Notification of Termination to Aetna

January 30, 2014

 

Dear Mr. Bertolini,

With a deep sense of sadness, I must inform you that I will no longer serve as a physician for Aetna patients under the terms of our contractual agreement, which you most recently unilaterally changed.

I have been privileged and honored to care for thousands of patients covered by Aetna policies since the 1990’s. I have devoted my life to providing the very best, state-of-the-art care to these individuals. We have formed a patient-doctor relationship, which I hope many will chose to continue in spite of my severing ties with Aetna. You see, health insurance has evolved such that insurers and government have inserted themselves smack-dab in the middle of the once sacred patient-doctor relationship. I am called a provider- not a doctor. My patient is now yours- not mine. What I can do as a physician now has strangulating strings and nonsensical numbers attached- to you and government and money-not the best interests of the patients.

Obamacare, the “law of the land”, contains ever-changing-at-the-whim-of-HHS, politically-expedient mandates, rewards, penalties, rules and regulations with which I cannot rationally or morally treat my patients and run a practice, much-less interpret, implement, or comply.

Millions of Americans have lost coverage because of the healthcare law and must now shop on a defective, insecure government website and sign up for more expensive policies through Federal and State exchanges. Only by logging in as a prospective patient did my office manager and I discover that Aetna was selling plans for which I am a provider-effectively selling my services without even asking, much less informing  me that my services would be sold on such a site, under the auspices of new terms with which I will not comply.

Then, after the fact, I received a form letter informing me of Aetna’s “new allowables”. I will not sell my services under such terms. While treated as such, patients and doctors are not commodities worthy of such impersonal, inconsiderate, and cavalier treatment. We choose dignity and personal service over disrespect and form letters.

So here we are, you are getting new business offering health insurance plans featuring my services without my consent under terms which are unacceptable to me. Accept this as my official written notice that the changes that you have unilaterally made to our contract are unacceptable to me and make our contract null and void.  You must explain this to your patients. You must tell them that they have purchased a product that was misrepresented to them and that you cannot deliver. It saddens me to think of the decreased access to care from actual physicians and the shockingly increased costs Aetna patients will now experience because of your choice to collude with big government rather than collaborate with patients and physicians.

Kristin S. Held, MD

151 thoughts on “Notification of Termination to Aetna

  1. I have read these letters and replies with great interest. I am an LPN who practiced in the hospital setting for almost 23 years and now I can only get jobs in Nursing Homes. I’m 63 and have no desire to go back to school. I have seen the changes and it is very upsetting to me that we are more concerned about paperwork and getting out on time than taking care of our patients.
    My husband is from Sweden and he doesn’t understand my being so vocal about my distrust of Obama and his politics. He gets upset when I post anything on facebook regarding my distrust for the Obama administration, so much so he cancelled his old facebook and made a new facebook page without me as a friend. Seeing the changes first hand and see how some patients are railroaded into the hospital and kept when they aren’t so sick really angers me. The doctor can ask you if you have chest pain and if you say yes, although you didn’t seek medical attention for that, you are admitted to the hospital, ordered all these tests and a stress test. You may have come in with bronchitis, which I’m sure if you cough enough you will have chest pain. Hospital administration will tell the doctors to admit everybody who comes into the ER, because census is down, and you can admit somebody for 24 hours under those circumstances for chest pain and run tests. People who legitimately need to be there aren’t always admitted because they don’t meet the “criteria”. This isn’t what nursing is all about or being a doctor. I have not signed up for Obamacare, and find if I sign up through my job for my husband and myself it is over $500 a month and has a $6500 deductible. It might not be so bad if you were getting more for your money, but you are getting less. I don’t know if I’m going to sign up or not. I may just find a doctor who charges a minimal office fee and see if I can get my yearly check up and my prescriptions. Thank you for letting me vent.
    Shari

    • Shouldn’t have married a pagan. Europeans are incompetent and are destroying their own countries. They’d already be gone if we didn’t protect them and they mess up healthcare even with the free defense.

    • Those things all happened pre-Obamacare just from the insurance companies. They have had a role in this for a long time and can’t be let off the hook. I’m tired of having a nameless, faceless doctor sitting in an office in another state say I can’t have the meds my doc prescribed.

  2. Just want to add another voice of support to the growing chorus here. I applaud you and encourage you to keep speaking up. The best way to defeat ObamaCare is education, and as a doctor what you say will command a lot more respect than those of us who are “just” patients/consumers outside the system. The more you and other medical professionals talk, the louder your collective voices are, the more people will stop and listen to what you say.

    • Actually, I believe that patient voices are heard more loudly than doctors… er, providers. The government has purposefully set about to devalue and to debase doctors. The government wishes to have absolute control over doctors, thus their command that we must have electronic medical records which record and report every treatment given to every patient. I have opted out of Medicare because I refuse to sign away my constitutional protection against unreasonable search and seizure. The RAC’s, government authorized private companies, are enabled to enter a doctor’s office, prowl through patient records and determine how much medicare overpaid based on those few charts. They then can extrapolate into the past and “recoup” supposed overpayments for many years back. They are not law enforcement and they do not have warrants. They have no more authority to prowl through my patients’ records than the guy who delivers me oxygen on Fridays. Patients’ collective voices are more powerful because they are more votes.

      • get involved in the campaigns right away Doc, we need your influence over those votes you cite, your leadership, and your intellect as a physician which slaughters the arguments of the marxist socialists democrats; of course its not about “republicans” but is in fact about those of us who hold the true ideal of being an American…its now or never, it is necessary now because later it will require the spilling of blood…yes it is that serious Doc…

      • Hear, hear. Physicians are those at the bottom of the hierarchy. However the media continues to feed the illusion that we are to blame. Usually, the general surgeon is too busy pulling out ruptured appendices or bullets to be concerned with how she is perceived by the public. You know, doing their job of saving lives? It’s a pretty busy life.

  3. its a sad day in America when the government is dictating the care we can or can not provide to our patients. The regulations are keeping us away from the bedside since the paperwork has taken over,,,, This is not going to end up well. God help us all!

  4. Praise God that you are taking a stand. I wish you could start a revolution with other likeminded medical professionals against Obamacare and come up with a “DoctorCare” plan. I’m trying to fight a battle with Common Core State Standards which, in my opinion, is a code name for Government takeover of Education. It’s bad enough when our healthcare care is hijacked but even worse when our innocent kid’s minds are trying to be taken and manipulated. Prayers for much success with your fight. We are all going to have to fight back to ever turn this ship around. One voice with one more with one more becomes a collective voice for change. The more people behind the voice, the more others will stop and listen to what you say. I’m with you. Keep the faith. I believe it just takes one person who is willing to stand up first and take the heat to get others brave enough to stand along side. It’s a hard thing to do but it’s almost getting to the point that we need to say, like our founding fathers who signed the Declaration of Independence said “And for the support of this Declaration, with a firm reliance on the protection of divine Providence, we mutually pledge to each other our Lives, our Fortunes and our sacred Honor.” It was ugly then and it’s gonna get ugly to get our freedoms back. In the long run, it will be worth it.

  5. Thank you doctor – thank you for taking the time to read your terms of service, thank you for caring for your patients. I worked in healthcare for over 20 years – I can’t tell you how many times a doctor would come running to me wondering about some random reimbursement change – it wasn’t random, it was all outlined in the terms of service they so quickly signed without even glancing at it.

  6. Thank you for wonderful letter. It keeps to the facts for the most part without degrading and name calling that often is associated with differences of opinion. Reading some of the comments here, it is easy to see that there are many that still grasp at the left-right paradigm. Your statesmanship you’ve shown in your letter is a fine example of how to deal with our situation which is not a left-right problem but a government-people problem. Attempting to enlist the help of some aspects of government to take on other aspects of it does not bode well for anyone but the government. Stand with your fellow health care professionals. Continue to take the side of your patients and don’t allow others to draw you into fights that inevitably only help to grow government. Let Liberty Rein!

  7. Dr. Held, I believe you are suffering from the Chinese curse, “May you live in interesting times.” I am pleased to have stumbled across your blog (thanks to Dave Limbaugh) and to have read some of your other entries. As they say, it isn’t what happens to you, it’s what you do about it. Keep at it.

    I am passing your site to my sister in law, a like-minded orthopedic surgeon. I think you two would enjoy each other.

  8. Dr. Held,

    I dumped Aetna, United, Cigna, etc. several years ago. I am a plastic surgeon, but I perform many reconstructive procedures and, therefore, rely heavily on insurance. I, too, got fed up with the nonsense and decided to sever ties. I see many patients “out of network” and it drives the insurance companies crazy! I’m the only plastic surgeon in my region, so they (the insurance companies) have to allow the patients to be seen by me. I now get reimbursed at a higher rate and don’t have to comply with any onerous contract rules. Fight the power!

    Thank you,

    David

  9. I can´t say much that hasn´t already been said, but we do pray for God to reward your courage, and to give you health, endurance, and continued conviction. If we all stand together we can defeat this perversion of Obamacare.

  10. Thanks, Dr. Held, for making the moral case for the unfettered practice of free market medicine. As a health care professional who once blogged extensively about the need for doctors to go on strike against socialized medicine, I applaud your efforts to fight the good fight. I’m sure you will get threatening letters, emails, and phone calls from Obamabots who think you are selfish and shouldn’t practice. You might also get audited by the IRS. I ad mire your integrity.

    • You do realize we are forbidden to unionize or strike, have no limits on the number of hours we work (once we have completed residency) and essentially are the only workers in America today who are subject to these terms? And who made that the case, the Federal Government, who else?

      • But you do know that when you choose your profession, right? I really like knowing my doctor is never going to go on strike and I’m very glad you will never be my doctor.

  11. Most doctors aren’t doctors any longer – you are.
    .
    I wish you were cloned – sorry, but we have no doctors available in Washington state where contract doctors and bad medicine has taken hold and is destroying lives, mine included.
    .
    Aetna will not help with rogue doctors and contractors – I’ve been trying for over a year to get them to pay attention to “care” that isn’t be provided yet they are being charged and my bills are totally out of this world – that’s not “coverage” that’s enslavement for my 68 year old husband who is working overtime at less than $11 an hour for a Japanese company that is getting away with environmental damage to the humans who, many of them, are exhibiting signs of emphysema from plastic inhalation.
    .
    Thanks for standing up to the monster that is insurance and especially Aetna. They are a heartless organization that sought to gain more through the ACA and in the process doomed all insurance companies to a quick or slow death but death it will be when the Democrats get done and they get the American people to DEMAND a one payer system and doctors no longer have any power to protect a patient.
    .
    The Underground Railroad to doctors is about to be opened. Thanks for showing the way.

    • If you want to know where the real doctors are, and why they aren’t employed in your local clinics, read my comment below. We are still here, at least those of us who aren’t part of the 400 who committed suicide each year for the last decade….

  12. Pingback: Doctor Takes Courageous Stand Against ObamaCare | Women of Grace

  13. I read your comments with great interest. I have been a retired, Vascular surgeon since 2002. 17yrs. in the military and twenty in my private, solo practice. I saw and felt the transition Insurance and Medicare were making and the direction they were going. I retired after my first heart attack and bypass. Quite often I thank God for this affliction. This may seem strange, but I was given a graceful way out of what I saw coming in the future for valuing my education and experience; to do more, in shorter time for my patients, herding me to increase volume and serve my patients in less time and expense to be made up in volume, rather than encourage and reward my quality of care. All, so that Insurance executives can have multi- million dollar, annual bonuses and erect huge buildings, to house staff, pay them and make decisions for my patients, with whom I have their confidence and trust and first-hand knowledge and they have never see and have far less experience and training than me. . Let us not forget the cost of advertising their “services” on TV and magazines, etc. hiring high-profile celebrities to endorse their product.
    I have not had a lawsuit in my medical experience. I believe that was because I spent time with patients and their families to understand what was happening and explain their options.
    I truly enjoyed practicing medicine/surgery. It has now become something I did not sign up for when I started Med.School.

    • I find solace and heartbreak in your comment Dr. Spebar. I entered medicine because it was and still is my true calling. Like my father before me, I have held the profession in high esteem and hoped to honor my family by continuing to honor the sacred nature of the doctor patient relationship. Imagine telling an artist that they have to paint 30 masterpieces a day. Is that not an apt parallel to what is being asked of today’s physicians? It isn’t possible to create quality while increasing quantity. Those who have spent the allotted 7 minutes with their doctor who is charged with managing things we used to hospitalize people for can tell you the experience is wholly unsatisfying for the patient, and frankly demoralizing to the doctor. It is good to hear a voice from the old school speaking about what medicine has been, because that is the only medicine I know. It is both art and science. To do right by our patients, and our sacred oath, takes time. I will work for free, but do I not deserve to be compensated for the sacrifice I have made in learning this art and giving of myself even when any other worker would have gone home? Many of us are lost souls now. Wandering in a purgatory of confusion and apathy. Feeling conflicted and powerless. Is that our legacy? I hope that mor of us can find strength as Dr. Held has. Those of us who are like minded need to find one another and support each other before it’s too late. Your generation may not be in a position to continue to practice full time, but you can serve as mentors and provide inspiration and moral support. Sometimes, the therapeutic value of that voice, your voice, is the beacon of light we need to keep on our journey. Thanks to both you and Dr Held. Each of you has renewed my faith just enough, maybe I can keep fighting after all.

  14. God Bless you, Dr. Held. How ironic that the doctors that helped destroy medicine (those that became filthy rich off of Medicare when it first came out and through the 1980s) are now going to be rationed severely when they are on the receiving end.
    I’m sure Aetna doesn’t give a f*** you’ve left their network. What most patients don’t get is their copay for the office visit is usually the allowable anyway, so their insurance isn’t paying much of anything to the doctor.

    I am

  15. My practice is getting many phone calls inquiring if we are providers in the Obama-night mare and we refuse to accept them under their new terms. I am debating if severing ties completely with the insurance monsters is the smart way because you lose your ability to fight within the legal system their abusive tactics.

  16. Hope this letter gets forwarded to Obama and his cohorts and that we all take names and vote every stinking one of them OUT of office!!

    • Please Dr. Held. Can you please comment briefly on what happened when the administration held hearings with representatives from all the leaders in American Medicine. When they say at the table to draft the legislation those opinions were disregarded. In addition, only representation from industry (mainly insurance) were at the table with Mr. Obama while the specifics were being drawn up?

  17. Thank you, Dr. Held. I have been practicing and teaching in an academic setting for over a decade. When I shared my similar beliefs with residents and med students, I was told that I was being hostile and counterproductive to the “mission”. I subsequently quit practicing and teaching and decided to stay at home with my kids for awhile (or forever if the situation gets worse). I admire your ability to take a stand and do what is right. You are a great role model for our students and future doctors (not just “providers” 😉 )

    • Amen. Please read my comments below. I am another of what is now coined “disruptive” physicians because I speak my mind, and it’s too forward thinking for the mediocre minds who have adopted positions of leadership in medicine. There is politics in medicine as well, and if you don’t pull the party line, the pressure for you to “adapt or die” so to speak will either make you bend or break. Patient care and doing the tight thing should never be superseded by an institution making money for shareholders. Doctors who have dissenting views should not be cast out because they see things differently. Imagine if the Supreme Court did not permit dissenting opinions. What manner of justice would that be. Frankly, I am ashamed of my profession and what it has acquiesced to. I won’t be broken and I won’t bend. I will always put the interest of the patient first. But I won’t pad the pockets of industry and I definitely won’t pad the pockets of corrupt government officials at the expense of my own self worth and happiness.

      • Right on Dr. Archer! Who says doctors can’t strike or unionize? Who can stop us? NO ONE can replace me in the operation room. No one. Unfortunately, I hear a lot of tough talk in the OR locker room, but silence when it comes to opposing the ever more burdensome mandates from the hospital administration. Doctors are in their present predicament because of their own inaction.

  18. As a government employee I can tell you: you DO NOT want the government within a mile of your medical practice.

    There are a handful of things we do well – and are constitutionally authorized to do – healthcare is not one of them.

    Stand your ground, Doctor.

    • Thank you. Those things the govt. can do well were laid out in the Constitution by men smarter than those who are trying to run govt. today. It’s time to force this unconstitutional govt. back in its box.

  19. Bravo! It’s good to see a business owner standing up to the govt, in support of the business-customer “contract.” In this particular case, it’s a doctor-patient relationship, and should not be a doctor-insurance company/govt-patient relationship. These “middlemen” are destroying the US healthcare system, both from a financial and privacy standpoint. I’m more convinced than ever that the quickest way to to reduce healthcare costs is to get the govt and insurance companies out of the equation. The govt has exceeded its authority by inserting itself between the customer and the various businesses that we do business with (our employers, our banks, etc). It all started in 1913 with the creation of the IRS and Federal Reserve.

    • The money in healthcare in America constitutes 18% of our gross national product. When the system collapses due to corporate greed and their highly effective lobbies, the entire US economy will be at stake. If we think the housing issue and tech bubble problems caused havoc, imagine the ramifications of roughly 1/5 of our GNP disappearing. The economy is in such bad shape now. We are facing something more severe than we may have ever known in history. Frankly, I’m very concerned for the future, and especially for my children.

  20. You could count on your fingers the number of issues/causes that the Federal government has gotten RIGHT in the last 100 years (okay, you could probably do it on ONE HAND, but I’m in a charitable mood today.) I say this as a third-generation civil servant. Sorry, but inviting them into the treatment room by proxy is a no-go. Rock on, Doctor!

  21. If all providers(Health Care Providers) and Patients support Dr Held and Dr Hughes on the long tireless mission to open the eyes of the public that Healthcare is NOT for goverment to DICTATE

  22. Thank you Dr. for your stand I am a pastor with many in the healthcare field in my congregation. Mostly RN’s and administrators and what you have voiced is an echoing sound I hear each week. With fear I watch what the administration is doing to your vital field and wonder how long until they come after the churches. If they can completely overrun medicine, the social charities, education and most other aspects of daily life the church will be next. Please continue to fight for your field and stop them before they get to ours.

  23. I have attempted to respond to this 2 times and both attempts failed. Suffice it to say I am another female physician and I have chosen, for the time being, to abandon the practice of medicine in favor of maintaining my sanity and the integrity of my family. I am working on attempting to find a practice model that is sustainable for me. I had to Uchechi on physician suicide rates, and how we have had the highest rate of any profession since the turn of the Millenium. Why would this be? I know the answer I’m pointing it out that this has not received the media attention it warrants that 400 highly trained and dedicated professionals fine every year at their own hand. That’s an entire medical school, all years 1-4 dying each year. Many of us clinicians in the trenches have become little more than wage slaves. The person who answers the phone in the office often has more control over the doctors schedule than the doctor. Current working conditions will not permit you to say no, block your schedule or even take time off to care for your own issues. I do work in a clinic when I am asked to cover a solo practioner who still practices medicine as it should be done. I respect him in toto. I am not alone. Many other younger or mid career physicians are leaving the profession. Did we all spend the last 15 years of our lives preparing to be unemployed? So I say that you speak for many of us. The public needs to know what we have to do and what labor rights we don’t have. We can’t strike, we can’t form a union, so what can we do? Leave the profession we love, lose the biggest part of who we are and try, maybe hopelessly to find another all it that we feel so much passion for that we would dedicate, even risk our own lives to offer service of our fellow Human beings? There is so much I wish I had the time and energy to share but know this, soon Americans may find that when they need a Doctor, they won’t be able to find one. It won’t matter if you are insured or not if there is no one left to care for you.

  24. I have attempted to respond to this 2 times and both attempts failed. Suffice it to say I am another female physician and I have chosen, for the time being, to abandon the practice of medicine in favor of maintaining my sanity and the integrity of my family. I am working on attempting to find a practice model that is sustainable for me. I had touched on physician suicide rates, and how we have had the highest rate of any profession since the turn of the Millenium. Why would this be? I know the answer I’m pointing it out that this has not received the media attention it warrants. It is a major issue that 400 highly trained and dedicated professionals die every year at their own hand. That’s an entire medical school, all years 1-4 dying each year.

    Many of us clinicians in the trenches have become little more than wage slaves. The clinic manager and person who answers the phone in the office often have more control over the doctor’s schedule than the doctor. Current working conditions will not permit you to say no, block your schedule or even take time off to care for your own medical or family issues. I had twice had my husband and daughter in critical condition admitted to hospital and was told I should not leave work because it would inconvenience so many patients. What manner of insanity is this?

    I do work in a clinic when I am asked to cover a solo practioner who still practices medicine as it should be done. I respect him in toto. I am not alone. Many other younger or mid career physicians are leaving the profession. Did we all spend the last 15 years of our lives working harder than most anyone will ever comprehend preparing to be unemployed? So I say that you speak for many of us. The public needs to know what we have to do and what labor rights we don’t have. We can’t strike, we can’t form a union, so what can we do? Leave the profession we love, lose the biggest part of who we are and try, maybe hopelessly to find another calling that we feel so much passion for that we would dedicate, even risk our own lives to offer service to our fellow Human beings? There is so much I wish I had the time and energy to share but know this, soon Americans may find that when they need a Physician, they won’t be able to find one. It won’t matter if you are insured or not if there is no one left to care for you.

  25. Dear Dr. Held,
    I don’t know if you will read this, since there are so many other comments, but here are my two cents: I am very proud to be a member of the same species as you. This is a brave and wonderful stance you have taken; I wish every doctor would take it. Thank you for your actions, and thank you more for making it public

      • After reading some of the new comments, and pondering things further I now have the sense that it is my duty to provide care to patients outside the existing corrupt system. If Dr. Held can do it, than so can I. I don’t need to be wealthy from a monetary perspective (or I certainly would not have become an internist). What I need is wealth in the currency of the soul. There is only one way to do that, and that is to fight for what I know is right even if it makes me a target of the mental weakness of so called “leadership”. I think it will be possible to offer services for cash 3 days of the week and then work at the community clinic for free on the other day. That should be more than enough to support my family and my community. It also will be one more nail in the coffins of government corruption and corporate greed. Thank you Dave, Rick, Dr. Held, all of you so much! Now that I know I am not alone in this fight I can strike out with renewed faith that I can make a difference, even as only one physician in a sea of “providers”.

        With deepest gratitude,
        Cynthia Archer, MD

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  28. Bravo, Dr. You are one of Dr. Jack Wheeler’s Heroes of the Week. Catherine Englebrect from True the Vote is the other. I urge you to read his bio. He used to work for Ronald Reagan, and is truly impressive.

    You are doing what’s necessary to stop this. Don’t comply. Every American obviously needs to do this, since we have a Speaker of the House, who is absolutely useless, and will not use his authority to defund this tyrannical legislation.

    Do not comply, anyone! Just who do these people think they are, to meddle in the health care of millions of people.

    http://www.tothepointnews.com/content/view/5760/150/

    Now to close with the good news. Atlas’ doctors are shrugging. Less than half – 45.7% — of physicians are now accepting Medicaid patients in the U.S.’s largest 15 cities. ZeroCare is going to kill of Medicaid.

    America’s doctors are refusing to be enslaved. They are disobeying, rebelling, shrugging. This is exactly what is needed to bring down Leviathan – a Revolution of Refusal, refusal to comply with fascism. FDC!

    And so we come to another heroic lady who also deserves to be the Hero of the Week. She is Kristin Story Held, MD, an ophthalmologist in San Antonio, Texas. News of her Letter of Termination to Aetna, dated January 30, came out this week. She states:

    “With a deep sense of sadness, I must inform you that I will no longer serve as a physician for Aetna patients under the terms of our contractual agreement, which you most recently unilaterally changed….

    Obamacare, the ‘law of the land,’ contains ever-changing-at-the-whim-of-HHS, politically-expedient mandates, rewards, penalties, rules and regulations with which I cannot rationally or morally treat my patients and run a practice, much less interpret, implement, or comply…. I will not comply.”

    I will not comply. Those are the four words that can save our country. If millions of us do the same whenever confronted by government tyranny large or small, then we will get our America back safe and sound. Say it to yourself: “I will not comply.” Then act on those words however and whenever you can.

    Here she is, Dr. Kristin Held, an American woman, an American hero. Let’s all live up to her.

    • Caroline, Thank you so much for sharing Dr. Wheeler’s piece! I had no idea, and the encouragement goes a long way in keeping me going down here in the trenches. Very touching. Thank you for fighting as a sister in the war on the American patient, well the war on America for that matter.

  29. Hi Dr. Held. Keep up the good work. I read your letter and although some parts are over my head, I applaud your courage to standing up against these people. I am one of the people hurt by Obamacare. I work as a Security Guard and have gone from having paid Medical Insurance with a $100 deductible to paying $94 per month with a $6500 deductible. Pretty cheap, but if I were to choose my old plan, it would cost me $200 per month, one quarter of my paycheck. These people need to be stopped. For everyone who ready this my reponse is the same : Pay attention and stop voting for these people. They do not have your best interests in mind, only their positions, status and payoffs for those who will fill their campaign coffers. God Bless.

  30. Pingback: Doctor “opts out” of Obamacare | Boulder is a Stoopid Place

  31. Now 7 years retired because of Government oppression after 35 years of practice, Dr. Held, congratulations for taking a taking a stand.

  32. I am a retired surgical nurse, and the current “laws” are evil. I’m willing to offer my services free of charge to defeat this corrupt administration. We should open our own clinic and hospital!

  33. Hey! This post could not be written any better! Reading through this post
    reminds me of my previous room mate! He always kept talking about
    this. I will forward this article to him. Pretty sure he will have
    a good read. Thank you for sharing!

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