Physicians’ duty to stand for patients means “implement and comply” is not an option

November 15, 2013

2013 Physicians’ Workgroup Meeting, Washington, DC

Thank you, Congressman Sessions and my esteemed physician colleagues for the opportunity to convene, seeking solutions as the Affordable Care Act is resulting in millions of Americans losing their healthcare plans, in spite of the repeated promise this would not happen. Three years ago I stood before a similar group to report on my assigned section of the ACA, as a member of The Physicians’ Council for Responsible Reform. I literally spent weeks reading, trying to understand, and summarizing less than 100 pages. I knew immediately that the ACA was the manifesto for the promised fundamental transformation of the United States of America. The ACA is the usurpation of the Constitution of the United States incarnate. Since that time, the espoused “Law of the Land” has proven to be the biggest fraud and annihilation of liberty ever perpetrated on a free people.

Having shared a rite of passage traversed only by physicians, most of us in this group share an unspoken, unbreakable bond, understood by rare few. We seek to honor our tradition, serve the sick, and advance the field of medicine. We do this in truth and for good. We have sworn to uphold the Hippocratic Oath. We honor the sacred patient-doctor relationship. The ACA is destructive to these ends. Accordingly, we, our once great nation’s physicians, must abolish this law of absolute despotism, oppression, and human suffering, to institute new law, in accordance with our Constitution, for the good of the people, to secure our blessings of liberty, and with a firm reliance on the protection of divine Providence.

My colleague and friend, Dr. Jane Hughes, and I formed AmericanDoctors4Truth, to provide a voice of truth for America’s physicians, who have been silenced and stonewalled, demonized and denigrated. We offered a viable plan for patient-centered, free-market driven true healthcare reform and participated in formulating a similar template with many of you at the Dallas Healthcare Policy Forum in 2012. The proponents of the flailing ACA proclaim that there are no alternatives; this is just another of their proven lies. While Dr. Hughes focused on what we must do and our plan, I will focus on what we must not do and their law. America’s physicians must not serve as the pawns, unwitting accomplices, or drone-like henchmen entrenching the law by proceeding with implementation. We must not comply; we must not implement. If we do, we are to blame for the destruction of American medicine, the United States Constitution, and the greatest society of free people in the history of the world.

The ACA uses outright coercion and extortion to manipulate physician and patient behavior. Already, physicians have been targeted by the IRS, imprisoned, fined, audited, and subjected to loss of licensure, profession, and livelihood. My personal friend, orthopedic surgeon Dr. Dave Janda and a personal role model, neurosurgeon Dr. Ben Carson, were both viciously targeted by IRS this summer after speaking out against the ACA. Many of the Executive Branch’s measures to control physicians border on and will, no doubt, cross the line of impeachable offence if not stopped. Amendment XIII Section 1 of the Constitution of the United States states; “Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction. Section 2. Congress shall have the power to enforce this article by appropriate legislation.” Before I list just a few of the measures of the ACA with which I will not comply or implement, I ask Members of Congress to contemplate the need for appropriate legislation to protect physicians, like me, living under the constraints of the ACA. Are physicians like me subject to involuntary servitude as a punishment for the crime of “refusal to comply and implement the ACA”?

In no specific order, an aspect with which I will not comply is ICD-10. Physicians who do not spend exorbitant amounts of money and resources to implement this WHO-based, convoluted billing/coding system will not be able to bill for services as of 10/1/2014 contributing to physician shortages and leading to loss of livelihood for physicians. Last week alone, three of my patients who are physicians informed me they are leaving the practice of medicine. One will make hats, and the other two, husband and wife OB/Gyns, are contemplating what they will do next. I assured them they will succeed in whatever they pursue, because they are among the best and brightest-a group no longer inclined to practice medicine nor seek to enter the profession. An estimated 50% of practicing physicians are over 50, and a majority of this group may leave medicine altogether. More than 50% of medical students are now women; the assault on the profession of medicine is the true “war on women”. My father, who calls medicine the noblest profession, overcame poverty to become a pioneering neurosurgeon. Accordingly, I became a physician and my two oldest daughters are medical students. Sadly, at a time when we need the best and brightest to enter medicine and are in desperate need of good doctors, my youngest two liberty- loving daughters informed me they will not become doctors under the ACA-saying, what their grandfather espoused has changed, and they would never work as hard as they witness their older sisters and mother work to be so regulated, controlled and oppressed. I confess-I am saddened but relieved. My solace for my older girls is in the knowing of the great personal satisfaction derived from a life in medicine and that at least they will be able to take care of their own family and friends as American medicine and the American patient dies. As a cancer patient, I fear I will lose my own physicians and surgeons- already, two in their 50’s have cut back to part time to pursue alternate careers.

I will not implement Meaningful Use Electronic Health Records. Pay-offs to physicians to comply will end this year; penalties will begin in 2015. The coercion/ extortion game of selective reward and punishment to manipulate a people is contradictory to our founding principles. The Government has proven inept with implementation of their very own Healthcare.gov website. EHR has been implemented, untested, on false pretense, and has already resulted in loss of life and medical injury, which I have personally incurred. Confidentiality, integrity, privacy and dignity are disregarded by government fiat.

The unprecedented powers of the Secretary of HHS to write law, alter law, and allocate money at whim for political expediency or personal gain makes it impossible to know the law, much less implement and comply. The Secretary has unlimited power to award millions and soon billions of dollars in grants in the name of “outreach, enrollment, and education”, and the waste of this money on politically motivated navigators, educators, and IRS agents is proof of its misapplication. Further, the Secretary’s ability to award grants to medical schools and training programs gives her control over curriculum, faculty and student composition, numbers and salaries, and therefore, the future of medicine in the US. Three days ago, I was on Medscape to get my CME ethics credit, and commented “Medscape is proving to be the propaganda arm of the ACA and its single payer advocates. Implement and comply is all that is ever presented here. Patient, doctor, Hippocratic Oath, choice, cost savings-not so much.” The very next day, I learned that Sebilius recently awarded Medscape $4.8M to “educate physicians”. How ironic that our ethics credits can now be earned through watching paid government propaganda.

The expansion of the National Health Services Corp in Sec 5209 and Sec 5210 granting the unilateral power of the Surgeon General and Secretary of HHS to subject American doctors and healthcare workers to involuntary deployment foreign or domestic, to places deemed in need or crisis by the Secretary, for loan repayment, and her ability to grant waivers in this regard is intolerable. Billions of dollars are allocated here. The government must be relieved of its duty as the usurious sole loan shark in the student loan business, and the HHS Secretary and Surgeon General must be relieved of duty as commanders of a global army, called up in the name of responding to crisis and meeting needs, at the whim of one unelected ideologue. That at the Secretary’s discretion, certain people are selectively exempted from aspects of the law, while others are forced to violate their personally held beliefs and religion to comply with the law or be punished, is antithetical to our Constitution and Declaration of Independence- with such heresy, we cannot comply.

The ACA-sanctioned government agencies of appointed bureaucrats put politics and money before the wellbeing of the people. Their terms and recommendations are not to be followed. The IPAB, USPSTF, PQRI, The Council and other agencies and task forces of cronies, non-experts, and ideologues, the likes of Don Berwick and Ezekiel Emanuel, place physicians in an untenable, unethical position with which we must not comply. Unauthorized data collection and manipulation and allocation of medical resources by bureaucrats are the antitheses of what has made American medicine, via the sacred patient-doctor relationship, great. Bad recommendations made by the USPSTF stand unless it is politically expedient for the HHS Secretary to unilaterally alter the law, as exemplified by the politically motivated handling of the 2009 USPSTF recommendations for mammograms for women v. the handling of the recommendations for PSA testing for men.

The usurious taxation of the American people via the ACA is oppressive and stifling to innovation, technology, and prosperity. 18 new tax hikes of $836B by 2022, including tax hikes on capital gains, increased Medicare taxes, and taxes on medical devices are unbearable. The rules prohibiting physicians and drug company reps from discussing pharmaceuticals is absurd and stifling to great minds. We now lag years behind in the ability to utilize many of the best medical advances available in the rest of the world.

The perpetuated, proven lie that the ACA guarantees we can keep our healthcare plans and our doctors if we like them, when in fact millions more are losing coverage than gaining coverage at 50:1, is basis enough for complete repeal of the law.

Time precludes a complete delineation of grievances and aspects of the law with which physicians must not comply. At one point, I thought that I could comply with half of page 38; I now know that even that would be unconscionable. I implore Congress to relentlessly fight for complete, unabashed repeal of this Un-American, Unconstitutional law in the tradition of correcting mistakes-the likes of Dred Scott v. Sanford (endorsing slavery), Plessy v. Ferguson (affirmation of segregation), Korematsu v. United States (upholding the internment of Americans) and Amendment XVIII (prohibition).

Physicians have succumbed to fear; we are fatigued and fed up. In my fight against this law for my patients and liberty, I have encountered evil as never before. I have been attacked by ideological ACA proponents who call me Josef Mengele, want me “snuffed out”, want to come to my daughters’ baby showers after they are raped, call me vile names I will not repeat, and fabricate lies about me for speaking truth, praying, and merely acknowledging God, the sanctity of life and the Constitution. Never in my wildest dreams did I fathom an America like this. Yet here I stand, public enemy number one, still fighting to secure our blessing of liberty. V. Lenin said “Medicine is the keystone of the arch of socialism.” It is our duty as physicians to do everything within our power to keep our profession from becoming the foothold of socialism in the United States of America. Surrender is not an option.

I close with a passage from Samuel Adams: “The sum of all is, if we would most truly enjoy the gift of Heaven, let us become a virtuous people; then shall we both deserve and enjoy it. While, on the other hand, if we are universally vicious and debauched in our manners, though the form of our Constitution carries the face of the most exalted freedom, we shall in reality be the most abject slaves.

 

Kristin Story Held, MD

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13 thoughts on “Physicians’ duty to stand for patients means “implement and comply” is not an option

  1. I was support staff (office) for more than 40 years. I have long blamed doctors for bowing to the Ins companies. I pray that, like you, they stand up and stand together now.

    God bless you!!

  2. As a 4th yr med student entering the match, I am disheartened by this usurpation of power euphemestically called the ACA. Notwithstanding, I find refuge in knowing there is a remnant.
    “Although the fig tree shall not blossom, neither shall fruit be in the vines; the labour of the olive shall fail, and the fields shall yield no meat; the flock shall be cut off from the fold, and there shall be no herd in the stalls: Yet I will rejoice in the Lord, I will joy in the God of my salvation. The Lord God is my strength, and he will make my feet like hinds’ feet, and he will make me to walk upon mine high places. ”
    Hab 3:17-19

  3. Thank you for putting into words what so many of us have known was coming. I am an ER doc who has chosen to “hang up the stethoscope” over the ridiculous rules we must comply with. EMR (EHR) literally took me away from patient care and threw me in front of a computer screen. I am fortunate that I can choose to stay at home with my kids, but what happens when more and more docs choose to get out? Our doctor shortage will rise exponentially. It saddens me to see what is happening to my profession, and more importantly, my country.

  4. You are so right and thanks for fighting for the American people. Thanks for also standing up for our Lord and Savior Jesus Christ. Thanks again.

  5. Pingback: “The ACA uses outright coercion and extortion to manipulate physician and patient behavior.” |

  6. Thank you so much for this, as a Nurse of 30 years and patient with chronic illness I too am grieved as I witness the dismantling of our healthcare system. In addition to the points you have made, regulation and other factors have taken away the ability of practitioners to use assessment and critical thinking to guide their treatment. I go into the doctors office to be asked the same questions over and over that do not apply to me. It used to be I could have a conversation with my physician and he could make a full assessment based on his or her wisdom, not what must be asked to allow for reimbursement. We Nurses who are proud of our role stand with you.

    • Julia, Thank you so much for your comments. You are so on the mark, the regulations and other factors that take away our ability to use assessment and critical thinking are actually the most dangerous and oppressive part of this law. After years of intense practice, genuinely engaged with our patients, we are able to practice at a level far beyond the basic cold government algorithms. The art of medicine cannot be underestimated. This is the essential principle with which we must not comply. Obamacare applied to sports is like restricting the most experienced and talented NBA players and coaches from using their own wisdom, judgment, experience, knowledge of opposing players, and unique skills acquired over years and instead mandate they singularly open laptops and use only algorithmic simple-minded plays and strategy designed by Sebilius and other appointed bureaucrats developed by false data and cost-saving measures-and if they do anything else they will be penalized or even jailed…except that in medicine we are talking about human lives-the heart, body and souls of our patients. True healing that cannot be doled out by a massive impersonal self-serving group of elites seeking a false medical-Utopia. Patients will suffer and die in this, the most dangerous game. God bless you. My mom and sister and RN’s-they are the most amazing women in the world. As a surgeon, I am nothing without my nurses. Thank you.

  7. Thank you Dr Held for standing up, speaking out, and fighting this fight. My hope is that more USA physicians get up, speak out and stand with you.

  8. Thank-you so much for your insight…….God bless you for the Courage to take a stand against the ACA which is Socialized medicine!…….There are those who knew this was coming and have tried to stop it…….I pray for Christ Our Saviour to step in and help us return the good old USA back to it’s solid roots!

  9. You say what most of us physicians believe, Kris. The whole premise behind this law is flawed– that physicians can be coerced and chained into doing the will of the government, This is not about patient care, but about control. And for the good of our patients, we will not comply.

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