Standing with Idiots


It has been about a year since I last paid the AAFP any of my money.  It feels good.  They will never get another dime from me.

Here is their latest request to get me back:

The AAFP offers the influence you need

The fight to improve U.S. health care legislation can seem overwhelming. You’ve advocated on behalf of your patients and the family medicine specialty throughout your entire career, and at times it has seemed like your voice has not been heard. But as a family physician with years of knowledge and experience, the AAFP is listening.

Join the AAFP today to make your voice heard and get legislative representation in Washington, DC, your state capital, and with business leaders and third-party payers to help influence decisions on critical issues affecting family physicians. You’ll also receive a FREE copy of the Family Practice Management Pocket Guide that many physicians use as a handy pocket coding reference.

Stand with 115,900 other members who gain support and resources from the only professional medical society dedicated to family medicine. We’re here to support you in your practice throughout your entire career.

The AAFP offers the influence you need as a family physician. Join today.

Robert L. Wergin, MD, FAAFP
AAFP President

So, let’s break this down. How have they improved U.S. health care legislation?  Well, they were all in on Obamacare. They let the ABFM cement their legacy in the recent SGR fix.   They were all in to let the NPs and PAs to compete for our jobs. They advocated FOR quality metrics, ACOs, PCMHs, and all sorts of unicorn turd that does nothing and helps no one. But, as they say, they are listening. All I need to do now is pay them over $700 so that their leaders and minions can pretend they are doing something meaningful.  Oh, and I will also get a free pocket guide for medical coding (note: DPC docs don’t code).

What a joke.

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] 

  11 comments for “Standing with Idiots

  1. Peter Whitcopf, M.D.
    April 26, 2015 at 4:24 pm

    I belong to the AMA, primarily for the access to JAMA, although I haven’t read a full article for a long time. The irritating thing they do is to keep pestering me, via USPS to buy disability and/or life insurance. More than one time a year I get “This is your last chance to…” which I throw out, and they STILL send me stuff later. I also get “Oncology Times” (I practice radiation oncology) and other related news magazines which use the same gimmick, “this is your last issue,” yet they still keep coming. Fortunately, I have single stream recycling at home, and every once in a while something is relevant, interesting, or useful.

    Does the AAFP try to sell you insurance?

    • Doug Farrago
      April 26, 2015 at 4:53 pm

      Yes! And I never belonged to the AMA and somehow get JAMA weekly, which I throw out.


  2. Beth
    April 23, 2015 at 2:24 pm

    Doug, I agree with all of your comments, but wish you would not use a put-down that equates the speaker with a woman. Thanks for hearing me out.

    • Doug Farrago
      April 23, 2015 at 2:47 pm

      Where did I do that?

  3. politovski
    April 23, 2015 at 10:38 am

    hey, how can you not want the $700 coding card? they are so useful….
    and as for anonymity, well, lets just say that putting our names up anywhere puts a target on your back. same with the MD on credit cards and other places. we need to be more like low profile leon….

  4. Perry
    April 22, 2015 at 12:19 pm

    I question how the AAFP and AMA believe the SGR fix is such a benefit for doctors. Did they not read or understand what is in the bill? AAFP posted 2 congratulatory statements on their website about how docs did a great thing by getting this passed. The AMA president has the same perspective. Meanwhile, docs on the street understand this is a deathknell to small practices and continues to insert more layers between physicians and patients. And this at a time when we are trying to entice new doctors into primary care.
    It makes me wonder if these institutions are simply in collusion with the government.

    • Doug Farrago
      April 22, 2015 at 2:38 pm

      They are.

  5. RSW
    April 22, 2015 at 10:35 am

    “But, as they say, they are listening.”

    Look at the comments on their website – 99% critical. And they never respond to any of them.

    They’re whores and don’t give a fuck what the members think.

  6. civisisus
    April 22, 2015 at 7:50 am
    Farrago: far·ra·go fəˈräɡō,fəˈrāɡō/; noun | A confused mixture.

    Hmmmm. That’s got it about right. But with some anger in there.

    • Doug Farrago
      April 22, 2015 at 11:11 am

      At least I have the balls to display my real name.
      Civisisus = Coward. Afraid to use his name due to a lack of courage. Will pontificate on many health care blogs to show how smart he thinks he is but never responds to criticisms of his own comments due to fear. Loves to point out the inadequacies of others while ignoring what a pussy he himself is.

      • Pat
        April 22, 2015 at 10:11 pm


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