AZ Senate Hearings on MOC, Feb 11, 2015

The Arizona State Senate will be holding a hearing at 2pm, Wednesday, February 11 on bills to protect the rights of Arizona physicians and patients!

Your input is crucial; we need your presence at this hearing!

2pm, Feburary 11, 2015

Arizona State Senate
Senate Hearing Room 1 – Health and Human Services Committee
1700 W. Washington, Phoenix, AZ

(Note: Also plan to join us at 6pm for dinner after the hearing. This will serve as the first AZ AAPS chapter meeting of the year. Details coming soon.)

Thanks to Senator Kelli Ward, DO, two bills have been introduced to curb the intrusion of mandatory, time-wasting, Maintenance of Certification requirements that detract from patient care.

This is a significant opportunity to take a stand against MOC and for protecting patient access to the physicians of their choice.  

Help kick bureaucrats out of the exam room by coming to support these important pieces of legislation!

Please reply to this email if you will plan to come.  All that is needed is for you to briefly explain how MOC impacts your practice.

P.S. Following the hearing the Arizona Chapter of AAPS will be holding its first dinner meeting of 2015.  Plan to join your colleagues at 6pm for food, discussion, and presentations by special guests to be announced soon.  More details coming soon.

AZ Chapter Meeting, July 2, 2014

Senators Kelli Ward, D.O. and Judy Burges as well as State Senate candidate Ralph Heap, MD have confirmed that they will attend our AAPS Arizona Chapter Meeting on July 2, joining Senator Nancy Barto and Gubernatorial Candidate Frank Riggs.

Space is limited. RSVP today so you don’t miss this chance to meet with your colleagues and hear the latest on upcoming health care policy in our state.

Arizona AAPS Chapter Meeting – July 2, 2014, 6 pm to 8:30 pm

Come join your colleagues for dinner and discussion with current and future AZ elected officials about protecting patient care in Arizona from failed federal and state policy.

You don’t want to miss out on this opportunity to network with fellow AZ AAPS members and friends.

When: Wednesday, July 2, 2014, 6 pm to 8:30 pm

6 pm – Networking and cocktail hour

6:30 pm – Dinner

7 pm – Presentations

Where: Macayo’s, 4001 N. Central Ave. Phoenix, AZ 85012,

Aztec room, ground floor. Parking to north and east of restaurant.

Cost: No Charge

Special Guests: Senator Kelli Ward, D.O., Senator Judy Burgess, Senator Nancy Barto, Senate candidate Ralph Heap, MD, & Gubernatorial Candidate and former United States Congressman Frank Riggs.

RSVP:  Email [email protected] or call/text 520-270-0761

Hope to see you there!

Arizona Stands Together Against Obamacare – April 25, AZ Capitol

Rally at Arizona Capitol – April 25

Stop Medicaid Expansion in AZ


Dear Arizona AAPS members and friends:

Please read the message below from our friends at Americans for Prosperity AZ about an important event at the Arizona Capitol on Thursday April 25, 11am.

We hope to see you there!



Dear Arizona Health Care Freedom Activists,Please join the Arizona chapter of Americans for Prosperity, the Goldwater Institute, Representative Warren Petersen, and other Legislators for a special press conference and rally this Thursday, April 25th at the Arizona State Capitol.

At the rally, you will hear experts and lawmakers explain why expanding Medicaid in Arizona under ObamaCare would be a costly and dangerous policy choice.

The rally begins at 11:00 am, but please arrive early to find parking and a place to stand in unity with others who oppose ObamaCare.  The Capitol is located at 1700 W. Washington Street – just west of downtown Phoenix (map).

I will be speaking at the rally, along with Christina Corieri of the Goldwater Institute and several lawmakers.

Now more than ever, health care freedom advocates must unite to oppose ObamaCare’s deceptive and damaging government takeover of health care in Arizona.  We must send a message to the Governor, to the Legislature and to the hospital industrial complex that Obamacare’s Medicaid expansion is very bad medicine for Arizona.

For more information about the rally, please visit our website or the Arizona Against Obamacare Expansion Facebook page.

Stand with us on Thursday as we fight for health care freedom and patient protection!

For Liberty, TomTom Jenney
Arizona Director
Americans for Prosperity

AAPS responds to GOP support for Medicaid Expansion


Arizona Legislators
1700 West Washington
Phoenix, AZ 85007

RE: March 26th letter from Randy Pullen

Dear Legislators:

We disagree with the analysis in Mr. Pullen’s letter defending Gov. Brewer’s decision to push hard for expanding Medicaid. Continue reading “AAPS responds to GOP support for Medicaid Expansion”

Medicaid Expansion a Trap, Not a Solution, Says Association of American Physicians and Surgeons

March 18, 2013 (GLOBE NEWSWIRE) — The following statement was issued by the Arizona State Chapter of the Association of American Physicians and Surgeons:

“Arizona’s Governor Jan Brewer, like some other Republican governors who say they oppose ObamaCare, is pushing for implementation of a key feature of the Affordable Care Act: an expansion of Medicaid.

“The media campaign features the standard formula of presenting hard-luck stories. An upstanding, hard-working citizen has, through no fault of her own, a serious illness, and has lost her insurance, right in the middle of treatment. The only answer: Enroll her in AHCCCS (pronounced ‘access,’ the Arizona Health Care Cost Containment System, the Arizona 100-percent managed care Medicaid system).

“We should be asking a couple of questions. First, will she get the treatment she needs from AHCCCS? Answer: not necessarily. She might not be able to find a doctor, or the system might not approve the treatment-or approve it soon enough.

“Second: what will happen if her income rises above the threshold of 133% of the federal poverty level? Answer: she will become ineligible for AHCCCS, possibly right in the middle of treatment.

“While ‘job lock’ ties people to a job because they fear losing health insurance, Medicaid is a poverty trap that locks people out of getting a job.

“A spokesman for Gov Brewer claimed that, according to the New England Journal of Medicine, a previous expansion of Medicaid saved lives. This study looked at death rates from all causes before and after expansion in three states (New York, Maine, and Arizona). Only in New York did a decline reach statistical significance. Less than 15%
of the study population was on Medicaid, and Medicaid may have had nothing to do with the slight decline in mortality rate.

“The federal government promises to cover added costs, at least at first. Gov. Brewer proposes a ‘circuit breaker’ if funds are not available. If the federal government allows this, what happens to the program’s new dependents?

“The governor didn’t mention that the state might be able to seize the amount paid into AHCCCS on a person’s behalf after age 55 from his estate, even if no actual services were received. For older patients, AHCCCS enrollment is a loan.

“Only one effect is certain: some $2 billion would flow into the coffers of program contractors-managed care plans-and maybe 25% would trickle down to hospitals.”

The Association of American Physicians and Surgeons (AAPS) , which was founded in 1943, is a national organization representing physicians in all specialties.

Medicaid Expansion: Statement by AAPS AZ Chapter

AAPS is opposed to the Affordable Care Act (ACA) because it is an unconstitutional program that forces citizens to pay money to private entities, ostensibly for a public purpose, and to support programs to which they have a moral objection, or else pay an extra “tax.”

ACA will drive up the cost of insurance and medical care; reduce the availability of care, intrude into the patient-physician relationship, and damage the economy.

States could prevent the implementation of ACA by declining to set up Exchanges or to expand Medicaid. We are disappointed that Gov Brewer, despite her expressed opposition to ACA, now supports a Medicaid expansion, and respectfully ask her to reconsider.

Instead, Governor Brewer and Arizona legislators should consider innovative and proven solutions that empower patients instead of bureaucrats and cut waste such as the Volunteer Physician Health Care Act under consideration in New Jersey.  This act is based on a real life charity care clinic where the cost per patient visit is $13 compared to $160 at a federally funded facility.

It’s like a game of Prisoner’s Dilemma: If all (or enough) states “cooperate,” meaningful reforms could be achieved. However, if too many “defect,” those who remain true to their principles will be disadvantaged (i.e. get less federal money) compared to those who defect.

The Medicaid expansion has been compared to the gift of a baby elephant plus hay for a few years. The Governor believes that if the federal government reneges on promised support, we can undo our decision. That would probably be as hard as shooting an elephant. But we would be dealing with real human beings who are now dependent on the program.

Tax revenues intended to pay for medical care for the poor are instead a cash cow to pad the salaries of administrators, managed-care companies, and hospital executives.

Looking at the 2010 Care1st Health Plan combined statement for Arizona and California, revenue was $651 million, expenses for “healthcare services” were $554 million, taxable income was $24 million, and “selling, general and administrative expenses” were $69 million. While it is not known exactly what is included in “healthcare services,” it is clear that at least $100 million in taxpayer funds went to just one plan for things other than patient care. (AAPS News, January 2013).

Betsey Bayless, the CEO and president of Maricopa Integrated Health System (MIHS) earlier in 2013 received “a hefty $125,000 raise. Her base salary soared 33% overnight, from $375,003 to $500,000 — excluding benefits.” (Seeing RedAZ Blog).

While the Arizona Medical Association has endorsed the expansion of AHCCCS, there is no evidence that the majority of physicians support it or, more importantly, would be willing to provide the promised medical services. Many physicians decline to participate because of:

  • Costly, burdensome administrative demands
  • Difficulty in getting patients the services they need
  • Ever-increasing threats of audits or even prosecution because of errors that are called “waste, fraud, or abuse”
  • Payment that does not cover their costs.

Many eligible patients also decline to enroll, but may be forced to do so to avoid the mandate/penalty/“tax.” This may swell the rolls owing to the “woodwork effect.” Some persons may even be enrolled automatically. Reasons for nonenrollment include:

  • The burdensome process of enrolling, and repeatedly re-enrolling
  • The difficulty in finding a doctor
  • Covert rationing by managed care of services that are “covered” but not approved
  • The estate recovery process that means that enrollees age 55 or older are receiving a collateralized loan that can be recovered from their assets after death

Materials supplied by AHCCCS make it plain that the estate may have to pay back the total provided to the AHCCCS program contractor even if that is much greater than the value of any services that were received. This is comparable to a 100% “death tax” on the middle class and poor with no threshold.

Questions that legislators need to answer include:

  • While many Arizona hospitals may need funds, hospitals receive only about 25 % of the funds that go to AHCCCS. Why not fund hospitals directly, without AHCCCS overhead?
  • The AHCCCS expansion is claimed to create jobs. What jobs? And how many jobs will be lost from taxes, crowding out private insurance, loss of facilities owing to AHCCCS regulatory costs and poor payment, and so on? Is the model for predicting jobs different from the one that inaccurately predicted that ARRA (the “stimulus”) would bring unemployment below 6%?
  • Is the bed tax a tax or not? How can it be a “tax” to meet requirements for attracting federal dollars, and “not a tax” for meeting requirements for raising taxes? If it is argued that hospitals aren’t really paying the tax because more dollars come back from Washington than are sent, how does this dollar multiplier work despite the administrative losses? And do the same people get the revenue as paid the tax? If hospitals don’t pass along the tax to patients, where does the money to pay it come from?
  • Should the State of Arizona engage in systems gaming and word play to extract more dollars from federal taxpayers? Is this a form of fraud? Aren’t accounting gimmicks like the bed tax likely to be prohibited in the future?
  • If the State of Arizona supports the principle of systems gaming to get more tax dollars back than it puts in, it can hardly complain if other states beat us at the game. How can we be sure that we will stay ahead and be a tax recipient rather than tax donor, especially given this Administration’s history of actions damaging to Arizona? Why should we send any optional taxes, on the gamble of getting a bigger return?
  • People who earn a little too much lose their Medicaid benefits, the equivalent of a greater than 100% marginal tax rate. How does this affect work incentive and tax compliance?

Ask Gov Brewer to Reconsider ObamaCare Expansion

Dear Arizona AAPS members and friends,

Please read this important message from our friends at Americans for Prosperity about what you can do today to help STOP the planned Medicaid expansion in our state.



To all Arizona Taxpayers and Health Care Consumers:

Gov. Jan Brewer and powerful lobbyists are pushing Arizona to impose statewide taxes, including a hospital bed tax, to fund an expansion of Medicaid (AHCCCS) under ObamaCare. It is vitally important for Arizona to stop the proposed Medicaid expansion, because the human and fiscal costs of that expansion would be enormous.

The most important issue in the Medicaid expansion is the human cost.  If Arizona were to expand Medicaid, it would railroad 250,000 Arizonans into a low-quality, government-managed health insurance system. Medicaid patients not only have worse medical outcomes than patients other low-income people without insurance — even when they had the same medical conditions.

But here is another crucial issue: The proponents of the expansion are trying to do an end-run around Prop 108, the most important taxpayer protection in the Arizona Constitution. Under Prop 108, it is supposed to take a two-thirds majority of the Legislature to raise taxes. But Medicaid expansion proponents want to allow unelected bureaucrats at AHCCCS to raise state taxes (mainly hospital bed taxes) by $369 million over the next three years — without a two-thirds vote of the Legislature!  If the Legislature delegates to bureaucrats the authority to impose gigantic taxes on hospital patients, Prop 108 will be a dead letter and will no longer protect Arizona taxpayers.

Gov. Brewer told Arizonans to “do the math” on the Medicaid expansion. With all due respect, she should do the same. According to Brewer’s projections,the Arizona Medicaid expansion would cause the federal government to spend $3.6 billion over the next three years alone. The people who will pay those taxes include most of the people of Arizona and — thanks to the federal debt — our children and grandchildren. 


Please send a quick email note to Gov. Brewer, asking to reconsider her support for the ObamaCare Medicaid expansion. She changed her mind on the ObamaCare insurance exchange, so we know that she can do the right thing — but we must confront her with the evidence against the Medicaid expansion. 


Please register now for AFP-Arizona’s debate on the ObamaCare Medicaid expansion, which will take place from 11:30 am to 1:30 pm on Thursday, February 21 at the Goldwater Institute. At the event, Michael Cannon of the Cato Institute, Goldwater Institute health care policy analyst Christina Corieri, and Phoenix surgeon Jeff Singer will take on any three pro-expansion advocates who want to debate these issues publicly. We have extended the invitation to debate to Brewer adviser Chuck Coughlin, AHCCCS director Tom Betlach and members of the hospital and insurance lobbies. All concerned citizens who wish to attend the debate should RSVP to Shane Wikfors at [email protected]


For more about the problems with the proposed Medicaid expansion, read our line-by-line refutation of Gov. Brewer’s pro-expansion arguments in her January 14 speech.


Please help AFP-Arizona fight the battle for economic freedom in Arizona by going to  or clicking on the Donate button to the right.  A contribution of $10, $25, $50, or $100 would be a huge boost to our efforts, and would enable us to mobilize more activists and put more pressure on elected officials.  Every little bit counts, and we can’t do what we do without great people like you standing with us.  Thank you for your support, financial and otherwise!  Let’s make 2013 a great year for free enterprise in Arizona!

For Liberty, Tom

Tom Jenney

Arizona Director

Americans for Prosperity

Town Hall Sept 22, Tucson

If you missed the earlier town halls with Dr. Vliet – due to popular demand, another one is scheduled for Saturday September 22.

You are invited!

10am to Noon, Wilmot Library, Please join

Senator Frank Antenori and Dr. Elizabeth Lee Vliet M.D.

For a discussion on:

ObamaCare:  Poison Pill or Magic Cure?

The recent U.S. Supreme Court rulings on Obamacare will have a significant impact on the financial and economic health of AZ. ObamaCare affects your medical care and choice of treatment options, your prescription medicine, your medical privacy, and the personal relationship you currently enjoy with your doctor.To many the Supreme Court ruling is complex and confusing. To help clarify the rulings and their impact on the State of Arizona and your family please join Senator Antenori and Doctor Vliet.
Wilmot Library
520 N Wilmot Rd
Saturday, September 22, 10:00am – NOON

More information from Senator Antenori’s about the forces aligned against medical freedom in Arizona:

“In 2009 the Arizona legislature referred an initiative to the ballot to protect your medical decisions and keep them between you and your doctor.  The initiative was called the Health Care Freedom Act, Proposition 106, and you approved it.  Then the legislature passed legislation to allow you to purchase health insurance across state lines. Unfortunately the bill was vetoed.

On Monday, August 13th, the AZ Republic reported that “two key advisers to Gov. Jan Brewer are attempting to create a coalition of hospitals, insurance plans, providers, and other players to push Arizona to expand Medicaid under federal health-care reform.”  The complete article is titled, “Brewer advisers form health pact to push to expand Medicaid.”

Senator Antenori on the Garret Lewis show fully explains what these health pacts will mean to you and your medical decisions.

This is just one reason that solid conservatives are needed in the State Legislature – to protect you from the negative impact of Obamacare.  You need to be informed.   Your family, your community, your state, and your country depend on it.

Please bring  a friend and join Senator Antenori at an upcoming event.  And if you can:


 DONATE $25 or $50 TO SAVE OUR STATE !! 

Come hear AAPS Director Elizabeth Lee Vliet, MD

How ObamaCare affects YOU!

Join the Pima County Republican Women’s Club to hear health care authority

Dr. Elizabeth Lee Vliet!

The 2010 healthcare law, known as Obamacare, will bring many new rules, regulations, and cut backs to Medicare – come and hear how the new law affects you and your family:

How do the NEW Obamacare TAXES affect your pocketbook?

Obamacare cuts 716 BILLION dollars from Medicare – what does this mean for you getting the medical services you need?

Tuesday, September 18th

5:30pm social/6pm dinner and meeting
Sheraton Hotel and Suites
5151 East Grant Road
Tucson, Arizona
RSVP to Lauren Blevins
886 8232 or 403 7973
or [email protected]

*Note the meeting day change to Tuesday!

You can also reserve your place using our PayPal option! Go to

How do the new healthcare insurance “exchanges” affect your freedom to decide what you and your family can buy for medical insurance?

You hear about Obamacare paying for contraceptives and abortions…but what are the REAL women’s health issues Obamacare will cut?

How does Obamacare affect your medical privacy?

Why are health insurance premiums INCREASING under Obamacare?

Elizabeth Lee Vliet, M.D. is an independent physician with medical practices in Tucson AZ, Dallas TX, and Virginia. Dr. Vliet is the 2007 recipient of the Voice of Women award from the Arizona Foundation for Women. Dr. Vliet is the author of six books on women’s health and a national speaker on healthcare reform issues and how the new healthcare law–“Obamacare”–affects patients and their doctors. Dr. Vliet has appeared on national radio and TV, and an invited speaker for healthcare Town Halls, national and international conferences. Dr. Vliet is a member of the Board of Directors for the Association of American Physicians and Surgeons (AAPS), the voice of independent physicians and patients since 1943.