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This past week AAPS was proud to support the introduction of the H.R. 5596 by Representatives Chip Roy, Andy Biggs, and Mike Johnson, a companion to S. 3112 by Senators Ted Cruz and Mike Braun.
AAPS Supports the Personalized Care Act of 2020

“If Speaker Pelosi and her fellow Democrats are serious about adopting reforms that lower the cost of medical care while empowering patients to obtain the care and coverage that best meet their needs, they would expedite consideration of Chip Roy’s latest bill HR 5596, the Personalized Care Act,” states Association of American Physicians and Surgeons President Kris Held, MD.

AAPS, the voice of Hippocratic medicine since 1943, strongly supports this bill introduced in the House by Rep. Chip Roy (TX), Rep. Andy Biggs (AZ), and Rep. Mike Johnson (LA), and in the Senate by Senator Ted Cruz (TX) and Senator Mike Braun (IN). Putting the patient back in control of care is what is truly needed, and HR 5596 takes important steps in that direction. 

AAPS also gives its strongest support to HR 3594, the Health Freedom Act. This bill by Chip Roy implements additional long needed reforms to help restore autonomy to patients and lower costs, by addressing one of the fundamental policy missteps of the 20th century.

Stemming back to World War II wage controls, 75 years of flawed tax policy that incentivizes employers to control employees’ “health benefits” has unleashed a deluge of unintended consequences. Past attempts by Congress to address the resulting problems have driven costs even higher and have further subjugated patients’ to the interests of government and other third parties.  HR 3594 would address the root of the problem instead of slapping on yet another band-aid that does more harm than good.

AAPS also supports provisions in the bills that would ensure patients with Health Savings Accounts can use the funds to pay for innovative Direct Patient Care agreements that are proven to increase patient access to high-qualilty, lower-cost care. Other bills proposed to make this change fall short of the goal, or even worse, put unwise limitations on how patients and physicians can collaborate directly without the middleman in between them.

Read Full Statement: https://aapsonline.org/physicians-thank-rep-chip-roy/
 



What other reforms are under consideration on Capitol Hill? Don't miss the latest edition of Health Policy Legislative Update by Marilyn M. Singleton, MD, JD.

Legislative Update by Marilyn M. Singleton, MD, JD

The House of Representatives has been embroiled in its impeachment (mis)adventure, but a few health bills have been introduced without any action. In the end it is the philosophical fight between government control or individual control over one’s medical care.

While there is much talk on lowering drug prices, an actual solution remains elusive. On the socialist end of the spectrum, we have Senator Elizabeth Warren proposing a federal drug manufacturing office to monitor and actually produce drugs. The Affordable Drug Manufacturing Act of 2020, S. 3162. 

A companion bill, the Medical Innovation Act of 2020, S. 3163 would assess “supplemental payments” from certain drug manufacturers to “increase congressional investments in medical research.”  

Ex-presidential candidate Cory Booker proposed the Prescription Drug Affordability and Access Act, S. 3166, which would establish another federal agency to suck up our tax dollars: the Bureau of Prescription Drug Affordability and Access whose charge is to discuss how to “attain lower prescription drug costs for patients; decrease government expenditures on prescription drugs; and ensure access to prescription drugs.”

Nancy Pelosi’s Elijah E. Cummings Lower Drug Costs Now Act of 2019, H.R. 3, establishes several programs and requirements relating to the prices of prescription drugs. The bill requires the Centers for Medicare & Medicaid Services (CMS) to negotiate prices for certain drugs (current law prohibits the CMS from doing so). Specifically, the CMS must negotiate maximum prices for (1) insulin products; and (2) at least 25 single source, brand name drugs that do not have generic competition and that are among the 125 drugs that account for the greatest national spending or the 125 drugs that account for the greatest spending under the Medicare prescription drug benefit and Medicare Advantage (MA). The negotiated prices must be offered under Medicare and MA, and may also be offered under private health insurance unless the insurer opts out.

Read Full Update: https://aapsonline.org/legislative-update-1-16-2020/

AAPS vs. Rep. Adam Schiff
In other breaking news....

Rep. Adam Schiff Sued by Physicians for Censoring Vaccine Debate

On Jan 15, 2020, the Association of American Physicians and Surgeons, along with Katarina Verrelli, on behalf of herself and others who seek access to vaccine information, filed suit in the U.S. District Court for the District of Columbia. Plaintiffs allege that Defendant Adam Schiff has abused government power and infringed on their free-speech rights.

“Who appointed Congressman Adam Schiff as Censor-in-Chief?” asks AAPS General Counsel Andrew Schlafly.  “No one did, and he should not be misusing his position to censor speech on the internet.”

In February and March 2019, Rep. Schiff contacted Google, Facebook, and Amazon, to encourage them to de-platform or discredit what Schiff asserted to be inaccurate information on vaccines. He then posted the letters and press release on the House.gov website.

Under a policy announced in May 2019, Twitter includes a pro-government disclaimer placed above search results for an AAPS article on vaccine mandates: “Know the Facts. To make sure you get the best information on vaccination, resources are available from the US Department of Health and Human Services.” The implication of this disclaimer is that if information is not on a government website, then it is somehow less credible.

On Facebook, a search for an AAPS article on vaccines, which previously would  lead directly to the AAPS article, now produces search results containing links to the World Health Organization (WHO), the National Institutes of Health, and the Centers for Disease Control and Prevention (CDC). Visits to the AAPS website have declined significantly since March 2019, both in absolute terms and relative to the decline that would result from a story’s losing its recency.

“The internet is supposed to provide free access to information to people of different opinions,” stated AAPS Executive Director, Jane Orient, M.D.

Dr. Orient continues, “AAPS is not ‘anti-vaccine,’ but rather supports informed consent, based on an understanding of the full range of medical, legal, and economic considerations relevant to vaccination and any other medical intervention, which inevitably involves risks as well as benefits.”

Read Press Release: https://aapsonline.org/rep-adam-schiff-sued-by-physicians-for-censoring-vaccine-debate/
Action Alert: More Sunshine on Secret Prices

Because you helped speak out — and in spite of fierce opposition by those in the health care swamp who benefit from opacity — the Center for Medicare and Medicaid Services (CMS) has finalized rules proposed by President Trump that, beginning in 2021, will give patients access to actual prices for care at hospitals.

Astronomical “charge master” rates hospitals try to foist on unsuspecting patients will be exposed, once and for all, as fake prices that bear no relation to what hospitals actually accept for payment.

Building on this victory, the Trump Administration has proposed additional rules, suggested by AAPS and others, that would similarly require insurers to publicly disclose the rates they have agreed to pay for medical care. 

While more fundamental reforms are needed for lasting change, it is crucial to shine some sunlight on the secret prices that hospitals and health plans try to keep hidden from patients.

Since the health system swamp will once again be pulling out all the stops to kill President Trump’s proposal, your help is needed to help speak out in support of letting patients see the prices that will better enable them to make decisions about where they will get the best value for their dollar.

Take Action Today!

Details at https://aapsonline.org/action-alert-more-sunshine-on-secret-prices/
(comments due 1/29/2020)
Additional Action Needed in Texas and Virginia
For those of you in Texas and Virginia, we have items for you to act on this week.

Texas: The Texas Department of Insurance is imposing a 10-business-day wait on certain patients seeking care from independent physicians who are out-of-network with their plans.  Learn more about this flawed policy and what you can do to help oppose it: https://aapsonline.org/round-2-stop-10-business-day-wait-for-care-for-texas-patients/

Virginia: Legislation to address counterproductive Maintenance of Certification requirements is being considered in the 2020 session of the Virginia legislature. Please speak out in support of these needed reforms. https://mailchi.mp/aapsonline/moc-reform-update-virginia
Obesity: America’s Self-inflicted Preexisting Condition
In case you missed it: last week's physician-written op-ed distributed by AAPS to media outlets across the U.S.

by Marilyn M. Singleton, MD, JD

Consuming too many potato latkes and Christmas cookies has left its mark on our waistlines. Unfortunately for Americans and their medical care, the seasonal overeating seems to last all year. Indeed, the American Medical Association has declared that obesity is a disease.


It may be more accurate to describe obesity as a contributor to certain diseases. Obesity raises the risk of premature death, heart disease, high blood pressure, stroke, type 2 diabetes, gallbladder disease, breathing problems, certain cancers, and osteoarthritis. Certainly, obesity can result from certain uncommon diseases and hereditary factors, but most people become obese simply because they eat too many unhealthy foods and do not exercise.

At its last count, the Centers for Disease Control and Prevention (CDC) estimated that 40 percent of U.S. adults age 20 and over, 21 percent of teens, and 14 percent of preschoolers are obese. ...

Let’s confront the elephant in the room. Healthcare policy should promote personal responsibility, rather than encourage free riders. In America we are free to overeat and under-exercise but we have no right to make innocent bystanders pay for the consequences.

Read Full Article: https://aapsonline.org/obesity-americas-self-inflicted-preexisting-condition/

March 20: Thrive XXIX, St. Louis, Missouri
Start 2020 off right. Plan now to join your colleagues at the special 29th edition of the AAPS Thrive, Not Just Survive seminar series, Restoring the Joy in Medicine by Putting Patients First.

Come to St. Louis, MO on March 20, 2020 for an afternoon and evening full of strategies for restoring the joy in medicine and putting patients first. Beat the middlemen and bureaucrats interfering in patient care and impeding your ability to practice medicine the right way!
 
If you've been thinking about quitting or are experiencing the burnout caused by a toxic workplace, this event is designed for you.

Learn More and  Register: https://aapsonline.org/thrive2020
AAPS IN THE NEWS
We wrap up this edition of AAPS e-update with links to AAPS content featured in the media:


December 31, 2019, By AnneMarie Schieber

POLL: MILLIONS KNOW PEOPLE WHO DIED BECAUSE HEALTH CARE WAS UNAFFORDABLE

A new poll shows more than 13 percent of American adults believe someone they know died because they did not receive needed medical treatment or could not pay for it. ...

The poll is poorly designed and a thinly disguised effort to push a socialist agenda, says Dr. John Dale Dunn, M.D., J.D., an emergency room physician [and AAPS Texas Chapter Vice President].

The perception may outweigh reality on this subject, says Marilyn Singleton, M.D., J.D., [past] president of the Association of American Physicians and Surgeons.

“It’s a matter of spending priorities,” said Singleton. “I wonder if those same people who cannot afford to buy medications buy a mocha Frappuccino at Starbucks daily or find money for regular mani-pedis. 

https://www.heartland.org/news-opinion/news/poll-millions-know-people-who-died-because-health-care-was-unaffordable
 

January, 6 2020, By  Rebecca Terrell

Is Medicare for All the Cure-all?

Actually, “[Sanders’] plan doesn’t look like Medicare at all,” answers Jane Orient, M.D., executive director of the Association of American Physicians and Surgeons (AAPS). “It appears he hardly knows anything about Medicare.” She points out that unlike premium-free Medicare for All, seniors pay premiums for Medicare Part B (for doctor visits and non-hospital expenses) and Part D (for medications). Medicare Part C, which covers dental, vision, and supplementary needs, is entirely privately funded. Only Medicare Part A for hospital treatment is premium-free for most, but that doesn’t mean it is “free.” Part A is primarily funded by payroll taxes, which many believe Big Brother holds in trust so they will receive proper care in their old age. In reality, their taxes immediately vanished down the Medicare drain to help pay today’s retirees’ medical bills.

The theory is that tomorrow’s workers will continue paying Medicare bills into the future, but Medicare is already going broke. AAPS reports that the current worker/retiree ratio is 2.5:1. “Already that is not enough, so the IOUs in the ‘trust fund’ are being redeemed from general tax revenues,” explains Orient in an op-ed on the AAPS website. “That fund will soon be gone … as Baby Boomers are flooding into the system. It would vanish in a nanosecond if we loaded in everybody.”

https://www.thenewamerican.com/print-magazine/item/34418-is-medicare-for-all-the-cure-all
 

January 15, 2020, By Jane M. Orient, M.D.

A Plea to Be Awake and in Touch in 2020 - "New Year’s Thoughts from a ‘Boomer’ Doc"

The words and phrases of the year, as 2019 ended, appeared to be "OK boomer" and "woke." To this baby boomer, it appears that the younger generation is blaming us for all the evil in the world, from their perch of woke moral superiority.

They consider boomers to be out of touch and over the hill.

According to Merriam-Webster, "woke" means "aware of and actively attentive to important facts and issues (especially issues of racial and social justice)."

It went from being a black activist watchword to internet slang.

It's apparent that there is a giant political divide in this country, partly but not entirely intergenerational. In my opinion, my generation bears a lot of blame, but probably not in the way that most Millennials think. Waiting for us to die and get out of the way is not going to solve the problem — particularly in medicine.

There is one indisputable advantage I have as a baby boomer. I've had the experience of being young; my younger patients have not experienced growing old. I know exactly what that cross-stitched embroidery on my wall means: "Ve get so soon old und so late schmart."

https://www.newsmax.com/janeorient/millennials-fear-virtual-family/2020/01/15/id/949854/






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