Vote for The Don to Fire Some People, Please?

You know, I’ve been thinking (run for your lives!) about the 2016 national presidential campaign and I wonder if Donald Trump would address a couple of issues about which I’m deeply concerned.

trump_firedThe first is Maintenance of Certification (MOC) a phenomenal burden on physicians in this country, promulgated by the American Board of Medical Specialties (ABMS). Dr. Lois Nora, MD, JD, MBA is the President and CEO of the ABMS and has made it clear that this organization will continue to require participation in Performance in Practice (PIP), which is the most useless, time-consuming, irrelevant, and insulting component of  Part IV of the MOC. I want The Don to fire Dr. Nora.

In turn, the President and CEO of the American Board of Psychiatry and Neurology (ABPN), Dr. Larry Faulkner, MD, promises that this specialty board will comply with that requirement, despite there being next to no evidence that it improves patient outcomes. The MOC controversy has raged for years, with no end in sight. Even leaders within the American Psychiatric Association (APA) ABPN-Letter (1) and the ABPN ABPN Letter to Diplomates have questioned the legitimacy of MOC. I want The Don to fire Dr. Faulkner.trump_fired

APA Letter of Concern on Part IV MOC to ABPN

But so far board executive leaders are not listening.

The other problem I’d like Donald Trump to solve is the mysterious Clozapine Risk Evaluation and Mitigation Strategy (REMS) Program. The dysfunctional website and inadequate telephone assistance apparently exist because of the incompetence of the managers. Talk about failure to communicate, the so-called “Managers” of the Clozapine REMS Program are invisible, cowering behind those who man the telephones who can’t answer simple questions and can’t really assist anyone in certifying in this farcical program which is supposed to be eliminating the monitoring hassles of prescribing Clozapine, an effective drug for treatment-resistant schizophrenia.

It does just the opposite. I want The Don to fire the Clozapine REMS Program Managers.trump_fired

If Trump would fire all of these people, I would consider voting for him. Are things that bad? What else but the dysfunction of our political system, our foreign and financial policies, our everything-that’s-wrong with our country explains why Americans would be so fed up they would support Trump’s candidacy as long as they have so far?

Frustration can make us do some pretty crazy things, like support non-candidates for President of the United States–such as Pat Paulsen. Remember Pat?

I think some people would have actually voted for him. I can think of a couple of other non-candidates who might get a foot in the door and I might consider voting for them if they could solve the problems I’ve mentioned here. One is Dave Barry, a humor columnist who actually did run a presidential “campaign.”

Another person I might consider voting for could be Svengoolie, the host of really goofy TV program which airs classic horror shows. Svengoolie could sign an executive order making the specialty board executives and Clozapine REMS Managers watch them. Part IV of the MOC would vanish in the blink of an eye and I would be certified in the REMS programs immediately. You have to be a die-hard fan to sit through any of them–although the classic Frankenstein will be featured this Halloween.

Should I call The Don?

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