re-energized our Duke chapter. We got a lot of ideas to take back home with us. It was great to meet other students doing amazing things at other schools. BRS is definitely going to prosper here at Duke because of what we learned and the ideas we gained."

“This was such an important meeting to refresh us in the fight for our patients and the free market in healthcare. It is so invigorating to see we are not alone in the struggle and that we can help each other out.”

The only complaint we received: not enough time! 


AAPS Takes MOC to Court

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Dr Adam Dorin and Dr Wayne Iverson    http://www.DoctorsTeaParty.com

Event of Interest from the

National Doctors Tea Party

Find us on Facebook at “ http://www.facebook.com/doctorsteaparty ” Ask your members to visit us regularly, LIKE and SHARE 


The Association of American Physicians & Surgeons (AAPS) Files Lawsuit Against ABMS Regarding Recertification


The Association of American Physicians & Surgeons (AAPS) has filed suit today in federal court against the American Board of Medical Specialties (ABMS) for restraining trade and causing a reduction in access by patients to their physicians. The ABMS has entered into agreements with 24 other corporations to impose enormous “recertification” burdens on physicians, which are not justified by any significant improvements in patient care.



Help Protest Maintenance of  Certifcation (MOC)
Please Visit the Website:

Message from Dr. Wayne Iverson, San Diego California:

Dear Friends & Colleagues,

In addition to all the other things said about MOC, MOC does not take into account the fact that initial Board Certification is only a starting point for physicians. After a physician has been in practice, his own unique mix of patients with their medical conditions become the basis for his further education and professional competence. The cookie cutter approach or one size fits all in ongoing education for practicing physicians simply doesn't work. Only an ignorant bureaucrat would give any credence to the idea that such an approach would serve the public good. But unfortunately these are the people making the rules or calling the shots from a legal-regulatory standpoint.
We have all seen medical cases where an academic an approach may seem good but it doesn't work in a real world environment. Testing physicians and certifying them based on a false approach does more public harm than good. The best way to validate a physicians ongoing competence is the time honored tradition in medicine where a physician submits two letters of recommendation from his peers stating their opinion that the physician is competent to continue to practice as a physician.
Wayne L. Iverson, MD, MBA, FACP
Internal Medicine & Noninvasive Cardiology
Clinical Prof of Medicine, UCSD School of Medicine
Past Chair Graduate Medical Education Committee,
  Scripps Memorial Hospital La Jolla, CA
Wayne Iverson, MD
P.O. Box 420697, San Diego , CA 92142
Phone: 858-674-4542
Fax: 858-674-4543
Email:  WayneIverson2012@gmail.com
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Tax Day Tea Parties 2013

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Dr Adam Dorin and Dr Wayne Iverson    http://www.DoctorsTeaParty.com

Event of Interest from the

National Doctors Tea Party

Find us on Facebook at “ http://www.facebook.com/doctorsteaparty ” Ask your members to visit us regularly, LIKE and SHARE 


Tax Day Tea Party San Diego 2013


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Help Protest Government

Tax and Spending


Monday April 15, 2013

4:00 pm – 7:00 pm

Carmel Mountain Ranch Post Office,

across the street


Message from Maggie Cooper, Liberty Tree Patriots, Poway California:

maggie cooper-180x180_72Taxed Enough Already !

On April 15th join your fellow concerned citizens exercise their 1st Amendment Rights to peacefully assemble and petition the Government about the current high level of taxation and the twenty (20) new taxes forced onto the American Tax Payer under the Affordable Care Act aka ObamaCare. From 4:00 pm-7:00 pm we will be gathering across the street from the Carmel Mountain Ranch Post Office 1151 Rancho Carmel Drive, San Diego. CA. Bring your tea party signs, American flags, banners and flyers. We are forecasting another large turn out of people this year. I hope to see you there ! For more information visit the Website at: http://www.taxdayteapartysandiego.org/ and Facebook at: http://www.facebook.com/TaxDayTeaPartySanDiego


Tax Day Tea Parties 2013

Visit the TAX DAY TEA PARTY SAN DIEGO Website. On April 15th, 2013 we expect to see Tea Party rallies all across the country in one loud voice saying: “TAXED ENOUGH ALREADY !” . Visit this site regularly to find out the latest update on local San Diego events.


Medicaid Expansion Erodes Individual Initiative and Liberty 

Just exactly what does the "Medicaid expansion" mean for the average person? Will you really have better or lower cost medical services? Or, will you be left out in the cold when you need to see a doctor because doctors have stopped taking Medicaid? Will your taxes go up even more to pay for medical care for other people when Medicaid is expanded to cover 133% of the federal poverty level?

The Medicaid expansion also means that older people on Medicare will have to be DENIED medical care to save money so that YOUNGER people can have medical care paid for with the expansion of taxpayer funded Medicaid.

Dr. Vliet and guest, Carolyn Cox, President of Tucson Conservative Forum, discuss how the expansion of government controlled Medicaid actually undermines our American traditions of self-reliance, autonomy, and liberty for self-determination as the cornerstones of our lives.


Health law based on bad economics

Article by Jane M. Orient, M.D.

The Green family, owners of the craft goods store Hobby Lobby, has taken a courageous stand for religious freedom and for life by defying the Obamacare mandate requiring employers to provide coverage for their employees’ emergency contraceptives, which violate their religious views on abortion. Why is our entire nation not reeling from shock over this administration’s tyrannical action? How shall we characterize a government that would severely punish people for living by their conscience and refusing to participate in an act they — along with millions, perhaps even a majority, of Americans — regard as evil?


Reasons for De-Regulating Government of Medicine

By: Annette Teijeiro MD - AAPS Nevada Chapter Coordinator
Former Candidate for Nevada State Senate

It is interesting that most businesses favor government work because it usually pays well and once you have friendly legislators (usually through lobbying efforts/political contributions) who support you, the contracts keep coming your way. Unlike for hospitals, in our medical practice, the payment for healthcare services rendered to people on our government healthcare plans is the complete opposite. Medicaid patients are usually the most demanding, least compliant, the most litigious, the most labor intensive in workforce costs, heck the regulatory red tape is exhausting, and yet the lowest reimbursed. Medicare & TriCare have been heading down this path as well. Now the private health insurance plans are beginning with PPACA. I am sure Halliburton would not work under these conditions but doctors and nurses do.

By the way, all of this is happening along with increasing requirements for recertification by hospitals, health insurance networks, and state licensing boards in all practice areas since the late 1990's which costs patients healthcare workforce time (less face to face hands-on time), directly thousands of dollars in new taxes, and indirectly thousands of dollars in wasteful unnecessary mediocre care. The worse part is it takes away time we could spend on patient care because of the weeks of preparation courses, time spent logging your patient procedure/treatment logs, and taking the actual exam. And, since we all have this incredible amount of free time on our hands (sarcasm noted), we also will spend our vacation and family time jumping through this unending mass of regulatory hoops. None of this has been proven to improve patient care but most of this will certainly take away from patient care.

Interestingly, the lawyers do not have to do this, once they pass their state bar exam they are free to practice in almost any type of area of the law they choose and this can change whenever they freely decide to do so. They are only required to take Continuing Legal Education to maintain their license. This would be the equivalent of receiving your Medical Degree and then taking Continuing Medical Education to maintain your license but being able to practice any area of medicine you felt comfortable in. Unfortunately for doctors, the legislatures are composed of many lawyers, very few doctors, and our academicians lobby in favor of increasing their power over and collecting money from the private practice doctor at every turn. Please understand that this is a massively profitable business for the certification boards, academic institutions, and all at the expense of patients' access to affordable care.

We need to stop this insanity before patients die! American trained quality experienced doctors are dwindling in numbers. About 25% of doctors are over the age of 55, many are turning to VIP/concierge practices, and some will retire early once the new healthcare law is fully implemented. There has been a noticeable change in the new doctors coming out of training in the last decade with less altruistic dedication, more expectation of a salaried predictable hours type positions & benefit packages, and less overall hands-on experience. Those trained prior to the 21st century were the best and the brightest of their time so they will do well in many other areas once they leave healthcare. Once they leave medical practice these very regulations will make it impossible to get them back. We must act now, time is short, 2014 is around the corner!

Our federal and state governments are both accelerating this healthcare disaster at logarithmic rates. The government is making promises that it cannot keep by their own massive regulatory fiat. This is why making acceptance of Medicaid and Medicare mandatory along with the aforementioned requirements for state medical licensing will further escalate the disintegration of quality healthcare access. The Nevada State Legislature starts February 4, 2013 and the legislators begin orientation just before that in Carson City.

We the People can stop this insanity by educating the silent majority and organizing massive demonstrations of a diverse group of people. We need to speak now or forever hold our peace as we watch America disintegrate into a 2nd world and then a 3rd world country within our lifetime! Please join us now, we need everyone, the young, old, blue-collar & white-collar workers, retired, military personnel & veterans, rich, middle class & poor, every race or religion, etc... We are fighting for our LIVES now!


Elizabeth Emken on Health Care

America has some of the finest hospitals, physicians and nurses the world has ever known. We also have a health care system that is struggling with issues of affordability and access.  We need a transformational realignment that moves us back toward a system that is affordable and once again, at its core, consists of a medical provider, and a patient, in an exam room.

Obamacare has undermined positive health care reforms that have been underway since the late 1990s and its skyrocketing costs have become a major deterrent to America`s corporate stability.  Even more alarming for individual taxpayers and families, congressional budget analysts are now estimating that nearly 6 million Americans - most of them middle class - will have to pay a penalty for not getting health insurance once Obamacare is fully in place.

That`s 2 million more than previously estimated, or a 50 percent increase, with an average penalty of nearly $1,200.

The recent Supreme Court ruling has brought Obamacare`s hidden taxes to the light of day and Dianne Feinstein proudly doubled down on her support of them. With a price tag double what the Democrats promised and growing exponentially every day, the "Affordable Care Act" may be the most ironic title for a major bill in the history of Congress.

This dishonest attempt at health care reform should be repealed before its regulations and price controls further damage availability and quality of care.  It should bereplaced with policies that target specific health market concerns: quality, affordability and access.

The Problem:

  • Our system of healthcare in which third-party payers pay for care has worked to separate the consumer of health care from the provider, weakening the doctor-patient relationship.  Disconnected from the cost of care, some consumers have over-used the system. 
  • Employers are encouraged by our tax system to be the purchasers of health insurance.  Attempting to contain costs, employers have opted for the various forms of managed care.  Health plan administrators have denied care, questioned doctors` judgments, and created a blizzard of paperwork in an attempt to limit their expenditures.     
  • With rising costs, the number of uninsured patients has risen (including many working uninsured).  The rise in the uninsured led to a greater number of people with no preventive care, which in turn has led to people seeking care at trauma centers and emergency rooms.  
  • With private health plans and government programs providing inadequate reimbursement, trauma centers and emergency departments are incurring huge losses.
  • The fundamental problem is that the federal government has opted to use price controls and "command and control" style regulations instead of power of the marketplace.  The marketplace, with appropriate supervision and safe-guards, will always be the most efficient way to allocate health care resources.
  • In addition to this basic problem, uncertainty over future regulations and costs of Obama-care is a major impediment that is making employers reluctant to hire new employees and expand their businesses.  This massive new federal law is exacerbating the budget crisis for states.  States have received little or uncertain guidance from the Administration on future costs and restrictions under the law.  This creates an unfavorable environment for state budgets and the economy as a whole. 

The Solution:

  • Create a system that reconnects doctors and patients, both in the quality and cost of care, rather than a massive government health care bureaucracy.  Health insurance should be portable and insurers should not be allowed to discriminate based on pre-existing conditions.  Allowing consumers to buy insurance across state lines will lower the cost of insurance. 
  • Remove Obamacare`s barriers to market-oriented solutions and force health care providers to compete for patients` business based on both quality and cost.  We must make it easier for individuals and small businesses to purchase coverage instead of tilting the scales for employer-provided insurance. 
  • The key to making Medicare affordable while maintaining the quality of health care is more patient involvement, more choices among Medicare health plans, and more competition.  Market mechanisms should be utilized to drive down costs that are presently skewed by the government footprint in the healthcare system.  A menu of additional Medicare plans, some with lower premiums, higher co-payments and improved catastrophic coverage, should be added to the current program to encourage competition.  Only by empowering Medicare beneficiaries to exercise their purchasing power - instead of setting reimbursement rates in Washington - can we begin to have competition that will control costs and improve quality of care. 
  • For Medicaid, modest co-payments should be introduced except for preventive services.  The program should be turned over entirely to the states with federal financing supplied by a "no strings attached" block grant.  States should then allow Medicaid recipients to purchase a health plan of their choosing with a risk-adjusted Medicaid grant that phases out as income similarly rises.
  • Seniors and disabled individuals should have the right to opt out of Medicare or Medicaid if they so choose.  Seniors have no choice but to accept Medicare if they want to receive the Social Security benefits that they paid into the system.  Free citizens deserve better treatment under the law.  Similarly, some states require that all disability benefits be tied to Medicaid.  This means that families who seek help for one disability need are sent checks that they didn`t ask for and don`t need.  Our safety net system should be more flexible and provide more choices if it is to survive.  

Obamacare may be one of the most important reasons why retiring Dianne Feinstein is crucial to our national cause - she is painfully out-of-touch with the American people, and her insistence on cheerleading this law is the most profound demonstration yet why California needs new energy and a fresh start in the U.S. Senate.

The simple truth is that Obamacare will continue to have a negative impact on job creation and hiring, and businesses as well as families will be forced to continue to grapple with all of the uncertainty and costs the law creates.

Only with new leadership in Washington can we expand access and lower costs through competition and choice while keeping in mind our responsibility to care for the truly vulnerable without raising taxes or increasing debt. 

I will vote to repeal the Obamacare tax dragging down our economy and hurting families. Dianne Feinstein won`t. It`s a simple choice.


Former Surgeon General says ObamaCare was "Brave"

Ever wonder what  former Surgeon General Richard Carmona thinks about President Obama's disastrous health care law. He supports it alright. He thinks it was "brave." Jeff Flake is the one candidate for Senate in Arizona who actually voted against Obamacare. He's committed to the full repeal of Obamacare so that real health-care reform -- utilizing choice and competition to improve quality and control cost -- can be passed in its place. Learn more about Jeff Flake and why he's running for the U.S. Senate at http://www.JeffFlake.com.


ObamaCare: Poison Pill Not Magic Cure