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Aktuell im WWW => *** PRESSEMELDUNGEN *** => Topic started by: Krik on June 29, 2023, 03:17:26 AM

Title: OBGYNs report major impact of abortion restrictions on patient care
Post by: Krik on June 29, 2023, 03:17:26 AM
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Consumer Health Digest #23-26
June 25, 2023

Consumer Health Digest is a free weekly e-mail newsletter edited by William M. London, Ed.D., M.P.H
http://www.calstatela.edu/faculty/william-m-london
., with help from Stephen Barrett, M.D
http://www.quackwatch.org/10Bio/bio.html
. It summarizes scientific reports; legislative developments; enforcement actions; news reports; Web site evaluations; recommended and nonrecommended books; and other information relevant to consumer protection and consumer decision-making. Its primary focus is on health, but occasionally it includes non-health scams and practical tips. To subscribe, click here
http://lists.quackwatch.org/mailman/listinfo/chd_lists.quackwatch.org

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OBGYNs report major impact of abortion restrictions on patient care

A new KFF survey
https://www.kff.org/womens-health-policy/report/a-national-survey-of-obgyns-experiences-after-dobbs
of office-based obstetrician-gynecologists (OBGYNs) finds widespread effects on their practices and patient care since the Supreme Court’s abortion-related decision in Dobbs v. Jackson Women’s Health Organization one year ago.

The court ruled that the U.S. Constitution does not confer a right to abortion, thereby, permitting states to ban it. [New KFF national survey of OBGYNs finds Dobbs decision has made it harder to treat miscarriages and other pregnancy-related emergencies in affected states; in states with bans, half report patients who were unable to obtain an abortion they sought
https://www.kff.org/womens-health-policy/press-release/kff-national-survey-of-obgyns-finds-dobbs-decision-has-made-it-harder-to-treat-miscarriages-and-other-pregnancy-related-emergencies-in-states-with-bans/

. KFF news brief, June 21, 2023] A nationally representative sample of 569 OBGYNs practicing in the U.S. who provide sexual- and reproductive-health care to patients in office-based settings were surveyed from March 17 to May 18, 2023. Many OBGYNs believe the Dobbs decision has also exacerbated pregnancy-related mortality (64%), racial and ethnic inequities in maternal health (70%), and made it harder to attract new OBGYNs to the field (55%).

In states with abortion bans:

Half of OBGYNs said they have patients who have been unable to obtain an abortion
four in ten said they have faced constraints on their care for miscarriages
six in ten express concerns about legal risks when making decisions about patient care
30% said they do not provide, refer, or offer any resources for abortion services to their patients
48% said they offer information only, such as online resources, to help patients seek out abortion services on their own
nearly as many practicing in states with gestational limits on abortion said they also faced such challenges in their practices
60% reported their decision-making autonomy has worsened, and 55% said it is more difficult to practice within the standards of care, which are the norms of medical treatment
Among OBGYNs nationally:

24% said they have had patients who could not obtain the abortion they sought
42% reported being very or somewhat concerned about their own legal risk when making decisions about patient care and the need for an abortion
18% of office-based OBGYNs said they provided abortion services after the Dobbs decision, statistically unchanged from before Dobbs
55% said they have seen an increase in the share of patients seeking some form of contraception since the Dobbs ruling, particularly sterilization (43%) and IUDs and implants (47%)

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Chelation doc found liable for False Claim Act violations

A federal jury has found “alternative medicine” physician Charles C. Adams, M.D., and his practice group, Charles C. Adams, M.D., Professional Corporation, doing business as Full Circle Medical Center, liable for violating the False Claims Act (FCA) by submitting false diagnoses to Medicare for chelation therapy
https://quackwatch.org/chelation/
reimbursements. As part of his practice, Adams used the chelating (binding) agent edetate calcium disodium (EDTA) to address a wide range of conditions, including atherosclerosis, high blood pressure, headaches, gastrointestinal ailments, fatigue, and other generalized symptoms. But because EDTA is a procedure recognized by the Federal Drug Administration to treat only lead poisoning and lead encephalopathy, Medicare did not cover Adams’ uses of EDTA. To receive payment for EDTA chelation, Dr. Adams falsely claimed to Medicare that his patients suffered from heavy metal poisoning.

In response, on August 27, 2018, the Government filed a civil complaint alleging:

between November 2008 and September 2015, Adams and Full Circle engaged in a scheme involving knowingly submitting false claims to Medicare for medically unnecessary and “alternative” EDTA chelation administered by Adams
in connection with this scheme, Adams and Full Circle unlawfully received approximately $1.1 million in Medicare reimbursements

On June 14, 2023, a Rome, Georgia, jury:

found Adams and Full Circle liable for submitting more than 4,400 false claims to Medicare
awarded more than $1.1 million in damages, which will be trebled under the FCA requirement to impose a civil penalty for each claim before the final verdict is entered
The exact amount of the judgment will not be determined until the Court decides post-trial motions.
[Rome jury finds Dr. Charles Adams and Full Circle Medical Center liable for False Claims Act violations
https://www.justice.gov/usao-ndga/pr/rome-jury-finds-dr-charles-adams-and-full-circle-medical-center-liable-false-claims
. United States Attorney’s Office Northern District of Georgia press release, June 16, 2023]

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Vaccine-exemption peddler placed on probation for the second time

The Medical Board of California placed Tara Zandvliet, M.D., who provided vaccine-exemption letters to hundreds of families in and around San Diego, on probation for five years, effective January 2022
https://cdn.centerforinquiry.org/wp-content/uploads/sites/33/2023/06/23151211/decision_2022.pdf
. She was also (arestricted from writing vaccine-exemption letters or prescribing certain controlled drugs, (b) required to have her practice monitored by another doctor, and (c) required to complete a course in prescribing practices and undergo a clinical-competence assessment program. The board had alleged
https://cdn.centerforinquiry.org/wp-content/uploads/sites/33/2023/06/23151159/2nd_amended_accusation_2021.pdf
she had issued inappropriate exemption letters for five school-age children and prescribed excessive quantities of opiate drugs to four adults. She was accused of gross negligence, repeated negligent acts, incompetence, failure to maintain adequate and accurate records, and unprofessional conduct.

The board previously accused Zandvliet of inappropriately declaring a four-year-old girl should be permanently exempted from 10 vaccinations required for entry into California’s elementary school system. In 2020, Zandvliet and the board entered into a stipulated agreement
https://cdn.centerforinquiry.org/wp-content/uploads/sites/33/2023/06/23151207/decision_2020.pdf
 under which she was disciplined for gross negligence, repeated negligent acts, failure to maintain adequate and accurate records, and unprofessional conduct.

She was

(a) placed on probation for three years,

(b) required to complete approved courses in record-keeping and medical ethics, and

(c) prohibited from making or issuing any written statements that any child is exempt from required immunizations.

[Barrett S. Another vaccine-exemption peddler placed on probation
https://quackwatch.org/cases/board/med/another-vaccine-exemption-peddler-placed-on-probation/
. Casewatch, June 24, 2023]

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New book exposes extreme fringe of “alternative medicine”

If It Sounds Like a Quack. . . A Journey to the fringes of American Medicine by Matthew Hongoltz-Hetling (PublicAffairs, 2023) tells the stories of several promoters of preposterous panaceas in the United States.
(See trailer
https://www.youtube.com/watch?v=6B0iwNMv8Xk&t=14s
.)

It addresses how what Hongoltz-Hetling calls “science-lite health care” proliferates and harms American society. It blames the problem on the dysfunctional American health-care system, the lax regulatory environment for dietary supplements, how ill-equipped the U.S. Food and Drug Administration is to deal people who baselessly claim to have found the “One True Cure,” flawed government institutions, and the misguided medical-freedom movement. Hongoltz-Hetling considers potential solutions but concludes “there is no One True Cure for the One True Cure.”

[London WM. The rises and falls of one-true-cure oddballs <https://skepticalinquirer.org/2023/06/the-rises-and-falls-of-one-true-cure-oddballs/>. Skeptical Inquirer, 47(4):61-62, July/August 2023]

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Stephen Barrett, M.D.
Consumer Advocate
7 Birchtree Circle
Chapel Hill, NC 27517

Telephone: (919) 533-6009

http://www.quackwatch.org (health fraud and quackery)
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