Lawyers, Public Health, and Labor Unions (May/June 2000)



Author: Kyle S. McCammon, DO
Article Type: Feature Article
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


The Health Care Problem Many changes in the health care system have occurred during the past decade. As a consequence of these changes, the patient-physician relationship has been disrupted and both patient and physician frustration and dissatisfaction have increased.(1-6) Surveys have documented an extensive dissatisfaction with the practice of medicine. The reasons behind this dissatisfaction are multifactorial and include concern with spiraling increases in overhead expenses coupled with eroding incomes, the threat of malpractice claims, and the extensive regulatory network and intrusion of third parties into the clinical decision-making process that has been labeled "the hassle factor."(6) So, what has been created by the changes in the health care system: a system where today...




Author: Garth L. Nicolson, PhD, Meryl Nass, MD, Nancy L. Nicolson, PhD
Article Type: Feature Article
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


ABSTRACT Although all U.S. Armed Forces personnel have been ordered to receive the anthrax vaccine, questions remain concerning its efficacy and safety and its intended use to counter a biological weapons attack. Since published data on the anthrax vaccine are scarce, it is difficult if not impossible to evaluate claims of its effectiveness and safety. In addition, questions concerning its safety have been raised, based on reports that associate the anthrax vaccine with high frequencies of adverse reactions and chronic illnesses. The chronic signs and symptoms associated with anthrax vaccination are similar to those found in Gulf War Illness patients, suggesting that at least some of the chronic illnesses suffered by veterans of the 1991 Gulf War may have been caused by vaccines. Some...




Author: Robert P. Nirschl, MD
Article Type: Feature Article
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Introduction The revolution in health care financing and its impact on health care services itself has approached a watershed moment. American society has reached a critical position because of a momentous shift in financial control from the user of the medical service (e.g., the patient) to a third party payer (e.g., management company or government) who is the purchaser but not the user of the medial services in question. This shift in the financing paradigm extends far beyond the espoused goal of societal cost control to the very core and tradition of medical practice as articulated by Hippocrates to physicians, approximately 360 B.C. The essence of the Oath of Hippocrates is doing what is in the best interest of the individual patient. The current sacrifice of this time-honored...




Author: Jane M. Orient, MD
Article Type: Editorial
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


The following correspondence from Dr. Orient to Dr. John Sullivan at the University of Arizona College of Medicine conveys important information pertaining to the role medical boards play in "free market" medical care. It is printed here excerpted for the benefit of the readers of the Medical Sentinel. Dear Dr. Sullivan, I am dictating a few thoughts with reference to the first meeting of the Alternative Medicine Committee as well as the meeting with the representative from the Board of Medical Examiners. I unfortunately will not be able to attend either meeting because of a schedule conflict. The subject of alternative medicine raises a number of issues with regard to evaluating treatment. There is a lot of pressure to restrict physicians' treatments to practice guidelines and to methods...




Author: Paul S. Friedman, MD
Article Type: Commentary
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


In recent years, there has been an unparalleled assault upon American medicine impelled by the desire to transfer control, power and money from physicians to government and, more recently, to managed care entities. One of the attacks against this basic medical ingredient has been delivered by HMOs. Now, as a response to increasing intrusions by these corporations into the patient-doctor relationship, it is being suggested doctors join unions. Physicians, nevertheless, are professionals who serve patients after arduous and advanced studies in college and medical school. Then, there is internship and residency and grueling hours. With service as his prime purpose, the physician continues to improve his state of knowledge and expects adequate financial reward for his services....




Author: Dr. Michel S. Brown
Article Type: Commentary
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Many advocates of gun control point to Great Britain as an example of a gun free paradise where violence and crime are rare. Well, there may be trouble in paradise. Our friends across the Atlantic did tighten their already strict gun laws with the Firearms Act of 1997, making self-defense with a firearm completely impossible for ordinary people. Obedient British subjects generally maintained a stiff upper lip as they surrendered their guns and their rights. How much did crime drop as a result of this sacrifice? It didn't drop at all. In fact, according to the local newspapers, England is being swept by a wave of crime, including plenty of gun crimes. The Sunday Times of London published a story on January 16th that sums up the situation rather well. The headline reads, "Killings Rise As 3...




Author: Miguel A. Faria, Jr., MD
Article Type: Commentary
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Last August, the rugged Aussie survivalist whose real life exploits inspired the "Crocodile Dundee" movies died in what then appeared to be a mysterious shootout with Australian police. A police sergeant was also killed in the incident. It was reported that Rodney William Ansell, the 44-year-old, blond haired Aussie, resembled uncannily Paul Hogan the actor who played his part in the movie and the sequel. Although Ansell was no angel and had had previous run-ins with police, he had been named 1988 Australian Northern Territory Man of the Year for inspiring the movie and putting "the Australian Outback on the map." What motivated this shooting? In 1996, Australia adopted draconian gun control laws banning certain guns (60 percent of all firearms), requiring registration of all firearms and...




Author: Nino M. Camardese, MD
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Dear Editor, The contents of your article "Slouching Towards a Duty to Die" (Medical Sentinel 1999;4(6):208-210) are so sad, unfortunately. The article is superb and accurate. I have been in solo practice now for over 45 years. I still make house calls. Beyond that I oversee three active educational foundations and do radio and television programs, as you know, to halt unlawful government, and preserve our foundations of liberty and the ethics of Hippocrates. So often, however, we hear too many of our colleagues say "I am too busy, I really haven't got time" --- in fulfilling the responsibilities of citizenship and do all possible in gratitude and thanksgiving to preserve, protect, and pass on our great American heritage and legacy of freedom -- even for the sake of future generations, if...




Author: Frank J. Malta, MD
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Dear Editor, I received the latest issue of Medical Sentinel, January/February 2000. As usual, I began to browse which article to read. When I came across Dr. Edward R. Annis's article, "Labor Bosses and Democrats ---The Beginning of Government Medicine in America," I read his article first. I have admired Dr. Annis's ability to articulate the messages that physicians and Americans need to hear. His leadership is so much in need today. If only he would be able to express his views on the "talk shows" that bombard the airways on Sundays to offset the liberal agenda that prevails and are orchestrated by "informed, motivated, and active people who persevere until they make things happen." Most people are under the impression that "things just happen," like it was fate. The corollary to this...




Author: Edward R. Annis, MD
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Dear Editor, Many thanks for publishing some of my strong views regarding labor bosses and their influence on our government. In case you overlooked this brief note in The Wall Street Journal, it merely affirms my observation labor bosses never give up --- and neither should we! Edward R. Annis, MD Miami Shores, FL Dozens of Union Members won public office on Election Day, says the AFL-CIO, which has set out to put 2,000 trade unionists in various local, state and national seats next year. Last month's winners include Manchester, N.H., Mayor Bob Baines, a member of Teamsters Local 633; Moreland Hills, Ohio, Mayor Chuck DeGross, a member of Communications Workers of America Local 4340; and Ansonia, Conn., Mayor Jim Delta Volpe, a member of Service Employees International Union Local 511....




Author: Howard Long, MD, MPH
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Letter to David M. Lawrence, MD Chairman and CEO Kaiser Permanente Oakland, CA Dear Dr. Lawrence, Would health care be safer with control like air traffic (as you suggested at Town Hall in November --- or with self-managed medical savings accounts? Evidence from self-managed MSA vouchers seems to confirm Bastiat's conclusion of The Law with, "Now that legislators and do-gooders have so futilely inflicted so many systems on society, may they finally end where they should have begun, may they discard all systems and try liberty." ...You cited illustrative anecdotes about hospital mistakes. Anecdotes also suggest how self-management improves safety. Last week, a 4-month-old girl with cough was not improved by a week of the new standard for treatment of bronchitis, albuterol. My careful...




Author: John G. Gollhofer, MD
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Dear Dr. Orient, The March/April 2000 issue of Medical Sentinel includes a response from you to a letter from Dr. Philip Ranheim, Everett, WA, that is factually incorrect. You state that Dr. Ranheim and his colleagues in Washington State are "about to undertake a new such experiment (referring to government-run health care or socialized medicine) with the approval of the Washington State Medical Associa-tion." This is not true. A ballot initiative to create a single payer health care plan has been filed in this state. Proponents of this initiative urged the Washington State Medical Association (WSMA) to endorse the initiative last fall at our annual meeting. This was not done. In November, at the direction of our House of Delegates, the association reviewed the draft initiative. To quote...




Author: James G. Knight, MD
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


While lobbying to extend and improve MSAs is crucial, at the same time we must work diligently to get every physician who can open an MSA to do so. Health care is the largest industry in the United States and even a small fraction of our number would make a "helluva" dent in the HMO marketplace! If we don't do it for ourselves, why would our patients do it? For my part, in California, my wife is an independent insurance broker dedicated to MSA insurance coverage. My family has an MSA and we are in the process of converting the San Diego County Medical Society to MSA insurance. Now is the time to strike at the pocketbook of managed care. James G. Knight, MD San Diego, CA Correspondence originally published in the Medical Sentinel 2000;5(3);73-77. Copyright©2000 Association of American...


MSA


Author: R.E. Dwight, DO
Article Type: Correspondence
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


In the midst of reading the Medical Sentinel, though I admit I haven't read every issue, I've not found support of any particular candidate for president. Is this a rule set by the editorial committee? If that is the rule, I believe it is important to set it aside in this particular instance. We now have a candidate who is little known; primarily because the media does not care to deal with him. His name is Alan Keyes, PhD. Dr. Keyes is a staunch supporter of the Constitution and the Declaration of Independence. Some people may be fearful of what Alan Keyes may do because he is a very moral, very Christian human being. But, if we were to read the story of the Bible from which he takes his foundations up to the Constitution, and the Declaration of Independence, we will find that Dr. Keyes...




Author: Compiled by Medical Sentinel Editors
Article Type: News Capsules
Issue: May/June 2000
Volume Number: 5
Issue Number: 3


Clinton and the GOP on the Uninsured In President Clinton's 2000 State of the Union Address and the Republican response by Senator Bill Frist, M.D. (R-TN), there is evidence there is going to be another compromise in the Patients' Bill of Rights legislation. President Clinton asked Congress to pass a real Patients' Bill of Rights. Sen. Frist agreed although he added, "We see lawsuits as a last resort, not the first." As far as Medicare solvency, President Clinton stated he wanted to use "nearly $400 billion of our budget surplus to keep Medicare solvent past year 2025." Sen. Frist responded, " To guarantee that seniors can rely on Medicare forever, we will add it to the Social Security lock box, which will lock away the surplus for both Social Security and Medicare." President Clinton...



It is now legend the AAPS legally lanced the secret task force and pulled its secrets...into the sunshine. It destoyed the Health Security Act.


The Oath of Hippocrates
and the Transformation of Medical Ethics Through Time


Patients within a managed care system have the illusion there exists a doctor-patient relationship...But in reality, it is the managers who decide how medical care will be given.


Judicial activism...the capricious rule of man rather than the just rule of law.


The largest single problem facing American medicine today is the actions of government...


The lessons of history sagaciously reveal wherever governments have sought to control medical care and medical practice...the results have been as perverse as they have been disastrous.


Children are the centerpiece of the family, the treasure (and renewal) of countless civilizations, but they should not be used flagrantly to advance political agendas...


Prejudice against gun ownership by ordinary citizens is pervasive in the public health community, even when they profess objectivity and integrity in their scientific research.


The infusion of tax free money into the MSA of the working poor give this population tax equity with wealthier persons...


It was when Congress started dabbling in constitutionally forbidden activities that deficit spending produced a national debt!


Does the AMA have a secret pact with HCFA?


The lure of socialism is that it tells the people there is nothing they cannot have and that all social evils will be redressed by the state.


Canada's fatal error — Health Care as a Right!


The Cancer Risk from Low Level Radiation: A Review of Recent Evidence...


...Moreover, the gun control researchers failed to consider and underestimated the protective benefits of firearms.


Vandals at the Gates of Medicine — Have They Been Repulsed or Are They Over the Top?