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Mon Jul 20 12:52:51 BST 2009

...and so your response is to resign from the ACS?  Or -- let's be clear
-- to threaten as much?

I don't get it.

Pret 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Mohammed al Malik
Sent: Sunday, July 19, 2009 1:11 PM
To: trauma-list at trauma.org
Subject: RE: ACS HR 3200 Endorsement

Dr. Bjorn:   

Yes, I did read the both the letter and the introduced legislation.   I
also have read the evaluation of this bill by the Congressional Budget
Office Mr. Douglas Elmendorf, who basically states that this bill does
not address the President's major concern of needing to reduce the cost
of health care, as this legislation will not do that.  He and others on
almost of this morning's television talk programs, especially NBC's Face
the Nation, have suggested that this legislation will bankrupt the
country and will increase costs and will not address the issues of
access for the 20 million of the 48 million uninsured who are
undocumented foreign citizens living and working in the United States.
My copy of the legislation suggests increasing the salaries of
non-physicians and gives them indenpendent practice authority, a move
which has been suggested by the President on numerous occassions.
This legislation sets up numerous commissions to increase the bureucracy
of forcing hospitals and doctors to follow a government prescribed
protocol.     This legislation does not address the 40-40% of the costs
of health care in the United States which was stated by the President to
be from administrative paperwork and overhead which was unnecessary.
And this legislation does not address what California and other states
have done in addressing non-economic damage caps on professional
liability cases.    

I have lived and worked in four countries before the United States where
the practice of medicine was often directed by government.   I recognize
the kind of language which leads to that action, and it appears to me
that this bill, HR3200 is that kind of government movement.      

If we are going to make a change, let us make a change in the
legislation and rules which address the problems which the President,
Congress, insurance companies, pharmaceutical companies, patients, the
AMA, the American College of Surgeons, and even members of trauma-org
have identified.    This bill seems not to address the problems for
which everyone has stated to be the reasons we need Health Access and
Quality Reform.  

Mohamed Malik
> From: p.bjorn at netzero.net
> To: trauma-list at trauma.org
> Subject: RE: ACS HR 3200 Endorsement
> Date: Sun, 19 Jul 2009 08:33:10 -0400
> 
> Dr. Malik, did YOU (or your colleagues) actually read this legislation
-- or
> the letter from the College? Speaking only of the latter, it seemed
> thorough and thoughtful to me.
> 
> Perhaps you have more enlightened and ingenious solutions in mind.
Sad,
> then, that rather than participating in the debate, you've opted to
keep
> everything but your complaints to yourself.
> 
> Be aware though: you leave the appearance that like most Americans,
you
> simply have nothing to offer but the status quo, which has always
sufficed
> for you. Yet the status quo will not stand. 
> 
> There are difficult decisions ahead, and it will take a bit of courage
to
> make them.
> 
> Pret Bjorn, RN
> Bangor, ME USA
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Mohammed al Malik
> Sent: Saturday, July 18, 2009 3:29 PM
> To: trauma-list at trauma.org
> Subject: ACS HR 3200 Endorsement
> 
> 
> 
> 
> I have been a loyal and happy member of the American College of
Surgeons.
> I work in Los Angeles at a upscale trauma center. We in California
> understand managed care and a tight economy for the state going broke.

> 
> 
> 
> Many of us are very disappointed in the letter from the American
College of
> Surgeons supporting HR 3200. Did anyone at the ACS actually read this
> legislation? 
> 
> 
> 
> I am thinking of resigning my membership in the ACS because this
letter does
> not represent me. Obviously those in Chicago at the ACS do not
understand
> our practices here and the needs of the surgeons and our patients. 
> 
> 
> 
> Mohamed
> 
> 
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