What Does the AAFP Do With All the Money?

Here is a recent AAFP newsletter. I have mentioned before that they are selling out with ads to look like stories. This week’s edition had no shame in starting right out with the American Heart Association. Bang. They come back later with this one:

Wow, the makers of Diflucan must love this. Or hate that they didn’t pay enough to be “highlighted”.

Why does the AAFP need to sell out like this? Where is all this money going?

I know that other blogs and newsletters will blend in ads and make them look like real stories. It’s shady. It’s gross. But in my opinion it is disgraceful for a medical newsletter from the AAFP to allow these advertisers to use THEIR studies as the ad.

Am I wrong here?

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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] 

  5 comments for “What Does the AAFP Do With All the Money?

  1. James Tinsley
    January 30, 2019 at 1:47 pm

    I want to know where they get there money in the first place. What percentage of FPs are members not including students and residents. I couldn’t find that information. I had read an article they were getting money from drug companies.

  2. D. Mittman
    January 26, 2019 at 11:26 am

    Two questions you posed.
    1. Don’t know what the AAFP does with the money. Splits it with the people who do the newsletter is my guess.
    2. Any well trained medical person sees right through these. I do. Not good and not bad, just not as effective.

  3. Steve O'
    January 26, 2019 at 9:51 am

    Once you own the podium, you own the facts. Once you own the facts, you own the ideas. Once you own the ideas, you own the opinions. Once you own the podium, you own the mind.
    And once you own the journal, you own the pipeline of “facts.” You have to trust the honesty of the owners.
    The reason that experience is being eliminated from medicine is it teaches you inconvenient truths. Rather than argue the point, I offer you this. I’ve never seen a case of lactic acidosis from metformin in 20 years. The literature states:
    “There is no evidence from prospective comparative trials or from observational cohort studies that metformin is associated with an increased risk of lactic acidosis, or with increased levels of lactate, compared to other anti‐hyperglycemic treatments. ” https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002967.pub4/full
    “It appears that metformin itself may not increase the risk for lactic acidosis.” [Is Metformin Associated With Lactic Acidosis?] January 26, 2019 (https://www.medscape.com/viewarticle/714920)

    But this error has remained in the “literature” without being expunged, because metformin is cheap, effective and safe. Why haven’t the drug companies found an even more effective biguanide? $$$$ they’re too cheap.
    Why is aspirin never used for pain? Because of the campaign of the COX-2 inhibitors to suggest they are “safer.”
    And inexperienced people learn things by rote memorization. Experienced people learn by experience. That gives them undesirable power. Who do you want prescribing – some old family practice doctor with 30 years experience, or a new-minted doc-in-the-box NP in Wal-Mart-Greens?

    • PW
      January 26, 2019 at 1:47 pm

      If you want antibiotics and narcotics you don’t want the experienced FP for sure.

    • James Tinsley
      January 30, 2019 at 1:33 pm

      Well said.

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