Saturday, March 20, 2010

Surgeons Letter Opposing Health Care Reform as it stands in Bill

News from the American College of Surgeons
For Release: November 4, 2009

Contact: Barbara Hemberger

952-346-6232 952-346-6232 or

Sally Garneski

312-202-5409 312-202-5409

Twenty Surgical Groups Say Senate Health Legislation

Will Threaten Patient Access and Harm Quality

Washington, D.C. (November 4, 2009) – Twenty surgical organizations, led by the American College of Surgeons, sent a letter to the U.S. Senate today stating they are prepared to oppose the Senate’s health care reform bill because it will threaten patient access and harm quality. Surgeons state that as the legislation currently stands, it fails to address some of the fundamental problems that plague the health care system.
“We strongly support health care reform that will expand access to quality surgical and medical care to as many Americans as possible, but we cannot support legislation that puts at risk both quality of care and patient access,” said A. Brent Eastman, MD, FACS, chair of the American College of Surgeons’ (ACS) Board of Regents and chief medical officer, Scripps Health. “Our system is badly in need of reform but if the legislation does not address these concerns, it will do little to fix its underlying problems and may make it worse.”
The surgical groups said they plan to oppose the Senate health care reform bill if a number of provisions that were included in the Senate Finance bill are retained. In addition to failing to permanently fix Medicare’s broken physician payment system and to include any meaningful proven medical liability reforms, the surgical community opposes a number of the bill’s provisions including:
The legislation establishes a Medicare Commission that would shift the responsibility for making difficult Medicare payment and coverage decisions to an unelected Executive branch agency without appropriate checks and balances.

The legislation includes mandatory participation in the seriously flawed Physician Quality Reporting Initiative (PQRI) – a program through which CMS is still attempting to address systemic problems dating back to 2007.

The legislation attempts to improve patient access to certain physician services through reimbursement changes, but funds these changes through payment cuts to all other physicians – thereby exacerbating workforce shortages, including general surgeons.

“The result of these serious deficiencies will make it more difficult for the American people to receive the surgical care they will need in the future. We will work with the Senate to improve the legislation, but if these shortcomings remain in the final Senate bill, we will have no choice but to urge Senators to vote no,” Dr. Eastman added.

The American College of Surgeons met with policymakers over the past year to educate them about programs that would improve quality, reduce costs and increase patient access. One such program, the ACS National Surgical Quality Improvement Program (ACS NSQIP), is helping to prevent thousands of surgical complications each year. Each hospital in the program, on average, is seeing 250 to 500 fewer complications and thus an annual reduction of $3 million in costs. Nine of the top 10 private hospitals in the nation, along with more than 240 additional hospitals, use ACS NSQIP. The ACS believes that these types of quality programs, if supported by Congress, could save the health care system a minimum of tens of billions of dollars over the next decade.
“There are ways to improve quality, cut costs and increase patient access – but the Senate isn’t hearing those of us who are closest to the patient and work in the system every day,” Dr. Eastman said.

The surgical groups that signed the letter include:

American College of Surgeons

American Academy of Facial Plastic and Reconstructive Surgery

American Academy of Ophthalmology

American Academy of Otolaryngology-Head and Neck Surgery

American Association of Neurological Surgeons

American Association of Orthopaedic Surgeons

American College of Obstetricians and Gynecologists

American College of Osteopathic Surgeons

American Osteopathic Academy of Orthopedics

American Society of Anesthesiologists

American Society of Breast Surgeons

American Society of Cataract and Refractive Surgery

American Society of Colon and Rectal Surgeons

American Society for Metabolic & Bariatric Surgery

American Society of Plastic Surgeons

American Urological Association

Congress of Neurological Surgeons

Society for Vascular Surgery

Society of American Gastrointestinal and Endoscopic Surgeons

Society of Gynecologic Oncologists

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About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 75,000 members and is the largest organization of surgeons in the world. For more information, visit

Online November 4, 2009
This page and all contents are Copyright © 2009

by the American College of Surgeons, Chicago, IL 60611-3211
I posted this letter since the American People are being deceived as to just accept one point of view, without having other options included. I believe the Health Care System needs reform but not only ONE political party should implement what they believe is good for the AMERICAN PEOPLE. This is what is wrong right now, the American People is being disregarded, and this is unacceptable.

NEW licensing requirements for Mortgage Brokers

Effective January 1, 2010, any Mortgage Loan Broker (MLB) who makes, arranges or services residential or commercial mortgage loan secured by real estate in California must report to the Department of Real Estate (DRE) prior to January 31, 2010. This report must be done online at the DRE’s website ( using Form RE 866, Mortgage Loan Activity Notification. Additionally, future periodic business activity disclosures are required as in the past.
Failure to submit the Mortgage Loan Activity Notification prior to January 31, 2010 will result in a fine of $50 per day for the first 30 days the report is not filed.

Any licensees making, arranging or servicing consumer loans secured by one-to-four unit residential property, called Real Estate Settlement Procedures Act (RESPA) loans, must obtain a Mortgage Loan Origination (MLO) endorsement on their real estate license prior to January 1, 2011.

In addition to the endorsement required on the real estate license for making or arranging consumer loans secured by one to four unit residential property – RESPA loans, not business loans – the MLB must: register on the Nationwide Mortgage Licensing System and Registry. Each broker, branch, mortgage loan lender and MLO will be assigned a single license record in the Registry. No fee will be charged to create the initial record; comply with all federal requirements for MLO licensure. These include new qualification assessments, federal and state exams and background checks. No exceptions or exemptions will be given to existing licensees; and be issued an MLO endorsement on his real estate license by January 1, 2011. For an endorsement to be issued by January 1, 2011, an application for endorsement must be submitted by September 15, 2010. The initial endorsement will expire on December 31, 2011, and must be renewed annually. The endorsement will carry a unique identifier assigned by the Registry. The MLB’s California real estate license number will not change.

Any MLB who deals with consumer loans secured by one-to-four unit residential property (RESPA loans) and fails to obtain the MLO endorsement by the January 1, 2011 deadline will incur a fine of $100 per day, to a maximum of $10,000.

credits to: First Tuesday Journal Online

JFK; Bush; LBJ; Nixon