Showing posts with label funding. Show all posts
Showing posts with label funding. Show all posts

04 October 2008

How Independent Are Vacccine Defenders?

As a followup to my post the other day on vaccinations, I thought this was a worthwhile report to check out: How Independent Are Vaccine Defenders? That's what CBS News recently asked. You may (or may not) be surprised by the findings. Some will say it's just the way things are done, and I agree to a certain extent, but perhaps we should set our sights higher. Certainly it must be hard to be impartial when your funding is on the line...we don't like it in our politicians, so why should we accept it in our scientists and health care providers?

They're some of the most trusted voices in the defense of vaccine safety: the American Academy of Pediatrics, Every Child By Two, and pediatrician Dr. Paul Offit.

But CBS News has found these three have something more in common - strong financial ties to the industry whose products they promote and defend.

The vaccine industry gives millions to the Academy of Pediatrics for conferences, grants, medical education classes and even helped build their headquarters. The totals are kept secret, but public documents reveal bits and pieces...

  • Every Child By Two, a group that promotes early immunization for all children, admits the group takes money from the vaccine industry, too - but wouldn't tell us how much.

    A spokesman told CBS News: "There are simply no conflicts to be unearthed." But guess who's listed as the group's treasurers? Officials from Wyeth and a paid advisor to big pharmaceutical clients.

    Then there's Paul Offit, perhaps the most widely-quoted defender of vaccine safety.

    He's gone so far as to say babies can tolerate "10,000 vaccines at once."

    This is how Offit described himself in a previous interview: "I'm the chief of infectious disease at Children's Hospital of Philadelphia and a professor of pediatrics at Penn's medical school," he said.

    Offit was not willing to be interviewed on this subject but like others in this CBS News investigation, he has strong industry ties. In fact, he's a vaccine industry insider.

    Offit holds in a $1.5 million dollar research chair at Children's Hospital, funded by Merck. He holds the patent on an anti-diarrhea vaccine he developed with Merck, Rotateq, which has prevented thousands of hospitalizations.

    And future royalties for the vaccine were just sold for $182 million cash. Dr. Offit's share of vaccine profits? Unknown.

  • They pose a serious risk for conflicts of interest. As one member of Congress put it, money from the pharmaceutical industry can shape the practices of those who hold themselves out to be "independent."

    The American Academy of Pediatrics, Every Child By Two and Dr. Offit would not agree to interviews, but all told us they're up front about the money they receive, and it doesn't sway their opinions.

    Today's immunization schedule now calls for kids to get 55 doses of vaccines by age 6.

    Ideally, it makes for a healthier society. But critics worry that industry ties could impact the advice given to the public about all those vaccines.
  • 26 September 2008

    help save birth center funding

    OK - super bad timing, what with the economic bailout and all, but nonetheless...

    TheBigPushForMidwives.org is asking people to help respond to a birth center Medicaid payment crisis...read on & help out by calling your Congress folks please.

    American Association of Birth Centers
    Legislative Alert


    Payment Crisis Looming ~ Action Needed Immediately

    We must get our message about the payment crisis out to Congress immediately and we need everyone to help!

    Over the past few years, CMS (the federal agency that runs Medicaid/Medicare) has begun disallowing federal matching funds for state Medicaid payments for freestanding birth centers services. Birth centers have been recognized by CMS (and earlier, by HCFA) as a Medicaid provider type in State Medicaid Plans since 1987. Recently, however, CMS has disallowed such payment by several state Medicaid Agencies, including Alaska, South Carolina, Texas, and Washington State, claiming that it lacks clear statutory authority and direction to do so. CMS has directed its regional offices to stop federal payments to any state for birth center services.

    This is not a Medicaid crisis but a payment crisis for birth centers. Historically all payers follow the lead of Medicaid. If Medicaid stops paying the birth center facility fee so will other insurers. We remind you of what happened to the chiropractors in the 1990s. They spent millions to reinstate their coverage.

    Make Your Voice Heard - Act Now! 1. Find out who your Congressional Representatives and Senators are. Use these links
    Find your Senators - http://www.senate.gov/general/contact_information/senators_cfm.cfm

    Find your Representatives - http://www.house.gov/ - use the tool in the upper left hand corner

    The American College of Nurse-Midwives also has a tool on their website - http://capwiz.com/acnm/dbq/officials/?lvl=C

    2. Make contact - by phone is best (email boxes are clogged with email about the federal bailout of the banks).

    Ask to speak to the legislative aide who works on health care issues.

    Tell him/her you are a birth center ________ (midwife, owner, consumer, staff person) that provides care to women on Medicaid.

    Use the linked flyer ("Pregnant Women's Access to Care Threatened") as a reference. http://www.birthcenters.org/files/file.php?id=13&file=file&file_type=file_type

    Talking Points

    1) CMS has stopped paying the facility fee/charges for birth centers in four states and will disallow it in all state plans that come up for review.

    2) The federal government has been paying these fees to the states since 1987.

    3) The only way to solve this problem is to seek legislation amending Medicaid.

    4) Birth centers are part of the vital safety net, especially in rural and urban areas where obstetrical services are closing due to high costs--and many serve a high percentage of women on Medicaid.

    5) Birth centers provide innovative approaches to maternity care that reduce disparities for low income and minority women, lower cesarean rates, and reduce health care costs, while increasing access to women on Medicaid.

    6) Discuss how your birth center meets some of these needs in your area.

    7) Follow the list on the flyer and discuss as many of those points as you want to cover.

    8) For a bill, we need sponsors and co-sponsors. Ask if your Senator or Representative is willing to sponsor or co-sponsor the needed legislation to direct CMS to pay facility fees.
    a. If they say YES, thank them and direct them to Karen Fennell,
    our lobbyist at 301-830-3910 or karenfennell50@yahoo.com
    b. If they say NO, ask them why not and give them Karen's contact
    information.

    9) Ask for their email so you can send a copy of the flyer "Pregnant Women's Access to Care Threatened". Let them know you will stay in touch with them about this issue, and that you will let them know once our bill has been introduced.

    10) If they ask questions you cannot answer, tell them you will have Karen Fennell, our lobbyist contact them.
    Follow-Up

    1) Notify AABC's lobbyist - Karen Fennell - who you have contacted and where they stand on sponsorship. Also relay any questions from your visit so that Karen can follow-up. Cc: Jill Alliman, AABC's Legislative Chair, on your correspondence.
    Karen Fennell's contact information:
    Phone: 301-830-3910 ~ Email: kfennell50@yahoo.com

    Jill Alliman's contact information:
    Phone: 423-442-6624 ~ Email: jkalliman@yahoo.com

    2) Send a thank you note, with the flyer "Pregnant Women's Access to Care Threatened". Let them know you will stay in touch with them about this issue, and that you will let them know once the bill has been introduced.



    Do not delay. Take action today. It will be hard to be heard with the economic crisis in Congress this week. If enough of us call, they will hear us.

    If you have questions about how to make these calls, please let me know.

    Please forward this email to your lists.


    Sincerely,

    Jill Alliman, CNM, MSN

    Legislative Chair
    American Association of Birth Centers