Association of the association of american medical colleges issued a report calling for much stronger conflict of interest standards, leaders standards, leaders with individual schools saying we just cannot keep going. All of all of those things came together, and the law passed in 2010. But the other piece of context that i think is not proximal to the laws passage but is important to understanding how it fits is this sort of much wider recognition that we really need to understand in this country that drivers of Health Care Costs and where the dollars go, and if you go back to 2,007 it would be close to unimaginable that cms would be publishing individual physician payment records. And so we now have the 1st report from the sunshine act 3. 7 Million Dollars in payments. Thats around nine billion a year, funds that that are either going to research and Product Development which is important and important for the public to understand are going to drive uptake of particular products whi
Quality of life of people of color. Were here because no one has put a leash on killer cops, so i have five recommendations. They are, here we go. Number one, we need to have a legitimate citizen review board with the power to fire officers for misconduct. Most cities have Police Complaints as we do here in d. C. But they do not have these powers. They are paper tigers and we need to give them power so they are actually responsible to the people they are serving. We should require significant number of police who work in that community to live in that community. That has been found unconstitutional to live in designated areas, how can overcome challenging rulings in court to reflect similar requirements for local politicians forced to live in areas they do represent. The mayor must live in the area he or she represents, councilman must live in area he or she represents, why not police. Three, automatic expulsion clause any officer caused the loss of life of a person unarmed or innocent
Weeds here, to maintain a practicing license has to get a certain amount of continuing medical education every year. And whats happened over the past decade and a half is more and more of that continuing medical education has been funded by the Drug Companies or the companies that make certain products. And the challenge is as the questioner pointed out, the funding passes through and its technically an unrestricted grant and there are various fire walls in place. Everybody who has looked at this from the Senate Investigations to the institute of medicine to the american medical colleges report have all expressed deep concern about the potential of cme funding to influence prescribing. But its been a tricky issue of how do you capture it. What cme has come down on it is if a Company Finds out within the year that their funds were used to went to a particular doctor then thats a reportable payment and thats consistent with how other indirect payments through an intermediary are treated
The physician payment sunshine act. It was a bipartisan piece of legislationo senate by senatorrofz grassley. Republican from iowa. And senator herb kohl a democrat from wisconsin. And the bill sought to lift the veil on the relationship between industry and it was a true piece of Bipartisan Legislation that was founded on a lot of the research that youre going to hear from some of our great speakers today. It was written in conjunction z with the information that we gotrcd from the research community, and the consumer community, represented by pew and allen here today and aarp and amsa and me concerned that these r b2bk ; relationships, the Financial Relationships, were impacting both the quality of health care, and the cost of health care. J2. Sn and i have to say that the process was long and tireless. At the time i worked for senator herb cole and we had, with my colleague Chris Armstrong from oa senator grassleys office, about 300 meetings with consumer a d z tr t hahp hc groups,
3. 7 billion in payments to p n hospitals in fiveu r months of the first year of reporting. Thats a÷n1szw eajjr hvqp . Those are funds that are either going to research and product development, and thats important and important for the public to understand. Or going to drive uptake of particular products. Thats also important and important to understand. eb÷ so where are we now . Pew has been involved in this acs issue in a long time, as have the other folks on the pafj0o today, and many other organizations. And since passage we have s continued tkgf hp orking group of consumer organizations, and also individual companies to build shared understanding about how the data should be presented. And about some of the technical challenges in getting that data d,s7÷ . uujeu q ublic domain. Data for the first full year of reporting has been collected. 2014 data has been collected. It will be submitted to cms in march. And in june we will have publication of the first full ÷ bko year ofut9