Dear California Members and Friends:
This morning AAPS released the following statement in opposition to pending California legislation AB 72.
Please read it and ask your California Senate and Assembly members to vote NO on AB 72. Click here for contact info for legislators.
A vote on the bill may occur today in the California Senate. If it passes it will go back to the Assembly since the bill was amended in the Senate after initial passage in the Assembly.
Thank you! ~AAPS
California Legislation AB 72 Will Interfere With Access to Medical Care, States the Association of American Physicians and Surgeons (AAPS)
Promoted as a means to end “surprise billing,” California Assembly Bill 72 will actually enrich insurance companies while creating shortages of care for patients, states the Association of American Physicians and Surgeons (AAPS). Headed for passage in the California legislature, this bill will interfere with patient access to medical care.
Price controls lead to shortages, always and everywhere, as every economist knows, AAPS states. AB 72 not only sets price controls in an arbitrary way, but authorizes insurance companies to set the prices and impose them even on doctors outside their network, with whom they have no contract, AAPS explains.
“This is bad policy, and also unconstitutional,” states AAPS general Counsel Andrew Schlafly. “There is no known precedent for Cal. AB 72, and it would be surely challenged in litigation . Private companies cannot be lawfully authorized by the legislature to impose price controls on workers who have no contract with them. When price controls have been used, they are set by publicly accountable entities. Private insurance companies have no such accountability, political or otherwise.”
“Patients are increasingly being forced into narrow networks, in order to cut costs for insurers,” states Jane Orient, M.D., executive director of AAPS. “The care they need is often not available in the network. Many physicians stay out of network because of the extremely low fees they are allowed to charge.”
“If in-network care is not available, the insurance company should be obligated to reimburse its subscribers for the out-of-network charges they incur,” she added. “Moreover, insurers have no right to tell their subscribers they are not allowed to spend their own money to buy care their Plan denies them.”
Insurance companies and their highly paid executives profit more if they can impose low prices on the entire market and not just providers who choose to contract with them. “And they do still better if they don’t have to pay at all when patients receive no care because no one can afford to provide it to them,” Dr. Orient pointed out.
AB 72 will also harm the uninsured, as physicians will be forced to cut back on the medical care they provide to the uninsured and to charities. Insurance company payment rates are already so low that in-network providers cannot afford to provide much charity care as it is, AAPS states.
“This bill actually will hurt everyone except insurance companies. California should reject it,” Dr. Orient concludes.
The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in virtually all specialties and every state. Founded in 1943, AAPS has the motto “omnia pro aegroto,” which means “all for the patient.”
Former 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, [email protected]
Tuesday, March 18
The Olympic Club
524 Post Street
San Francisco, CA 94102
We will discuss healthcare
and other issues
facing the medical community.
Make Checks Payable and Return to:
“Rand Paul Victory Committee”
PO Box 15299
Washington, DC 20003
RSVP to Amanda Weaver:
Reason Magazine has an interesting article about physicians fighting back against Obamacare. This article has been recommended by:
Marilyn M. Singleton, MD, JD
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.
The AAPS California chapter’s own health care expert Jan Iverson, appeared on KFMB AM with Mike Slater earlier this week. She discussed how ObamaCare may force physicians to close their practices and the real reason the AMA supports the health care law instead of patients and doctors. Click the image below to listen now.
Please Forward to all your Email Contacts
National Doctors Tea Party
Find us on the Web, Facebook & Twitter
Friday October 11, 2013
Find us on Facebook at ” http://www.facebook.com/doctorsteaparty ”
Ask your members to visit us regularly, LIKE and SHARE
MESSAGE FROM TEA PARTY PATRIOTS & NATIONAL DOCTORS TEA PARTY http://tinyurl.com/mxn4oye
Is the House About to Cave? Call Now! Keep Calling Congress!
There are various news reports about sources from last night’s meeting at the White House… between the President and House Republicans that suggest a deal has been made to lift the debt ceiling and re-open the government. None of these reports even mention Obamacare!
The House Republican Conference is scheduled to meet tomorrow morning at 9am and we need to make sure they don’t forget what this fight is all about! Stop spending money on Obamacare. It is causing the American people to lose work hours, lose their jobs, lose their health insurance, lose their doctors, and see rising health insurance premiums. Now is the time to stop Obamacare’s harmful affects on our country!
Call these members of Congress today and tell them this fight is about Obamacare and now is not the time to back down! Also call the Capitol Switchboard to speak to your own member of Congress (202) 224-3121 or find their contact information here: http://house.gov/representatives/
State Representative Twitter Phone Number
OH John Boehner @SpeakerBoehner 202-225-6205
VA Eric Cantor @GOPLeader 202-225-2815
CA Kevin McCarthy @GOPWhip 202-225-2915
WA Cathy McMorris-Rodgers @CathyMcMorris 202-225-2006
WI Paul Ryan @RepPaulRyan 202-225-3031
TX Pete Sessions @PeteSessions 202-225-2231
TX Jeb Hensarling @RepHensarling 202-225-3484
NC Renee Ellmers @RepReneeEllmers 202-225-4531
NC Virginia Foxx @VirginiaFoxx 202-225-2071
KY Hal Rogers @RepHalRogers 202-225-4601
OR Greg Walden @RepGregWalden 202-225-6730
Tea Party Patriots National Support Team
National Doctors Tea Party
Call for Action from the
National Doctors Tea Party
Tuesday October 1, 2013
Ask your members to visit us regularly, LIKE and SHARE
The time to act is now. The Senate REFUSES to COMPROMISE!
Call the House of Representatives and tell them:
NO MORE COMPROMISING!
Capitol Switchboard: (202) 224-3121
—– Original Message —–
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.
Thank you !
Wayne Iverson, MD
Former Candidate for Congress District 52 CA 2012
This Monday, May 13 at 6 pm is our next official event for all San Diego County Republicans! Join us for great fellowship, networking and program featuring…
No, we’re not showing the full movie [watch the trailer], but it will be available for purchase and Mr. Clements will share highlights with us and his impressions of what ObamaCare will mean.
The full effects of ObamaCare are only starting to be felt around our nation. When it hits fully, all of us will get a rude awakening. This will be a key issue in the 2014 elections so come learn more – for your own sake and to see what the debate will be all about.
WHAT: Official May Event For All San Diego County Republicans
WHEN: Monday, May 13 with networking at 6 pm and program starting at 7 pm
OTHER: There is NO cost. Not even for parking. Open to all Republicans. Bring a friend.
Come network with fellow Liberty loving Republicans and meet many of our candidates and elected officials in attendance. I look forward to seeing you on Monday.
Republican Party of San Diego County
Croatian by blood, Swedish by birth, American by choice!
PS: On Monday evening you can renew your donor club membership or join as you learn about some great upcoming events available. A current Reagan Club ($250/yr) or higher membership gives you access to the VIP receptions prior to each monthly event.