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NORMAN J CLEMENT , RPH, DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., INC.T. SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS MD, PH.D., IN THE SPIRIT OF C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., EVELYN J. CLEMENT, WALTER F. WRENN III., MD., JULIE KILLINGSWORTH, RENEE BLARE, RPH, DR. TERENCE SASAKI, MD LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD., RICHARD KAUL, MD., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
“…Our AMA has a duty to call out politically appointed judges who would upend 80 years of FDA precedent and threaten access to critical drugs long proven to be safe and effective…”
JESSE M. EHRENFELD, MD, PRESIDENT OF THE AMERICAN MEDICAL ASSOCIATION
Dr. Ehrenfeld is a practicing anesthesiologist, senior associate dean, and tenured professor of anesthesiology at the Medical College of Wisconsin, where he leads the largest statewide health philanthropy, the Advancing a Healthier Wisconsin Endowment. Dr. Ehrenfeld is also an adjunct professor of anesthesiology and health policy at Vanderbilt University and an adjunct professor of surgery at the Uniformed Services University of the Health Sciences in Bethesda, Md.
A MESSAGE TO @DOCTORJESSEMD
The US Drug Enforcement Agency (DEA) is a colossal institutional failure. Since its founding in 1973, the DEA has intercepted a fraction of one percent of illicit drug trades.
However, the DOJ-DEA have chosen to cover up their massive incompetence and failure by targeting the Medical Profession (Pharmacy, Dentistry, and Nursing) are now targetted being called “Drug Dealers In White Coats” (Criminals) by the proliferation of medical disinformation junk science, the criminalization of medical care, creating a growing distrust in medical institutions and experts.
Illicit drugs have never been stronger, cheaper, or more available. Meanwhile, the global economic and human costs of ‘enforcement’ keep rising, and the entire medical profession
Additionally, throughout his presidential year, Dr. Ehrenfeld will focus on advocating for the AMA Recovery Plan for America’s Physicians.
“We have a duty to push back against legislative interference in the practice of medicine that is leading to the criminalization of care.
“We have a duty to fight for the AMA Recovery Plan for America’s Physicians in the aftermath of the pandemic, pushing to fix our broken Medicare payment system, reform prior authorization, and end the stigma around physician burnout.
JESSE M. EHRENFELD, MD., IT’S TIME THE AMA STAND UP AGAINST THE ABUSES OF THE DEA’S OPIOID TASK FORCE AND SHUT IT DOWN
A co-author of 22 clinical textbooks, Dr. Ehrenfeld, is the editor-in-chief of the Journal of Medical Systems.
“Both physicians and the public look to the AMA for leadership … for guidance … for reassurance … and for help making sense of our complex world,” Dr. Ehrenfeld said in prepared remarks. “At a time when so many aspects of society have become dangerously polarized, we have seen the proliferation of medical disinformation, junk science, the criminalization of medical care, and a growing distrust in medical institutions and experts.
AMA MUST RESCUE THE PRACTICE OF MEDICINE FROM ABERRANT LAW ENFORCEMENT
STATEMENTS OF FACTS
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JAY JOSHI, MD, writes:
The DEA grants licenses that allow doctors to prescribe controlled substances, and Joshi is circulating a petition that aims to restrict its oversight (he made a similar argument in a letter to U.S. Attorney General Merrick Garland).
He argues the agency has abused its authority and doesn’t have the medical expertise to make appropriate decisions.
“… there is a growing sentiment among critics that the pendulum has swung to a dangerous extreme. They say Federal prosecutors and the Drug Enforcement Administration have frightened doctors away from making legitimate opioid prescriptions, subjecting patients to needless suffering and prompting some to seek dangerous alternatives.”
Patient Advocate Richard Lawhern, Ph.D., says:
“Every time a doctor is prosecuted and the prosecution is prominently announced, the DEA is saying: ‘We’re going to get you, and we don’t care how long it takes; we’ll put your (behind) in prison if you continue prescribing and we don’t care if the science disagrees,’ ”
Kelly K. Dineen, Assistant Professor and Director, Health Law Program, Creighton University School of Law:
“The reasons that opioid policies sometimes do not address underlying issues or even cause more harm than good are complex. The policy’s good intentions over the actual consequences). Some policies likely fell prey to the intentions heuristic (i.e. the implicit privileging of a policy’s good intentions over the actual consequences).
Some policies are based on simple misunderstandings and miscommunication of the evidence. Fundamentally, policymakers are prone to the same biases and decision-making errors as individuals, which may contribute to incoherent policy enactments.
while
Professor Jennifer Oliva has published :
“DEA’s Prescription Drug Monitoring Program (PDMP) predictive platforms deserve serious scrutiny because they are the only law enforcement-developed digital surveillance systems that health care providers have ever utilized to diagnose and treat patients. Providers may rely on unvalidated PDMP risk scores to make prescribing decisions because they view those scores as clinically useful.”
That claim should be viewed with skepticism because there is no evidence that PDMP scores accurately ascertain patient drug misuse risk. It is also questionable whether clinical reliance on PDMP risk scores is truly voluntary, given that the regulatory environment leaves providers with little choice but to take seriously the information generated by proprietary PDMP algorithms.”
Jeff Singer, MD Cato Institute states:
” People don’t realize what pain patients are going thru! They are huge victims of the so-called opioid crisis and are being punished and treated like criminals and so are the doctors that want to help but are being told what and how much they can prescribe by politicians!
They are also afraid of losing their license if they prescribe any pain meds. It’s a huge injustice.
To be clear, I am talking about cancer patients, trauma patients, and chronic pain patients with genetic syndromes that they were born with, and then there’s depression because they truly suffer due to all these laws. What they are doing is inexcusable!”
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THE WEAPONIZATION OF IRS AND OTHER FEDERAL AGENCIES IN A MULTI-FORCE OPERATIONAL APPROACH
THE TARGETING PACKAGES
The strike force also targets healthcare fraud, and some medical providers face charges of fraudulently charging taxpayer-funded programs, such as Medicaid and Medicare, for unnecessary procedures and visits. The Health Care Fraud Unit employs a recognized and successful Strike Force Model for effectively and efficiently prosecuting healthcare fraud and illegal prescription opioid cases across the United States.
“The Strike Force Model centers on a cross-agency collaborative approach, bringing together the investigative and analytical resources of the Fraud Section, the Federal Bureau of Investigation (FBI), the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG), the Centers for Medicare & Medicaid Services (CMS), Drug Enforcement Administration (DEA), Defense Criminal Investigative Service (DCIS), Federal Deposit Insurance Corporation Office of the Inspector General (FDIC-OIG), Internal Revenue Service (IRS), Department of Labor-OIG, United States Postal Service – Office of the Inspector General (USPS-OIG), Veterans Administration – Office of the Inspector General (VA-OIG), and other agencies.
1.
Narxscore a Flawed concept
based on Junk Science
The Center for U.S. Policy (“Petitioner”) submits this Citizen Petition under the Federal Food, Drug, and Cosmetics Act (“FD&C Act”) to request the Commissioner of the U.S. Food and Drug Administration (“FDA”) to deem the Bamboo Health (“Bamboo”) NarxCare software a misbranded device and take administrative action to prevent serious, adverse health consequences and death.
“NarxCare does not satisfy any of the criteria set forth in section 520(o)(1)(A)-(E) of the FD&C Act for non-device CDS products. “Therefore, FDA should deem NarxCare a misbranded device and take appropriate administrative action to prevent serious, adverse health consequences or death.
As explained herein, such administrative action is particularly important given that Bamboo’s software has fundamentally altered the practice of medicine in the U.S. to the detriment of patients with a legitimate need for controlled prescription medications and the health care providers who treat such patients.”
2.
MME A FLAWED CONCEPT BASED ON JUNK SCIENCE
The pharmacology and unique properties of each opioid and patient individuality must be considered when a therapeutic opioid conversion is contemplated. Conversion should not simply rely on a mathematical formula embedded within the CDC calculator software.
Furthermore, the current calculation for methadone employed by the calculator could allow for potentially dangerous conversions. This is especially problematic, considering this calculator is intended to target nonspecialist general practitioners. We expect a higher level of scientific accuracy and integrity from an agency entrusted to protect citizens’ health and welfare.
3.
FRAUDULENT DATA ANALYTICS BASED ON JUNK SCIENCE
” Managing pain with opioids is a science—except politics, money, and overzealous law enforcement are denying American patients the relief they so desperately need. Demonizing the best pain reliever we have leads to needless suffering, even suicides, and it drives the rise in deadly street drugs.
Helen Borel gathers and presents the evidence, the intimidation, the raids of clinics, the chilling effect on those very professionals we trust to care for our loved ones and ourselves.
She looks hard at the Veterans Administration, Drug Enforcement Agency, Department of Justice, and the Centers for Disease Control and Prevention. Chapters include “The Suboxone Hoax,” “The Wrong Arms of the Law,” and “The Epidemic of Death.” Now in hardcover, softcover, and all ebook formats, American AGONY is proudly published by Fresh Ink Group. Read American AGONY now—or you might be the next one hurt.”
THE PROSECUTORIAL USE AND ABUSES OF CIVIL FORFEITURE LAW
The Key to every indictment is asset forfeiture, not illicit drugs because that War has failed, and healthcare providers have become the easier targets.
According to C.J. Ciamella from the August/September 2023 issue of REASON Magazine:
“The Comprehensive Crime Control Act of 1984 strengthened the DEA’s influence by expanding civil asset forfeiture, which allows police to seize property allegedly related to criminal activity.
The law allowed the federal government to share up to 80 percent of forfeiture revenue with state and local police, creating a strong financial incentive for departments to work with federal task forces and redirect resources to drug enforcement.”
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INDICTMENT AND CONVICTION OF DR. QING McGaha, MD,
Dr. Qing McGaha is a PM&R physician in Clearwater, FL. She received her medical degree from Tianjin Medical University in China, but then came to America.
A federal jury found Dr. Qing McGaha guilty of 14 counts of unlawful drug distribution, four counts of money laundering, and one count of filing a false tax return, United States Attorney Roger B. Handberg announced.
Health Care Fraud Unit prosecutors currently operate in sixteen Strike Forces across the country, including the National Rapid Response Strike Force based in Washington, DC.
INDICTMENT AND CONVICTION OF DR. ESKENDER GETACHEW, MD
Dr. Eskender Getachew, RPh.,MD is a Neurologist in Columbus, Ohio and is affiliated with OhioHealth Marion General Hospital. He received his medical degree from Medical College of Ohio and has been in practice for more than 20 years.
Dr. Eskender Getachew, 57, of Columbus, was accused of unlawfully prescribing several types of painkillers while he owned Polaris Wellness and Recovery Center now facing 400 years in prison for illegally prescribing
According to court documents and evidence presented at trial, Eskender Getachew, 58, of Galena, Ohio, unlawfully prescribed opioids and benzodiazepines to his patients. This included prescribing Subutex, which has a high risk of abuse and diversion, to patients for whom the drug is not indicated. The number of pills Getachew prescribed depended on the amount of money patients paid at their office visits. Getachew was aware of several reports that patients were selling their Subutex, but his prescribing continued unabated.
Assistant Attorney General Kenneth A. Polite, Jr. of the Justice Department’s Criminal Division; U.S. Attorney Kenneth L. Parker for the Southern District of Ohio; Special Agent in Charge Orville O. Greene of the DEA Detroit Division; Assistant Director Luis Quesada of the FBI’s Criminal Investigative Division; and Special Agent in Charge Mario M. Pinto of the Department of Health and Human Services Office of the Inspector General (HHS-OIG), Chicago Regional Office made the announcement.
STUNNING AGENCY FAILURE TRILLION OF DOLLARS WASTED
Dr. Ehrenfeld,
According to C.J. CIARAMELLA | from the AUGUST/SEPTEMBER 2023 ISSUE of Reason Magazine:
“…The DEA’s response to the “opioid crisis” offered a stunning example of drug enforcement’s perverse effects. The DEA, working with local and state police, started monitoring doctors and cracking down on those suspected of running “pill mills.” The threat of prosecution, combined with restrictions imposed or encouraged by regulators, legislators, and the CDC, drove opioid prescriptions down. But those efforts had the opposite effect on opioid-related deaths, which not only continued to rise but rose at an accelerated rate.
The DEA Museum obliquely acknowledges the unintended but predictable consequences: “Following a crackdown on overprescribing, users turned to heroin. Overdose deaths increased rapidly.”The hazards of black market drugs were magnified by the rise of illicit fentanyl as a heroin booster and substitute, which made potency even harder to predict.
Heroin-related deaths quintupled between 2010 and 2016. That number has fallen since then. But for the category of opioids that includes fentanyl and its analogs, deaths rose more than twentyfold between 2013 and 2021. As Reason‘s Jacob Sullum argued, the DEA’s enforcement efforts were not only futile; they were “remarkably effective at making drug use deadlier.”
THE OPIOID TASK FORCE LED
BY AUSA KENNETH A. POLITE, MGHW, ARE THE MAIN CRIMINALS AT MAIN JUSTICE
MR. POLITE’S SYSTEM OF INJUSTICE HIDDEN FROM VIEW
Dr. Ehrenfeld,
Over the past four years, ARPO has charged over 115 defendants, collectively responsible for issuing prescriptions for over 115 million controlled substance pills. To date, more than 80 ARPO defendants have been convicted. More information can be found at
www.justice.gov/criminal-fraud/health-care-fraud-unit.
However, according to C.J. CIARAMELLA | from the AUGUST/SEPTEMBER 2023 ISSUE of Reason Magazine writes;
” After 50 years, the DEA is still Losing the War on Drugs. For five decades, the agency has destroyed countless lives while targeting Americans for personal choices and peaceful transactions.”
” The DEA is celebrating its 50th anniversary this year, marking half a century of abject mission failure. During five decades as a bottomless money pit that has destroyed countless lives while targeting Americans for personal choices and peaceful transactions, the agency’s annual budget has ballooned from $75 million to $3.2 billion.
The DEA currently operates 90 foreign offices in 67 countries. It has seized billions of dollars in drugs, cash, vehicles, and real property. Since 1986, it has arrested over 1 million people for manufacturing, distributing, or possessing illegal drugs. Yet in 2021, the Centers for Disease Control and Prevention (CDC) counted more than 107,600 drug-related deaths—an all-time high. The DEA’s data show a steady, gradual decline in price and rise in purity for most street drugs since the 1980s.
The DEA’s 2020 National Drug Threat Assessment notes that methamphetamine “purity and potency remain high while prices remain relatively low,” and cocaine availability remains steady.
While there are some reasons to believe Americans may finally have tired of the DEA’s oversized role in their lives, the agency remains a powerful force. You have to go back to the agency’s origins to understand what went wrong—and why it will keep going wrong.
During the 1980s, the DEA’s powers expanded while oversight of its widespread domestic and foreign operations was minimal. In a 1986 cover story for Reason, Dale Gieringer investigated the slimy underworld of the DEA and its confidential informant program, warning that “the DEA has become a law unto itself, an agency out of control.”
Gieringer described illegal extraditions, abusive searches and seizures, and suspects who foreign law enforcement officers beat at the order of DEA agents.”Under the aegis of President Ronald Reagan and Attorney General Edwin Meese, the DEA has pursued increasingly aggressive and unscrupulous tactics of entrapment, seizure, surveillance, and paramilitary violence,” Gieringer wrote.
“Thanks to public antidrug hysteria, a compliant Congress, an uncritical press, and a court system increasingly dominated by Reaganite judges, the DEA has enjoyed virtual carte blanche to trample on individuals’ rights.”
Dr. Ehrenfeld,
The informations provided in this article presentation are routed in facts and those facts are overwhelming as to the misconduct, deception, drug trafficking, Bribery, human enslavement money laundering, conspiracies, racketeering, violation and Fraud perpetrated against the Taxpayers of this country.
Dr. Ehrenfeld,
The DEA has become and is a Criminal Enterprise of the United States Department of Justice and AUSA Kenneth A. Polite, along with his Opioid Task Force, are the Main Criminals at Main Justice in which thousands of humans suffering chronic diseases have been injured and or have parishes because of their recklessness, and the AMA must put a halt this destruction against our entire medical system.
1. We must first end the DEA by moving Control Registrations to The OFFICE of United States Surgeon Generals.
2. We must begin dismantling DEA.
3. We must demand Congress votes to Close down this dangerous, corrupt agency of the American Government.
FOR NOW, YOU ARE WITHIN
THE NORMS
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Hello,
I hope you know not only do I agree with EVERYTHING YOU SAY. I am a huge supporter of yours. I have tried emailing you but can’t. I am a future physician too. I am a CPP as well thats how I came across all this. This is an amazing article, Dr. Adelglass is how I found all this. I want to make a change. AMAZING SITE. I support you tremendously! People need to open their eyes!
Ywtn33782@gmail.com
Thank you Share this blog with media and friends it’s important I want to see you as a future physician not as a future target and inmate with a medical degree we must fight injustice