Op-Ed: My reason for not accepting government money is a letter dated Feb 4, 1974, the year I graduated from medical school. My father, who owned a small contracting business, thumb-tacked it over his desk, to remind him not to bid on government jobs.
The letter from Russ Plumbing Company, one of his best subcontractors, reads as follows:
“According to your government, the powers that be have decided that we have exceeded our allowable profits in 1972 at the rate of 1/13th of 1%.
“Consequently, we have consented, under the Voluntary Compliance Agreement, to reimburse a total of $789, the amount involved, to our 1972 Contractors. We have endeavored to prorate this amount as equitably as possible.
“May we take this opportunity to mention that although we have shown a net loss for the fiscal year 1973, it does not have any bearing on the above decision.
“Enclosed herewith please find a check to cover the amount due you.”
A check for $17.90, which my father never cashed, was attached.
Russ had been the low bidder on a government job—which he finished satisfactorily, on time, for the agreed-upon price. Things went unusually well, so he made more profit than expected. The government decided that he had made too much, and not only demanded a refund but also decided to audit all his private contracts. Auditors swarmed over his office. Productive work was shut down. Russ, who was a good plumber, a hard worker, and a decent, honest man, was ruined.
Where did the government get the authority to pass judgment on how much profit a plumber was allowed to earn? Apparently, it just assumed the power and proceeded to exercise it.
I posted a copy of Russ’s letter on my wall also, and never accepted a government check after I stopped working for the Veterans Administration and went into private practice. Until 1990, many of my patients filed their own Medicare claims. Since then, the doctor has had to file the claims, even if they are “unassigned” so that the patient receives the check. His signature on the claim means that the doctor agrees to abide by all the rules, of which there are more than 100,000 pages. These include coding requirements and price controls.
Russ got off easy. If a doctor gets overpaid, even through unintentional error, he may have to refund three times the amount, plus pay a civil monetary penalty. That used to be $10,000 per item, recently increased to $11,000, and in the new law to $50,000. Then there can be serious prison time.
As executive director of the Association of American Physicians and Surgeons, Inc. (AAPS), I have met an office manager who spent one year in a county jail over the definition of—“office visit.” I have talked to doctors whose office or home was invaded by a SWAT team that pointed guns at patients or terrified children. One doctor’s home was ransacked by government agents searching for medical records in shoeboxes. Doctors have spent years in prison, with murderers, over disputes involving less than 1% of their billings. At least half a dozen have attempted or committed suicide after their lives were torn apart by “fraud” prosecutions. These were real doctors, who worked long hours caring for seriously sick patients. Their families are impoverished too—bank accounts, houses, cars, retirement accounts all seized. A few dollars from an “unnecessary” treatment could taint all assets and subject them to forfeiture.
Most doctors still think this only happens to “bad apples”— newspaper smears help give that impression. Still, many doctors, instead of studying about new treatments, are signing up for “compliance” courses to minimize the damages from bounty-hunting auditors.
When doctors begin to understand that much of the projected half-trillion dollars in Medicare “savings” is expected to come from assets accumulated by doctors over decades of hard toil, we are likely to see a mass exodus, especially of older doctors in solo practice, who seem to be the prime targets.
With fewer doctors, there will be less work done, and thus more savings [so the government would suggest].
Russ was just a plumber, and he got flushed. What can doctors expect, now that they are public enemy #1?
For more information on government healthcare from a doctor’s perspective, click here.

Op-Ed: In the 1920s, when my Canadian-born Irish Catholic grandfather (Bruce Arthur McGuigan) came to Chicago to find work, scattered shop windows still bore signs instructing, “No Irish need apply.” In discussions about immigration, I often ask fellow conservatives: What if you were a Mexican with a wife and children, willing and able to work hard, living in Mexico today with its drug wars and social chaos and collapsing culture? If you sought a better life for those you love, what would you do? Would you stay Mexico, or find a way to get to America?
The proposed statute was contrary to a 1982 U.S. Supreme Court decision requiring public schools to provide an education to all comers. That case slapped down a Texas law designed to withhold money from educating children whose parents were not “legally admitted” to the U. S.
If none of the above focuses the mind, how about this: By 2060, 30% of all Americans will be Hispanics (or Latinos, as some prefer). Many of those folks will have been born in Mexico or be the children of Mexicans.
On the verge of holding hearings on illegal immigration, Reneau sought the editor’s input. After some fairly stereotypical anti-immigrant rhetoric, he concluded: “Hell, the Mexicans are good people. If it wasn’t for them, we’d be Class 2A (in high school sports).”
Recent statements of mine regarding an Oklahoma militia have been misrepresented, taken out of context and are badly misunderstood. I have stated that the formation of and participation in, an Oklahoma militia is legal based on both federal and state law.
Tulsa Today is the oldest independent online news service anywhere and we have and will defend that claim. The point of publication is clear communications on issues of common concern and there can be no greater concern this day than the future of America. Today Tulsa patriots will gather in downtown and at Expo Square to share strength, encourage, demonstrate and meet new friends. Together we will renew America. You are invited.
I have been a journalist for over twenty-five years, but most regular readers here know that story. Writing is different from radio and while I have never been a fan of the personal pronoun in print, the radio show is opinion, humor, and satire – on public issues. Just imagine the mass of things we can say. We will speak truth to power without regard to station.
Our government has failed. Congress specifically has, by their massive deficit spending and stupid corruption failed to protect and maintain the value of the currency as they are required to do by Article 1, Section 8 of the U.S. Constitution.
Tuesday at the
America needs more Okie attitude in Washington. The game is changed. For years we have sent solid conservative representatives to Washington including, but not limited to
As I listened to the wailing and gnashing of teeth by the Oklahoma Municipal League (OML) and its lobbyists about my proposal to end the grocery sales tax, the story of “Chicken Little” came to mind.