Health Care Related Excerpts from HRCs Paid Speeches

As Reported by WikiLeaks: https://wikileaks.org/podesta-emails/emailid/927

Affordable Care Act

Hillary Clinton Said She Wants Us To Have A Debate Where Our Differences Are Fully Aired On Healthcare Reform Since There Are Different Approaches. “Now, what does that have to do with health care reform?  Well, I want to see us have a debate where our differences are fully aired because, clearly, there are different approaches about what we think can work.  We don’t have one size fit all.  Our country is quite diverse.  What works in New York City is not necessarily going to work in Harrison, Arkansas or Albuquerque, so we do need to have people who are looking for common ways of approaching problems using evidence but leaving their blaming, their gaming, their shaming, point scoring at the door.  Because when we think about it, our country is such a remarkable accomplishment.  Think about how diverse we are.  We’ve had lots of disagreements.  We even had a civil war for heaven sakes, so it’s not like we just — you know, like in those drug commercials where we just hold hands and dance through the meadows while somebody is telling you everything that can go wrong like your ear’s falling off if you take the drug they’re advertising.” [02262014 HWA Remarks at HIMMS [Orlando].DOC, p. 10] Continue reading

Is Donald Trump Right About Single Payer?

By Elizabeth Lee Vliet, MD – http://herplace.com

As an independent physician advocate for patients against restrictions of “establishment medicine,” I greatly admire that both Senator Cruz and Donald Trump have been unafraid to speak the truth about critical issues that affect the very survival of our country.

I applaud Trump and Cruz for boldly stating the obvious: the flood of illegals into America is costing us dearly in lives and social costs. They are right: it must be stopped, and soon.

Trump has also been masterfully successful in business. He understands that the key with countries like Mexico, China, Russia, Iran, and others is negotiation from a position of strength, not concession.

But these two men are at opposite ends of the spectrum on healthcare:

  • Trump admires the “single-payer” system of Canada and Scotland/UK.
  • Cruz is for immediate and total repeal of Obamacare.

“Single payer” is healthcare policy jargon. Most people don’t know what it really means: government control of every aspect of medical care delivery, how many doctors, in what specialties, what treatments are allowed and for whom, and price controls that drive hospitals, doctors, home health agencies, hospices, medical device makers, and pharmaceutical companies out of business. All of the controls implicit in “single-payer” healthcare mean patients lose access to medical care.

Cruz supports a return to the free market, giving patients more control, and portability, more choices of what insurance to buy and what treatments to use. It is freedom that has allowed the innovation making American medicine the best in the world, with the best survival times for critical illnesses.

I have personally experienced being a patient for major medical emergencies and surgeries in two free-market systems (U.S. and Santiago, Chile) plus 3 single-payer systems (UK, Argentina, and Canada). I will tell you unequivocally that for top quality, best outcomes, and survival, the U.S. and Chile lead the world.

“Single-payer” government-run systems everywhere, as I experienced as a patient, have three consistent, systemic, and immutable flaws:

  • Long waits for access to primary medical care, even longer for specialists;
  • Reduced options for state-of-the-art treatment and choice of specialists;
  • Reduced quality of care. Simply look at the VA here in the U.S. to see how the single payer treats our veterans.

To take an approach from business, at which Trump clearly excels: check the bottom line. In every example of single-payer systems, the bottom line is the same: Patients lose.

Some patients lose their lives waiting for care. Some lose critical function unable to get timely treatment. Most lose quality of life.

I doubt that Trump would accept such poor quality outcomes for his business enterprises. Why should we accept these poor results for medical care that affects patients’ lives?

Since Trump’s business success has come from free market opportunities that would have been denied him in a “single payer” buyer’s monopoly (or monopsony), I respectfully recommend that he re-evaluate his position on whether single payer “works well” for patients with serious medical problems.

On the issue of freedom, and thus excellence in medicine, Senator Cruz and Dr. Ben Carson are exactly right: Obamacare must be repealed in its monstrous entirety. The GOP members of Congress, and other Presidential candidates, have been talking about “tweaking” or “fixing” Obamacare rather than repealing it.

Think about it. You would not want to “tweak” or “fix” a bomb under your house! You’d want it dismantled and removed. Obamacare is a bomb already exploding healthcare costs, closing hospitals and doctors’ offices, and reducing patients’ choices of physicians and hospitals.

Mr. Trump’s “single-payer” model of government micro-management, restricted options, and price controls do not work any better in medicine than in business.

The first GOP debate certainly created a firestorm on many issues. I work in Arizona and Texas, so I know the border issues in depth, particularly as they place heavy burdens on the medical system and taxpayers. Cruz and Trump are both right on immigration.

On medicine, Cruz and Carson see the most clearly. Free markets are crucial for business—including the business of medical care.

Medicine, however, is more than a business: it is patients’ lives at stake.

Decisions in medicine belong in the hands of patients and the doctors they choose: not in the hands of third parties, such as insurers under Obamacare dictates, or government as “single-payer.” Cruz and Carson support return to patient-centered medicine. I approve this message.

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For further substantiation, see Forbes link here:  No, Donald Trump, Single-Payer Health Care Doesn’t ‘Work Incredibly Well’ In Canada & Scotland


Elizabeth Lee Vliet, M.D., is Chief Medical Officer of Med Expert Chile, SpA, an international medical consulting company based in Santiago, Chile whose mission is high quality, lower cost medical care focused on preserving medical freedom, privacy, and the Oath of Hippocrates commitment to individual patients. Dr. Vliet is a past Director of the Association of American Physicians and Surgeons (AAPS). Dr. Vliet also has an active US medical practice in Tucson AZ and Dallas TX specializing in preventive and climacteric medicine with an integrated approach to evaluation and treatment of women and men with complex medical and hormonal problems. Dr. Vliet received a NECO 2014 Ellis Island Medal of Honor and the Arizona Foundation for Women 2007 Voice of Women award for her pioneering medical and educational advocacy for overlooked hormone connections in women’s health. She received her M.D. degree and internship in Internal Medicine at Eastern Virginia Medical School, and completed specialty training at Johns Hopkins Hospital. She earned her B.S. and Master’s degrees from the College of William and Mary in Virginia. Dr. Vliet has appeared on FOX NEWS, Cavuto, Stuart Varney Show, Fox and Friends, Sean Hannity and many nationally syndicated radio shows across the country as well as numerous Healthcare Town Halls addressing the economic and medical impact of the 2010 healthcare law. Dr. Vliet is a past co-host of America’s Fabric radio show. Dr. Vliet’s health books include: It’s My Ovaries, Stupid; Screaming To Be Heard: Hormonal Connections Women Suspect– And Doctors STILL Ignore; Women, Weight and Hormones; The Savvy Woman’s Guide to Great Sex, Strength, and Stamina, and The Savvy Woman’s Guide to PCOS. Dr. Vliet’s websites are http://www.HerPlace.com, and http://www.MedExpertChile.com.

Obamacare’s IPAB – Death to the Constitution, Death to Patients

By Elizabeth Lee Vliet, M.D., http://HerPlace.com

Color PortraitThe Independent Payment Advisory Board, or IPAB, is one of the lesser known features of “healthcare reform” tucked away in the thousands of pages of the “Stimulus Bill” from 2009 and the healthcare law passed in March 2010.

Just exactly what is IPAB and how does it affect your life and health, and your access to medical care? And how does IPAB fit with our Constitutional Republic and our guarantees to “life, liberty and the pursuit of happiness” under the US Constitution?

IPAB is a panel of unelected, government-appointed bureaucrats set up under the guise of “efficiency” and “clinical effectiveness” to “recommend” cuts to Medicare services in order to “bend the cost curve downward.” That is government-speak for “spend less money on patient care.”

IPAB is a threat to your health, and your life, if you are the patient whose care is denied because of your age, your condition, and cost based on how many “quality” years you are expected to live.

IPAB is set up to function exactly like the rationing board of the National Health Service (NHS) in Britain, called National Institute of Clinical Excellence (NICE). The strong arm of NICE prevents NHS doctors from prescribing state-of-the-art drugs for breast, stomach, lung, and prostate cancer or diseases like multiple sclerosis, rheumatoid arthritis, and many others.

IPAB is also charged with slowing the growth of payments to doctors and hospitals, reducing the rate of medication reimbursement under Medicare, and “reducing waste” in Medicare spending. “Waste,” however, is defined solely by bureaucrats, and may include medicine you actually need.

An 80-year-old patient recently said, “The pharmacist just told me that Medicare is no longer going to pay for my heart medicine because I am now too old.” His choice? Pay out of pocket or die.

Recently, the government quietly directed Medicare to cut reimbursement for 4 million diabetic seniors by 66% and also reduced the number of companies that are allowed to supply blood sugar monitoring supplies from more than a thousand to 15. Older patients are already being hurt by Obamacare reductions in Medicare services.

Dr. Jane Orient, Executive Director of the Association of American Physicians and Surgeons said “Even the American Medical Association (AMA), which endorsed ObamaCare, is calling for repeal of IPAB, citing worries about payment cuts, lack of ‘meaningful dialogue’ with Congress, and potentially limited access to care.”

The AMA avoids strong words like “death,” “dictatorship,” “rationing,” and “unconstitutional.” But as physicians, we do use those terms because our focus is on the lives of our patients. And IPAB is very bad “medicine” for older patients whose medical care is being cut so that Medicaid can be expanded for younger people.

What about IPAB and abuse of power as a threat to the Constitution? In her new book, Beating Obamacare, Betsy McCaughey explains it like this: “IPAB is a radical departure from Medicare as we’ve known it. In creating IPAB, Congress cedes nearly all control over Medicare spending to unelected bureaucrats. Congress is admitting it doesn’t want to make unpopular cuts and then face seniors. The Obama health law says the whatever cuts IPAB ‘recommends’ automatically go into affect unless Congress enacts a different set of Medicare changes with the same net savings. That arrangement—making IPAB into a lawmaking body—turns the U.S. Constitution on its head, many argue.”

As a physician who took an Oath to serve the individual patient to the best of my ability and judgment, I believe it is a major assault on our very right to life to have unelected, politically appointed bureaucrats making medical decisions—especially without any right of appeal or Congressional oversight or judicial review. In passing the healthcare law, the Democrats ruled out any review of IPAB diktats now or in the future—an astonishing abuse of power.

Life is a gift from our Creator, not the government. IPAB must be repealed before we become like Britain: a place where old people are condemned to die sooner than God intended.


Dr. Vliet will be a featured speaker at the prestigious Harvest Celebration and Casey Research Conference, March 14 – 19 in Cafayate, Argentina.

Elizabeth Lee Vliet, M.D. is a preventive and climacteric medicine specialist with medical practices in Tucson AZ and Dallas TX that take an integrated approach to evaluation and treatment of women and men with complex medical and hormonal problems. Dr. Vliet is also President of International Health Strategies, Ltd., whose mission is twofold: liberty and privacy in treatment options and preservation of the Oath of Hippocrates focus on the individual patient.

Dr. Vliet is the 2007 recipient of the Voice of Women award from the Arizona Foundation for Women for her pioneering advocacy for the overlooked hormone connections in women’s health. Dr. Vliet received her M.D. degree and internship in Internal Medicine at Eastern Virginia Medical School, then completed specialty training at Johns Hopkins Hospital. Dr. Vliet is a Director of the Association of American Physicians and Surgeons.

Dr. Vliet has appeared on FOX NEWS, Cavuto, Stuart Varney Show, Fox and Friends and syndicated radio shows across the country addressing the economic and medical impact of the new healthcare bill.

Dr. Vliet’s books include: It’s My Ovaries, Stupid!; Screaming To Be Heard: Hormonal Connections Women Suspect– And Doctors STILL Ignore; Women, Weight and Hormones; The Savvy Woman’s Guide to PCOS, The Savvy Woman’s Guide to Testosterone.

Dr. Vliet’s medical and educational website is http://www.HerPlace.com

DISCLAIMER: Dr. Vliet speaks as an independent physician. Dr. Vliet has no financial ties to any health care system, pharmaceutical company, or health insurance plan. Her allegiance and advocacy is to and for patients.

Obamacare: A Beehive of Stings You Weren’t Expecting

Color PortraitBy: Elizabeth Lee Vliet, M.D., http://HerPlace.com

Many promises were made to different groups to sell the new healthcare law to a skeptical public. Having watched the medical insurance games–government and private–for my whole career, I thought these promises were too good to be true.

What is coming to light now is like “The Big Con” that Robert Redford’s character skillfully pulled off in the classic movie The Sting. Only the Pelosi-Reid-Obama trio forced through an even bigger “Sting” on the entire country, especially the very constituencies they promised their healthcare law would help.

One by one, the political promises fall like dominoes. The very groups that strongly supported government control of healthcare are now some of the ones getting stung badly. The effects are like a swarm of killer bees suddenly descending on the unsuspecting, stinging everyone in sight.

Our personal New Year’s sting was a 22.5% jump in my husband’s Medicare supplemental premium for the 2013 renewal. Reason: Obamacare regulations and mandates.

Then I received the notices for our employees’ health insurance premiums: more premium increases – even though we have a high deductible, catastrophic illness type plan to help keep costs affordable.

Next, the IRS projected premiums of $20,000 per year for a family of four. Affordable? For whom? This sting is a $3,000 to $5,000 increase instead of the promised $2,500 savings per year—a miscalculation of $5,500 to $7,500 for a family of four.

Large national restaurant chains are cutting employees’ hours because they cannot afford to pay the high health insurance premiums for “fulltime” employees. How can the middle class make ends meet on part-time work?

Liberal groups that overwhelmingly supported Obamacare are also getting stung. Of course, these announcements came after the election, in which these constituent groups supported Obama in droves:

  • College students: Before Obamacare, young healthy college students paid average health insurance premiums that only cost $100-600 per year. Obamacare mandates mean that premiums are rising to $1,700 to $2,000 per year. In New Jersey, where health insurance is mandatory for college students, this is indeed a huge sting!
  • College faculty: At many universities, faculty hours are being cut back to less than 29 hours a week to avoid the costly Obamacare premiums.
  • Union members: the sting of Obamacare has come in many forms, so Big Labor is now seeking waivers for union members.
  • Smokers: Many who fell for Obama’s promise of “free” or lower cost medical care are learning that their premiums will be 50% higher than nonsmokers –up to $4,250 dollars per year in excess costs for smokers age 55 and older.
  • Employers: Paying for all the Obamacare mandates in employer-provided health insurance adds $1.79 to the hourly rate to hire an employee. That’s why many are not hiring.
  • Seniors: After the election, seniors are learning that all the promises of “no cutbacks” in their medical care were false.

The Senior Sting is especially ugly. One 80-year-old patient told me his heart medicine was no longer covered, “because I am too old now.” Preventive services and cancer screenings for the older patients, such as prostate and breast cancer checks, are being cut to pay for “free” birth control pills. As of 2012, hospitals are paid more to provide fewer surgeries. Popular and lower cost Medicare Advantage plans are being cut back or eliminated.

Then there is the Medicaid sting: States that are expanding Medicaid plan to cut payments to doctors and hospitals to about 56% of what private insurance companies pay. This means more patients lined up for fewer doctors and hospitals.

And let’s not forget the privacy sting. Your electronic health record will be used to decide what treatments you will be allowed. The IRS will be collecting expanded personal information about your income, habits and family to decide what to sting you on penalties.

In short—old or young, black or white, liberal or conservative—once Obamacare was forced on patients across the country (except Congress and the President)– everyone has gotten The Sting….in the Biggest Con of all.


Dr. Vliet will be a featured speaker at the Harvest Celebration and Casey Research Conference, March 14 – 19 in Cafayate, Argentina.

Elizabeth Lee Vliet, M.D. is a preventive and climacteric medicine specialist with medical practices in Tucson AZ and Dallas TX that take an integrated approach to evaluation and treatment of women and men with complex medical and hormonal problems. Dr. Vliet is also President of International Health Strategies, Ltd., whose mission is twofold: liberty and privacy in treatment options and preservation of the Oath of Hippocrates focus on the individual patient.

Dr. Vliet is the 2007 recipient of the Voice of Women award from the Arizona Foundation for Women for her pioneering advocacy for the overlooked hormone connections in women’s health. Dr. Vliet received her M.D. degree and internship in Internal Medicine at Eastern Virginia Medical School, then completed specialty training at Johns Hopkins Hospital. Dr. Vliet is a Director of the Association of American Physicians and Surgeons.

Dr. Vliet has appeared on FOX NEWS, Cavuto, Stuart Varney Show, Fox and Friends and syndicated radio shows across the country addressing the economic and medical impact of the new healthcare bill.

Dr. Vliet’s books include: It’s My Ovaries, Stupid!; Screaming To Be Heard: Hormonal Connections Women Suspect– And Doctors STILL Ignore; Women, Weight and Hormones; The Savvy Woman’s Guide to PCOS, The Savvy Woman’s Guide to Testosterone.

Dr. Vliet’s medical and educational website is http://www.HerPlace.com.

DISCLAIMER: Dr. Vliet speaks as an independent physician. Dr. Vliet has no financial ties to any health care system, pharmaceutical company, or health insurance plan. Her allegiance and advocacy is to and for patients.

ORIENT: Fighting back against Obamacare

Health law based on bad economics

Article by Jane M. Orient, M.D.

Thobby-lobby-birth-con_lea_s640x424he Green family, owners of the craft goods store Hobby Lobby, has taken a courageous stand for religious freedom and for life by defying the Obamacare mandate requiring employers to provide coverage for their employees’ emergency contraceptives, which violate their religious views on abortion. Why is our entire nation not reeling from shock over this administration’s tyrannical action? How shall we characterize a government that would severely punish people for living by their conscience and refusing to participate in an act they — along with millions, perhaps even a majority, of Americans — regard as evil?

Five Must-Watch Videos Exposing ObamaCare

Here is a list of five short videos featuring physician Elizabeth Lee Vliet, MD on the healthcare topics that people need to understand before NOV 6!  Please watch – then share.

#1 War on Women: http://youtu.be/zoZx9U95-kk?hd=1

AAPS past Board of Directors member and independent physician, Elizabeth Lee Vliet, M.D., speaks out about how ObamaCare and the Democrats are waging a war on older women with Medicare cuts and shifting these dollars to younger women’s contraceptive services. Continue reading

Events on 10/20 and 10/2. Obamacare w/ Doctor & the Legislator

Here are more two chances to meet the Senator who is standing between the special interests and their goal of more control over medical care in Arizona!Saturday, October 20, 2012, 10am – noonObamacare w/ Doctor & the Legislator
Senator Antenori and AAPS Exec. Director Jane M. Orient, MD
Atria Bell Court Gardens, 6653 E. Carondelet Drive, Tucson, AZSunday, October 21, 2012, 1-3pm

Obamacare w/ Doctor & the Legislator
Senator Antenori and Lee Vliet, MD

Kirk Bear Canyon Library, 8959 E Tanque Verde, Tucson, AZ Continue reading

Here Comes de Tax, Order in the Court Now Here Come de Taxes

By Dr. Ada M. Fisher

The Supreme Court decision of June 28, 2012 did exactly as I’ve tried to warn folks, which is to view the 2010 Affordable Care Act = ObamaCare as a tax. Justice John Roberts in writing for the thin majority did not rule on the validity of the bill but rather sought to uphold the constitutionality of the ability of Congress to tax despite the protestations of Obama that this bill was not a tax. Hidden in the public discourse was the belief that this case would change the relationship of the citizenry and its government which would force them to do things they might not want to do. Continue reading

Two Years of ObamaCare False Promises, Worse Harm to Come

By Elizabeth Lee Vliet, M.D.,

Two years ago, on March 23, 2010, the new healthcare law was signed into being so that “we could all see what is in the bill,” as Nancy Pelosi promised. Other promises repeated over and over by its backers and the media: “You can keep your doctor.” “The new law will bend the cost curve downwards.” “Health insurance will be more affordable.” “No one will have to violate his/her conscience.” “The new law will not add to the deficit.”

Two years have given us time to see what’s in the bill. It is an ugly picture indeed. The promises all turned out to be empty rhetoric. Worse than just false promises, however, are the actual harms already done, and worse harms on the way.

Since Sir Thomas Sydenham in the 1600s, medicine’s tradition has been “First, do no harm.” If a “treatment” may cause more damage than doing nothing, it is often better to do nothing.

Instead, this bill does more of harmful things. The federal government has been put in charge of every medical decision that exists:

  • type of insurance you must purchase OR pay a penalty,
  • what the insurance must pay for,
  • what insurance can cost,
  • what medical specialists will be reimbursed and at what rates,
  • what treatments are allowed, and for whom, at what age,
  • what medical screening tests are approved or not approved,
  • who may or may not own hospitals,
  • what taxes are imposed on individuals, businesses, medical device makers, and pharmaceutical companies.

Some harms have already happened:

  • Health insurance premiums up 9% in 2010, another 9% in 2011, and more increases ahead;
  • Loss of patients’ privacy and control of their personal medical records, when the Secretary of Health and Human Services ruled in October 2011 that all private medical insurance companies must send all patient data to Washington’s central database—without the patient’s permission;
  • Jobs lost and new ones not created because employers cannot afford higher premiums to pay for all of the “free” services the government now requires;
  • Medicare facing cuts of $500 billion to pay for medical care for younger people in Medicaid;
  • Loss of medical specialists in many fields due to fee cuts;
  • Higher taxes on medical devices, which in turn are passed on to consumers;
  • A massive increase in the projected deficit as the Congressional Budget Office (CBO) now has doubled the estimate of cost it gave before the bill was passed.

The “Affordable Care Act” is not affordable at all: it is now estimated to cost $1.76 trillion over the next decade, adding markedly to the U.S. debt.

More harms are still to come. Doctors will be driven out of business by costly new rules. Insurance companies will close because they can’t cover the new mandates. Private options for medical care and health insurance won’t exist. New drugs and treatments will not be developed because of more taxes and regulations. Rationing of care will begin as costs rise, budgets are depleted, and fewer doctors are there to see patients.

In the ultimate hypocrisy, the President, who has forbidden Catholics and others to exercise their own right of conscience in choosing the insurance they provide, is now, according to the New York Times, using taxpayer dollars for “an aggressive campaign…to build support for the new healthcare law…(with) a prayer vigil…outside the Supreme Court…beginning March 26.”

Government-controlled medicine is a singular threat to Americans’ liberty and tradition of religious and medical freedom. Currently, about 49 percent of Americans depend on some type of federal government benefit. With the new healthcare law, it will be 100 percent of Americans dependent on the government.

The 2010 healthcare law is a massive power grab to control your money, your medical treatment options, your businesses, your liberty, and ultimately your life. If government-controlled healthcare is allowed to stand, it is the end of freedom in America.

It is time for the new law to die before it kills American medicine, American patients, American liberty, and the American economy. Instead, we need true reform that puts the power and freedom back into the hands of patients and their physicians.


Elizabeth Lee Vliet, M.D. is a preventive and climacteric medicine specialist with medical practices in Tucson AZ and Dallas TX that take an integrated approach to evaluation and treatment of women and men with complex medical and hormonal problems. Dr. Vliet is also President of International Health Strategies, Ltd., whose mission is twofold: liberty and privacy in treatment options and preservation of the Oath of Hippocrates focus on the individual patient. Dr. Vliet is the 2007 recipient of the Voice of Women award from the Arizona Foundation for Women for her pioneering advocacy for the overlooked hormone connections in women’s health. Dr. Vliet received her M.D. degree and internship in Internal Medicine at Eastern Virginia Medical School, then completed specialty training at Johns Hopkins Hospital. Dr. Vliet is a Director of the Association of American Physicians and Surgeons. Dr. Vliet has appeared on FOX NEWS, Cavuto, Stuart Varney Show, Fox and Friends and syndicated radio shows across the country addressing the economic and medical impact of the new healthcare bill. Dr. Vliet’s books include: It’s My Ovaries, Stupid!; Screaming To Be Heard: Hormonal Connections Women Suspect– And Doctors STILL Ignore; Women, Weight and Hormones; The Savvy Woman’s Guide to PCOS, The Savvy Woman’s Guide to Testosterone. Dr. Vliet’s medical and educational website is http://www.HerPlace.com.

Electronic Medical Records in the Age of Government Controlled Internet Kill Switches

Color PortraitBy Elizabeth Lee Vliet, M.D. 

Egypt’s crisis has raised alarms about national security and economic impact for Americans if regime change leads to an anti-US government controlling a strong ally in the Middle East. This crisis raises another more personal concern for Americans that has been overlooked by the national media: the security and availability of your electronic medical records in the event of a government-imposed “kill switch” for the Internet.

Many Americans still do not know that hidden in the February 2009 American Recovery and Reinvestment Act, known as the “Stimulus” bill, was a provision that by 2014, physicians, hospitals, and other medical settings are to implement electronic medical records keeping systems. In 2015, penalties will be levied against physicians and health care facilities that do not implement use of electronic medical records.

The government’s plan is that medical information from physician consults and other medical visits will be sent to the Federal Health Information Technology (HIT) bureau in Washington, D.C. to provide individual medical data for the federally run Comparative Effectiveness Research coordinating panel of experts. According to a provision also hidden in the “Stimulus” bill, this panel of government-appointed experts is designated with deciding what treatment is allowed for individuals, based on government criteria for both cost and effectiveness.

Why do the events happening in Egypt raise concerns about these provisions in the 2009 Stimulus Bill? Think about it. The authoritarian government in power in Egypt quickly realized that communication via the Internet was furthering the spread of the protest movement. Without warning, the Egyptian government suddenly shut down the Internet to stop protesters’ ability to organize rallies.

Of course, protesters’ communication was not the only communication that was interrupted with this draconian “kill switch.” Financial systems, such as on-line banking, ATMs, and wire transfers, were affected, along with hundreds of other businesses that could no longer communicate with other offices around the world.

Medical communication via the Internet also came to a halt. Suppose your local doctor or hospital Emergency Room must obtain your electronic medical record via the Internet from the Health Czar’s cyberspace “cloud,” with access controlled by Washington elites.

What happens to your ability to get rapid medical treatment if you find yourself in a medical emergency that occurs in the middle of a political crisis and the government has shut down the Internet? At that point, you will appreciate first hand the true tyranny of ObamaCzarCare.

The President already has the authority under the Emergency Powers Act to do just this, so it isn’t hard to take the next step and imagine what can happen to patients if we physicians only have access via the Internet to people’s electronic records.

I prefer the old fashioned paper medical records that are available to me and my patients 24/7 – even when monsoon storms knock out electricity and the computer is out, or we are hit with a high-altitude detonation of a nuclear device that generates an electromagnetic pulse (EMP) which knocks out all electronic systems, or our own government decides suddenly to implement an emergency internet “kill switch.”

Any of these scenarios could be life-threatening if you have a medical emergency and all your information is tied up in computer systems that are no longer accessible.

Paper has a purpose. Paper medical records also serve valuable functions, even in the computer and Internet age. I have grave concern about moving totally to electronic medical records as I watch the problems that occur with disruptions to Internet access – whatever the cause – and the problems that occur with breach of computer systems security to steal confidential information.

Remember the hacking of Pentagon and NASDAQ computer systems? Remember the massive Wikileaks confidential data dump on the web? How do you feel about this type of leak of your personal private medical information? David Blumenthal, M.D., the President’s former “health information czar,” acknowledged “No infrastructure exists in most areas of the country for secure health information exchange among providers and between providers and consumers.”

Medical privacy? Apparently it is more important, according to this administration’s health czars to achieve the government’s efficiency goals than to insure your personal medical information is kept between you and your physicians.

Many of us who work with patients every day are very worried about the potential for harm to patients under a system in which medical information is controlled by government-appointed central planners. Physicians need immediate access to critical information, and we also realize the sacred responsibility we have to keep our patients medical information private – both of these functions are potentially seriously harmed by government control of our health information.

Have the Obama Administration central planners really thought about the many potentially serious ramifications to having all our medical records concentrated in one place and accessible only via the Internet? Or, is that the unstated purpose of our new “ObamaCzarCare:” government-controlled health services and control of medical information?

By limiting your freedom to get the care you need, when you need it, and with whom you choose…and by infringing on your medical privacy, the government has ever-increasing control of your life.

Americans face many dangers that lie in government control of electronic medical records coupled with government control of access to communication via the Internet.

Just thinking about a government-controlled kill switch can make you ill.

©Elizabeth Lee Vliet, M.D.

DISCLAIMER: Dr. Vliet speaks as an independent physician, not as an official spokesperson for any organization. Dr. Vliet has no financial ties to any health care system, pharmaceutical company, or health insurance plan. Her allegiance and advocacy is to and for patients.

AAPS – The Voice for YOU, Not The Government!


Elizabeth Lee Vliet, M.D. is a preventive and climacteric medicine specialist with medical practices in Tucson AZ and Dallas TX that take an integrated approach to evaluation and treatment of women and men with complex medical and hormonal problems. Dr. Vliet is also President of International Health Strategies, Ltd., a global healthcare and education service company whose mission is twofold: liberty and privacy in treatment options and preservation of the Oath of Hippocrates focus on the individual patient.

Dr. Vliet is the 2007 recipient of the Voice of Women award from the Arizona Foundation for Women for her pioneering advocacy for the overlooked hormone connections in women’s health. Dr. Vliet received her M.D. degree and internship in Internal Medicine at Eastern Virginia Medical School, then completed specialty training at Johns Hopkins Hospital. Dr. Vliet is a Director of the Association of American Physicians and Surgeons.

Dr. Vliet has appeared on FOX NEWS, Cavuto, Stuart Varney Show, Fox and Friends and syndicated radio shows across the country addressing the economic and medical impact of the new healthcare bill.

Dr. Vliet’s books include: It’s My Ovaries, Stupid!; Screaming To Be Heard: Hormonal Connections Women Suspect– And Doctors STILL Ignore; Women, Weight and Hormones; The Savvy Woman’s Guide to PCOS, The Savvy Woman’s Guide to Testosterone.