CDC action

HM Epstein hmepstein at GMAIL.COM
Sun Dec 17 03:46:33 UTC 2017


Hi David:
The CDC is not a legislative body so the code shouldn’t apply. As a patient advocate I’ve had issues with the CDC for many years but this is not typical of the organization. This is a top-down mandate. So I say we encourage the employees to reject this ridiculous mandate rather than isolate them or boycott them. If they reject it as a unilateral group, the policy won’t stand and a single employee won’t be subject to discipline or firing. 

Does anyone have middle management contacts at the CDC so we can quietly get their input on how best to support their efforts? I’d be surprised if they were complacent about this. 

Best
Helene

Sent from my iPhone

On Dec 16, 2017, at 9:07 PM, David L Meyers <dm0015 at COMCAST.NET> wrote:

All:

Below the dividing line are comments received on the CDC censorship issue, first reported to the listserv by David Newman-Toker. At this point,it is clear there is concern and objection to this action by the CDC, so I don’t think we need more me-toos.

I would like to hear suggestions for what we as a society and as individuals can do, keeping in mind that as a 501(c)(3) organization we are limited by the IRS code. This paragraph comes from the IRS web site <https://www.irs.gov/charities-non-profits/lobbying>:

"In general, no organization may qualify for section 501(c)(3) status if a substantial part of its activities is attempting to influence legislation (commonly known as lobbying).  A 501(c)(3) organization may engage in some lobbying, but too much lobbying activity risks loss of tax-exempt status.
Legislation includes action by Congress, any state legislature, any local council, or similar governing body, with respect to acts, bills, resolutions, or similar items (such as legislative confirmation of appointive office), or by the public in referendum, ballot initiative, constitutional amendment, or similar procedure.  It does not include actions by executive, judicial, or administrative bodies.

An organization will be regarded as attempting to influence legislation if it contacts, or urges the public to contact, members or employees of a legislative body for the purpose of proposing, supporting, or opposing legislation, or if the organization advocates the adoption or rejection of legislation.

Organizations may, however, involve themselves in issues of public policy without the activity being considered as lobbying.  For example, organizations may conduct educational meetings, prepare and distribute educational materials, or otherwise consider public policy issues in an educational manner without jeopardizing their tax-exempt status."

 I will post suggested actions and substantive ideas relevant to the topic. Thanks.

David
David L Meyers, MD FACEP
Listserv Moderator/Board member
Society to Improve Diagnosis in Medicine
www.improvediagnosis.org | 
Save the Date: Diagnostic Error in Medicine, November 2-4, 2018; New Orleans, LA

> -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
> From: Charlene Gamaldo <cgamald1 at jhmi.edu>
> Subject: CDC action
> Date: December 16, 2017 at 4:56:51 PM EST
> To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, David Newman-Toker <toker at jhu.edu>
> 
> 
> Extremely troubling.....
> 
> Sent from my iPhone
> ---------------------------
> From: Jisu Kim <Jisu_Kim at rush.edu>
> Subject: CDC Action
> Date: December 16, 2017 at 5:36:50 PM EST
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Robert Bell <rmsbell200 at YAHOO.COM>
> 
> 
> I thought Republicans wanted less intrusion, smaller government footprint... 
>  
> J. Kim, MD
> Rush University Medical Center
> ----------------------------------
> From: AVRUM GOLUB <avrum_h_golub_md_jd at me.com>
> Subject: CDC Action
> Date: December 16, 2017 at 5:38:54 PM EST
> To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, HM Epstein <hmepstein at GMAIL.COM>
> 
> "Don't boo. Vote."
> 
> Do you think that current CDC employees and appointees will speak out at the risk of their jobs? 
> 
> The only national entity with possibly significant clout is the AMA. Perhaps the AMA and its subsidiary State & Local societies, Osteopathic societies, Dental societies, and other professional societies can voice their objections to elected officials at all levels.
> 
> It is numbers and votes than may sway the majority and others who did not vote for the current executive branch leaders to express outrage. 
> 
> However, the chief executive is the current individual who judges facts.
> 
> Sent from my iPhone 
> --------------------------
> From: HM Epstein <hmepstein at gmail.com>
> Subject: CDC action
> Date: December 16, 2017 at 3:00:05 PM EST
> To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, John Brush <jebrush at ME.COM>
> 
> 
> If the employees at the CDC go along with this, we need to consider some action from the whole medical community.
> 
> Best,
> Helene
-----------------------------------
> On Dec 16, 2017, at 2:33 PM, John Brush <jebrush at ME.COM> wrote:
> 
> I agree. We should all be appalled by this ridiculous intrusion and outrageous attempt to influence science. 
> John Brush
> 
> Sent from my iPhone
> --------------------------------
> 
> From: 	Robert Bell [mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG]
> Sent:	Saturday, December 16, 2017 02:39 PM US Mountain Standard Time
> To:	IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject:	Re: [IMPROVEDX] Trump's ban on words like "evidence-based"
> 
> This should be opposed very strongly. Another attack on the scientific community.
> 
> Rob Bell, M.D.
> 
> ------------------------------------------
> Sent from my iPhone
> 
> On Dec 16, 2017, at 11:06 AM, Bradford Winters <bwinters at JHMI.EDU> wrote:
> 
> 	Yes,  just saw that,  goes beyond concerning.  Scientific censorship.

> 	Slainte,
> 	
> 	Bradford D. Winters, Ph.D., M.D., FCCM
> 	Associate Professor
> 	Anesthesiology and Critical Care Medicine and Surgery
> 	Division Director, Critical Care Medicine
> 	Co-Director, Surgical Intensive Care Unit
> 	Core Faculty Armstrong Institute for Patient Safety and Quality
> 	
> --------------------------------------------
> From: Michael Grossman <Michael.Grossman at mihs.org>
> Subject: CDC action
> Date: December 16, 2017 at 8:12:05 PM EST
> To: 'Society to Improve Diagnosis in Medicine' <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, 'Robert Bell' <rmsbell200 at YAHOO.COM>
> 
> It's true, but in some regards he is interfering with the needed communication in the practice of medicine I wonder if that can be a point of attack , something like interfering in the practice of medicine without a license.
> At any rate we are speeding into a banana republic dictatorship.
> 
> Sent with Good (www.good.com)
> --------------------------------------
> From: Edward Winslow <edbjwinslow at gmail.com>
> Subject:CDC action
> Date: December 16, 2017 at 1:27:24 PM EST
> To: Society to Improve Diagnosis in Medicine <IMPROVEDX at list.improvediagnosis.org>, David Newman-Toker <toker at jhu.edu>
> 
> 
> I agree!
> It has taken us how long to embrace EBM? Now "our" administration is trying to undo what we are teaching our medical students. We're just going to have to keep it on the forefront outside of the CDC. 
> Too bad!
> -------------------------------------------------
>> On Dec 16, 2017 11:52 AM, "David Newman-Toker" <toker at jhu.edu> wrote:
>> This should concern us all…
>>  
>> https://www.washingtonpost.com/national/health-science/cdc-gets-list-of-forbidden-words-fetus-transgender-diversity/2017/12/15/f503837a-e1cf-11e7-89e8-edec16379010_story.html?utm_term=.d8d949ac97bf
>>  
>> http://www.chicagotribune.com/news/nationworld/politics/ct-cdc-forbidden-words-20171215-story.html
>>  
>> http://www.foxnews.com/politics/2017/12/16/trump-administration-reportedly-prohibits-cdc-from-using-words-like-transgender-fetus.html
>>  
>> David
>>  
>>  
>> David E. Newman-Toker, MD PhD
>> Professor of Neurology, Ophthalmology, & Otolaryngology
>> Director, Division of Neuro-Visual & Vestibular Disorders
>> Director, Armstrong Institute Center for Diagnostic  Excellence
>> Core Faculty, Brain Injury OutcomeS (BIOS) Clinical Trials Unit
>> President-Elect, Society to Improve Diagnosis in Medicine
>>  
>> Johns Hopkins University School of Medicine
>> Johns Hopkins Hospital; CRB-II, Room 2M-03 North
>> 1550 Orleans Street; Baltimore, MD 21231
>> Email: toker at jhu.edu
>>  
>> Administrator: Myriha Montgomery (410) 955-2536; mmontg20 at jhmi.edu
>> 
> 
> 
> 
> 




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