Ohio is targeted as a front-runner in the effort to impose “maintenance of certification” (MOC) and “maintenance of licensure” (MOL).
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Dear AAPS Ohio members and supporters,

If you are an OSMA member please attend the OSMA meeting on
Saturday, March 24 in Columbus to testify in favor of a resolution opposing
Maintenance of Certification (MOC).

Details about the meeting can be found at

Please read important information about MOC below:

We Must Stop MOC in Ohio!

Dear Colleague:

Ohio is targeted as a front-runner in the effort to impose “maintenance of certification” (MOC) and “maintenance of licensure” (MOL).

CLICK HERE FOR SHORT SURVEYThis means increasingly costly, intrusive, onerous requirements to continue to practice. It means you are no longer a professional, but a subordinate of self-appointed higher authorities. You will be constantly on probation, subject to a never-ending round of examinations that may be completely unrelated to what you do every day.

This idea is promoted in the name of protecting the public. But in the era of evidence-based medicine, there is NO evidence that MOC/MOL improves patient care. It can certainly diminish access by driving competent physicians into early retirement.

For the sake of our profession and our patients, we must stop it now.

The first step is to make our colleagues and legislators aware of the impetus behind MOC/MOL: money and power.

Being in control of examinations and standards is a lucrative cottage industry. On its IRS form 990, the American Board of Internal Medicine (ABIM) lists income of $26,512,148 for examination fees and $13,035,105 for maintenance of certification fees, which are a growing source of revenue. Its executive director Christine K. Cassel was paid $861,691 for 2009, reportedly spending 35 hours per week.

Cassel also sits on the board of American Board of Medical Specialties (ABMS). She formerly served on the boards of Kaiser Foundation Hospitals and the Kaiser Foundation Health Plan. She was one of 20 scientists chosen by Obama to serve on the President’s Council of Advisors on Science and Technology and is co-chair of a working group that made recommendations to the President on health information technology. She was Founding Director of the Robert Wood Johnson Clinical Scholars Program and Founding Director of the Center for Health Policy Research. She’s one of the elite in the public-private partnership intent on “transforming” American medicine in their own image and likeness. With themselves in charge.

Other big earners include R. Barrett Noone, M.D., Executive Director of the Board of Plastic Surgery, who is compensated $304,785 per year for 24 hours per week. Kevin B. Weiss, M.D., Executive Director of the ABMS, had a 2010 compensation package of $578,121. Barbara Schneidman, M.D., M.P.H., pulls down $479,575 as interim president and CEO of the Federation of State Medical Boards (FSMB). She also sits on the board of the ABMS. She was vice president for medical education at the AMA from 2002 to 2008.

That’s where your licensure fees and examination fees are going.

Keep reading to see what you can do.-->.

Urgent action needs to be taken in Ohio now. There is talk of implementing MOL in Ohio now, and increasing licensure fees to pay for it.
What you can do:

1. TAKE our short 4 question survey on MOL/MOC:
2. Testify at the Reference Committee in favor of a resolution to oppose MOC/MOL on March 24  at the OSMA meeting in Columbus. You need to be a member of OSMA to speak. Details about the meeting are at
3. Let OSMA officers know your views and provide them with facts. Demand that they look into the interlocking directorates, conflicts of interest, and financial arrangements of the FSMB and ABMS. Be sure they understand the effect of MOC/MOL on struggling private physicians.
4. Educate your state legislators. They probably do not know that the MOC/MOL movement will provide great profits to a select few, while burdening physicians and doing nothing to improve anybody’s medical care. Promoters of MOC/MOL are trying to sell a solution to a problem they themselves have created in order to assure continued patronage. Our journal has published many informative articles (—search on “recertification”). Also see
AAPS is best known recently for its lawsuit against the Texas Medical Board, over its notorious abuses that deprive physicians of due process. We just deposed its executive director! We strenuously opposed the enactment of ObamaCare, and have filed a lawsuit, a motion to intervene, and eight amicus briefs in the effort to overturn it. We helped block the passage of ClintonCare with our lawsuit—which revealed the influence of some of the same entities now trying to impose MOC/MOL.
If you are not yet a member of AAPS, we need your voice!  You can join us online or make a contribution ( At the very least please take our short survey on MOC/MOL:

Sincerely yours,

Jane M. Orient, M.D., Executive Director

Alieta Eck, M.D., President



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