As anticipated, it appears that a significant number of physicians will either be leaving the medical field or significantly changing their method of practice including substantially reducing their hours worked as a consequence of Obamacare. The direct results of this are also quite predictable: there will be far greater difficulty or inability to obtain medical care, long waiting times and rationing. Concomitantly, the quality of care in most phases will be drastically reduced.
The full implementation of Obamacare must be thwarted otherwise the best medical system in the world will be destroyed.
We must repeatedly make our elected officials in Washington aware of our total opposition to the legislation and assure that it is completely repealed. Any attempt to rework it or make modifications will not be acceptable.
Report: Health Care Law Causing Mass Exodus of Doctors
In this video of a presentation which was in support of Senate candidate Dr. Rob Steele, national health care reform expert Dr. David Janda explains some of the hidden but pernicious mandates inherent in the Obamacare legislation as well as associated ones that had even been in the stimulus bill. What he reveals will shock everyone and provide even more impetus and support for the repeal and de-funding of the government takeover of healthcare.
Many of the Democrats who are either up for re-election or are seeking political office for the first time are claiming that they oppose much of Obamacare and plan to fix it if elected/re-elected.
Don’t believe any of this rhetoric. There is an ulterior motive to these specious statements: to win election by whatever it takes. After that, expect most of these Democrats to toe the party line, either by coercion or personal convictions, and therefore not repeal Obamacare.
Only the Republicans can be trusted to attempt to repeal or defund Obamacare.
Vote Republican in November if you want to fight Obamacare … and to take back our country from the arrogant, elitist and radical Democratic politicians.
Dear Patients: Vote to Repeal ObamaCare Don't believe Democrats who promise to fix the bill once they're re-elected.
By Hal Scherz
Facing a nationwide backlash, Democratic congressional candidates have a new message for voters: We know you don't like ObamaCare, so we'll fix it.
This was the line offered by Democrat Mark Critz, who won a special election in Pennsylvania's 12th congressional district after expressing opposition to the law and promising to mend it—but not to repeal it. As a doctor I know something about unexpected recoveries, and this latest attempt to rescue ObamaCare from repeal needs to be taken seriously.
For Democrats who voted for ObamaCare, this tactic is an escape route, a chance to distance themselves from the president with a vague promise to fix health-care reform in the next Congress.
To counter this election-year ruse, my colleagues and I at Docs4PatientCare are enlisting thousands of doctors in an unorthodox and unprecedented action. Our patients have always expected a certain standard of care from their doctors, which includes providing them with pertinent information that may affect their quality of life. Because the issue this election is so stark—literally life and death for millions of Americans in the years ahead—we are this week posting a "Dear Patient" letter in our waiting rooms.
The letter states in unambiguous language what the new law means:
"Dear Patient: Section 1311 of the new health care legislation gives the U.S. Secretary of Health and Human Services and her appointees the power to establish care guidelines that your doctor must abide by or face penalties and fines. In making doctors answerable in the federal bureaucracy this bill effectively makes them government employees and means that you and your doctor are no longer in charge of your health care decisions. This new law politicizes medicine and in my opinion destroys the sanctity of the doctor-patient relationship that makes the American health care system the best in the world."
Our doctor's letter points out that, in addition to "badly exacerbating the current doctor shortage," ObamaCare will bring "major cost increases, rising insurance premiums, higher taxes, a decline in new medical techniques, a fall-off in the development of miracle drugs as well as rationing by government panels and by bureaucrats like passionate rationing advocate Donald Berwick that will force delays of months or sometimes years for hospitalization or surgery."
We cite the brute facts of ObamaCare's passage:
"Despite countless protests by doctors and overwhelming public opposition—up to 60% of Americans opposed this bill—the current party in control of Congress pushed this bill through with legal bribes and Chicago style threats and is determined now to resist any 'repeal and replace' efforts. This doctor's office is non-partisan—always has been, always will be. But the fact is that every Republican voted against this bad bill while the Democratic Party leadership and the White House completely dismissed the will of the people in ruthlessly pushing through this legislation."
Then we address the Democrats' evasive campaign maneuver:
"In the face of voter anger some Democratic candidates are now trying to make a cosmetic retreat, calling for minor modifications or pretending they are opposed to government-run medicine. Once the election is over, however, they will vote with their party bosses against repealing this bill."
The letter's final lines are the most important:
"Please remember when you vote this November that unless the Democratic Party receives a strong negative message about this power grab our health care system will never be fixed and the doctor patient relationship will be ruined forever."
This message is going out to an electorate that is already frustrated over what they see happening to health care. Missouri voters rejected ObamaCare overwhelmingly in August, voting by a margin of 71%-29% to reject the federal requirement that all individuals purchase health insurance. Democratic pollster Douglas Schoen has assessed that ObamaCare is "a disaster" for Democrats. And around the country many little-noticed primaries have reflected voter rage—including the Republican primary victory of surgeon, political newcomer, and advocate of repeal Daniel Benishek in Michigan's first district.
Meanwhile, the Obama administration's damage-control efforts have fallen flat. The latest round of pro-ObamaCare television spots targeting the elderly and starring veteran actor Andy Griffith have not only failed to move the polling numbers. They have caused five U.S. Senators to ask for an investigation of the ads as a violation of federal laws barring the use of tax dollars ($750,000) for campaign purposes.
America's doctors have millions of personal interactions each week with patients. We have political power. And we intend to use it by working to defeat those who have disrupted and gravely endangered the best health-care system in the world.
Dr. Scherz, a pediatric urological surgeon at Georgia Urology and Children's Healthcare of Atlanta, serves on the faculty of Emory University Medical School and is president and cofounder of Docs4PatientCare.
To no one’s surprise, the total theorized costs of Obamacare are continuing to increase years before the first patient is planned to be seen under the system. That is, if the nationalized healthcare fraud doesn’t die a quick death beforehand from strangulation by defunding or repealing. The whole process was interminably corrupt and opaque in order to be able to pass it against the vociferous opposition of a large majority of Americans.
Just to implement one of their ideological linchpins.
Fiscal Fraud of Obamacare Snowballing Already
Terence P. Jeffrey 6/02/2010
Remember the health care issue? Well, the fiscal consequences of the socialized medicine scheme enacted by President Barack Obama and Congress just two months ago are already beginning to snowball.
Democratic Rep. Henry Waxman of California, the chairman of the House Committee on Energy and Commerce, was one of the key architects and advocates of Obamacare. He was back on the House floor on Friday delivering an urgent plea to fellow Democrats that inadvertently -- or, perhaps, unavoidably -- revealed the fraudulent nature of our new national health care regime.
It was supposed to save the taxpayers money, remember?
"This legislation will lower costs for families and for businesses and for the federal government, reducing our deficit by over $1 trillion in the next two decades," Obama said when he signed the bill.
On Friday, Waxman declared that the sky is about to fall on the Medicare system. He went to the House floor to "urge" his colleagues to vote for a bill that includes $102 billion in new federal spending and would add $54 billion to the national debt over the next 10 years -- $25 billion of it in the few months remaining in this fiscal year.
Why did Waxman believe this new borrowing-and-spending was necessary?
"It's absolutely critical to do this if we are going to keep doctors in Medicare and keep the promise to Medicare beneficiaries that they will have access to physicians' services," said Waxman. "This provision will provide a moderate increase in physicians' fees, 2.2 percent for the rest of the year. If we don't act, doctors' fees will be cut by 21 percent from where they are today. This would be unconscionable."
It would not merely be unconscionable. If the 21-percent cut in Medicare fees for doctors -- that, in fact, legally took effect on June 1 -- is allowed to stand, many doctors in this country will simply stop seeing Medicare patients. They will not be able to afford it. The cost to them of serving their patients will exceed what they are paid. Their profit margin will be swept away.
To make precisely this point, 12 national surgeons' associations -- including the American Association of Neurological Surgeons, the American Association of Orthopedic Surgeons and the American Academy of Otolaryngology-Head and Neck Surgery -- sent House Speaker Nancy Pelosi a letter last Wednesday warning her what would happen if Medicare doctors' fees are slashed as they are scheduled to be under current law.
"These continued payment cuts, rising practice costs and a lack of certainty going forward, make it difficult, if not impossible, for already financially challenged surgical practices to continue to treat Medicare patients," the surgeons' associations told Pelosi.
The letter pointed the speaker toward the results of a survey of more than 13,000 physicians done in February by the Surgical Coalition, a group of more than 20 medical associations. The survey asked these doctors what they would do if Medicare fees were slashed by the scheduled 21.2 percent.
Twenty-nine percent said they would opt out of the Medicare system entirely. Almost 69 percent said they would limit the number of appointments they would take from Medicare patients, 45.8 percent said they would start referring complex Medicare patients to other physicians, 45.3 percent said they would stop providing certain services, 43.8 percent said they would defer purchasing new medical equipment and 42.7 percent said they would cut their staff.
Almost 4 percent of the doctors said they would close or sell their practices.
Why did Congress plan to slash the doctors' Medicare fees in the first place? It didn't. In the past, the majority in Congress has routinely enacted budget bills that fraudulently assumed that on some future date the federal government would dramatically slash the Medicare fees paid to doctors, knowing that before that date arrived the majority would pass "emergency" legislation postponing the cuts to some still-future date. The majority in Congress does this so the long-term deficits caused by their spending bills appear to be smaller than they actually are.
As originally proposed, Obamacare would have ended this practice, permanently setting Medicare reimbursement rates for doctors at the true anticipated level. But the Congressional Budget Office determined that doing so would have added $208 billion to the cost of Obamacare over 10 years, forcing the CBO to declare that Obamacare added to the deficit rather than reduced it. That would have cost Obamacare votes on the House floor and quite possibly defeated the legislation.
So the congressional leadership stripped the "doc fix" out of Obamacare and left it to another day.
Waxman went down to the floor last Friday to declare that day had come. Unfortunately, for him, the Senate had already left town for its Memorial Day vacation. So, the current fix will have to wait until it returns.
Even then, the fix only accounts for $22.9 billion of the $102 billion cost of the bill the House did pass on Friday. Most of the rest of the money is for extending unemployment benefits and special targeted tax breaks.
The $22.9 billion fix for the doctors' fees -- if passed by the Senate -- would only last through September 2011. Then Congress will presumably do it all again -- or let the Medicare system collapse.
In the meantime, Obamacare is supposed to cut half a trillion in spending from elsewhere in Medicare, while Obama's budget -- not counting the $54 billion in new debt included in this bill -- is expected to add $9.8 trillion to the national debt over the next 10 years.
Fresh and ongoing from it initiating, feeding and perpetuating the housing debacle and collapse, the Federal government with its pernicious Obamacare is poised to destroy medicine and medical care as we know it here in the United States. If allowed to take root, gone will be the world’s best and most sophisticated healthcare system, home of most of the most important innovations and discoveries in medical care. In its place will be a near 3rd world level of “quality” of care encumbered by an oppressive and arcane government controlled system. At least in third world countries they don’t have swarms of attorneys pullulating like flies looking for their next jackpot.
It is commonly known that there will be a significant shortage of primary care physicians in the future which Obamacare will tremendously exacerbate for myriad reasons. Of course, neither Obama or Congressional Democrats considered this in their reckless haste to ram the healthcare reform legislation into effect. What a surprise – politicians didn’t anticipate something inherently important?
The end result? You will have the “right” of healthcare but you may not have a doctor to provide it to you. If you are ultimately able to schedule an appointment to see a doctor, you may have to wait an excessively long period of time to finally be seen, or be seen by a physician located far from where you live or work, or be herded through like cattle spending little time with the doctor who is massively overworked and overloaded with patients (and over-regulated).
Does the word “rationing” ring a bell? Or decreased quality of care? These were all important issues that were raised by those who opposed the Democrats’ plans but were ignored or denigrated by them and the press.
What is a “brilliant” solution for this problem that is being considered by the government? Have nurses act like doctors. Add a little more training, change some statutes and voila! Doctorlight. Easy! Just don’t be very sick or you might not make it to a real doctor.
And if the nurse gets a PhD, they can officially be addressed as Dr., adding to confusion but subtracting from quality. This proposal would place millions of Americans at unnecessary risk due to inferior training and as a consequence, inferior care.
Furthermore, given the government’s plan to reimburse these nurses the same or marginally less than real doctors, why would any sane person want to become a doctor? After all, for maybe $5 to $10 more per patient that a doctor would be reimbursed versus a nurse, that person would also have to go to medical school and residency for up to 11 or more years, assume debt to pay for school of $250,000 or more and then pay malpractice rates in practice that can exceed $100,000/ year.
This will surely dissuade many including the best and brightest from seeking a career in medicine and don’t we want our doctors to be smart and competent?
Sounds like another government plan causing unintended consequences.
Doctor shortage? 28 states may expand nurses' role
By Carla K. Johnson (AP) – 4/15/2010
CHICAGO — A nurse may soon be your doctor. With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners. These nurses with advanced degrees want the right to practice without a doctor's watchful eye and to prescribe narcotics. And if they hold a doctorate, they want to be called "Doctor."
For years, nurse practitioners have been playing a bigger role in the nation's health care, especially in regions with few doctors. With 32 million more Americans gaining health insurance within a few years, the health care overhaul is putting more money into nurse-managed clinics.
Those newly insured patients will be looking for doctors and may find nurses instead.
The medical establishment is fighting to protect turf. In some statehouses, doctors have shown up in white coats to testify against nurse practitioner bills. The American Medical Association, which supported the national health care overhaul, says a doctor shortage is no reason to put nurses in charge and endanger patients.
Nurse practitioners argue there's no danger. They say they're highly trained and as skilled as doctors at diagnosing illness during office visits. They know when to refer the sickest patients to doctor specialists. Plus, they spend more time with patients and charge less.
"We're constantly having to prove ourselves," said Chicago nurse practitioner Amanda Cockrell, 32, who tells patients she's just like a doctor "except for the pay."
On top of four years in nursing school, Cockrell spent another three years in a nurse practitioner program, much of it working with patients. Doctors generally spend four years in undergraduate school, four years in medical school and an additional three in primary care residency training.
Medicare, which sets the pace for payments by private insurance, pays nurse practitioners 85 percent of what it pays doctors. An office visit for a Medicare patient in Chicago, for example, pays a doctor about $70 and a nurse practitioner about $60.
The health care overhaul law gave nurse midwives, a type of advanced practice nurse, a Medicare raise to 100 percent of what obstetrician-gynecologists make — and that may be just the beginning.
States regulate nurse practitioners and laws vary on what they are permitted to do:
_ In Florida and Alabama, for instance, nurse practitioners are barred from prescribing controlled substances.
_ In Washington, nurse practitioners can recommend medical marijuana to their patients when a new law takes effect in June.
_ In Montana, nurse practitioners don't need a doctor involved with their practice in any way.
_ Many other states put doctors in charge of nurse practitioners or require collaborative agreements signed by a doctor.
_ In some states, nurse practitioners with a doctorate in nursing practice can't use the title "Dr." Most states allow it.
The AMA argues the title "Dr." creates confusion. Nurse practitioners say patients aren't confused by veterinarians calling themselves "Dr." Or chiropractors. Or dentists. So why, they ask, would patients be confused by a nurse using the title?
The feud over "Dr." is no joke. By 2015, most new nurse practitioners will hold doctorates, or a DNP, in nursing practice, according to a goal set by nursing educators. By then, the doctorate will be the standard for all graduating nurse practitioners, said Polly Bednash, executive director of the American Association of Colleges of Nursing.
Many with the title use it with pride.
"I don't think patients are ever confused. People are not stupid," said Linda Roemer, a nurse practitioner in Sedona, Ariz., who uses "Dr. Roemer" as part of her e-mail address.
What's the evidence on the quality of care given by nurse practitioners?
The best U.S. study comparing nurse practitioners and doctors randomly assigned more than 1,300 patients to either a nurse practitioner or a doctor. After six months, overall health, diabetes tests, asthma tests and use of medical services like specialists were essentially the same in the two groups.
"The argument that patients' health is put in jeopardy by nurse practitioners? There's no evidence to support that," said Jack Needleman, a health policy expert at the University of California Los Angeles School of Public Health.
Other studies have shown that nurse practitioners are better at listening to patients, Needleman said. And they make good decisions about when to refer patients to doctors for more specialized care.
The nonpartisan Macy Foundation, a New York-based charity that focuses on the education of health professionals, recently called for nurse practitioners to be among the leaders of primary care teams. The foundation also urged the removal of state and federal barriers preventing nurse practitioners from providing primary care.
The American Medical Association is fighting proposals in about 28 states that are considering steps to expand what nurse practitioners can do.
"A shortage of one type of professional is not a reason to change the standards of medical care," said AMA president-elect Dr. Cecil Wilson. "We need to train more physicians."
In Florida, a bill to allow nurse practitioners to prescribe controlled substances is stalled in committee.
One patient, Karen Reid of Balrico, Fla., said she was left in pain over a holiday weekend because her nurse practitioner couldn't prescribe a powerful enough medication and the doctor couldn't be found. Dying hospice patients have been denied morphine in their final hours because a doctor couldn't be reached in the middle of the night, nurses told The Associated Press.
Massachusetts, the model for the federal health care overhaul, passed its law in 2006 expanding health insurance to nearly all residents and creating long waits for primary care. In 2008, the state passed a law requiring health plans to recognize and reimburse nurse practitioners as primary care providers.
That means insurers now list nurse practitioners along with doctors as primary care choices, said Mary Ann Hart, a nurse and public policy expert at Regis College in Weston, Mass. "That greatly opens up the supply of primary care providers," Hart said.
But it hasn't helped much so far. A study last year by the Massachusetts Medical Society found the percentage of primary care practices closed to new patients was higher than ever. And despite the swelling demand, the medical society still believes nurse practitioners should be under doctor supervision.
The group supports more training and incentives for primary care doctors and a team approach to medicine that includes nurse practitioners and physician assistants, whose training is comparable.
"We do not believe, however, that nurse practitioners have the qualifications to be independent primary care practitioners," said Dr. Mario Motta, president of the state medical society.
The new U.S. health care law expands the role of nurses with:
_ $50 million to nurse-managed health clinics that offer primary care to low-income patients.
_ $50 million annually from 2012-15 for hospitals to train nurses with advanced degrees to care for Medicare patients.
_ 10 percent bonuses from Medicare from 2011-16 to primary care providers, including nurse practitioners, who work in areas where doctors are scarce.
_ A boost in the Medicare reimbursement rate for certified nurse midwives to bring their pay to the same level as a doctor's.
The American Nurses Association hopes the 100 percent Medicare parity for nurse midwives will be extended to other nurses with advanced degrees.
"We know we need to get to 100 percent for everybody. This is a crack in the door," said Michelle Artz of ANA. "We're hopeful this sets the tone."
In Chicago, only a few patients balk at seeing a nurse practitioner instead of a doctor, Cockrell said. She gladly sends those patients to her doctor partners.
She believes patients get real advantages by letting her manage their care. Nurse practitioners' uphill battle for respect makes them precise, accurate and careful, she said. She schedules 40 minutes for a physical exam; the doctors in her office book 30 minutes for same appointment.
Joseline Nunez, 26, is a patient of Cockrell's and happy with her care.
"I feel that we get more time with the nurse practitioner," Nunez said. "The doctor always seems to be rushing off somewhere."
As we have mentioned myriad times, an overwhelming majority of physicians are resolutely opposed and in a state of perpetual outrage at the dictates of Obamacare. This may not necessarily be apparent given that most have elected to vent their disapproval in quieter ways such as e-mailing, writing and calling their Senators and Representatives.
One physician who did decide to be a little more overt in his vehemence, Jack Cassel MD, the Florida urologist who posted a sign on his door regarding those who voted for Obama, did get his message heard … and nationally. Unfortunately, the malignant and portentous Representative of his district, Alan Grayson (D – Florida) then initiated malicious verbal assaults on him including calling him racist and unprofessional and has indicated that he will seek professional sanctions and legal charges against him. This has become a dangerous and illegal pattern of Democrat politicians pursuing whatever measures possible to squelch First Amendment Rights. Threaten and silence the opposition into submission.
With this scenario fresh in mind and cognizant of the ubiquitous threats from the Government, media and even liberal loons, Dr. Joseph Scherzer, a Scottsdale, Arizona Dermatologist in practice for 34 years, felt that for the good of the country and patient care in particular, more needed to be shared with the public. He has bravely elected to speak out on the pernicious nature of the Obamacare legislation and its severe and adverse impact on medical care in America which will lead to irreparable harm to the world’s best healthcare system.
Neil Cavuto interviews Dr. Joseph Scherzer on FoxNews:
The story below details an Orlando, Florida area urologist who posted a sign on his office door stating:
“If you voted for Obama … seek urological care elsewhere.”
This physician reaction has created a tempest in many parts, but what did Obama and the Congressional Democrats expect? They have legislated involuntary servitude of America’s physicians with their corruptly passed and ideologically radical healthcare “reform”. They are trying to pay for the Obamacare wealth transfer on the backs of productive citizens and physicians though all healthcare providers including medical device companies will be negatively impacted. They are destroying the physician-patient relationship, quality of care, etc. with the insinuation of federal officials in the mix, determining who can be treated and by what (less expensive) means.
And then there is the reimbursement part that we will put in perspective. Medicare reimbursement rates this year pay doctors below 1995 levels which were low at that time. To make matters worse, as of this April 1st, reimbursement is scheduled to drop another 21.3%. In other words, physicians will be paid almost 22% less than they were 15 years ago. Meanwhile, Congress which incredibly can vote for its own pay raise, will received nearly 95% more than they were 20 years ago!
Many physicians have been losing money for years taking care of Medicare patients at artificially low reimbursement rates that don’t even cover their expenses. Now lower that rate another 22% and add far more government bureaucracy and you have a disastrous situation.
Though it may not judged to be “politically correct” for a physician to react as this sign indicated, it is well within one’s Constitutional rights to do so and does not violate any medical laws nor should it. Despite the fine line that medical societies may need to toe in response to actions of physicians like the above, there is nothing illegal or immoral. Unfortunately, our government has facilitated such actions by their oppressive legislation.
The overwhelming sentiment in the medical community is vehemently against Obamacare for myriad reasons. Therefore, we expect to see additional significant actions in the future that would far surpass this one incident in scope and extent. Reactions to Obamacare are only just beginning...
Doctor tells Obama supporters: Go elsewhere for health care
A Mount Dora doctor posted a sign telling Obama health care supporters to go elsewhere.
By Stephen Hudak, Orlando Sentinel April 2, 2010
MOUNT DORA — A doctor who considers the national health-care overhaul to be bad medicine for the country posted a sign on his office door telling patients who voted for President Barack Obama to seek care "elsewhere."
"I'm not turning anybody away — that would be unethical," Dr. Jack Cassell, 56, a Mount Dora urologist and a registered Republican opposed to the health plan, told the Orlando Sentinel on Thursday. "But if they read the sign and turn the other way, so be it."
The sign reads: "If you voted for Obama … seek urologic care elsewhere. Changes to your healthcare begin right now, not in four years."
Estella Chatman, 67, of Eustis, whose daughter snapped a photo of the typewritten sign, sent the picture to U.S. Rep. Alan Grayson, the Orlando Democrat who riled Republicans last year when he characterized the GOP's idea of health care as, "If you get sick, America … Die quickly."
Chatman said she heard about the sign from a friend referred to Cassell after his physician recently died. She said her friend did not want to speak to a reporter but was dismayed by Cassell's sign.
"He's going to find another doctor," she said.
Cassell may be walking a thin line between his right to free speech and his professional obligation, said William Allen, professor of bioethics, law and medical professionalism at the University of Florida's College of Medicine.
Allen said doctors cannot refuse patients on the basis of race, gender, religion, sexual orientation or disability, but political preference is not one of the legally protected categories specified in civil-rights law. By insisting he does not quiz his patients about their politics and has not turned away patients based on their vote, the doctor is "trying to hold onto the nub of his ethical obligation," Allen said.
"But this is pushing the limit," he said.
Cassell, who has practiced medicine in GOP-dominated Lake County since 1988, said he doesn't quiz his patients about their politics, but he also won't hide his disdain for the bill Obama signed and the lawmakers who passed it.
In his waiting room, Cassell also has provided his patients with photocopies of a health-care timeline produced by Republican leaders that outlines "major provisions" in the health-care package. The doctor put a sign above the stack of copies that reads: "This is what the morons in Washington have done to your health care. Take one, read it and vote out anyone who voted for it."
Cassell, whose lawyer wife, Leslie Campione, has declared herself a Republican candidate for Lake County commissioner, said three patients have complained, but most have been "overwhelmingly supportive" of his position.
"They know it's not good for them," he said.
Cassell, who previously served as chief of surgery at Florida Hospital Waterman in Tavares, said a patient's politics would not affect his care for them, although he said he would prefer not to treat people who support the president.
"I can at least make a point," he said.
The notice on Cassell's office door could cause some patients to question his judgment or fret about the care they might receive if they don't share his political views, Allen said. He said doctors are wise to avoid public expressions that can affect the physician-patient relationship.
Erin VanSickle, spokeswoman for the Florida Medical Association, would not comment specifically.
But she noted in an e-mail to the Sentinel that "physicians are extended the same rights to free speech as every other citizen in the United States."
The outspoken Grayson described Cassell's sign as "ridiculous."
"I'm disgusted," he said. "Maybe he thinks the Hippocratic Oath says, ‘Do no good.' If this is the face of the right wing in America, it's the face of cruelty. … Why don't they change the name of the Republican Party to the Sore Loser Party?"
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