The DJP Update

DJP Update 8-27-2011 Hurricane advice!  #IRENE (posted 1:04 p.m. Central on 8-27-2001)

Below are some of my recent tweets about Hurricane Irene and suggestions for safety.  My experience comes from living in New Orleans all of my life except for my tour of duty with United States Air Force.

Key pointers:

1- follow advice of authorities to evacuate when told to do so.  Possessions can be replaced; not so with life.

2- realize that unless you have been in a major hurricane, it is difficult to imagine all of the unexpected bad things that can happen in addition to flooding of home, loss of electrical power, intense heat in newer construction because of sealed nature and reliance on air conditioning that no longer works, flying debris, tornados spawned by hurricane, and of course, marauders!  People living in New Orleans in Lakeview area survived Hurricane Katrina passage BUT then defective 17th Canal levee gave way and death and destruction ensued.

3- we keep life jackets and inflatable raft in our home in event evacuation routes blocked.

4- fill up gas tank in car prior to evacuation time.  You don’t want to run out of gas in slow stop and go traffic exiting the danger zone.

5- take bottled water and some food that can be stored.  take your portable computer and a backup hard drive.  Keep the back up hard drive in water proof container, even if you have to double bag it in plastic containers.

6- let family members and friends know where you are headed in event they lose contact with you.

7- HAVE A PORTABLE RADIO, AND A PDA PHONE AND LEARN TO TEXT! Have a backup power supply for phone including car charger and portable batteries.  Texting frequently works when voice does not.  GET a WALKIE-TALKIE.  Works well for short distances in event you and family members have to be separated for a short time and distance.

8- HAVE A WATERPROOF ID ON YOUR BODY in event you drown. It took months to identify some of bodies and some never identified after Katrina.  Sad but true.  Difficult to tell identify after long period of time in water.  I visited morgue after Katrina and saw experts taking DNA from tibia marrow to try and match up with relatives searching for lost family.  I wear a dog tag with ID and allergies and meds.  Also, I have waterproof ID in wallet but one never knows if wallet will still be on you in the aftermath of chaos.

9- take some family pictures with you in event your possessions disappear in hurricane or flooding or tornados.  This may be most important possession for you and loved ones.

If you wish to read some adventures during Hurricane Katrina and Hurricane Gustav (In Gustav, MedPageNow hired me as a reporter) see:

http://www.donaldpalmisano.com/html/updated01.html

http://www.medpagetoday.com/PublicHealthPolicy/PublicHealth/10734

——–

TWEETS FOLLOW:  SAMPLES FROM www.twitter.com/DJPNEWS

I retweeted CDC advice in the tweet immediately below.  The rest are my tweets giving advice from years of my experience with hurricanes, including the unnamed 1947 hurricane in New Orleans.

CDCemergency CDC Emergency

retweeted by DJPNEWS

Make sure that you have at least a 1 week supply of prescription medications, more if refills will be difficult to obtain go.usa.gov/kw0

1 hour ago

 

DJPNEWS Donald Palmisano

@medpagetoday “Leaving New Orleans – A Doctor’s Journey” – Evacuation #Hurricane Gustav tinyurl.com/3n4737k #voiceofexperience #Irene

12 minutes ago

 

DJPNEWS Donald Palmisano

Communication essential #Hurricanes & aftermath! PDAs, texting, walkie-talkie etc tinyurl.com/3wc7ll3 #Irene #voiceofexperience

17 minutes ago

 

DJPNEWS Donald Palmisano

+ reason evacuate when authorities give the order: flying debris (roof slate) both outside home & in = windows break, can be lethal #Irene

44 minutes ago

 

DJPNEWS Donald Palmisano

Evac! Roof slates too RT @nationaljournal: AP: Paramedics say man in NC killed outside his home by tree limb blown down by Hurricane #Irene

51 minutes ago

DJPNEWS Donald Palmisano

#HurricaneIrene RT @DHSJournal: 11AM Update from @NHC_Atlantic 1.usa.gov/nmlrUY pic.twitter.com/4wII7fP

55 minutes ago

DJPNEWS Donald Palmisano

& Cell charger RT @MikeBloomberg: Video: My latest update #Irene& what NY’ers should do now to prepare: bit.ly/mOYv4J (9:30 am 8/27)

57 minutes ago

DJPNEWS Donald Palmisano

Note! RT @RepPeteKing: Here are some important phone numbers and websites you should know before Hurricane Irene hits:peteking.house.gov/hurricane.shtml

1 hour ago

DJPNEWS Donald Palmisano

Excellent App at Apple Store iTunes is HURRICANE – track hurricanes, satellite view, advisories, radar, etc. $2.99. #Irene @Hurricane

11 hours ago

 

DJPNEWS Donald Palmisano

 

New Orleans #hurricane hx; 1947 unnamed one & photo of 17th St Canal failed levee flooding. #Katrina #NOLA; tinyurl.com/43f553w

16 hours ago

 

DJPNEWS Donald Palmisano

 

Chap1 my book deals with his role RT @sonodoc99: @DJPNEWSMeet MSNBC’s Hurricane Preparedness Expert – Ray Nagin? tinyurl.com/3oe9hs4 #Irene

16 hours ago

 

DJPNEWS Donald Palmisano

If can’t leave/refuse to leave #hurricane areas: have H2Oproof ID on their person. #dogtag ideal. ID helps identify bodies. #Katrinalesson

23 hours ago

 

DJPNEWS Donald Palmisano

Those in path #HurricaneIrene see FEMA site READY.Gov for info. Staying home when in #hurricane path = great risk. Evacuate early

26 Aug

 

DJPNEWS Donald Palmisano

Risk of injury vs inconvenience RT @MonicaCrowley: I’m feeling very uncertain here in Cone of Uncertainty. Stay put or run for my life?…

25 Aug

DJPNEWS Donald Palmisano

Good RT @DHSJournal: What should a basic Hurricane kit contain? It’s not just water, food & a flashlight – see the list:1.usa.gov/Ih7pJ

24 Aug

 

DJPNEWS Donald Palmisano

#Hurricane tip: when authorities say evacuate, do it; don’t wait till last minute; get gas tank filled for trip; take #WATER – #Irene

24 Aug

 

DJPNEWS Donald Palmisano

One more #hurricane tip from years of experience with them: get a charger for your phone/PDA that plugs into car power source; & text

24 Aug

——–

Stay well and I wish you safety and good health if you are in path of hurricane.

 

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

 

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: www.DJPupdate.com

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

 

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

DJP Update 8-12-2011 BIG DEAL:  Individual Mandate unconstitutional per U.S. Ct Appeals 11th Circuit

Florida et al v. Dept. Of Health & Human Services et al

(Share this DJP Update with other groups.  Spread the word!  Thanks!)

For full opinion:  as in my tweet tinyurl.com/3orgcde

or 11th Circuit listing of cases:  http://www.ca11.uscourts.gov/opinions/index.php

BUT site appears to be overloaded with visits and difficult to get in at this moment.

But Dr. Art Fougner found this site that works and shows opinion: http://www.scribd.com/doc/62177323/Florida-et-al-v-Dept-Of-Health-Human-Services-et-al

Tip of the Hat to Dr. Fougner!

NOTE from DJP:  in the majority opinion, it is stated that the individual mandate is a “regulatory penalty, not a revenue-raising tax, and cannot be sustained as an exercise of Congress’s power under the Taxing and Spending Clause.”…

“Further, the individual mandate exceeds Congress’s enumerated commerce power and is unconstitutional.”

———-

DJPNEWS Donald Palmisano

11th Cir Ct App rules indiv mandate #PPACA unconstit; 2 diff opinions 2 circuits = faster review by #SCOTUS op: tinyurl.com/3orgcde

——

EXCERPT from POLITICO article below:

The 2-1 ruling marks the first time a judge appointed by a Democrat has voted to strike down the mandate. Judge Frank Hull, who was nominated by former President Bill Clinton, joined Chief Judge Joel Dubina, who was appointed by George H.W. Bush, to strike down the mandate.

Judge Stanley Marcus, in a dissenting opinion, said the mandate is constitutional. He was also appointed by Clinton.

The panel partially upheld a ruling issued in January by Judge Roger Vinson, who struck down the entire health reform law. However, the 11th Circuit said that the rest of the legislation can stand even if the mandate is unconstitutional.

Read more: http://www.politico.com/news/stories/0811/61218.html#ixzz1Uq4shFyL

Other sources of news commenting on case:

Atlanta Journal Constitution: http://blogs.ajc.com/kyle-wingfield/2011/08/12/11th-circuit-says-individual-mandate-is-unconstitutional/?cxntfid=blogs_kyle_wingfield

Chicago Sun-Times: http://www.suntimes.com/news/nation/7029434-418/federal-appeals-court-strikes-down-health-insurance-requirement.html

Avik Roy in FORBES: http://www.forbes.com/sites/aroy/2011/08/12/breaking-eleventh-circuit-rules-obamacares-individual-mandate-is-unconstitutional/

Politico: http://www.politico.com/news/stories/0811/61218.html

——-

And so it goes, in this great Land of Liberty.  Remember my prediction of yesteryear.  U.S. Supreme Court will rule PPACA unconstitutional by 5-4 or 5-3 vote if one recusal.  Good risk management demands you plan accordingly for that possibility!

Onward and keep the faith!  America will get it all sorted out by 2012.

Stay well.

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

DJP Update 8-10-2011 IPAB elimination = Policy + ACTION: press release plus TV ad; WATCH video!

IPAB is the “Independent Payment Advisory Board” detailed in sections 3403 & 10320 of PPACA (Public Law 111-148 & amended by P.L. 111-152).

As I have said many times in past, WORDS mean something.  And words should be used correctly.  Not Humpty Dumpty fashion (This means the meaning changes depending on speaker’s circumstances or desires) or in Orwell’s 1984 style.

Cutting funds, just like SGR price-fixing, leads to loss of access to care as balance-billing is not allowed.  Australia allows balance-billing by allowing negotiation between patient and physician of any amount (the “gap” is what they call it) beyond what the government pays.  America does not in Medicare and Medicaid.  In America, the doctor cannot even forgive the co-pay.

But, ACTION is what gets a person or an organization’s policy to the destination.

Over 270 organizations, including AMA, have officially stated their opposition to IPAB.  AMA now has policy to repeal IPAB with the vote taken at the Annual Meeting of the AMA June 2011.  There are members of Congress, both Democrats and Republicans, who oppose IPAB.  ( See http://www.politico.com/news/stories/0711/58655.html for some of them)

But action by all is needed.

Here is one action taken to alert the public about the need to get rid of IPAB:  a press release AND a video ad for national TV.  Let’s all take some action on IPAB and the other important issues such as the restoration of balance-billing without penalty.

Here is the video that will play on TV starting today and the text of the press release that is released today.

VIDEO: http://www.youtube.com/user/patientsnow

Video also can be viewed at:  http://www.protectpatientsrights.org/

Watch for it on TV!

PRESS RELEASE:

FOR IMMEDIATE RELEASE                     Contact:           media@protectpatientsrights.org

August 10, 2011                                                                      (703) 405-9407

CPPR Releases National Ad Outlining Dangers of IPAB

WASHINGTON, DC – The Coalition to Protect Patients Rights (CPPR) is up today with a $1.4 million television ad buy that will be featured on national cable and targeted local broadcast stations discussing the dangers of the Affordable Care Act’s Independent Payment Advisory Board (IPAB).  You can see the ad here.

“I believe it is vital that Americans become educated on the harmful effect the Independent Payment Advisory Board is expected to have on medical care available to seniors throughout the United States,” former president of the American Medical Association and current spokesman of CPPR, Dr. Palmisano said.

Dr. Palmisano continued, “In addition to cutting over $500 billion from Medicare to pay for their new law, the Affordable Care Act’s authors added insult to injury by creating this unaccountable cost-cutting board that will have almost no oversight and the power to cut billions from the Medicare program every year. I want to encourage patients and doctors to contact their elected representatives and demand that IPAB be repealed before the quality of seniors’ medical care is further diminished.”

Starting in 2015, the Independent Payment Advisory Board (IPAB) – a 15-member panel of unelected bureaucrats – will be empowered to make cuts to the Medicare program every year in which spending exceeds targeted growth rates. IPAB’s recommended cuts will become law unless a supermajority inCongress vetoes the board’s proposal and creates its own cost-cutting plan of equal size.  There is no administrative or legal appeal available to citizens.

Support for the repeal of IPAB is broad and bipartisan.  More than 72 House Democrats joined on a letter to then-Speaker Pelosi asking her to remove IPAB from the original health care legislation and in June a letter signed by 270 health care groups was sent to the Hill urging Members to repeal IPAB.  Even the American Medical Association, a vocal proponent of the Patient Protection and Affordable Care Act before its passage, recently announced its opposition to IPAB.

The Coalition to Protect Patients Rights supports a full repeal of IPAB to ensure American patients have continued access to quality health care.

The full script:

Narrator: Do you remember when they said…

Nancy Pelosi: We have to pass the bill so that you can find out what is in it.

Narrator: Well, we found out—and it’s bad.

Narrator: After cutting 500 billion from Medicare, the president’s health care law created a new law of 15 unelected bureaucrats—unaccountable, like a Medicare IRS with the power to cut payments to doctors and deny seniors care to pay for more wasteful Washington spending.

Narrator: Tell Washington bureaucrats shouldn’t have the power to deny seniors care.

About the Coalition to Protect Patients’ Rights: The Coalition to Protect Patients Rights is a non-partisan, grassroots coalition made up of over 10,000 doctors, health care providers, advocacy groups, and concerned citizens who are dedicated to the implementation of patient-centered health care reform that will improve patient care.   For more information, visit the Coalition to Protect Patients’ Rights website at www.protectpatientsrights.org. Also, check out CPPR’s Facebook account here, and its Twitter feed at PatientsNOW.

————–

Onward.

Stay well.

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

DJP Update 8-8-2011 Turmoil in Washington, DC & financial markets; a new book on PPACA & a link to Grace-Marie Turner article

Lots going on in Washington, DC.  USA credit rating reduced by Standard and Poor’s from AAA to AA+  with “outlook negative”.

Here is the very long link to the full report:  http://www.standardandpoors.com/servlet/BlobServer?blobheadername3=MDT-Type&blobcol=urldata&blobtable=MungoBlobs&blobheadervalue2=inline%3B+filename%3DUS_Downgraded_AA%2B.pdf&blobheadername2=Content-Disposition&blobheadervalue1=application%2Fpdf&blobkey=id&blobheadername1=content-type&blobwhere=1243942957443&blobheadervalue3=UTF-8

If you have trouble with that link, go to:  http://www.standardandpoors.com/home/en/us

and then click on FULL REPORT near top of page.

Here is an excerpt from the overview:

The outlook on the long-term rating is negative. We could lower the long-term rating to ‘AA’ within the next two years if we see that less reduction in spending than agreed to, higher interest rates, or new fiscal pressures during the period result in a higher general government debt trajectory than we currently assume in our base case.

Lots of finger-pointing going on.  Stock market dropped 500 points by end of President’s speech today.  Gold is at all time high of $1700.00 per ounce.  Gold price always has been a good indicator of fear in the financial markets.

But you can read about that in other places.  What is obvious to me is one cannot stay fiscally sound if you spend more than you make (or take in taxes if government).  Getting more credit cards does not solve the problem.

And that brings me to a favorite topic of mine:  PPACA

The new healthcare as you well know is, in my opinion, a disaster.  It will not lower the cost of medical care and evidence is emerging on that point.

But enough from me.

I want to inform you of a new book on the healthcare law.  I had the opportunity to read it before it was published and I wrote a blurb about it as did many other individuals.

Book: The Health Reform Maze: A Blueprint for Physician Practices.

Author: Richard L. Reece, MD

Publisher: Greenbranch Publishing

Comment from Publisher including ordering information:

This is your roadmap for health reform to date. Although clear exits and destinations remain murky, Dr. Reece has managed to create a statistically entertaining map for health reform. The Health Reform Maze: A Blueprint for Physician Practices contains many entries that Dr. Reece has composed over the last four years on his Medinnovation blog.

What makes this book so unique is Dr. Reece’s keen insight and understanding of both physicians’ and patients’ value system. “When it comes to trying to understand the current healthcare reform, this book covers it all in easily understandable language,” says Nancy Collins, President of Greenbranch Publishing and Publisher of the Journal of Medical Practice Management®. “Dr. Reece approaches the unclear issue from the patient and the physician perspectives while still managing to stay compelling, engaging, and even entertaining.” This book, ideal for practice managers, physicians, medical directors, insurers, policy makers, and even business school and health manager programs alike, is a must-read when trying to tackle the questions surrounding health reform.

Dr. Reece’s book The Health Reform Maze: A Blueprint for Physicians Practices contains blog entries that deliver comprehensive but easy to read discussions concerning the uncertainty, the threat of lower reimbursements, and what practices can do in response to reform. The entry format allows the reader to even pick and choose from the sections without having to read straight through. Dr. Reece delivers a balanced (and less judgmental) overview of the reform. This book breaks the trend of specialized, narrow healthcare reform reports. Because of its multiple points of view and various perspectives, it tells you everything you may want to know about health care reform but were afraid to ask.

$48.50 plus $9.95 for S&H, ISBN 978-0-9827055-4-4, pages  © 2011

Order here: http://shopmpm.com/Health_Reform_Maze_Blueprint_Physician_Practice.asp

———————————————-

Here is my blurb/review and then the blurb/review from the editor of The Journal of the Connecticut State Medical Society.

DJP:

“This is a must read collection of essays that gives the good, the bad, and the ugly of the new healthcare law, PPACA. Dr. Reece shares a balanced presentation of proponents and opponents of the law and gives hope for a better way to reform the system.”

Donald J. Palmisano, MD, JD, FACS, Former president of American Medical Association, and author of On Leadership

——————

Review/Blurb from editor of The Journal of the Connecticut State Medical Society.

“This is a book that is of value to all the players – doctors, insurers, health planners and government administrators of health care and finance, as well as hospital leaders, legislators and the patient/consumer. Dr. Reece, trained as a pathologist, has been a writer of distinction for all of his professional life.

He was editor of the respected Minnesota Medicine for over twenty years, and in recent years has written ten books examining the American healthcare system and its effect on the sick and the well, the rich and the poor, the doctors and the bureaucrats, the government and the people. This latest effort is his reading of the impact of the Affordable Care Act since its passage, as derived from his blogs entered on the web from March, 2010 to January 2011.

The author believes that reform of health care has been designed by a politically center-left Congress and President, for a center-right more conservative nation. He makes it clear that what was needed was stepwise evolutionary change and what we have with “Obamacare” is a revolution in the provision of and payment for healthcare in the U.S. The appointed leader of the Center for Medicare/Medicaid Services (CMS), Dr. Donald Berwick, is, in the view of the author, committed to the central control of healthcare policy rather than one likely to rely on market forces. Since passage of the law, two camps have marshaled their forces – those on the left who argue that government must participate ( further) in the system of healthcare, and those on the right who want less government, lower taxes, less debt and preservation of the right of individuals to decide for themselves. The accusatory rhetoric heats up on both sides and Dr. Reece, through his reading of the published media, the blogosphere, and interviews with recognized thinkers and actors on the healthcare stage, delivers facts and candid appraisal of the ongoing debate in plain language. Valid concerns are expressed that the law as it stands will leave us short of doctors, thus short of access for those gaining insurance coverage. The emphasis on Accountable Care Organizations, and the efforts to diminish fee-for service payment systems and bundle payments to doctors and hospitals are pushing amalgamation into larger systems with doctors as salaried workers. These phenomena are dissected and exposed in easily understandable language, sometimes with a touch of humor: “Don’t launch vast projects with half-vast ideas.” Dr. Reece’s book is a lively, practical and valuable contribution to today’s ongoing discussion.”

H. David Crombie, M.D. Editor, Connecticut Medicine, The Journal of the Connecticut State Medical Society

——–

Multiple other reviews/blurbs and you will know many of the people who wrote them:  Lou Goodman, PhD, CEO, Texas Medical Association, Tim Norbeck, CEO Physicians Foundation, etc.  Check out all of the blurbs and a listing of the chapters at:

http://shopmpm.com/Health_Reform_Maze_Blueprint_Physician_Practice.asp

——————

LAGNIAPPE:  Be not depressed with recent events in America.  This too shall pass.  This land of liberty will overcome.

P.S. one more tweet from http://twitter.com/#!/djpNEWS

Listen carefully to Grace-Marie Turner.  A smart woman.

DJPNEWS Donald Palmisano

Read! #IPAB More disaster of #PPACA RT @sonodoc99: @DJPNEWS IPAB Power Grab MT @galeninstitute Grace-Marie Turner eepurl.com/e9MtM #tcot

Stay well,

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

 

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

 

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

 

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

DJP Update 8-4-2011 Check out this interview today re IPAB, PPACA, & HSR

See details below in tweet to find start of interview.

http://tinyurl.com/3ux8a4u

After I got off air, a panel commented and listeners called in.  Various perspectives recorded.

The system is melting down.  Need to change it at ballot box.  Doing lots of interviews at present.  Each of us can get involved.  Call your local editorial board; call the local radio station.  They are interested in various views.  We all need to participate.

——

DJPNEWS Donald Palmisano

My KRMS interview The Morning Magazine: http://tinyurl.com/3ux8a4u & select 2011-08-04 10-00 then go to 17 min & ending at 37:30 #tcot #hcr

——

Stay well,

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 8-1-2011 No recent DJP Updates because of DC debt crisis & tweets; recent samples

Need to get powerful message about the risk to medical care if continued price-fixing and decreased payment to physicians.  More bureaucracy, more regulations, & continued price-fixing will only decrease access to care.  Some in recent debate understand this concept; most don’t pay attention to it.  Medical organizations need to be bold and get message out! If current situation continues and burdens increase, there will be more physicians getting out of patient treatment or becoming employees or leaving medicine for business world, or retiring.  You can count on it.  There is nothing wrong with being an employee IF that is what you want to do.  But it shouldn’t be because solo practice or small group are no longer options.  In the end, greatest harm will be to patients if current trends are not reversed.

Some tweets below.  Links in tweets lead to articles.  More tweets at www.twitter.com/DJPNEWS  Be sure to listen to Senator Marco Rubio 2 speeches below in tweets.

Tired of hearing Americans who are in debate about the future of our country being called “terrorists”.  And to think real terrorists frequently are not called terrorists.  Shame!

——

DJPNEWS Donald Palmisano

Tired name calling! Let’s balance by D/C foreign funds RT @Drudge_Report: PUTIN: USA ‘parasite’ on global economy…http://drudge.tw/pryV80

38 minutes ago

 

DJPNEWS Donald Palmisano

 

I admire your courage and determination; Stay safe RT @Rep_Giffords: The #Capitol looks beautiful and I am honored to be at work tonight.

50 minutes ago

 

DJPNEWS Donald Palmisano

 

A Yeti! Looks more like a parasite RT @NatGeo: Have you ever seen a hairy crab before? Now’s your chance: http://on.natgeo.com/rnreLC

53 minutes ago

 

DJPNEWS Donald Palmisano

 

Courage! & thx to her docs RT @DailyCaller: Gabby Giffords (@Rep_Giffords) stuns by returning to Congress debt…votethedc.com/nobTMQ

59 minutes ago

 

DJPNEWS Donald Palmisano

 

You bet! #tcot RT @HEALTH_NOTES: RT @hillhealthwatch: OVERNIGHT HEALTH: Healthcare groups fear cuts from debt deal http://bit.ly/pSLcEi

1 hour ago

 

DJPNEWS Donald Palmisano

 

Vote on BudgetControlAct 2011 now; future: trigger cuts to Medicare pay to docs & military budget will = crisis Med & inability for wars

1 hour ago

 

DJPNEWS Donald Palmisano

 

@JimDeMint says bill is not a spending or debt decrease; just a decrease amount spending; doesn’t balance budget; says no leadership in WH

1 hour ago

 

DJPNEWS Donald Palmisano

 

@JimDeMint C-Span2 Senate gives rebuttal to VP Biden attack on #teaparty – eloquent & no notes or TelePrompter; speaks on #leadership #tcot

2 hours ago

 

DJPNEWS Donald Palmisano

 

And more criticism RT @sonodoc99: @dramerling @DJPNEWS 44 – FAIL tinyurl.com/3ddfawf #Leadership FYI @latimestot #tcot

2 hours ago

 

latimestot Top of the Ticket

by DJPNEWS

 

Bipartisan debt deal draws bipartisan flak from Limbaugh, Krugman, Beck–and a new Gallup warninglatimesblogs.latimes.com/washington/201… #tcot #sgp

2 hours ago

 

DJPNEWS Donald Palmisano

 

“…Ages remote, mortals yet unborn, will bless your generous efforts, and revere memory of the saviors of their country.” J Warren MD 1765

2 hours ago

 

DJPNEWS Donald Palmisano

 

“When #liberty is the prize, who would shun..warfare, who would stoop to waste a cowardly thought on life.” Joseph Warren MD 1775 #patriot

2 hours ago

 

DJPNEWS Donald Palmisano

 

“I… study politics and war, that my sons may have Liberty to study math. & philosophy…in order to give their children…” John Adams

2 hours ago

 

DJPNEWS Donald Palmisano

 

@politico #PPACA #IPAB #ACO – my prediction: all will be expensive failures but there is hope #SCOTUS will void. http://tinyurl.com/3vmp848

3 hours ago

 

DJPNEWS Donald Palmisano

 

You decide If Nora O’Donnell said “Democrats said” prior to “They got everything… watch/ listen video: http://tinyurl.com/3hmu43m #tcot

4 hours ago

 

DJPNEWS Donald Palmisano

 

Agree RT @HouseCommerce: Opinion: Health care reform’s poor prognosis – via @RepJoePitts @Politicopolitico.com/news/stories/0… #Healthcare #hcr

5 hours ago

 

DJPNEWS Donald Palmisano

 

@DrMarcSiegel on Fox gets it about price-fixing & #Medicare cuts to Docs & the effect on access. He was on this hour. #tcot #DEBT

5 hours ago

 

dramerling Richard Amerling

by DJPNEWS

 

“@Heritage: MUST READ: Could Britain’s Health Care Rationing Come to the States? herit.ag/79i #healthscare” It can and will! #IPAB

6 hours ago

 

DJPNEWS Donald Palmisano

 

Show deal details! RT @shushwalshe: …latest…where 2012 presidential candidates stand on the final debt ceiling deal: abcn.ws/pwZedy

7 hours ago

 

DJPNEWS Donald Palmisano

 

Patients & Docs at risk with draconian price-fixing of Medicare & Medicaid; now flat-spin to earth. Speak up med associations! Get bal-bill

7 hours ago

 

DJPNEWS Donald Palmisano

 

Animal Farm RT @aapsonline: @sonodoc99 @djpnews Why no DC price fix for lawyers? Phy to Attorney ratio in 112th Congress #ContingencyFee

7 hours ago

 

DJPNEWS Donald Palmisano

 

@edhenryTV correctly points out that if you hit providers, patients hurt; Carney says “tough stuff”. Henry replies Medicare patients hurt

7 hours ago

 

DJPNEWS Donald Palmisano

 

Reporter Nora O’Donnell CBS said to Carney at presser “They got everything, we got nothing.” Interesting! Who is “we”? #press #tcot #DEBT

8 hours ago

 

DJPNEWS Donald Palmisano

 

Sad. Name-calling = lack of evidence RT @sonodoc99: @DJPNEWS @marklevinshow Tom Friedman proves Marco Rubio’s point. tinyurl.com/3wfr5h2

8 hours ago

 

DJPNEWS Donald Palmisano

 

30% cut Medicare pay to docs Jan 2012 via gov price-fix SGR & word new #DEBT deal cuts docs 2%! Details? Statism! #tcot #NotSmart #Access

8 hours ago

 

DJPNEWS Donald Palmisano

 

Think Dante’s Vestibule of Hell RT @TomBevanRCP: I’m sure Jay Carney looking forward to his briefing today. #ratherhavearootcanal

8 hours ago

 

DJPNEWS Donald Palmisano

 

Where are the deal details? RT @rollcall: Sen. Lindsey Graham is a no on #debt deal. Stmt: “I cannot in good conscience support this deal.”

8 hours ago

 

DJPNEWS Donald Palmisano

 

It’s not over till it’s over RT @DailyCaller: Rubio spokesman @alexconant confirms to TheDC that Sen. Rubio is a no vote on debt deal…

8 hours ago

 

DJPNEWS Donald Palmisano

 

Powerful opinion re #POTUS & #ForeignAffairs @WSJopinion by Fouad Ajami of Hoover Institution http://tinyurl.com/42w8mzf #Liberty #tcot

8 hours ago

 

DJPNEWS Donald Palmisano

 

Secret negotiations last minute, rush to pass, & odds are no cure price-fixing SGR, no allowing balance-billing MCare = loss access care

18 hours ago

 

DJPNEWS Donald Palmisano

 

PPACA! RT @ByronYork: if…planned, lawmakers …presented with another secretly-negotiated complex bill & told they must vote immediately…

18 hours ago

 

HeartlandInst Heartland Institute

by DJPNEWS

 

MT @derekahunter: Pass it, then you’ll see RT @toddstarnesPelosi: “I haven’t seen in writing the final product. The details are important.”

31 Jul

 

DJPNEWS Donald Palmisano

 

#DreamTeam committee #DEBT reduction: @RepPaulRyan @marcorubio & columnists #GeorgeWill & @krauthammer – #FiscalSanity = spend less #tcot

31 Jul

 

DailyCaller The Daily Caller

by DJPNEWS

 

George Will offers GOP 2012 slogan: “Is this really the best we can do?”…..your thoughts? – http://ht.ly/5RCSo #TCOT

31 Jul

 

DJPNEWS Donald Palmisano

 

Universal appeal for young of all species RT @latimestot: A little Sunday video treat: Wildlife enjoy a lawn sprinklerhttp://bit.ly/86IqHD

31 Jul

 

DJPNEWS Donald Palmisano

 

Need break from #DEBT antics DC? See today’s Dilbert as he explains: “I’m preparing for complete meltdown of our financial system” #comics

31 Jul

 

DJPNEWS Donald Palmisano

 

Illogical RT @aapsonline: Why does supporting a balanced budget mean one has “turned to the dark side” or is asking for a “poisoned pill” ?

31 Jul

 

edhenryTV Ed Henry

by DJPNEWS

 

Gotta love reasonable debate RT @Obama2point0 @edhenryTV Hush your mouth! It will come together and when it does you better get in line!

31 Jul

 

DJPNEWS Donald Palmisano

 

When one side in a debate starts name-calling of opponent it is evidence of losing argument. Use civility & facts; Act with honor! #tcot

31 Jul

 

DJPNEWS Donald Palmisano

 

Why does Reid call loyal Americans “extremists” including members of #Congress ? Saying it in monotone doesn’t lessen insult. #tcot #DEBT

31 Jul

 

DJPNEWS Donald Palmisano

 

Meanwhile #NOLA folks & #MardiGras RT @NOLAMardiGras: Arnie Fielkow is grand marshal of celebration in Pamplona, Spainhttp://bit.ly/oKZ8mA

31 Jul

 

DJPNEWS Donald Palmisano

 

Animal Farm RT @EmilyMiller: Reid trashes House for “wasting” time…bill ..can’t pass Senate, while pushing bill that already failed House

31 Jul

 

DJPNEWS Donald Palmisano

 

Re #WORDS – but bad comment re #F-22 as it rules sky RT @TheEconomist: Absurd…kabuki: …when we mean…fake? http://econ.st/rhOYMH

31 Jul

 

DJPNEWS Donald Palmisano

 

Study details #debt plans: 3 trillion debt reduction means instead 10 trillion MORE added to debt 10 yrs, 7 t added! #tcot #teaparty

31 Jul

 

DJPNEWS Donald Palmisano

 

Re @marcorubio speech: Wise young LEADER; he speaks facts & logic with passion; & no teleprompter; & takes q bit.ly/ped4hR #tcot #DEBT

30 Jul

 

DJPNEWS Donald Palmisano

 

Awesome! Video MT @marcorubio: #deblimit easy.. #debt is problem. Need #compromise = #debtsolution bit.ly/ped4hR #sayfie #tcot #drudge

30 Jul

 

DJPNEWS Donald Palmisano

 

Yes! But it is not an unknown in this scenario. Many warnings. RT @sonodoc99: @DJPNEWS @IBDeditorials Iceberg right ahead comes to mind

30 Jul

 

DJPNEWS Donald Palmisano

 

Risk management tip for Medicine “Big A”: Anticipate what could go wrong & be prepared. Applies to #DEBT debate http://tinyurl.com/2ukara3

30 Jul

 

DJPNEWS Donald Palmisano

 

Pundit RT @dickmorristweet: DEMS WILL WIN DEBT DEBATE; REPUBS WILL WIN ELECTION: http://bit.ly/n0Knvm #hannity #tcot#gop

30 Jul

——

Stay well,

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

 

DJP Update 7-20-2011 Speech tour ended; Some tweets to powerful videos; a petition re IPAB; & a stop at the beach to reflect & write

Had an interesting speech tour to Washington, DC last week where I had the opportunity to give remarks to staffers of folks in Congress followed by a breakfast speech and Q & A to Representatives regarding IPAB and PPACA.  Heritage Foundation made the arrangements.  I also did a video at Heritage on PPACA and IPAB.

Then flew home from DC and drove from New Orleans to give a speech at The Cloister in Sea Island, Georgia using the opportunity to break-in the “Coyote” 5.0 liter (302 cubic inch) engine in the 2012 Mustang GT.  Outstanding handling and overall performance.   At the beautiful resort, The Cloister, I spoke to the Georgia Medical Eye PAC on leadership and health system reform.  Nice people!  Also got to see 2 of our grandsons as Donald Jr, EVP of MAG, was giving a speech to the group on Accountable Care Organizations and Diego and Pablo accompanied him.  Much fun.

En route back to New Orleans, Robin and I stopped for a few days  at a beautiful beach home loaned to us by a dear doctor friend.  It is right on the beach and is a great place for tranquillity, reflection, and writing.

Meanwhile, the battles continue in Washington, DC on the budget and aspects of PPACA.  IPAB is now being recognized by over 270 organizations, including AMA, as a board that must be repealed.  Meanwhile, PCORI had a hearing in Washington, DC and offered the opportunity for the public to give comments but the time available was a total of 30 minutes on Monday and 30 minutes on Tuesday.  That time is a true total, not per person.  Dr. Peter Lavine of Washington, DC attended and gave excellent comments.  Thanks, Peter!

By the way, PCORI is the PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE

We have to be careful that PCORI  does not become the partner with IPAB and then become  the equivalent of NICE in Great Britain.  NICE is the National Institute for Health and Clinical Excellence that uses a formula of cost and  “quality-adjusted life-year” to determine if a procedure or treatment is covered.  Their method of rationing.

If you follow my tweets at DJPNEWS, you knew about this hearing and I hope you or your organization sent in comments.  Here is the alert from DJPNEWS and the PCORI Website link:

www.twitter.com/DJPNEWS

#PCORI of #PPACA meeting & public comment July 18-19 in DC. Concerns? Send in comments &/or attend;  details www.PCORI.org

Here is the tweet about Dr. Lavine:

DJPNEWS Thanks! Orthopedist Dr Peter Lavine gave testimony at #PCORI hearing today! Gov needs info from doctors who treat patients. #hcr 7/18/11 4:35 PM ——

Now is the time to make the push to get rid of IPAB, the Independent Payment Advisory Board.  We need more than talk; we need action.  Call your senators and representatives.

More on IPAB at:  http://protectpatientsrights.org/newsroom

Also, if time permits, sign the Coalition to Protect Patients Rights petition opposing IPAB at:  http://protectpatientsrights.org/cppr-petition

As you know, I am the spokesperson for CPPR.

A few tweets with links to speeches:

Listen to Ronald Reagan before he became President of USA as he speaks about government control of Medicine.  He is a true warrior against government control of Medicine, just as one of my heroes was, the late AMA President Dr. Ed Annis.

Ronald Reagan speaking:

http://tinyurl.com/37ur5u

 

DJPNEWS Congress & all in USA: listen to wisdom of Ronald Reagan re gov takeover of Medicine; crisis! http://tinyurl.com/37ur5u #tcot #hcr 7/20/11 10:59 AM

If you get the opportunity to hear Dr. Annis’ famous speech in Madison Square Garden, please listen!  Go to:

Dr. Annis starts speaking about 40 seconds into the video.  He truly was a man of courage and wisdom.  He predicts the future in this speech. I miss him.

——

And if you want to see how bad it is when government spends more than it takes in, watch this outstanding presentation by Representative Ryan.  Powerful graphs!

http://bit.ly/mUyHzh

DJPNEWS Make video viral “Leadership deficit” #tcot RT @RepPaulRyan: House passed #CutCapBalance tonight: http://bit.ly/mUyHzh 7/19/11 8:55 PM

——-

Stay well.

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

 

This DJP Update goes to 2321 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

DJP Update 7-11-2011 IPAB alert in Washington, DC – Lots happening; stop by or tune in

Much activity this week in Washington, DC in Congress and elsewhere regarding the Independent Payment Advisory Board (IPAB) of the Patient Protection and Accountable Care Act of 2010.  At 30,000 feet in commercial jet as I write this update.  House committees take place on Tuesday & Wednesday plus other meetings.  Momentum is moving against IPAB.  Over 270 organizations oppose it as does AMA policy.  AMA policy is to oppose it and work to repeal it.

Those are the facts without opinion.

Now a tad of opinion. Both of these items are misnomers.  The IPAB should be called the unaccountable price-fixing scheme guaranteed to decrease access to medical care (UDAC or Unaccountable Decrease Access to Care).  The PPACA gives America a nationwide experiment of central control,  enhanced bureaucracy, and price-fixing that without a doubt will not decrease spending in the healthcare system nor will it improve quality or access.  How any scientist could support this recreation of schemes that are a failure in Great Britain, Canada, and Sweden remain a mystery to me.  Will not go into the violation of liberty with the individual mandate.  Various names come to mind for this law.

If you thought the SGR price-fixing was a disaster, wait until you see (experience) IPAB.  It consists of fifteen individuals appointed by the president and they will reduce money for Medicare if projections of per capita spending are exceeded.  Congress only can give an alternative that decreases the same amount of money or in a short period of time, or try to override with a 2/3 vote.  Otherwise the cuts go into effect.  The duration of IPAB appears to be eternal.  AND there is no judicial or administrative appeal!  In America?  Wow!  One more thing:  The vote in IPAB can take place with a quorum and only a majority is needed.  Thus it is possible that 5 people will be making these decisions if the quorum or 8 occurs.  Now IPAB is not allowed to ration care by the wording in PPACA.  But keep in mind if the funding is gone, the care is unlikely to occur.  More Humpty Dumpty legislative wording.  And do not forget, PPACA does not allow balance-billing or contract with the patient just as Medicare does not.  Remember Section 1801 of Medicare:  No Federal interference with practice of medicine.  NOT TRUE.

But I repeat what I have said in other DJP Updates and some will instruct me to remove them from these mailings because they strongly disagree with my opinion of PPACA.  I understand most of the time why they depart.  Why two people wanted to be removed when I reported immediately that President Obama informed us that dramatic Sunday night that Osama Bin Laden was killed by the heroic Seal Team 6 will remain a mystery.  I thought that was good news that would be welcomed by all Americans.

The joy of being in America and having the U.S. Constitution.  The joy of being able to voice opinion and marshall the facts.  Those without the facts sometimes attack and do demagoguery.  That is sad.  In time the facts will demonstrate the failure of PPACA unless the U.S. Supreme Court rules it unconstitutional first as I believe it will.

Back to the facts.

Tuesday, July 12, 2011

I will join Mr. Avik Roy at the Heritage Foundation event in the Longworth Congressional office building to discuss IPAB and an alternative free market approach to healthcare financing.  Read an article by Mr. Roy’s at:  http://onforb.es/nfGTES

DJPNEWS tweet:

Thx. RT @aviksaroy: Mr. Roy Goes to Washington (to testify before Congress): http://onforb.es/nfGTES @Forbes @Heritage @DJPNews #IPAB #hcr

It is a box lunch event and is open to the public.

Location & Time:   1310 Longworth, from 12:30 pm – 1:30 pm

RSVP to Landon Zinda at 202-608-6205

Moderator:  Nina Owcharenko, Director, Health Policy Studies, The Heritage Foundation.

TITLE:  IPAB & Rationing or Competition & Choice

In the afternoon, i will be recorded in a video at the Heritage Foundation for online use.

On Wednesday morning I will give a breakfast presentation to staffers and folks in Congress about IPAB.

Meanwhile, there is a big hearing on IPAB in the Health Subcommittee of the Energy and Finance Committee.

Here are the participants.  See who is there and who is not.  You may be able to follow on C-Span or record it for later viewing.  Not certain it it will be on C-Span but it is likely.

On July 13, 2011, at 9:00 a.m. in room 2123 Rayburn House Office Building, the

Subcommittee on Health will hold a hearing entitled “IPAB: The Controversial Consequences

for Medicare and Seniors.”

The hearing will consist of four panels. The first panel will be composed of Members of

Congress. Health and Human Services Secretary Kathleen Sebelius will testify on the second

panel. The third panel will be composed of researchers from the Congressional Research Service

and various policy analysts. The fourth panel will consist of stakeholders.

I. Witnesses:

First panel

The Honorable John Cornyn, Senator (TX)

The Honorable Allyson Schwartz (PA-13)

The Honorable David P. Roe (TN-01)

The Honorable George Miller (CA-07)

Second Panel

The Honorable Kathleen Sebelius, Secretary

Department of Health and Human Services

Third Panel

Chris Davis, Legislative Analyst, Congressional Research Service

David Newman, Financial Analyst, Congressional Research Service

Diane Cohen, Senior Attorney, Goldwater Institute

Judy Feder, Senior Fellow, Center for American Progress

Avik Roy, Healthcare Analyst, Monness, Crespi, Hardt & Co.

Stuart Guterman, Senior Program Director, The Commonwealth Fund

Dr. Scott Gottlieb, Resident Fellow, American Enterprise Institute

Fourth Panel

Dr. Alex Valadka, Chief Executive Officer, Seton Brain and Spine Institute

Mary Grealey, President, Healthcare Leadership Council

Theresa Morrow, Founder, Women Against Prostate Cancer

Dr. Jack Lewin, Chief Executive Officer, American College of Cardiology

———

Meanwhile,  a hearing in the  HOUSE BUDGET COMMITTEE:

House

Tuesday, July 12

10:00 a.m. – House Budget Committee

The Committee will hold a hearing entitled, “Medicare’s Future: An Examination of the Independent Payment Advisory Board.” Witnesses scheduled include:

• Kathleen Sebelius, Secretary of Health and Human Services

• Douglas Holtz-Eakin, President, American Action Forum

• Grace-Marie Turner, President, Galen Institute

• Judith Feder, Fellow, The Urban Institute, and Professor and former Dean, Georgetown Public Policy Institute

——–

More from the talented Grace-Marie Turner on PPACA at:  http://us1.campaign-archive2.com/?u=c80eb2149ef4fa70ce2c72ef1&id=2f565c7d20&e=07a084ce60

——–

One more item.  Two tweets at DJPNEWS:

Sad #Congress didn’t study what happens with gov control healthcare before jamming #PPACA into law: Sweden http://tinyurl.com/dn3auu #hcr

———-

Yes, people die on wait lists for medical care; having gov insurance card no guarantee timely medical care. http://tinyurl.com/dn3auu #hcr

———

Stay well.

Donald

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

Go to:  http://www.youtube.com/user/IntrepidResources

Leave a comment and encourage others to visit!

 

Also, recent selected DJP Updates can be found at: http://donaldpalmisano.com/djp_update/

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

 

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

 

This DJP Update goes to 2334 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

 

 

 

 

 

 

 

 

DJP Update 6-29-2011 North Carolina Governor vetoes medical liability law with cap on non-economic damages & Sixth Circuit Appeals Court on PPACA; LAGNIAPPE

Elections count at all levels.  The plaintiff trial attorneys know this fact.  They really have two issues:  stop cap on damages and preserve contingency fees.

Wish I had better news for you tonight.  Also, here is the rest of the disappointing news.  But keep the faith and remember the Huey Long quote during the tough times re PPACA.

Also, this encouraging quote shows the fight is not over in North Carolina:  “The governor does not get the last word on medical liability reform,” N.C. Medical Society chief executive Bob Seligson said, adding the “General Assembly developed a strong bipartisan bill that will reduce health care costs, protect patients and encourage job growth.”

Two tweets about the Sixth Circuit:

DJPNEWS Donald Palmisano

 

Text T. More 6th Cir Ct Appeals ruling #PPACA OK: http://tinyurl.com/3qsj35d Reasoning is akin to End justifies Means; A hit to #Liberty

4 hours ago

 

DJPNEWS Donald Palmisano

Huey Long said, just passing thru to #SCOTUS MT @nytimeshealth: Appeals Court Upholds Obama’s Health Care law http://nyti.ms/l2Cchu #PPACA

8 hours ago

http://www.wral.com/news/state/nccapitol/story/9778486/

June 24, 2011

NC governor vetoes medical malpractice limits

RALEIGH, N.C. — Democratic Gov. Beverly Perdue vetoed another bill Friday pushed by the Republican majority at the legislature, this time changes to rules governing medical malpractice cases that would have capped certain monetary awards for negligence victims.

Perdue blocked a bill from taking effect that would have limited awards for malpractice victims to $500,000 for non-economic damages. Those damages cover pain, suffering and emotional distress, but they also cover catastrophic injuries like death or brain damage in patients who can’t seek compensation for lost earnings, like children and the elderly.

Perdue suggested in her veto message that she would sign into law an amended package if lawmakers developed one when they convene next month.

Perdue spokesman Mark Johnson said separately the governor had problems with the cap in the current bill.

“I commend the legislature for addressing this important issue but, in its current form, the bill is unbalanced,” Perdue said in a statement. “I urge legislators to modify the bill when the General Assembly returns in July to protect those who are catastrophically injured.”

The veto is a victory for the state’s trial lawyers and patients who opposed vigorously any cap on what’s called “non-economic” damages – those unrelated to medical bills and compensation for lost wages or income – and a setback for the state’s business community and doctors. For years, they have been seeking limits they say would curtail out-of-control malpractice insurance premiums.

Such a cap had been avoided by Democrats when they were in control of the General Assembly in part because the state trial lawyers’ association opposed the idea. Leaders of the North Carolina Advocates for Justice have been historically aligned with Democratic interests.

“We applaud the governor for vetoing this bill,” said Dick Taylor, the chief executive officer for N.C. Advocates for Justice.

The climate changed when the GOP took charge of both legislative chambers for the first time in 140 years last November. Republican leaders also saw the measure as an economic development tool by attracting doctors to set up shop in North Carolina because of favorable liability laws.

The future of an override vote on this bill is unclear when the legislature begins work again July 13.

“In countless frivolous lawsuits, trial lawyers win big and drive up health care costs for everyone. Yet Gov. Perdue chose to cater to special interests instead of reducing medical costs and improving access to care for all North Carolinians,” Senate President Pro Tem Phil Berger said in a statement. “No matter how she spins it, a veto is a veto, and this one deals a severe blow to the state’s medical community and every citizen struggling to cope with the skyrocketing cost of health care.”

The Senate passed the bill by a wide margin, but the House passed the measure by a vote of 62-44, short of the majority that would signal the chamber’s ability to cancel Perdue’s veto. The House vote wasn’t exclusively partisan – 11 Democrats and 11 Republicans voted contrary to the majority in their respective parties on the final compromise.

The North Carolina Medical Society and North Carolina Hospital Association said in a joint statement they want lawmakers to override Perdue’s veto, saying the bill already was a careful compromise.

“The governor does not get the last word on medical liability reform,” N.C. Medical Society chief executive Bob Seligson said, adding the “General Assembly developed a strong bipartisan bill that will reduce health care costs, protect patients and encourage job growth.”

Perdue signs other bills

The governor signed 24 other bills on Friday, including changes to the state’s workers compensation program and tort reform. She called both measures “good, balanced laws.”

The tort reform bill would “protect those injured and also prevent undue or disproportionate penalties from being imposed upon our companies,” she said. Meanwhile, the workers compensation changes “extend protections to injured people and also provide guidelines and protections for employers.”

• Reporter: Laura Leslie
• Web Editor: Matthew Burns

Go to link above for a video attached to this article.

———–

LAGNIAPPE: Doing a lot of radio interviews on PPACA and IPAB.  Bunch today and tomorrow.

Stay well.

Donald

———–

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

Twitter:  www.Twitter.com/DJPNEWS

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DJP Update 6-28-2011 – Another bad idea bites the dust: “Mystery Shoppers” & some recent tweets including the Mystery Shopper issue

(I predict IPAB will be next to disappear!)

Breaking News from Politico:

Subject: Health Care Breaking News

The Obama administration has abandoned a controversial plan to have “secret shoppers” pose as patients looking for doctors, saying that “now is not the time to move forward with this research project.”

——-

Also Fox News talked to HHS:

Obama Administration Pulls the Plug on Stealth Survey of Doctors

by Megan Dumpe Kenworthy | June 28, 2011

The Obama administration has decided to pull the plug on the so-called mystery shoppers who were going to covertly phone doctors across the country in an effort to gauge shortages in primary care physicians that critics say are linked to the president’s health care law.

The proposed study was still in the planning stages, but was intended to address what the administration called a “critical public policy problem.” First revealed to the public Monday by the New York Times, the mystery shoppers were to call medical practices posing as a patient, then ask about accepted insurance providers and wait times to see a doctor.

As the news came out, the White House was attacked by doctors and critics as being “creepy” and imploring Big Brother tactics.

“After reviewing feedback received during the public comment period,” a Health and Human Services official told Fox News, “we have determined that now is not the time to move forward with this research project. Instead, we will pursue other initiatives that build on our efforts to increase access to health care providers nationwide.”

Fox News White House correspondent Mike Emanuel contributed to this report.

——–

TWEETS are below.  And don’t fail to read the U.S. Supreme Court case Bond v. United States.  The Wall Street Journal has an article on it today.

Here are two excerpts from the WSJ article:

link to article:  http://online.wsj.com/article/SB10001424052702304314404576411612870957044.html

JUNE 28, 2011

An ObamaCare Legal Precedent? Justice Kennedy gives a boost to the doctrine of enumerated powers.

By DAVID B. RIVKIN JR. AND LEE A. CASEY

The Supreme Court’s most important ruling this year may have been its unanimous decision in Bond v. United States, which held that individual citizens can challenge federal statutes when they encroach on authority the Constitution reserves to the states. The decision, authored by Justice Anthony Kennedy, has far-reaching implications—especially for the government’s efforts to defend ObamaCare.

The Supreme Court disagreed. With an unusual unanimity, the court held squarely that individual citizens have every right to challenge federal laws on the ground that they exceed the limited and enumerated powers vested in Congress by the Constitution. The court stated without equivocation that “[b]y denying any one government complete jurisdiction over all the concerns of public life, federalism protects the liberty of the individual from arbitrary power. When the government acts in excess of its lawful powers, that liberty is at stake.”

———-

Here is the link to the OPINION:  http://www.supremecourt.gov/opinions/10pdf/09-1227.pdf

NOTE this:  KENNEDY, J., delivered the opinion for a unanimous Court. GINSBURG, J., filed a concurring opinion, in which BREYER, J., joined.

AND NOTE THIS EXCERPT:

(1) Federalism has more than one dynamic. In allocating powers between the States and National Government, federalism “ ‘secures to citizens the liberties that derive from the diffusion of sovereign power,’ ” New York v. United States, 505 U. S. 144, 181. It enables States to enact positive law in response to the initiative of those who seek a voice in shaping the destiny of their own times, and it protects the liberty of all persons within a State by ensuring that law enacted in excess of delegated governmental power cannot direct or control their actions.

—–

As I said previously, I believe the U.S. Supreme Court will rule PPACA unconstitutional and that Justice Kennedy will be the swing vote against the individual mandate.  This case of Bond v. United States reinforces my view.

Regardless of whether I am right or wrong in my view, prudent individuals and organizations would utilize my “Big A” in my Big A and 25 C’s risk management lecture on the Intrepid Website.

In effect, it says, the Big A says: “ANTICIPATE what could go wrong and be prepared.”

Thus, what advice do the medical organizations have for all of those doctors who are rearranging their practices, closing private practices, and joining hospitals, etc. IF the law is declared unconstitutional.  Best to be prepared for Hurricanes and other major events AND dramatic court decisions that reverse the rush to join an unproven experiment.

——

And now the tweets.

DJPNEWS Donald Palmisano

 

#SCOTUS case Bond v. United States, authored by Justice Kennedy, may be stake in heart of #PPACA individual mandate. #WSJopinion #hcr #tcot

8 hours ago

 

DJPNEWS Donald Palmisano

 

Let each state decide its own fate; this will fail RT @HCPolicy: Vermont Becomes First State With Single Payerhttp://bit.ly/mhNvcW

17 hours ago

 

DJPNEWS Donald Palmisano

 

Remains true today: “One need not to be a prophet to be aware of impending dangers.” The Road to Serfdom by F. A. Hayek; #tcot

17 hours ago

 

dramerling Richard Amerling

by DJPNEWS

 

“@RadsDocDancer: How the Experts Are Wrecking Healthcare – Andrew Foy, MD – Mises Daily mises.org/daily/5320/How…” Very well done!

18 hours ago

 

DJPNEWS Donald Palmisano

 

Reason Kindle decreased price of device was launch of iPad & Nook – competition! Not gov mandate. Gov needs to learn this lesson for #hcr

19 hours ago

 

DJPNEWS Donald Palmisano

 

Re #hcr : Free Enterprise System with Transparency, Individual Responsibility, Liberty, & Choice trumps central gov control & coercion.

19 hours ago

 

DJPNEWS Donald Palmisano

 

The fix for #hcr – repeal #PPACA – indiv ownership health policies & buy across state lines, tax credits indiv; eliminate price-fixing, etc

19 hours ago

 

DJPNEWS Donald Palmisano

 

Mystery Shoppers, Mandates, Price-Fixing, oppressive Regs, broken Liability sys = death of MEDICINE; Who will be left to treat sick? #hcr

19 hours ago

 

DJPNEWS Donald Palmisano

 

AMA support wrong. Vote No RT @sonodoc99: @DJPNEWS @aapsonine Was AMA’s position on #Mandate right? Please take..poll. tinyurl.com/6zrgjhq

23 hours ago

 

DJPNEWS Donald Palmisano

 

Jury says former Illinois Gov Blagojevich guilty on multiple counts!

27 Jun

 

DJPNEWS Donald Palmisano

 

Dr Manny Alvarez @FoxNews says gov will use mystery shopper data to “coerce & intimidate doctors.” Says gov “lying on phone”. #tcot #hcr

27 Jun

 

DJPNEWS Donald Palmisano

 

Economics In One Lesson MT @aapsonline: @benrushsocietyPrice ceilings cause shortages. Always. It will be harder to get appt. Less Dr time

——

Stay well!

 

P.S. Stop by http://twitter.com/DJPNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.  With newer operating systems, such as SNOW LEOPARD on Mac, you can put Twitter apps on your notebook or desktop.

 

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Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

DJP Updates:  http://donaldpalmisano.com/djp_update/

Twitter:  www.twitter.com/DJPNEWS

YouTube:  http://www.youtube.com/user/IntrepidResources

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