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er
Index No. 2
January, 1974, Volume 28, No. l
INSIDE
sicians and Surgeons, and that the membership be encouraged to use every practical means to bring about a
successful termination of this lawsuit ... "
The Reference Committee only indirectly acknowledged the subject by disposing of Resolution No. 36 (urging
a study of PSRO constitutionality) in these words,
"Your committee is also well aware that the matter of
Resolution 36 is already the subject of court action instituted by members of the profession, so that adoption
of this resolution ... would be a costly duplication ot
judicial review of the law which is already under way."
Not As Planned
The House of Delegates meeting in Anaheim did not,
apparently, proceed as planned. In the past, the House
almost always has gone along with the desires of trustees and the Association's administration on major issues,
even though it sometimes has had reservations about doing so. Resolutions and reports were usually considered
according to patterns laid out in advance. Often, satellite
meetings were set up and artfully guided by the AMA
administration. Rarely, if ever did the results turn out differently than planned. At Anaheim, a sate'.lite meeting was organized for Saturday, December 1, 1973, to promote collaboration with PSRO (every originally scheduled speaker
was a PSRO booster, and some were full or part-time employees of HEW). Report EE of the Board of Trustees and
Council on Medical Service was drafted to reaffirm the
policy of collaboration, but the report was not made
available to delegates until the opening day of the
House meeting. It was expected that the numerous antiPSRO resolutions would be shunted to the Board and that
Report EE would be adopted with minimum debate and
without substantive change.
However, there was pervasive grumbling during the
meeting about PSRO collaboration and many calls for
support of AAPS efforts to abolish PSRO by challenging
its constitutionality in federal court. There was widespread support for repeal. The grumbling was not taken
seriously at first by the trustees because in the past at
Cincinnati and New York meetings, the AMA management
had succeeded in getting its way on the PSRO issue
and it was expected to do so again this time.
Unexpected Development
Sunday, December 2, brought a new, unexpected development - - on open letter to the House of Delegates
Consequently, when the Reference Committee met, the Q!!Jy documents not in oppositian to PSRO were Report A and Report EE of
the Board of Trustees and Council on Medical
Service.
Dr. Hunter, in an obvious attempt to convince delegates pursuit of repeal would be unwise and fruitless,
said AMA Washington lobbyists sought out Rep. Al Ullman, liberal Oregonian and ranking Democrat on the
House Ways and Means Committee, a man who has
never been known as a champion of medical freedom.
According to Dr. Hunter, Rep. Ul!man was "obviously
disturbed" that the open letter had been submitted to
the House of Delegates. He was quoted in effect as saying that he and all Democrats on Ways and Means would
oppose repeal.
Rep. Herman Schneebe'.i of Pennsylvania, ranking Republican on the Committee, was quoted as saying repeal
"is unlikely to succeed" and adding he knew of no
Senate sentiment for repeal.
PSRO repeal would still leave the medical profession subject to other legislative controls.
Another Surprise
The morning of Wednesday, Dec. 5, brought another
unnerving surprise to the Board and AMA management.
A substantial number of AMA delegates who are t1lso
AAPS members arranged for Rep. Philip Crane (R., 111.) primary circulator of the letter appealing to AMA to
support repeal - - to come to Anaheim. He was given
permission to speak to the House of Delegates at the
morning session on Wednesday. He said it is "gbsolutely
not true" that a campaign to repeal PSRO would be fruitless. He stronqly disputed arquments that the AMA
would weaken its influence on other legislative matters
it it pursued repeal.
These statements were subjected to ques.tion during debate at the Reference Committee
on Monday, Dec. 3, 1973.
One who questioned them was John P. Heard, M.D.,
President of the DeKalb County (Ga.) Medical Society.
Dr. Heard pointed out that the House of Delegates at
the 1973 Annual Convention in New York had directed
the AMA to oppose facets of PSRO which "act to the deterioration of quality care" and that the Association
"publicize such deleterious facets.''
Dr. Heard said he had written AMA headquarters
more than once inquiring what was being done to carry out that directive. He said he received equivocal and
Members of the House of Delegates obviously do not share Dr. Howard's opinions. Once
again at Anaheim, the House directed the Board
of Trustees to "work to inform the public and
legislators as to the potential deleterious effects
of this law on the quality, confidentiality and
cost of medical care."
"This is not a lost battle. There is no reason why you cannot explore a variety of options
available to you simultaneously. You don't have
to give up on the idea of repeal only because
you think what is better, or preferable, or more
likely or viable politically is an attempt to clean
up a bad law. You can do both simultaneously."
In on apparent reference to the lawsuit filed by AAPS
in federal court to outlaw PSRO, Rep. Crone said that
another option open to fhe AMA was to "contemplate
working through the courts.''
Rep. Crone also attacked the position of the Board
of Trustees that a policy of nonporticipotion would render
fruitless efforts by the AMA to amend PSRO or modify
regulations.
"THAT IS ABSOLUTELY NOT TRUE," he said.
He pointed out that members of Congress ore responsive to their local constituencies. Furthermore, he said,
"you con go on record as a notional body condemning
on principle what you know in your hearts to be wrong
and what you know does violence to your professional
ethics."
House Debate
-0James M. Sammons, M.D., Chairman, Boord of Trustees (granted special permission to address the House):
"Tuesday a week ago, your President and I were in
Washington and met with the leadership on both sides
of the aisle in the House of Representatives and we met
with the leadership of the Finance Committee of the
Senate. We asked, 'What in your opinion is the politicoi
viability, the chance of success of Mr. Rorick's bill or
similar bills asking for repeal of PSRO?' The uniformity
of their answers I think is important. Uniformly it was
that it hos absolutely no political viability whatsoever.
We asked why. The answers given us were - (l) the low
hos not even been put into effect . . . and is not going
to be repealed until it hos been tried; (2) with massive
expenditures (for Medicare and Medicaid) we must hove
some assurance that quality is being delivered, and (3)
we must hove some control over the ever expanding
utilization." Dr. Sommons added they were assured PSRO
amendments would be given "adequate hearings."
W. Charles Miller, M.D., New Orleans, Lo.: "I would
like to thank those who selected Disneyland - the land
~~~~~~~~.....:....~~~-
Votes At-Large
The AMA House of Delegates at the Clinical Meeting
in Anaheim reversed a reference committee recommendation and voted to elect members of the Board of Trustees at large in the future. Currently, candidates run""
for positions on the Board.
There is some question whether this Bylaw change
in the method of electing trustees wi:I affect election
of trustees next June. The resolution adopted to provide
at-large elections was referred to the Council on Constitution and Bylaws for appropriate language to be
submitted at the Annual Convention. The House can
then vote on the question again. If it approves of the
change before balloting for trustees at the convention,
delegates would be elected at large.
Terms of four members of the Board expire in June
this year. A fifth spot will become vacant if Trustee
Max Parrott, M.D., Port'and, Ore., is named PresidentElect. He has announced his candidacy.
John Robert Kernodle, M.D., whose terms expires this
year, has resigned. Others whose terms expire this
year are John M. Chenault, M.D., Decatur, A'a.; Raymond T. Holden, M.D., Washington, D.C., and Donald
E. Wood, M.D., Indianapolis, Ind.
IC,
......__!
CL
R po_l}Sibility'~nd Liberty
,,
312/325-7911
,, ,(..~~'""'-'
l'-r .
Index No. 9
February - March 1974, Volume 28, No. 2
INSIDE
Like AAPS, CMS has consistently opposed the iniquitous PSRO law.
Gouging by Government
Mailing Reminder
ing was the absence of AMA officers, trustees and highlevel staff. On several occasions in the past they have
attended medical society meetings for the explicit purpose of lobbying to persuade them to vote down any
move aimed at repeal of PSRO. Apparently they got the
word they would not be welcome for that purpose, and
they stayed away from the ISMS meeting. At least, they
were not to be seen, according to ISMS sources.
Rep. Edward ]. Derwinski (R-lll.) attended the meeting and advised the ISMS
trustees and delegates to work hard for
repeal of PSRO.
It will be remembered that Mr. Derwinski was one of the original signers of
a letter from some 40 members of Congress that was sent to the AMA House of
Delegates in Anaheim last December urging the House to go on record unequivocally in favor of PSRO repeal.
Mr. Derwinski was one of two signers
who yielded to pressure from AMA lobbyists and withdrew his name from the
letter. Now he is saying what he really
thinks, not what AMA officials want him
to say. It is clear that when anyone understands what PSRO is all about they are
opposed to it.
ciJl
qi! practicing
their patients.
Society
and
Brazoria
Three-Part Scheme
It is a three-part scheme. The first part would require
Physicians Classified
Physicians would fall into one of three classifications
Full Participating Providers, Associate Participating
Providers or Non-Participating Providers.
Misstatement of Fact
A document accompanying the bill when it was
submitted to Congress contains what must be considered
a classic misstatement of fact.
AMENDMENTS TO BY-LAWS
A proposed amendment to the AAPS By-Laws will
be before the House of Delegates for adoption at the
Private Doctors Institute in April. It will amend the Bylaws by adding the following to Article 13, Paragraph B,
Page 15, after the paragraph ending " ... and to any subsequent lawful order.'':
"Moreover, the members of this Association subscribe to the ethics expressed in the Hippocratic
Oath, to which physicians of our western civilization
have bound themselves by the tradition of centuries,
believing that the principles expressed therein have
contributed to the strength and dignity of the doctorpatient relationship, to the preservation of the
free enterprise system so essential to a free society,
and to the physical and spiritual well-being of those
who honor its stipulations."
does not include an overt, immediate campaign for repeal of PSRO. Instead, the trus-
A Number of Contradictions
Many physicians undoubtedly will detect several
contradictions in the positions of the AMA on various
related issues. For example, trustees and officers at Anaheim (and since) insisted that repeal was not "viable"
and therefore shouldn't be tried. In the February 4 issue of
GOUGING BY GOVERNMENT
What with all this, together with failure to persuade
HEW to set up statewide PSRO areas, AMA officials lately
have been complaining that Administration officials just
don't pay attention to them.
Still, they keep insisting that by collaborating they
have a chance to "mitigate objectionable features" of
You can
members of
of 250%.
or five years, but "of late, we've had nothing but rebuff
after rebuff."
RESOLUTION DEADLINE
Resolutions for consideration by the House of Delegates at the Private Doctors Institute in April must be
received at the AAPS office in Oak Brook, Illinois, not
later than March 29. The Institute is scheduled for April
MAILING REMINDER
Mail for AAPS continues to be sent to the Association's old address in Chicago -
but it is no longer
orders are
is returned
the AAPS which meets with us, urges you to please bring
your wife to the April meeting. The advice and experience
Fiscal Irresponsibility
Prevails in Washington
President Nixon's inflationary $304 billion budget,
with an estimated $9.4 billion deficit built in, demonstrates that fiscal irresponsibility is still the order of
the day in Washington. Additional proof is the fact that
more than a third of that budget - $111 billion - is proposed to be spent by the spendingest federal agency
of them all, the Department of Health, Education and
Welfare. That incredible $111 billion is a massive $14.3
billion more than the budget for the current fiscal year.
President
Enclosures:
312/325-7911
Index No. 5
May, 1974, Volume 28, No. 4
INSIDE
The Council of Medical Staffs has filed amicus curiae proceedings in support of the AAPS suit.
T.M.A. also has raised dues by $50.00 a year and
is assessing members $100.00 each for pursuing the
PSRO lawsuit.
use it in whatever manner he decides will further, 1n his opinlon, the purposes of the law ...
the plain truth is that the PSRO law will protect
individuals who rifle patient records for use by
PSROs and HEW, not punish them."
WOOLLEY. BENNETT CLASH
"It hasn't happened," he lamented. "And it's going the other way at an alarming rate." Dr. Roth
said he found it "distressing to us" that so many
state societies were going for repeal. "My suggestion is that you need the troops to win this war, and
we're losing the troops."
AAPS was not entirely alone among medical organizations in the belief 1hat the law is so bad in its basic
concept that the only cure is repeal. Joseph F. Boyle,
M.D., Speaker of the California Medical Association
House of Delegates, said resolutions adopted by CMA
"express the deep concern of our members over the
absolutely disastrous effects on patient care that they
foresee will very surely and very rapidly follow upon
the heels of the implementation of PSRO." He added:
" ... our association has concluded that Section 249F
of Public Law 92-603, PSRO, represents bad law that
cannot be amended satisfactorily except by its outright
repeal."
"But there is wide~pread despair over the bureaucratic bungling and rising costs that characterize Medicare and Medicaid."
The AAPS President told the committee that As-
Confidence Shaken
Clever Demagoguery
health care under the guise of giving them something for nothing through the political process.
Also, it would further undermine individual responsibility and strengthen bureaucratic control.
"The demand for health care created by such a program would be so overwhelming that the system
would swiftly degenerate into mediocrity; it would
become a bureaucratically operated fiasco. There are
not enough doctors or hospitals and other facilities to
even begin to cope with the demand that would follow the enactment of such a program.
"We hope the members of Congress are wise
enough to heed the lesson of Medicare. We trust that
the members of this Committee will not want to be
responsible for imposing on everyone a govermentcontrolled program of health care that will explosively
drive up costs by unleashing an uncontrollable artificial demand and, as its tragic result, debase the quality of medical care for all Americans. America can do
better than follow the patterns of failure of Europe."
AAPS Delegates
To Be Nominated
The Medical Society of Georgia withdrew an application for a PSRO contract. Among county medical
societies, the Montgomery County (Ohio) Medical Society went on record in opposition to PSRO.
Oath Is Available
Copies of the Oath of Hippocrates suitable for
framing are available from Johnson & Johnson, 501
George Street, New Brunswick, New Jersey 08903.
After the Nominating Committee has verified availability of the candidates, ballots will be sent out
for the election in July.
More Associations
Favor PSRO Repeal
Two more state medical associations - Florida and
South Carolina - have joined the growing throng
of associations taking formal action favoring repeal
of PSRO.
The South Carolina association also voted against
participation in PSRO and for support of the AAPS
lawsuit to abolish PSRO.
31 2/325-7911
Index No. 6
June, 1974, Volume 28, No. 5
The three-judge federal court trying the AAPS lawsuit against HEW Secretary Caspar Weinberger challenging constitutionality of the PSRO law has set oral
'arguments in the case for 2 p.m. September 17, 1974.
The hearing had been set for June 12, but it apparently was set over until September because of the
illness of two of the judges and because of the summer recess.
Meanwhile, AAPS will, if necessary, seek to obtain
preliminary relief to bar HEW from any action to interfere with patients or physicians before the courts
finally decide the case. AAPS will not tolerate interference with patients' right to receive or physicians'
right to give their best medical judgment and care on
a confidential basis.
The hearing in September will be on the question
of whether the court should grant the government's
motion to dismiss the suit. Written briefs have been
filed by AAPS in opposition to the motion and by the
government in support of the motion.
One influential member of the Finance Committee staff - Jay Constantine - has made the
cold, blunt statement that "I don't care what I
have to do to organized medicine to make this.
INSIDE
thing work."
Not long ago, a member of the National Professional Standards Review Council-the organization of
physicians intended to create the appearance that the
medical profession will have a lot to say about PSRO
rules and regulations-addressed a medical meeting
in St. Louis about NPSRC activities. He said the first
time he met Jay Constantine, he asked why success-
As the time approached for the opening of the annual meeting of the AMA House of Delegates at the
Palmer House in Chicago, it became less and less certain that the Delegates would permit the AMA leadership to continue collaborating with HEW to force PSRO
on the unwilling profession and unknowing public.
By June l 0, a total of 13 resolutions calling on
AMA to work for outright repeal of PSRO had been
sent to AMA for introduction in the House by nine
states and one individual. There is no equivocating or
hedging in these resolutions. In effect, they want officers, trustees and staff to quit using the weak excuse that repeal is "not viable" because that is no
more than an excuse to keep on collaborating with
the enemy.
Eleven In Race
Worth Remembering
"Collaboration with PSROs in the hope of avoiding
harsher legislation is ill-fated, futile and dumb!"
unusual response.
something
bad" so doctors
The colleague said he would mail in his dues okay,
but he didn't want to read AAPS publications anyDr. Mode's closing observation is worth remem-
is all true.
tomorrow'."
CORRECTION
sample copies of two current issues of your publication, AAPS Newsletter, in order we could examine
and decide whether or not we should purchase your
publication. Thank you in advance for your kind attention to this matter."
Enclosure:
312/325-7911
Index No. 7
July, 1974, Volume 28, No. 6
Fact of Life
$22 for 200, $50 for 500 and $90 for 1,000.
For further information, see story elswhere in this News
Letter.
INSIDE
New AMA Policy on PSRO
Patients Respond To PSRO Pamphlet
Board Is Warned That MDs Are Discontented
Rep. Rarick Comments On AMA's Capitulation
AAPS Speakers Bureau
an
~~~
Donald Quinlan, M.D.
President
Hunter said he thought two state medical societies -Nebraska and Louisiana - were still "adamant" against
PSROs and might refuse to cooperate with the federal effort.
"But a majority of physicians across the country will work
with the government," Todd said.
H-~
Copyrighted, 1974
New York Times Company
Reprinted with permission
312/325-7911
Index No. 8
August, 1974, Volume 28, No.7
INSIDE
Strong New Orleans Meeting
Most PSROs Tied to Medical Societies
M.D.s Approve PSROs
1)
3)
MONUMENTAL CASE OF
STRICTLY LEGAL
$147,810
$289,410
$193,000
$208,590
$97,350
CONDITIONALLY
DESIGNATED
$75,720
$243,290
$97,760
$196,650
$100,470
$134,320
$106,680
$194,330
PSROs
$3,205,680
$503,420
$212,458
$1,227,954
$1,626,305
$886,000
$2,700,000
$951,495
$604,502
$662,470
$662,848
*F,ve-County Organization for Medical Care & PSR, New Hartford, N .Y.
*Genesee Region PSRO, Inc., Rochester, New York
*Kings County Health Care, Brooklyn, New York
Nassau Physicians Review, Garden City, New York
$96,000
$86,300
$55,500
$54,400
$62,800
$79,600
$45,200
$45, 150
$55,000
$52,555
$41,000
$55,720
$64,800
$36,555
$88,217
$47, 175
$57,870
$48,000
$65.000
$73,000
$36,000
$45,300
$59,000
$55,300
$52,850
$63,000
$46,000
$44,330
$36,345
$90,600
$66,000
$65,000
$61,0CX)
$64,000
$49,500
$54,440
$45,500
$47,560
$51,000
$78,750
$74,000
$61.800
$61,200
$45,485
$66,000
$63,BOO
$50,000
$58,650
$64,000
$46, 150
$-61,000
$56,000
$71,000
$62,000
$52,400
$46, 100
$54,000
$37,000
$52,000
$57,000
$67,000
$46,380
$60,000
$54,000
$225,760
$46, 135
$39,200
$51,620
$36,000
$ lOO;ooo
$46,600
$54,000
$62,500
PLANNING ORGANIZATIONS
$52,000
$77,000
$64,500
$44,700
$74,500
$56,400
$57,000
$62,000
$50,242.
$68,590
$77, 120
$38,200
$72,372
$51,200
$58,500
$147,480
l.
2.
COULD BE BLACKLISTED
Amendment to By-Laws
AAPS House of Delegates at the meeting in April
adopted an amendment to the Association By-Laws which
must be approved by the Assembly before it can become an
official part of the bylaws. Therefore, at the Annual Meeting
in New Orleans this proposed amendment to the By-Laws
will be submitte_d to the Assembly for vote.
"Add the following to Article Thirteen, Paragraph B,
Page 15:
'Moreover, the members of this Association subscribe
to the ethics expressed in the Hippocratic Oath, to
which physicians of our western civilization have
bound themselves by the tradition of centuries,
believing that the principles expressed therein have
contributed to the strength and dignity of the
doctor-patient relationship, to the preservation of the
free enterprise system so essential to a free society, and
to the physical and spiritual well-being of those who
honor its stipulations.' "
~~~
Donald Quinlan, M.D.
President
312/325-7911
Index No. 9
Inside
Acts of President Make Some Uneasy
OSHA Breaks Rules
Lacking 'Consensus~
Health Bills Stalled
Apparently labor bosses are having their way with
Congress in the matter of nationalizing medicine. Rep. Wilbur
Mills (D-Ark.), Chairman of the House Ways and Means
Committee, disclosed that members of the committee could
not "bring about a consensus" on health legislation.
For the record, Mr. Mills said "it is not a dea"d issue" for
the current session of Congress. Nevertheless, no one
stepped up to agree that it wasn't a dead issue.
Labor leaders have made it clear they prefer to wait until
next year to push health legislation when, they believe, they
will have a "veto proof" Congress full of liberals so indebted
to them that passage of full-scale socialized medicine will be
routine and a Presidential veto easily overridden, if that came
to pass.
What labor bosses are advocating is a Congress
beholden to them and so powerful the Constitutional balance
of power will be destroyed. The consequence to the nation
will be disastrous if they get their wish -- a wish that is based
on a blind, insatiable lust for power.
Physicians should recognize, therefore, that this year's
congressional elections are as critical for medicine as any in
history. They should devote time and money to the support of
conservative candidates and to the defeat of those backed by
labor.
And if physicians contribute to the American Medical
Political Action Committee (AMPAC), they should make
certain none of their money is used to support candidates
who can be counted on to oppose the interest of ethical
medicine.
You would suppose that it would be unnecessary to
question whether money physicians contributed to AMP AC is
being spent in support of the enemies of medicine -congressional candidates who will be against repeal of PSRO
and who will vote for socialized medicine.
But it's a question that needs to be asked. Some will
recall, for example, that AMPAC assigned one of its
employees to work full time in the campaign of Eugene
McCarthy for President.
Lately, a special fund-raising dinner was organized by
labor unions to help Mrs. Betty Spence, a Buffalo Grove, 111.,
Democrat who is trying to unseat Rep. Phil Crane, one of
ethical medicine's most loyal friends.
The Arlington Heights Herold covered the event, which
was held in Washington, D.C.
Said the Herold: "But Mrs. Spence said she was
encouraged by the enthusiasm of the approximately 65
persons who did attend -- a group which included various
labor representatives, congressional staffers, a Montgomery
Ward executive, and an American Medical Association
lobbyist."
c4.._~
/y,~.
312/325- 7911
EMERGENCY BULLETIN
ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS. INC.
312/325-7911
Index No. 10
September 20, 1974
- 2 -
_..----/1-~ /.J.
Q,
=F- . . . . . ~.
Enclosure:
Index No. 11
October, 1974, Volume 28, No. 9
Inside
Misguided Expediency
--
ASTOUNDING
Rep. Wilbur Mills, the Arkansas Democrat who is
one of the most knowledgeable members of Congress,
has mode an astounding confession.
Mr. Mills has admitted, according to the AMA's
American Medical News, that he doesn't know how
PSRO come into being.
The Chairman of the House Ways and Means
Committee, according to AMN, was discussing
national health legislation with a delegation from AMA
in an attempt to win support for his scheme for
nationalizing medicine. Mr. Mills evidently figured that
he could win that support if he agreed to some changes
in PSRO proposed by AMA.
In reporting the meeting, AMN said -- "Rep. Mills
at one point exclaimed: "I can't recall the way the
Senate sold us on this (PSRO). How in the world did
those Senators prevail on us in the first place?"
AMA Is Willing To
'Compromise' Again
312/325-7911
Index No. 12
November, 197 4, Volume 28, No. l O
Pair of
Walter
Californians,
Frank
Rogers,
M.D.
(left),
Whittier,
advantage of Assembly
and
recess
to chat about Dr. Bueraer's presentation at New Orleans Annual Meetina on organizing AAPS chapters. Or. Rogers is new AAPS President
Membership Drive
Donald Quinlan, M.D., in his Presidential address
at the Annual AAPS Meeting in New Orleans in
October, called for the Association to work for a
five-fold increase in AAPS membership.
Dr. Quinlan urged each member to recruit at least
five new members for the Association. "Let's make a
five-fold increase in AAPS membership a national goal
of the Association. Let's make five new members for
AAPS an individual, personal goal. Let's view that
target as the very minimum each of us can do as our
contribution to the cause of preserving our professional
freedom."
'Unusually Informative'
Panelists
Robert
BullinQton.
M.D.,
Phoenix,
Arizona;
J.
Keller
ical stoffs.
HOSPITAL-PHYSICIAN RELATIONSHIP
The panel on Hospital-Physician Relationship, moderated
by Donald Quinlan, M.D., now Immediate Past President of
AAPS, presented the winning experiences of Robert
Bullington, M.D., AAPS member from Phoenix, Arizona; J.
Keller Griffith, M.D., AAPS member from Lake Charles,
Louisiana, and Thomas G. Dorrity, M.D., Memphis,
Tennessee, member of the AAPS Board of Directors.
Panelists on Membership Recruitment (left to right) R. L. Campbell, M.D., Corsicana, Tex.; Garland Campbell, M.D., Arkansas City, Kansas;
Robert S. Jaggard, M.D., Oelwein, Iowa, AAPS National Membership Chairman, and Moderator Donald Quinlan, M.D., Northfield, lllinais.
AAPS Executive Director Frank Woolley addressing Assembly during panel on organizing AAPS chapters. Seated are Paul W. leithart, M.D.
(left), Ohio Chapter Chairman, and Walter R. Buerger, M.D., California Cha!)ler Chairman.
When the panel convened on organizing AAPS chapters -described by AAPS Executive Director Frank Woolley as "a
mechanism to multiply your effectiveness" -- members of the
Assembly were seated by states, and chapters were
organized and officers elected on the floor of the Assembly.
Walter R. Buerger, M.D., Covina, Calif., Chairman of the
AAPS California Chapter and a member of AAPS Board of
Directors, pointed out that just two AAPS member in a state
can start a state chapter.
Both Dr. Buerger and Dr. Paul Leithart, M.D., Columbus,
Ohio, Chapter Chairman of Ohio and also an AAPS Director,
agreed that one of the first projects a newly organized
chapter should undertake is publication of a newsletter. Dr.
Buerger advised mailing the newsletter not only to AAPS
members but regularly to members of the House of Delegates
of the state medical society ("let them know there is an
organization that cares about PSRO and other issues"). Dr.
Leithart said the Ohio Chapter newsletter is mailed to state
and county medical journals and bulletins.
Dr. Leithart also said that the "first purpose of a newsletter
is to educate." He said it is surprising to find out when
talking to AAPS members that "there is a lot of things they
don't know."
Panelists pointed out that the format and the content of
newsletters vary from state to state. But whatever the format,
they agree, a newsletter should promote AAPS.
Mr. Woolley told members of the Assembly that AAPS has
available a detailed manual of organization which contains
explicit information on such subjects as how to organize,
what makes a chapter succeed, action projects, how to recruit
new members, how to get good publicity, how to enlist allies,
and how to set up a speakers bureau.
It was a iayful mament far Elsie Doering shown here receiving a bar af pure silver from President Danald Quinlan, M.D., honoring Miss
Doering for her 25 years of service to the AAPS. Miss Doering, Assistant to the Executive Director, also received an engraved watch from the
AAPS membershi:,.
drum:1ists and other health care items. But from there they
flow into the economy, exerting inflationary pressure on all
goods and services.
"That's what we have to explain to our patients so they
will understand clearly that nationalized medicine will result
in more and more billions of printing-press dollars being
poured into the economy. The result will be economic
disaster, literally destroy~g our economy."
Dr. Quinlan criticized Secretary Weinberger for being glib
about accusing doctors of inflating fees but failing to be
honest with the people by admitting that his department -HEW -- "is the greatest engine of inflation in the United
States government today."
RALLY TO AAPS
Director
Frank
Woolley
(right)
greet J.
Enoch
Powell,
of British Parliament and former Minister of Health, on arrival at AAPS Annual Meeting where Mr. Powell was guest speaker.
m"mber
R.
L.
CAMPBELL, M.D.
President-Elect
E. E. ANTHONY, M.D.
Treasurer
C. W. JOHNSON, M.D.
Speaker of
House
Secretary
Tapes Available
All presentations at the AAPS Annual Meeting in
New Orleans were captured on tape. Ariy Association
member who is interested in a particular presentation
or speech and would like a tape of it, please let the
headquarters office know and it will be put on a
cassette. Cassettes will be furnished at cost, with the
cost governed by the volume of request received.
~~gees~
President
Enclosures: Pamphlet rack order form
Reprint from Chicago Daily News
31 2/325- 7911
Index No. 13
December, 1974, Volume 28, No. 11
Rogers
had
these
Speakers Available
As noted in the July, 1974, AAPS News Letter, the
Association maintains a Speakers Bureau, with a list of
knowledgeable, top-notch speakers available for meetings
of medical societies, other physician organizations or
nonphysician groups.
However, as Frank A. Rogers, M.D., AAPS President,
has pointed out, it is imperative that the Speakers Bureau
be expanded so that AAPS speakers will be available in
every state. Even more important, AAPS members should
be doing .all they can to place AAPS speakers before
medical and civic organizations as often as possible all
over the nation.
All AAPS members who are willing to accept
speaking engagements should notify AAPS headquarters,
with a list of subjects they feel competent to talk about.
The need is urgent to get the truth disseminated
about PSRO, HMOs, nationalized medicine and other
threats to medical freedom.
old idea) as Kaiser and Ross Loos don't "even approach the requirements of the law," Dr. Rogers said.
He added that many. of these prepaid group practice
plans that have accepted government money have
recommendations contained in a Socialist Party pamphlet -"The Case for Socialized Medicine" -- that was distributed by
the thousands at the Americana Hotel in 1961 during the
Annual Convention of the AMA.
Mr. Woolley read the following "To Do" from that
pamphlet:
MEDICAL 'REFORM'
REVIEWS LAWSUIT
Annual
MeetinR
in
New
Orleans.
canfers
with
AAPS
Executive
Directar Frank Waolley and Maurice Kramer, head of Washington office, at start of panel discussion on PSROs, HMOs and nationalized medicine.
CAPTURED
Dan Smoot (left), former FBI agent, author and lecturer, and Rep.
John
R.
Rarick
(D-La.),
chief
sponsor
of
PSRO
repeal bill,
were
among principle speakers at AAPS Annual Meeting. Here they compare notes on evils of PSRO and OSHA laws.
FINANCES
Government Medicine
Foments Grievances
Children's Textbooks
May Give You A Shock
Small-Town Doctors
"Out of Touch"--AMA
Members of the AMA who live and practice in small
towns -- including members of the Board of Trustees, past
and present, and numerous former AMA presidents -- must
have been more than mildly surprised to learn from the
November 11 American Medical News that in the affairs of
medicine they are considered in AMA headquarters as
irrelevant and "out of touch."
This attitude toward small-town doctors was disclosed
in an article in AMN on the AAPS Annual Meeting in New
Orleans. AMN writer Dennis Breo attended the meeting but
re;:iorted very little of what actually transpired. He decided
instead to try his hand at a hatchet job on AAPS. His editors
labeled his exercise in invective as "news analysis." In this
case, the term "news analysis" was a deceit, since it
suggested the reader was getting an erudite treatise on a
news event when all he was getting was a misleading
editorial against AAPS.
American Medical News, an official publication of
AMA, tried hard to portray AAPS as insignificant and
inconsequential. Apparently Mr. Breo figured the best way to
prove that thesis was to point out that most physicians who
attended the meeting came from "small-town America."
Clearly, that settled the question in Mr. Breo's mind. He said
they opposed "Big Brother Government, The Liberal Media,
the Eastern Establishment ... the Professional Standards
Review Organization law, health maintenance organizations,
national health insurance, and all other aspects of 'socialized'
medicine."
And when all this was said and done by these
small-town doctors, AMN concluded, "there was left
hanging the question of AAPS' role and relevance in
contemporary medicine."
The AMA's staff writer arbitrarily selected l O towns as
typical of the places the physicians came from to attend the
AAPS meeting. These towns singled out for special mention
by Mr. Breo are where l 03 physicians live and practice. And
among these physicians considered so out of touch with
contemporary medicine they are against Big Brother
Government, PSROs, HMOs and socialized medicine are 63
members of the AMA.
medicine.
Second, and most important, the statement seems
to be saying that AAPS, to be in touch, should
recognize that the enemies of medical freedom in
Congress outnumber its friends and AAPS should
therefore abandon principle, cower before medicine's
enemies and meekly accept Big Brother Government
control of medicine.
If being "in touch" means surrendering pri nci pie to
accomodate a shift in the political complexion of Congress,
AAPS will remain out of touch.
The undisguised editorial generated reaction. John H.
Budd, M.D., Cleveland, Ohio, a member of the AMA Board of
Trustees, wrote the AMN editors that "my anger is more
than slight." He said this attempt to "ridicule, disparage
and condemn an organization of physicians ... genuinely
concerned over the extent and type of government control
engulfing medicine" was "offensive to me."
Leszek Ochota, M.D., an AMA member wrote: "After
your typical liberally arrogant and slanted 'analysis' of
the Association of American Physicians and Surgeons, I
would like to join this association. Please kindly let me know
their address."
Dr. Ochota is now an AAPS member.
Rea/ ClzriJlmaJ
Spirit
171
a~~~
Frank Rogers, M.D.
President
312/325-7911