CDC action

Bob Swerlick rswerli at GMAIL.COM
Sun Dec 17 14:41:27 UTC 2017


We are all free to weigh in on this as individuals. Whether the SIDM weighs
in officially  must be decided by the BOD. I would caution members not to
portray their positions as SIDM positions, until if or when the BOD issues
a position statement.

The positions of the employees of the CDC is a difficult one. I work within
the VA system and it is very awkward when I am faced with VA dysfunction or
policy decisions within the VA which I find inadvisable. While my first
amendment rights would support me speaking out in a public forum, the VA is
my employer and like any employer, they are reticent to having me air any
disagreements I have with my bosses in a public forum. This is a very
contentious and evolving area.

http://lawdigitalcommons.bc.edu/cgi/viewcontent.cgi?article=1438&context=lsfp

The position of the CDC employees is likely even more problematic since
they will be hard pressed to define criticism of the proposed policies as
not related to their work.

I welcome suggestions from the group as to how best and effectively weigh
in.

Bob Swerlick

On Sat, Dec 16, 2017 at 10:46 PM, HM Epstein <hmepstein at gmail.com> wrote:

> 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 <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>" <IMPROVEDX at LIST.
> IMPROVEDIAGNOSIS.ORG <IMPROVEDX at list.improvediagnosis.org>>, Robert Bell <
> rmsbell200 at YAHOO.COM <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 <IMPROVEDX at list.improvediagnosis.org>>, HM Epstein <
> hmepstein at GMAIL.COM <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 <IMPROVEDX at list.improvediagnosis.org>>, John Brush <
> jebrush at ME.COM <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
> <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
> <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 <IMPROVEDX at list.improvediagnosis.org>>, 'Robert
> Bell' <rmsbell200 at YAHOO.COM <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-c
>> dc-forbidden-words-20171215-story.html
>>
>>
>>
>> http://www.foxnews.com/politics/2017/12/16/trump-administrat
>> ion-reportedly-prohibits-cdc-from-using-words-like-transgender-fetus.html
>>
>>
>>
>> David
>>
>>
>>
>>
>>
>> *David E. Newman-Toker, MD PhD*
>> Professor of Neurology, Ophthalmology, & Otolaryngology
>> <http://www.hopkinsmedicine.org/profiles/results/directory/profile/0015937/david-newman-toker>
>>
>> Director, Division of Neuro-Visual & Vestibular Disorders
>> <http://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/vestibular/team/>
>>
>> Director, Armstrong Institute Center for Diagnostic Excellence
>> <http://www.hopkinsmedicine.org/armstrong_institute/center_for_diagnostic_excellence/>
>>
>> Core Faculty, Brain Injury OutcomeS (BIOS) Clinical Trials Unit
>> <http://braininjuryoutcomes.com/>
>>
>> President-Elect, Society to Improve Diagnosis in Medicine
>> <http://www.improvediagnosis.org/?page=BoardMembers>
>>
>>
>>
>> Johns Hopkins University School of Medicine
>> Johns Hopkins Hospital; CRB-II, Room 2M-03 North
>>
>> 1550 Orleans Street; Baltimore, MD 21231
>> <https://maps.google.com/?q=1550+Orleans+Street;+Baltimore,+MD+21231&entry=gmail&source=g>
>>
>> Email: toker at jhu.edu
>>
>>
>>
>> Administrator: Myriha Montgomery (410) 955-2536; mmontg20 at jhmi.edu
>>
>>
>>
>
>
>
>
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>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
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>
>
> ------------------------------
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>
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>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/




-- 
Bob Swerlick






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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