The Greater Good by Pat Conrad MD


From the Institute of Medicine web site:

  • “Established in 1970, the IOM is the health arm of the National Academy of Sciences, which was chartered under President Abraham Lincoln in 1863.”
  • “The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public. “
  • “The Federal Government continues to be the main source of program support, providing 55 percent of the funds in fiscal year 2013.”

These three statements establish that the IOM was an early part of the federal government overstepping its bounds as an institutionalized busy body; that it is mission statement is as explicitly corrupt as its work. One cannot work “outside” of government when that government is your largest revenue stream.

Remember these IOM jerks? They’re the ones that used that much ballyhooed 1999 safety report as the lever to cram MOC’s down our throats. In the tradition of that good work, here is their new initiative, noted in the 12/14 “Family Practice News”: “IOM recommends social factors to include in EHR’s.”

These tax-payer funded scammers now claim that electronic health records should track “12 social and behavioral determinants … educational attainment, financial resource strain, stress, depression, physical activity, social isolation, intimate partner violence (for women of reproductive age), and neighborhood median household income.” The IOM claims that knowing this stuff can help develop policies that will improve health outcomes and reduce costs.

– Incredibly, the IOM committee is seeking to use this info to “help reduce the data collection burden for patients and providers.” Anyone who can make sense of that is missing a star career in government.

This report is intended by the “independent” IOM for use by the National Coordinator for Health Information Technology to set EHR meaningful use requirements. In other words, this idiotic, intrusive garbage will be used to take money from doctors.

– The IOM “acknowledges that it will take more time during a patient encounter …but concluded that the health benefits of addressing these determinants outweigh the added burden to providers.” Compare this statement to the one above where the committee chairman said it would reduce the collection burden.

The arrogance and ability to inflict harm possessed by the IOM seems to have no limit. What damn business could it possibly be of the IOM to track education level or median income? What if I do not care about my patient’s “financial resource strain” (I don’t – I’m too busy worrying about my own, thanks in no small part to the IOM).

The IOM is literally the dehumanizing beast predicted in Atlas Shrugged as the “State Science Institute.” These are seriously bad people, engaged in evil work.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  7 comments for “The Greater Good by Pat Conrad MD

  1. DrPhil
    February 22, 2015 at 1:48 am

    Post Exertional Neuro Immune Syndrome aka PENIS

    Read more: The Name, the Name, the Name….What Name Would YOU Pick?

  2. Kurt
    February 18, 2015 at 3:36 pm

    gd them (IOM) to hades. I’ll get no more vitriolic than that.

  3. Bill Ameen
    February 18, 2015 at 12:41 pm

    This blog is eye-opening…I hadn’t paid much attention to IOM until this week when they suggested renaming the bullshit disorder chronic fatigue syndrome “systemic exercise intolerance disorder”. My staff and I used to call this GAFL Syndrome (meaning “Get a F***ing Life”). Thus CFS now has gravitas and beleaguered FPs (talk about fatigue!), psychiatrists, and neurologists are expected to take these middle-aged women seriously. When the only known treatment is antidepressants and getting off the sofa, well, duh….

    • RSW
      February 18, 2015 at 3:43 pm

      “the committee proposes
      the name systemic exertion intolerance disease, or
      SEID. This name captures a central characteristic
      of the disease: the fact that exertion of any sort—
      physical, cognitive, or emotional—can adversely
      affect patients in many organ systems and in many
      aspects of their lives”

      “Emotional exertion” (WTF is that) can affect many organ systems?

      Words fail me.

    • Perry
      February 19, 2015 at 4:34 pm

      “systemic exercise intolerance disorder”

      Wow, I think this country has an epidemic on its hands.

  4. ben
    February 18, 2015 at 10:20 am

    Does this mean I will get a paycheck from IOM and be listed as a coinvestigator on the research? If not, count me out. Even if I had time to collect that data I wouldn’t have time to explain why on earth we needed it and inform them about disclosure of info to a third party (IOM) to develop policies to reduce costs after adding cost of data collection and unnecessary research.

  5. politovski
    February 18, 2015 at 9:56 am

    да товарищ! лучше работать за Родину.
    (yes comrade. it is best to work hard for the Motherland!

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