AMA AND OTHERS CAUTION “RETAIL CLNICS; BIG BAD WOLF!”

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DO WE HAVE YOUR BEST INTERESTS AT HEART?
DO WE HAVE YOUR BEST INTERESTS AT HEART?

AMA AND OTHERS CAUTIONS “RETAIL CLNICS; BIG BAD WOLF!”

Let’s start with some of the arguments these groups put forward as reasons for concern in using a Retail Clinic!

  • Ø Do not have access to all chart records.
  • Ø Causes Fragmentation of care by adding another provider.
  • Ø Staffed often by Physician Assistances or Nurse Practitioner
  • Ø No patient follow up care.
  • Ø Chronically ill are more complicated than clinics usually see.  (Note it doesn’t say can’t handle)
  • Ø Question if have patient’s best interests at heart!

I looked in detail at five articles about these warnings.  The first covers the period around 2007.  Titled AMA Goes After Walmart Style Retail Clinics, it warns of the same concerns.  “Our primary focus is patient safety and patient care, and the retail clinics have a different mission of selling products and prescriptions,” said Dr. Rodney Osborn.  The AMA stance at that time was to lobby for increases regulations of these Retail Clinics.  Typically doctors often site regulations and dealing with insurance as an over regulated problem.

The other articles cover and aim at those clinics owned by CVS, Walgreen’s, Target and other groups. On Feb. 23, 2014 (my 52 birthday updated a statement disapproving of the Retail Clinics.  Again the list above covers their reasons for concern.

An article written in Aug. of 2012 shows these statistics.

  • Ø Total visits go from 1.5 million (2007) to 6 million (2009)
  • Ø The same study notes that there are 557 million visits to Doctors and 177 to ER’s
  • Ø One significant change in demographics was that those over 65 were at 7.5% (2000 to 2006) and at 14.7 (2007 to 2009).
  • Ø About 40% of the visits from 2007 to 2009 were for immunizations.

I now have a few questions and statements I think need to be considered.

  • Ø How often can the people that visited a Retail Clinic did so because of lack of access to an appointment needed now?
  • Ø How many ER’s have access to a patient’s health record or chart?
  • Ø How many Pediatricians really know a patient and remember that child’s chart when called after hours?
  • Ø How many Nurse Practitioners or PA’s are employed by Pediatricians or Doctors?
  • Ø Is it really fair to say no access to follow up care?  I say this because many say to follow up with your family practitioner or come back to them if they do not have one!
  • Ø If it is still true that most(almost half, 40%) go for immunizations, is this really a big issue?
  • Ø What study said this are that?  Compare it to what is actually going on.
  • Ø Should Pharmacists really be giving vaccinations when they are bogged down just filling prescriptions?
  • Ø How many groups are going to have a formal relationship with your Pediatrician?
  • Ø Is some of the disjoint and lack of communication the fault of the AMA for going after the Retail Clinics instead of really working with these groups to shore up the holes? Or, is this just about the bottom line?
  • Ø How many people complain about not enough time with their doctor?

I would think again about what the AMA and AAP says about these clinics.  I would think also about getting prescriptions where pharmacists are doing a lot of vaccinations.  I am a pharmacist and will get plenty of feedback for this I am sure.

The bottom line is go to places that you feel comfortable.  I can personally vouch for a Nurse Practitioner owned clinic.   Excellent care is what my husband (also a pharmacist), my son and I get when we go there.  This does not stop me from having a family practice physician.  I have gone to this man since 1987 and will not go elsewhere  besides that NP owned clinic in Yukon, OK.  They do not compete but compliment each other.

Below are the 5 articles used to write this essay; along with my personal knowledge and opinion.

Ollamok AKA Sandra

http://www.amednews.com/article/20120827/business/308279963/7/                                    http://healthland.time.com/2014/02/23/pediatrics-group-advises-agai...           http://www.kevinmd.com/blog/2013/08/drug-store-retail-clinics-prima... http://consumerist.com/2007/06/27/american-medical-association-goes... /http://virtualmentor.ama-assn.org/2013/11/pdf/vm-1311.pdf

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ALERT ALERT

Newt Says What The Rest Of Us Are Thinking:
It’s Time To Throw Peter Strzok In Jail

Disgraced FBI special agent Peter Strzok, a senior member of the bureau who gained notoriety in recent months over his anti-Trump text messages to a colleague, was grilled for nearly 10 hours during a joint congressional committee hearing on Thursday.

At issue was Strzok’s anti-Trump texts to former FBI lawyer and lover Lisa Page that coincided with his leading of the investigations into both former Secretary of State Hillary Clinton’s private email server scandal and the alleged Trump/Russia 2016 election collusion, as well as his involvement in the subsequent Robert Mueller special counsel probe.

The hearing proved to be a heated battle, as Strzok displayed an arrogant smugness in defiance of pointed questions from Republicans that he largely danced around, while Democrats sought to upend and undermine the entire hearing with a plethora of interruptions, parliamentary maneuvers and outright praise for the man who helped let Clinton off the hook while ferociously targeting Trump.

Former House speaker and presidential candidate Newt Gingrich was less than impressed with Strzok’s performance and cooperation in the hearing and suggested during an appearance on Fox Business that the FBI agent should be held in contempt of Congress.

“I think they have to move to hold him in contempt and throw him in jail,” Gingrich said of Congress and Strzok.

“This is a person who is willfully standing up and refusing to appear as a congressional witness and he was a government employee at the time,” he continued.

“He has every obligation to inform the legislative branch, and I don’t think they have any choice except to move a motion of contempt because he is fundamentally — and so is his girlfriend (Page) — they’re both fundamentally in violation of the entire constitutional process,” he added.

Page had been subpoenaed to appear before Congress on Wednesday but refused to appear, saying she’d been unable to review relevant documents prior to the scheduled hearing, a closed-door hearing that has since been rescheduled for Friday.

Gingrich was not the only one who thought Strzok deserved to be held in contempt of Congress, as House Judiciary Committee chairman Bob Goodlatte informed Strzok that he remained at risk of such during the hearing, according to The Daily Caller.

That warning from Goodlatte came after Strzok had refused to answer a straightforward question posed by House Oversight Committee chairman Trey Gowdy, regarding how many people Strzok had personally interviewed between a specific set of dates in relation to the Clinton email investigation.

“Mr. Strzok, please be advised that you can either comply with the committee’s direction to answer the question or refuse to do so,” Goodlatte stated. “The latter of which will place you in risk of a contempt citation and potential criminal liability. Do you understand that? The question is directed to the witness.”

Strzok still refused to answer, citing instructions received from his counsel and the FBI to not answer certain questions on certain topics.

Goodlatte replied, “Mr. Strzok, in a moment we will continue with the hearing, but based on your refusal to answer the question, at the conclusion of the day we will be recessing the hearing and you will be subject to recall to allow the committee to consider proceeding with a contempt citation.”

It is unclear if Goodlatte and the committee ultimately did consider a contempt citation for Strzok following the contentious hearing, nor is it clear if Page will be held in contempt for blowing off her subpoenaed appearance on Wednesday.

Hopefully Congress will follow through on the threats of contempt followed by actual jail time against Strzok and Page in response to their uncooperative behavior and failure to appear when subpoenaed, if only to ensure that future witnesses called before Congress for sensitive or contentious hearings don’t think they can get away with the same sort of behavior.

TEA PARTY TARGET

Cops Sent To Seize Veteran’s Guns Without A Warrant, He Refused To Turn Them Over

“No one from the state was going to take my firearms without due process,” says Leonard Cottrell, after successfully staving off law enforcement and the courts from confiscating his firearms. Cottrell, an Iraq War veteran, was at work when he received a phone call from his wife. The cops were there, busting in to take his guns away. It all started after a casual conversation his son had at school.

Ammoland reports:

Police said their visit was sparked by a conversation that Leonard Cottrell Jr.’s 13-year-old son had had with another student at the school. Cottrell said he was told his son and the other student were discussing security being lax and what they would have to do to escape a school shooting at Millstone Middle School.

The conversation was overheard by another student, who went home and told his parents, and his mother panicked. The mom then contacted the school, which contacted the State Police, according to Cottrell.

The visit from the troopers came around 10 p.m. on June 14, 2018, Cottrell said, a day after Gov. Phil Murphy signed several gun enforcement bills into law.

After several hours, Cottrell said police agreed not to take the guns but to allow him to move them to another location while the investigation continued.

“They had admitted several times that my son made no threat to himself or other students or the school or anything like that,” he said.

Cottrell said he made it very clear to the police that he was “not going to willingly give up my constitutional rights where there’s no justifiable cause, no warrants, no nothing.”

The troopers searched his son’s room and found nothing, Cottrell said.

“To appease everybody, I had my firearms stored someplace else,” he said. “That way, during the course of the investigation, my son doesn’t have access to them and it’s on neutral ground and everything and everybody’s happy.”

“In the Garden State, the usual approach is to confiscate first and ask questions later, and victims of this approach often don’t know their rights. ‎In this case, the victim pushed back and confiscation was avoided — but the circumstances surrounding the incident are outrageous. A student expressing concern over lack of security is not a reason to send police to the student’s home — but it might be a reason to send police to the school to keep students and teachers safe” said Scott L. Bach, executive director of the Association of New Jersey Rifle & Pistol Clubs and a member of the NRA board of directors.

NJ.com adds:

Cottrell, a disabled U.S. Army veteran who served three tours during “Operation Iraqi Freedom,” owns a shotgun and a pistol. He has all the correct permits to own the firearms, he said, and predominately uses the shotgun to hunt.

He said his wife allowed the officers to enter the home, and with her permission, they searched his son’s room — but they did not find any weapons, he said. The officers, he said, didn’t have a warrant but still wanted to take his guns. Cottrell wouldn’t let them.

“No one from the state was going to take my firearms without due process,” he said Thursday.

He said the attempted seizure resulted because of a new law Gov. Phil Murphy signed into law that makes it easier for police to confiscate guns when someone in the state poses a threat to themselves or others. The law is part of a broader statewide effort to make New Jersey’s gun laws even tougher amid the national outcry for more gun control in the wake of the school shooting in Parkland, Florida.

Cottrell said the officers “danced around the issue” when he confronted them about the new law.

A New Jersey State Police spokesman declined to answer questions about whether this incident had anything to do with the new gun laws.

In an email, Sgt. First Class Jeff Flynn said, “Troopers responded to Mr. Cottrell’s residence in reference to the report of a possible school threat. Based on their investigation, it was determined that Mr. Cottrell’s weapons did not need to be seized.”

David Codrea, writing for Ammoland, further added:

To appease everybody, I had my firearms stored someplace else,” New Jersey gun owner and Army veteran Leonard Cottrell Jr. told New Jersey 101.5 after a June 14 visit from State Police,. “That way, during the course of the investigation, my son doesn’t have access to them and it’s on neutral ground and everything and everybody’s happy.”

Cottrell was recalling state troopers showing up at his door to confiscate firearms after his 13-year-old son was overheard discussing lax school safety with a friend.

Indoctrinated by a pervasive snitch culture — one that never seems to deter the blatantly obvious demonic nutjobs — the eavesdropping student told his parents, who told school administrators, who in turn called the cops. (Note “If you see something, say something” carries risks of its own – if you report the wrong person, you could end up smeared as a “hater.”)

“Cottrell said he made it very clear to the police that he was ‘not going to willingly give up my constitutional rights where there’s no justifiable cause, no warrants, no nothing,’” the report continued. Despite that, his home is now a “gun free zone” and that has been publicized by the media. He has, in fact, willingly ceded those rights, and by his own words in order to make authorities “happy.”

Before judging him for that, consider the environment that is New Jersey. Then consider the overwhelming force the state can bring to bear, and its predisposition to using it, especially if it’s to enforce citizen disarmament. It’s easy to anonymously declare “Molon Labe” on the internet. In meatspace, resistance is more effective when the aggressor doesn’t get to dictate the time and place, especially if that place is your home and you have family inside.

Appeasing gun-grabbers, generally couched as “compromise,” is impossible. It’s like throwing a scrap of flesh to a circling pack of jackals and expecting them to be sated and leave you alone — instead of sensing opportunity and fear, and moving in closer.

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