The sophomoric mnemonics are neither clever nor illuminating. Unworthy of Readers Digest circa 1957, this dumbing down of doctors needs to end. The very soul and practice of medicine is being castrated and lobotomized by the same dull and very very blunt instrument.
Accountability Requires Answerability and Justification for Actions. Accountability necessitates both the provision of information and justification for actions; what was done and why? The other defining factor of accountability is the ability of outside actors to punish and sanction those who commit misconduct or wrongdoing. Without these constraints corruption is inevitable. State PHPs such as PHS have not only removed answerability and justification but have taken steps to prevent any interference by outside actors including medical societies, medical boards, law enforcement and departments of public health. The most crucial step in solving any problem is admitting it exists. This exists. There is a solution to this. Sunshine is the best disinfectant. If the actions of Sanchez, Gavryck and Bresnahan cannot be justified or defended then it must be concluded that these individuals have violated procedure, ethics and the law. And if that is the case it is the responsibility of the MMS to acknowledge the individual and specific issues as well as the reality that there is no current avenue to address these issues. That, in and of itself, is a problem. The documents show significant and severe wrongdoing that constitute crimes committed within the walls of MMS. How far down would the moral compass have to go before the significance of this is recognized? This necessitates acknowledging the problem exists, defining the problem and addressing it directly.
Zero-Tolerance for Forensic Fraud and Political Abuse of Psychiatry Necessary. Any and all forensic fraud should be met with Zero-tolerance. State PHPs are colluding with commercial drug testing labs and “PHP-approved” assessment and treatment centers this same scaffold is being used in many states. Doctors are dying because of it. State Physician Health Programs (PHPs) are organized under the Federation of State Physician Health Programs (FSPHP). The FSPHP arose from the American Society of Addiction Medicine and the history can be seen here.
Dr. Luis Sanchez is past President and Linda Bresnahan is the current Secretary. The FSPHP does not represent doctors but the multibillion dollar drug and alcohol testing, assessment and treatment industry. This will all come out in due time. The states of North Carolina and Michigan have taken the lead in starting to expose this. Others will follow. State Auditor Suzanne Bump is currently looking into a Massachusetts Audit of PHS. But because of the scope and severity of the forensic and rehab fraud it is morally imperative that the MMS address this. Those engaging in forensic fraud must be removed. This needs to be done state by state and I am providing Massachusetts with documentary proof.of forensic fraud. This is not isolated but systemic. There are plenty of doctors of intellectual and moral integrity to take the place of those who do not. The criminal and ethical violations shown do not comport with any codes of conduct including those of the medical society. It is paradoxical here that in my battle against PHS that I am the one supporting truth and fact,medical and professional ethics, evidence-based medicine and physician rights. It is I who am fighting for the preservation of and adherence to historical ideals and moral codes of the medical profession. This is easily seen by looking at rhetoric versus actions and deeds. Those of Sanchez, Gavryck and Bresnahan are irreconcilable. As the oldest medical society in the United States whose stated purpose is to “…do all things as may be necessary and appropriate to advance medical knowledge, to develop and maintain the highest professional and ethical standards of medical practice and health care, and to promote medical institutions formed on liberal principles for the health, benefit and welfare of citizens of the commonwealth” it is morally imperative that the Massachusetts Medical Society address this urgently, directly and with full-measure. Massachusetts needs to take the lead in exposing this national problem.