STOP OBAMACARE IN KANSAS!

JANUARY 13, 2012DR GEORGE WATSON

PAST PRESIDENT, AAPS

WHO IS AAPS?

• ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS—THE VOICE FOR PRIVATE PHYSICIANS SINCE 1943

• PRIVATE PHYSICIAN—A DOCTOR WHO CONTRACTS WITH YOU, NOT THE INSURANCE COMPANY. HE/SHE IS REALLY YOUR DOCTOR.

• WE ARE THE DELTA FORCE OF MEDICINE—FEW IN NUMBER, BUT LONG ON VICTORIES

AAPS

• BLEW OPEN THE DOORS OF SECRECY OF THE CLINTON TASK FORCE IN 1993

• ONLY NATIONAL MEDICAL ORGANIZATION TO CHALLENGE OBAMACARE BEFORE/AFTER IT BECAME LAW

• FILED SUIT IN TEXAS TO STOP ABUSES BY THE TEXAS MEDICAL BOARD

• PRESENTING THE PROPER WAY TO CHARITY

OCTOBER 1, 2011 RESOLUTION

• THEREFORE, BE IT RESOLVED THAT THE ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS TOTALLY REPUDIATES FEDERAL MEDICAL CARE MANDATES OF ANY AND ALL KINDS, AND SPECIFICALLY THE ONES EMBODIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), AND REBUKES THE AMERICAN MEDICAL ASSOCIATION (AMA) AND THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) FOR THEIR UNETHICAL SUPPORT OF GOVERNMENT-FORCED MEDICAL MANDATES, AND FOR THEIR SELF-SERVING SUBMISSION TO THE PROPOSED GOVERNMENT TAKEOVER OF MEDICINE.

AAPS LAWSUIT IN D.C. COURT

• FILED 3 DAYS AFTER OBAMA SIGNED PPACA• STALLED BY THE COURT WHILE OTHER COURTS

MAKE RULINGS—OCTOBER 20, 2011--DELAYED• WE ASKED KANSAS MEDICAL SOCIETY TO JOIN

OUR SUIT• WE ASKED GOVERNOR BROWNBACK AND

ATTORNEY GENERAL SCHMIDT TO JOIN• I ASKED AG SCHMIDT TO FILE DIRECTLY WITH THE

SUPREME COURT—THE CONSTITUTIONAL WAY

PLANNED PARENTHOOD

• AUGUST 1, 2011, ATTORNEY ANDREW SCHLAFLY FILED IN FEDERAL COURT TO DEFEND THE KANSAS LAW RESTRICTING FUNDING FOR PLANNED PARENTHOOD

• KS ATT GEN DEREK SCHMIDT DECLINED TO DEFEND THE LAW PASSED BY THE 2011 LEGISLATURE AND SIGNED BY GOV BROWNBACK

• AMERICAN ASSOC OF PRO LIFE OBS AND GYNS

LIARS, LIARS!

• “THE UNINSURED PASS ON BILLIONS IN COSTS TO THOSE WHO ARE INSURED”

• THEREFOR WE NEED AN INDIVIDUAL MANDATE• CECIL WILSON, AMA Pres, “End cost shifting from the

uninsured to the insured.”• JOHN DUNN, M.D., says, “It’s a phony issue, involving a

concerted effort to make a crisis out of a series of anecdotes.”

• INSURANCE COMPANIES WANT THE COST OF CARE TO BE HIGH ENOUGH THAT PEOPLE ARE AFRAID TO BE WITHOUT IT. $600 OR $60

OBAMACARE EFFECTS

• HIT—YOUR RECORDS ON GOVT-CONNECTED COMPUTERS OPEN TO PRYING EYES

• DOCTORS SUCKED IN BY $44,000 “PROMISED GRANTS” TO PUT YOUR RECORDS ON HIT

• DOCTORS WILL BE BANKRUPTED WHEN THEY FAIL TO PASS ALL THE 63 CRITERIA FOR “MEANINGFUL USE” TO GET THE MONEY FOR HIT AND ARE HIT WITH REDUCED PAYMENTS

EMR HIJACKED BY GOVERNMENT

• DR GLEN MORGAN, WHO HAS DONE RESEARCH IN EMRS FOR 20 YEARS STATES, “THE ELECTRONIC MEDICAL RECORD HAS BEEN HIJACKED BY GOVERNMENT AS A MEANS TO SPY ON DOCTORS. [AND I WOULD ADD SPY ON THE PATIENTS] THERE IS NO DATA SECURITY; LARGE NUMBERS OF RECORDS HAVE BEEN COMPROMISED. EHEALTH.COM IS CONSTANTLY BREACHED.”

A SLAP IN THE FACE!

• NO NATION HAS GIVEN MORE TO MORE COUNTRIES IN DISTRESS THAN THE U.S.A.

• MOST OF THAT HAS BEEN PRIVATE DONATIONS OR OUR MILITARY, AND REMEMBER, ANY GOV’T MONEY CAME FROM YOU AND ME

• SO, FOR ANY LYING POLITICIAN TO SAY THAT GOVERNMENT CARES MOST FOR THE POOR, THAT IS A LIE AND A SLAP IN THE FACE TO GOOD, CHARITABLE PEOPLE LIKE YOU AND ME

GOVERNMENT—GOOD INTENTIONS?

• HAVE YOU NOTICED HOW GOVERNMENT AT ANY LEVEL OFTEN MAKES A BIGGER MESS?

• MEDICAID IS THE BEST EXAMPLE• “GOVERNMENT CAN ONLY COERCE, MEDDLE

AND RESTRICT.” Alieta Eck, M.D. • HOW CAN CONGRESS, MANY OF WHOM HAVE

NEVER HAD ANY JOB OUTSIDE POLITICS, KNOW WHAT IS BEST FOR THE POOR HERE IN..

MEDICAID IN KANSAS

• OVER 290,000 PEOPLE ON IT• $2.3 BILLION IN KANSAS BUDGET• 50% STATE 50% FEDERAL—NO, 100% FROM

OUR TAXES• PPACA WILL PUT THOUSANDS MORE ON

MEDICAID• “DOCTORS SEE INCREASING REGULATION,

REPORTING REQUIREMENTS…” Richard Amerling, M.D. WILL 50% QUIT?

MEDICAID

• ORIGINALLY FOR THE POOR AND DISABLED—NOW EXPANDED TO THOUSANDS MORE

• CREATES DEPENDENCY AS SURELY AS NARCOTICS—FOR PATIENTS, DOCTORS, HOSPITALS

• WHEN LEGISLATORS PAY DOCTORS AT LESS THAN THEIR COST—IT IS THEFT

• WHEN PPACA PAYS MEDICAID RATES FOR PERSONS ON MEDICARE, AND DOCTORS QUIT OR GO BANKRUPT, THERE WILL A CRISIS OF ACCESS. YOU WILL BE “COVERED”…

WHAT WOULD JESUS DO?

• RECENTLY THE PHONY REVEREND SHARPTON SAID OF THE IMPASSE ON THE DEBT LIMIT, “WHAT WOULD JESUS DO?”

• THAT IS AN APPROPRIATE QUESTION REGARDING THE POOR

“FOR THE POOR YOU ALWAYS HAVE WITH YOU”

• WHO ARE THE POOR?• HOW ARE WE TO RESPOND TO THEM?• WILL THEY ALWAYS BE POOR?• IS GOVERNMENT CHARITY IN MEDICAID

REALLY CHARITY? OR THEFT? DEPENDENCY?• SHOULD CHARITY TAKE PLACE IN THE LOCAL

COMMUNITY?

HOW DO WE BECOME POOR?

• BORN INTO POVERTY• BAD CIRCUMSTANCES—FALL, WRECK,ETC• BAD COMPANY• DRUNKENNESS AND GLUTTONY• SLOTHFULNESS

HOW SHOULD WE DEAL WITH THE POOR?

• GIVE CHEERFULLY, LIBERALLY, ESPECIALLY IF SAINTS, WITHOUT OSTENTATION

• NOT DEFRAUD THEM• NOT NEGLECT THEM• NOT OPPRESS THEM• NOT SHUT OUR HAND AGAINST THEM

WOULD LOCAL CHARITY WORK?

• ZAREPHATH CLINIC IN NEW JERSEY SINCE 2003• SAMARITAN MOBILE MEDICAL CLINIC IN

WICHITA ONE LOCATION FROM 2003-2009• ECHO CLINICS IN TEXAS AND OTHER STATES—

GOAL IS 10,000 CHARITY CLINICS BY 2030• IS GOVERNOR BROWNBACK SERIOUS ABOUT

A SOLUTION? “TALK TO THE LT GOVERNOR”

COMPARE THE COSTS

• FQHC—COST TO SEE PATIENT $150 IN N.J.• HUNTER HEALTH CLINIC IN WICHITA• NON-GOVT CHARITY CLINIC, LIKE ZAREPHATH

—COST $15• “THE JEFFERSONIAN IDEAL IS THE NOTION

THAT DECISIONS SHOULD BE TAKEN AS CLOSELY AS POSSIBLE TO THE PEOPLE THEY EFFECT.” Daniel Hannan

CHARITY CLINIC OPERATION

• INTAKE PERSONNEL FIND OUT WHY THE PATIENT NEEDS FREE CARE—THE PT CAN MAKE DONATION IF THEY LIKE

• FREE MEDICAL SERVICES GIVEN BY DOCTORS WHO CHOOSE TO FREELY GIVE

• PATIENTS MIGHT RECEIVE COUNSEL TO HELP THEM CHANGE THEIR CIRCUMSTANCES

• AFTER I SAW THEM, THEY WENT TO THE PRAYER ROOM

ADVANTAGES

• No enrollment or entitlement• No claim forms• No coding• No opportunity for fraud and abuse of system• Excellent venue for teaching medical students• Volunteer support staff enjoy working with the

volunteer physicians

MORE ADVANTAGES

• Promote a positive community spirit of giving and helping one’s neighbor

• Charity patient does not fear losing “benefits” like a Medicaid recipient who gets well or gets a job

• End the tendency for physicians to order too many tests for fear of liability

• Each patient treated as a person of worth• Easier transition to health and a job

BUT WE NEED HELP

• EASY TO FIND PRIMARY CARE TO HELP FOUR HOURS PER WEEK IN CHARITY CLINIC

• HARD TO GET SPECIALIST REFERRALS, SOME OF WHOM HAVE ANNUAL MALPRACTICE INSURANCE PREMIUMS FROM $30,000 TO $100,000. THAT’S RIGHT. SOME DOCTORS HAVE TO MAKE $8,000 PER MONTH TO PAY THEIR INSURANCE PREMIUM

FEDERAL TORT CLAIMS ACT

• PROVIDES MALPRACTICE COVERAGE--ONLY THE 4 HOURS WORK IN THE CHARITY CLINIC

• WE ASK THAT THE STATE OF KANSAS INDEMNIFY DOCTORS FOR THEIR ENTIRE PRACTICE, JUST LIKE THEY INDEMNIFY MEDICAL STUDENTS AND STAFF AT KUMC

• THIS WILL IMPROVE ACCESS TO SPECIALISTS WHO CURRENTLY DON’T ACCEPT MEDICAID

• 4 HRS, 2 OPERATIONS, 2 DELIVERIES PER MO

WHO WILL OBJECT?• People who make money in the current system but provide NO

actual health care.• Managed Care Companies who contract for Medicaid—KANCARE • Insurance companies that no longer receive those $100,000

premiums--KAMMCO• HIT PROVIDERS—such as the Cerner Corporation• Trial Lawyers—they would be going against the state in any

lawsuits• Medicaid government employees• Operators or patients who commit fraud• Did you hear about the medicaid worker in Ohio?

WE CAN DO THIS!!

• Get the Governor and Lt Governor to show as much ENTHUSIASM as New Jersey Governor Christie

• Echoclinics.org has 12 full time staff READY to help establish local charity clinics. Their goal is 10,000 by 2030.

• How about 50-100 in Kansas?• Let’s challenge retiring baby boomers and the

churches to help the poor and save Kansas

WHO WILL BENEFIT?

• TAXPAYERS—Save up to $910 million/year• PATIENTS WITHOUT INSURANCE OR FUNDS --Receive free care that does not hold them down, but rather lifts them up --Not trapped in a cycle of dependency• PHYSICIANS—the joy of serving the poor by

THEIR choice and saving the cost of medical malpractice insurance

WHAT CAN YOU DO?

• CONTACT YOUR STATE REPRESENTATIVE AND SAY YOU WANT THEM TO “SUPPORT REP O’HARA’S BILL IN THE COMING SESSION”

• ASK GOVERNOR BROWNBACK AND LT GOVERNOR COLYER TO MEET WITH REP O’HARA AND ME TO DISCUSS HOW THEY CAN SUPPORT THIS “FROM THE TOP”

• WORK TO SET UP A CHARITY CLINIC IN YOUR TOWN• GIVE YOUR DOCTOR AN AAPS BROCHURE, SO

HE/SHE CAN BE PART OF THE SOLUTION

WHAT CAN YOU DO?

• CONTACT INSURANCE COMM. SANDY PRAEGER, AND ASK HER TO MEET WITH REP OHARA AND ME

• ASK PRAEGER TO DENY INSURANCE COMPANIES THE RIGHT TO PENALIZE THEIR SUBSCRIBERS WHO SAVE MONEY

• ASK PRAEGER TO PROTECT CONSUMERS—NOT MAKE NETWORKS TO PROFIT INS COS

THANK YOU!

GEORGE R WATSON, D.O.316-744-3400 WICHITA

785-628-3215 HAYSwww.aapsonline.org

IS HEALTH CARE A RIGHT?

• THOSE WHO BELIEVE THIS HAVE NO PROBLEM TAKING SERVICES FROM ONE AND GIVING TO ANOTHER—TAKING FROM DOCTORS AND GIVING TO THE “ENTITLED”

• THIS WOULD BE LIKE PEOPLE WITH FOOD STAMPS GIVING LESS THAN THE GROCER’S COST FOR FOOD, SAYING THEY ARE ENTITLED TO FOOD

ICD-10 REPLACING ICD-9

• ICD-9 HAS 17,000 SEPARATE CODES• IF THE INSURANCE COMPANY DOES NOT THINK

YOUR WRITTEN NOTE MATCHES THE CODE YOU PROVIDED, THEY TELL YOU THAT PAYMENT IS DELAYED DUE TO WRONG CODE

• THEREFORE THE CODES ARE TOTALLY UNNECESSARY• ICD-10 HAS OVER 70,000 CODES• GOVT AND INSURANCE COMPANIES CAN USE THESE

TO DELAY PAYMENTS AND ALLEGE FRAUD—WARN YOUR DOCTOR

WARN YOUR DOCTOR!

• HIT AND HIPAA SECURITY enforcement usually begins with failure to notify patients of a breach. The Office of Civil Rights can go straight to a $1.5 million penalty.

• Receiving an EHR (HIT) incentive payment will put your doctor on the Inspector General’s radar

• Can the Pentagon keep all the hackers out?• WARN YOUR DOCTOR!!

THE VOLUNTEER PHYSICIAN PROTECTION ACT

• COST IS ZERO—unless there is a malpractice claim. The state provides the defense.

• No cash is spent by Topeka paying premiums or “providing” payments for care—the care is FREE

• The FTCA is run out of one office in D.C. with six employees. If a doctor is “deemed” covered under FTCA, a copy of that application could be presented to ONE state employee