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Tod H. Mikuriya, M.D., President |
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Federal Threats & Actions |
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State Harassment |
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Medical Board |
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County DA’s |
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Sheriffs & Police |
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Organized, corporate, and individual medicine |
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Marginalization and stigmatization |
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Exclusion from conferences |
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“Advocacy = undesired bias |
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“Abortion doctor” |
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“Mill doctor” |
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Censorship from publications |
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Intellectual challenge, clinical experience with patients,
expanding upon medical intelligence prior to removal from clinical
availability. |
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Continuing experiences of confidence and trust
of patients. |
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Freedom from managed care |
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Opportunities to optimize management of chronic
conditions and advocate for the patient. |
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Removal of DEA Controlled Substances |
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Moving to take Mollie Fry, M.D.s DEA # |
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Drop from Medicare – None Yet |
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Federal law suits- Injunctions prevent |
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IRS audits- None yet |
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Termination of grants- None yet |
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Actions without threat: Evolving & Covert |
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Continuing experiences of confidence and trust
of patients. |
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Opportunities to optimize management of chronic
conditions and advocate for the patient. |
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Intellectual challenge, clinical experience with patients,
expanding medical intelligence prior to removal from clinical availability. |
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Freedom from managed care |
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Safe and effective medicine to manage chronic
serious medical conditions. |
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Immunomodulator Analgesic |
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Mood and affect modulator; easement |
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Anti-Spasmodic anticonvulsant |
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Harm Reduction Substitute |
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Multiple and concurrent therapeutic effects |
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Free from unwanted side effects compared with
“mainstream” polypharmacy and non-medical drugs- alcohol and nicotine.. |
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Compared with opioids, steroids, NSAIDS,
sedatives, tricyclics, and benzodiazepines |
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Improved quality of life |
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Mobility, emotional well being and control of
pain |
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Less money spent on drugs to control side
effects |
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Relief from criminal status |
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Improved self esteem |
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De alienation |
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Increased participation in community |
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Decreased fear and paranoia |
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Improved critical thinking |
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Optimal coping with chronic illness |
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No pharmaceutical potency standards |
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No guarantees of purity or freedom from
contamination |
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Pesticide residues, biologic agents, or heavy
metals |
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No dose consistency of oral products |
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Endemic Negligent Governance |
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Criminal Justice System |
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Attorney General’s Office consensus without
tutelary mandate policy: Counties do their own thing |
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County and local absence of Training and
Information Bulletins or General Orders. |
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Problematic prosecutorial, court, and probation |
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Excessive
discretionary powers |
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Subpoena abuse |
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Gross and pervasive non-compliance because of
federal threats. |
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He who pays the piper calls the tune |
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Medicare, MediCal federally funded |
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Federal academic medicine funded grants |
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Federal Veterans Administration Hospitals |
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General fear and ignorance of physicians |
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I propose a statewide effort to Implement
the Compassionate Use Act of 1996. |
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Beyond the current federal assaults on
California patients, physicians, taxpayers, and voters, unless a
systematic effort is organized and motivated with adequate
funding, efforts conceiving and passing propositon 215 will have gone for
naught. |
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Only a comprehensive audit with remedial civil
remedy will ensure the will of the voters five years ago. |
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