AMA = emperor with no clothes

Or at least that's what the American Medical Association's rhetoric resembles. As hsuperpolitical points out, and as I say to my friends who are somehow unbelievably still members, the AMA is nothing but a hack organization that primarily contributes to Republicans (80% of all PAC donations last time I checked.) And now they want to jump on the health care reform bandwagon now that polling finds that voters are in favor of universal healthcare or anything that will put an end to the hair-splitting mess that passes for health care in this country.

They're also the group that helped derail universal health care from ever emerging back when we didn't have a health care system that we could even call broken. They're the root of the crazy, fucked up piecemeal "insurance" plan that most Americans are "lucky" to have, with a per procedure Medicaid/Medicare reimbursement fee going to different specialties.

Basically, the only reason why the AMA is even at the same table with Families USA is much the reason that Pfizer is -- they see the train coming, and they wanted to get on board, and off of the tracks. They want to muddy up the waters as much as they can so that there's no clear vision toward reforming our system. smart but evil. Like any good impediment to change.

C'mon, we just gotta keep on lloppping off the heads.

Prayers and Hope

Ugh, so I have some bad news. My friend was traveling alone when she got sick and she has to go into surgery tomorrow. She's kinda scared and they're not really giving her the attention that she needs, but I don't know if it is because she is a woman of color or if she doesn't have insurance, or what. It could be both, since it's the South, but this isn't the time for dialectics and pedagogy. Like I have a whole rant about the need for universal health insurance, but right now I hope that she finds the strength to hold up until I can see her. I hope she can get herself together to demand what she needs from the doctors, because it is hard to be forceful when your insides are a puddle and your core vibrates pain.

I'm not a religious person because the first time I tried praying for someone who was sick, it didn't work. She died. Then I thought perhaps religion was not meant for me. since then, when people get really sick, I hope and hope and intone well-being thoughts and wishes their way, but it doesn't have the same urgency or need as a prayer. To pray is to be in a position of need and want and to burn feverishly. To seek cleansing and absolution in the form of supplication.

When I was sick, I was alone amongst healers. I hid all my problems, and I tried to soldier on. but there were things that I faltered at. But it was so lonely being on the road and trying so hard to do good when all I wanted to do was to stay in bed and sleep and cry. If I didn't have great friends and family that I could call, I don't know what I would have done. Probably gone more berserk and gotten even sicker. In the end it made me stronger, but I think I could have done without that kind of object lesson.

Anyhow, if you have a spare moment, please pray for my friend. I still believe more in action than prayer, so I will go rope the doctors and be the asshole who gets results. But I still believe that she could use some good thoughts, so if you are inclined to believe in prayer, send some love her direction.

Senator calls for transparency in Big Pharma payments

I think that a drug company registry of payments to doctors is an excellent idea, regardless of which party is sponsoring the bill. (In this case, it's being pushed by Senator Grassley, R-Iowa.) The Senator notes that there is currently no way that patients can really know if their doctor is receiving large payments from pharmaceutical companies to shill for a drug. He even suggested that just as elected members of Congress have every lobbyist and donor listed publicly, that pharmaceutical payments to doctors be publicly available so that patients can know if their doctors are getting paid by drug companies, since not all doctors state "I have a conflict of interest because I consult for Y pharma."

Mr. Grassley is one of several lawmakers to propose a federal registry of such payments. Minnesota, Vermont and Maine already have similar registries, and other states are considering them.

The proposals are a response to growing concerns that payments from drug makers can affect doctors’ prescribing habits, increase the cost of health care and, in some cases, endanger patients’ health.

It's long been a dirty secret that pharmaceutical companies give doctors presents far beyond the pen that they write your prescription with, or the notepad on their desk. Indeed, Big Pharma will sponsor vacations to the Caribbean or Hawaii under the guise of "attending a conference" and pay for lavish meals, ball game tickets, whatever. Some even pay doctors thousands a year directly as consultants. And if you don't think that this all somehow influences these doctors' choices, even indirectly, in what they prescribe to you as their patient -- well, I have a boat full of crap I'd like to sell you.

The marketing to doctors begins at a very early stage -- in med school, with lunches and happy hours sponsored by drug companies, with free goodies of all imaginable sorts. If you wonder why a bit of free food goes a long ways, you should also know that med students and residents often don't get the time to eat. I'm not saying that all med students and residents buy into this -- most know that they are being pandered to, but most still eat the food and accept the free pens, memory sticks, and other nifty gadgets. Incidentally, there is a movement to NOT accept the free food called No Free Lunch.

But you know, if the food doesn't get you, maybe the sex will. HUH?!?! you ask. Lots of drug reps, male and female, are hired for being extremely hot. Well, other attributes apply, but there's a direct funnel from university cheerleading into being a drug rep. These poor reps get hit on, and some definitely turn up the charm to fill monthly quotas. But these are stories for other days...back to topic A -- transparency in pharm payments to doctors.

. . .In a speech on the Senate floor on Thursday, Mr. Grassley said he had started an investigation into these practices. Noting that most universities require academic researchers to disclose such payments, he said, “I have sent letters to a handful of universities to understand how well such a reporting system actually works.”

These letters have uncovered several problems, Mr. Grassley said. First, universities do not verify the information filed by their professors, so “the only person who knows if the reported income is accurate and complete is the doctor who is receiving the money.”

Also, the universities generally keep this information secret from patients, who have no way of knowing whether their doctor is on a drug maker’s payroll, he said.

“So if there is a doctor getting thousands of dollars from a drug company — payments that might be affecting his or her objectivity — the only people outside the pharmaceutical industry who will probably ever know about this are the people at that very university,” he said.

This is a bill that needs to get passed because patients deserve to shine a light on Big Pharma's dirty contributions.