Association of American Physicians and Surgeons
Encyclopedia
The Association of American Physicians and Surgeons (AAPS) is a politically conservative American non-profit organization
Non-profit organization
Nonprofit organization is neither a legal nor technical definition but generally refers to an organization that uses surplus revenues to achieve its goals, rather than distributing them as profit or dividends...

 founded in 1943 to "fight socialized medicine and to fight the government takeover of medicine." The group was reported to have approximately 4,000 members in 2005, and 3,000 in 2011.
Notable members include Ron Paul
Ron Paul
Ronald Ernest "Ron" Paul is an American physician, author and United States Congressman who is seeking to be the Republican Party candidate in the 2012 presidential election. Paul represents Texas's 14th congressional district, which covers an area south and southwest of Houston that includes...

 and John Cooksey
John Cooksey
John Charles Cooksey, M.D. is an ophthalmologist who was a Republican member of the U.S. House of Representatives from Louisiana from 1997 to 2003.-Early life:...

; the executive director is Jane Orient, a member of the Oregon Institute of Science and Medicine
Oregon Institute of Science and Medicine
The Oregon Institute of Science and Medicine is a 501 non-profit organization located about seven miles from Cave Junction, Oregon. It is a private research institute that studies biochemistry, diagnostic medicine, nutrition, preventive medicine and the molecular biology of aging, and receives no...

.

AAPS publishes the Journal of American Physicians and Surgeons, but the journal is not included in Web of Science
Web of Science
ISI Web of Knowledge is an academic citation indexing and search service, which is combined with web linking and provided by Thomson Reuters. Web of Knowledge coverage encompasses the sciences, social sciences, arts and humanities. It provides bibliographic content and the tools to access, analyze,...

 or MEDLINE
MEDLINE
MEDLINE is a bibliographic database of life sciences and biomedical information. It includes bibliographic information for articles from academic journals covering medicine, nursing, pharmacy, dentistry, veterinary medicine, and health care...

/PubMed lists of peer-reviewed scientific sources. The organization, its members, and the journal have all been the subjects of criticism from mainstream medical sources.

History

During the winter of 1943, the Lake County (Indiana) Medical Committee decided to take action against the Wagner-Murray-Dingell Bill, proposed legislation that would provide government health care for most U.S. citizens. Also opposed to the bill was the conservative National Physicians Committee. The committee began a membership drive in February 1944. By May 1944, the AAPS claimed members from all 48 states. In 1944, Time
Time (magazine)
Time is an American news magazine. A European edition is published from London. Time Europe covers the Middle East, Africa and, since 2003, Latin America. An Asian edition is based in Hong Kong...

reported that the group's aim was the "defeat of any Government group medicine." In 1966, the New York Times described AAPS as an "ultra-right-wing... political-economic rather than a medical group," and noted that some of its leaders were members of the John Birch Society
John Birch Society
The John Birch Society is an American political advocacy group that supports anti-communism, limited government, a Constitutional Republic and personal freedom. It has been described as radical right-wing....

.

Positions

Though it describes itself as "non-partisan", AAPS is generally recognized as politically conservative. According to Mother Jones
Mother Jones (magazine)
Mother Jones is an American independent news organization, featuring investigative and breaking news reporting on politics, the environment, human rights, and culture. Mother Jones has been nominated for 23 National Magazine Awards and has won six times, including for General Excellence in 2001,...

, "despite the lab coats and the official-sounding name, the docs of the AAPS are hardly part of mainstream medical society. Think Glenn Beck
Glenn Beck
Glenn Edward Lee Beck is an American conservative radio host, vlogger, author, entrepreneur, political commentator and former television host. He hosts the Glenn Beck Program, a nationally syndicated talk-radio show that airs throughout the United States on Premiere Radio Networks...

 with an MD."

The organization opposes mandatory vaccination
Vaccination
Vaccination is the administration of antigenic material to stimulate the immune system of an individual to develop adaptive immunity to a disease. Vaccines can prevent or ameliorate the effects of infection by many pathogens...

, universal health care
Universal health care
Universal health care is a term referring to organized health care systems built around the principle of universal coverage for all members of society, combining mechanisms for health financing and service provision.-History:...

  and government intervention in healthcare. The AAPS has characterized the effects of the Social Security Act of 1965
Social Security Act of 1965
The Social Security Amendments of 1965 was legislation in the United States whose most important provisions resulted in creation of two programs: Medicare and Medicaid. The legislation initially provided federal health insurance for the elderly and for poor families. While President Lyndon B...

, which established Medicare
Medicare (United States)
Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other...

 and Medicaid
Medicaid
Medicaid is the United States health program for certain people and families with low incomes and resources. It is a means-tested program that is jointly funded by the state and federal governments, and is managed by the states. People served by Medicaid are U.S. citizens or legal permanent...

, as "evil" and "immoral", and encouraged member physicians to boycott Medicare and Medicaid. AAPS argues that individuals should purchase medical care directly from doctors, and that there is no right
Right
Rights are legal, social, or ethical principles of freedom or entitlement; that is, rights are the fundamental normative rules about what is allowed of people or owed to people, according to some legal system, social convention, or ethical theory...

 to medical care. The organization requires its members to sign a "declaration of independence" pledging that they will not work with Medicare, Medicaid, or even private insurance companies.

AAPS also opposes mandated evidence-based medicine
Evidence-based medicine
Evidence-based medicine or evidence-based practice aims to apply the best available evidence gained from the scientific method to clinical decision making. It seeks to assess the strength of evidence of the risks and benefits of treatments and diagnostic tests...

 and practice guidelines, criticizing them as a usurpation of physician autonomy
Autonomy
Autonomy is a concept found in moral, political and bioethical philosophy. Within these contexts, it is the capacity of a rational individual to make an informed, un-coerced decision...

 and a fascist
Fascism
Fascism is a radical authoritarian nationalist political ideology. Fascists seek to rejuvenate their nation based on commitment to the national community as an organic entity, in which individuals are bound together in national identity by suprapersonal connections of ancestry, culture, and blood...

 merger of state and corporate power where the biggest stakeholder is the pharmaceutical industry. Other procedures that AAPS opposes include abortion
Abortion
Abortion is defined as the termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo prior to viability. An abortion can occur spontaneously, in which case it is usually called a miscarriage, or it can be purposely induced...

 and over-the-counter
Over-the-counter drug
Over-the-counter drugs are medicines that may be sold directly to a consumer without a prescription from a healthcare professional, as compared to prescription drugs, which may be sold only to consumers possessing a valid prescription...

 access to emergency contraception
Emergency contraception
Emergency contraception , or emergency postcoital contraception, refers to birth control measures that, if taken after sexual intercourse, may prevent pregnancy.Forms of EC include:...

. AAPS also opposes electronic medical records as well as any "direct or de facto supervision or control over the practice of medicine by federal officers or employees."

On Oct 25 2008 the AAPS website published an editorial implying that Barack Obama was using Neuro-linguistic Programming
Neuro-linguistic programming
Neuro-linguistic programming is an approach to psychotherapy, self-help and organizational change. Founders Richard Bandler and John Grinder say that NLP is a model of interpersonal communication and a system of alternative therapy which seeks to educate people in self-awareness and effective...

, "a covert form of hypnosis", in his presidential campaign.

American Physicians and Surgeons Vs Social Security

In 1975, AAPS went to court to block enforcement of a new Social Security
Social Security (United States)
In the United States, Social Security refers to the federal Old-Age, Survivors, and Disability Insurance program.The original Social Security Act and the current version of the Act, as amended encompass several social welfare and social insurance programs...

 amendment that would monitor the treatment given Medicare
Medicare (United States)
Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other...

 and Medicaid
Medicaid
Medicaid is the United States health program for certain people and families with low incomes and resources. It is a means-tested program that is jointly funded by the state and federal governments, and is managed by the states. People served by Medicaid are U.S. citizens or legal permanent...

 patients.

American Physicians and Surgeons Vs Hillary Clinton

With several other groups, AAPS filed a lawsuit in 1993 against Hillary Clinton and Secretary of Health and Human Services Donna Shalala‎ over closed-door meetings related to the 1993 Clinton health care plan. The AAPS sued to gain access to the list of members of President Clinton's
Bill Clinton
William Jefferson "Bill" Clinton is an American politician who served as the 42nd President of the United States from 1993 to 2001. Inaugurated at age 46, he was the third-youngest president. He took office at the end of the Cold War, and was the first president of the baby boomer generation...

 health care taskforce. Judge Royce C. Lamberth
Royce C. Lamberth
Royce C. Lamberth is a federal judge in the United States District Court for the District of Columbia, serving as its Chief Judge....

 found in favor of the plaintiffs and awarded $285,864 to the AAPS for legal costs; Lamberth also harshly criticized the Clinton administration and Clinton aide Ira Magaziner
Ira Magaziner
Ira Magaziner was born in New York City, New York, USA. After being a student activist and business consultant, Magaziner became the senior advisor for policy development for President Clinton, especially as chief healthcare policy advisor. He now serves as chairman of the William J...

 in his ruling. Subsequently, a federal appeals court overturned the award and the initial findings on the basis that Magaziner and the administration had not acted in bad faith.

Gun control

In 1996, Dr Miguel Faria (founding editor of Medical Sentinel, the AAPS's journal) was involved in a gun control debate regarding the CDC
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

's National Center for Injury Prevention and Control (NCIPC). Faria and other critics felt the NCIPC's program on gun violence was biased against gun owners, and was part of a 'public health' political strategy by gun control advocates. They testified before the US House to that effect. Faria wanted to defund the NCIPC entirely.

American Physicians and Surgeons Vs Health Insurance Portability and Accountability Act

The AAPS was involved in litigation against Health Insurance Portability and Accountability Act
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act of 1996 was enacted by the U.S. Congress and signed by President Bill Clinton in 1996. It was originally sponsored by Sen. Edward Kennedy and Sen. Nancy Kassebaum . Title I of HIPAA protects health insurance coverage for workers and their...

 (HIPAA), arguing that it violates the Fourth Amendment to the United States Constitution
Fourth Amendment to the United States Constitution
The Fourth Amendment to the United States Constitution is the part of the Bill of Rights which guards against unreasonable searches and seizures, along with requiring any warrant to be judicially sanctioned and supported by probable cause...

 by allowing government access to certain medical data without a warrant. (Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers, and is intended to improve the efficiency and effectiveness of the US's health care system by encouraging the widespread use of electronic data interchange in the health care system.)

American Physicians and Surgeons vs Patient Protection and Affordable Care Act (PPACA)

On March 26, 2010 AAPS filed suit to invalidate the new health care bill.

American Physicians and Surgeons Vs "Seizure of Rush Limbaugh's medical records"

In 2004, AAPS filed a brief on behalf of conservative talk show host Rush Limbaugh
Rush Limbaugh
Rush Hudson Limbaugh III is an American radio talk show host, conservative political commentator, and an opinion leader in American conservatism. He hosts The Rush Limbaugh Show which is aired throughout the U.S. on Premiere Radio Networks and is the highest-rated talk-radio program in the United...

 in Florida's Fourth District Court of Appeal, opposing the seizure of his medical files in an investigation of drug charges for Limbaugh's alleged misuse of prescription drugs. The AAPS stated the seizure was a violation of state law and that 'It is not a crime for a patient to be in pain and repeatedly seek relief, and doctors should not be turned against patients they tried to help.'"

Other cases

In 2006 the group criticised what it called sham peer review
Sham peer review
Sham peer review or malicious peer review is a name given to the abuse of a medical peer review process to attack a doctor for personal or other non-medical reasons...

, claiming it was a device used to punish whistleblowers. The next year, the AAPS helped appeal the conviction of Virginia internist William Hurwitz
William Hurwitz
William E. Hurwitz, M.D., is a Virginia based pain management physician who was aggressively prosecuted and convicted by the United States Government in 2004 for excessively prescribing pain medication to patients, some of whom subsequently abused and redistributed it on the black market. Before...

, who was sentenced to 25 years in federal prison for prescribing excessive quantities of narcotic drugs
Narcotic
The term narcotic originally referred medically to any psychoactive compound with any sleep-inducing properties. In the United States of America it has since become associated with opioids, commonly morphine and heroin and their derivatives, such as hydrocodone. The term is, today, imprecisely...

 after 16 former patients testified against him. Hurwitz was granted a retrial in 2006, and his 25-year prison sentence was reduced to 4 years and 9 months.

Journal of American Physicians and Surgeons

The Journal of American Physicians and Surgeons (JPandS), until 2003 named the Medical Sentinel, is the journal of the association. Its mission statement includes "… a commitment to publishing scholarly articles in defense of the practice of private medicine, the pursuit of integrity in medical research … Political correctness, dogmatism and orthodoxy will be challenged with logical reasoning, valid data and the scientific method." The publication policy of the journal states that articles are subject to a double-blind peer-review process.

The Journal of American Physicians and Surgeons is not listed in major academic literature databases such as MEDLINE
MEDLINE
MEDLINE is a bibliographic database of life sciences and biomedical information. It includes bibliographic information for articles from academic journals covering medicine, nursing, pharmacy, dentistry, veterinary medicine, and health care...

/PubMed
PubMed
PubMed is a free database accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine at the National Institutes of Health maintains the database as part of the Entrez information retrieval system...

 nor the Web of Science
Web of Science
ISI Web of Knowledge is an academic citation indexing and search service, which is combined with web linking and provided by Thomson Reuters. Web of Knowledge coverage encompasses the sciences, social sciences, arts and humanities. It provides bibliographic content and the tools to access, analyze,...

. The National Library of Medicine declined repeated requests from AAPS to index the journal, citing unspecified concerns. Articles and commentaries published in the journal have argued a number of non-mainstream or scientifically discredited claims, including:
  • that human activity has not contributed to climate change
    Climate change
    Climate change is a significant and lasting change in the statistical distribution of weather patterns over periods ranging from decades to millions of years. It may be a change in average weather conditions or the distribution of events around that average...

    , and that global warming will be beneficial and thus not a cause for concern;
  • that HIV does not cause AIDS;
  • that the "gay male lifestyle" shortens life expectancy by 20 years.


A series of articles by pro-life
Pro-life
Opposition to the legalization of abortion is centered around the pro-life, or anti-abortion, movement, a social and political movement opposing elective abortion on moral grounds and supporting its legal prohibition or restriction...

 authors published in the journal argued for a link between abortion and breast cancer. Such a link has been rejected by the scientific community, including the U.S. National Cancer Institute
National Cancer Institute
The National Cancer Institute is part of the National Institutes of Health , which is one of 11 agencies that are part of the U.S. Department of Health and Human Services. The NCI coordinates the U.S...

, the American Cancer Society
American Cancer Society
The American Cancer Society is the "nationwide community-based voluntary health organization" dedicated, in their own words, "to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and...

, and the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

, among other major medical bodies.

A 2003 paper published in the journal, claiming that vaccination was harmful, was criticized for poor methodology, lack of scientific rigor, and outright errors by the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 and the American Academy of Pediatrics
American Academy of Pediatrics
The American Academy of Pediatrics is the major professional association of pediatricians in the United States. The AAP was founded in 1930 by 35 pediatricians to address pediatric healthcare standards. It currently has 60,000 members in primary care and sub-specialist areas...

. A National Public Radio piece mentioned inaccurate information published in the Journal and wrote: "The journal itself is not considered a leading publication, as it's put out by an advocacy group that opposes most government involvement in medical care."

The Journal has also published articles advocating politically and socially conservative policy positions, including:
  • that the Food and Drug Administration
    Food and Drug Administration
    The Food and Drug Administration is an agency of the United States Department of Health and Human Services, one of the United States federal executive departments...

     and Centers for Medicare and Medicaid Services
    Centers for Medicare and Medicaid Services
    The Centers for Medicare & Medicaid Services , previously known as the Health Care Financing Administration , is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer...

     are unconstitutional
    Constitutionality
    Constitutionality is the condition of acting in accordance with an applicable constitution. Acts that are not in accordance with the rules laid down in the constitution are deemed to be ultra vires.-See also:*ultra vires*Company law*Constitutional law...

    ;
  • that "humanists" have conspired to replace the "creation religion of Jehovah" with evolution
    Evolution
    Evolution is any change across successive generations in the heritable characteristics of biological populations. Evolutionary processes give rise to diversity at every level of biological organisation, including species, individual organisms and molecules such as DNA and proteins.Life on Earth...

    ;
  • that "anchor babies
    Anchor baby
    "Anchor baby" is a pejorative term for a child born in the United States to immigrant parents, who, as an American citizen, supposedly can later facilitate immigration for relatives...

    " are valuable to undocumented immigrants, particularly if the babies are disabled.


Quackwatch
Quackwatch
Quackwatch is an American non-profit organization founded by Stephen Barrett with the stated aim being to "combat health-related frauds, myths, fads, fallacies, and misconduct" and with a primary focus on providing "quackery-related information that is difficult or impossible to get elsewhere."...

 lists JPandS as an untrustworthy, non-recommended periodical. An editorial in Chemical & Engineering News
Chemical & Engineering News
Chemical & Engineering News is a weekly magazine published by the American Chemical Society, providing professional and technical information in the fields of chemistry and chemical engineering...

by editor-in-chief Rudy Baum described JPandS as a "purveyor of utter nonsense." Investigative journalist Brian Deer
Brian Deer
Brian Deer is a British investigative reporter, best known for inquiries into the drug industry, medicine and social issues for the Sunday Times of London.- Career :...

 wrote that the journal is the "house magazine of a right-wing American fringe group [AAPS]" and "is barely credible as an independent forum."

Leprosy errors

In a 2005 article published in the Journal, Madeleine Cosman
Madeleine Cosman
Madeleine Pelner Cosman was a scholar, a policy analyst, an advocate, a prolific author, and a faculty member at City College of New York...

 argued that illegal immigrants
Illegal immigration
Illegal immigration is the migration into a nation in violation of the immigration laws of that jurisdiction. Illegal immigration raises many political, economical and social issues and has become a source of major controversy in developed countries and the more successful developing countries.In...

 were carriers of disease, and that immigrants and "anchor babies"
Anchor baby
"Anchor baby" is a pejorative term for a child born in the United States to immigrant parents, who, as an American citizen, supposedly can later facilitate immigration for relatives...

 were launching a "stealthy assault on [American] medicine." In the article, Cosman claimed that "Suddenly, in the past 3 years America has more than 7,000 cases of leprosy" because of illegal aliens. The journal's leprosy
Leprosy
Leprosy or Hansen's disease is a chronic disease caused by the bacteria Mycobacterium leprae and Mycobacterium lepromatosis. Named after physician Gerhard Armauer Hansen, leprosy is primarily a granulomatous disease of the peripheral nerves and mucosa of the upper respiratory tract; skin lesions...

 claim was cited and repeated by Lou Dobbs
Lou Dobbs
Louis Carl "Lou" Dobbs is an American journalist, radio host, television host on the Fox Business Network, and author. He anchored CNN's Lou Dobbs Tonight until November 2009 when he announced on the air that he would leave the 24-hour cable news television network.He was born in Texas and lived...

 as evidence of the dangers of illegal immigration.

However, publicly available statistics show that the 7,000 cases of leprosy occurred during the past 30 years, not the past 3 as Cosman claimed. James L. Krahenbuhl, director of the U.S. government's leprosy program, stated that there had been no significant increase in leprosy cases, and that "It [leprosy] is not a public health problem—that’s the bottom line." National Public Radio reported that the Journal article "had footnotes that did not readily support allegations linking a recent rise in leprosy rates to illegal immigrants." The article's erroneous leprosy claim was pointed out by 60 Minutes
60 Minutes
60 Minutes is an American television news magazine, which has run on CBS since 1968. The program was created by producer Don Hewitt who set it apart by using a unique style of reporter-centered investigation....

, National Public Radio, and the New York Times but has not been corrected by the Journal.

External links

  • AAPSonline.org - Association of American Physicians and Surgeons home page
  • Medical Sentinel - The first journal published by AAPS, now renamed to the Journal of American Physicians and Surgeons http://www.jpands.org.
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