Petition to Donald J. Trump, Members of Congress, Nancy Pelosi, Steny H. Hoyer, Kevin McCarthy, James E. Clyburn, Steve Scalise, Hakeem Jeffries, Mitch McConnell, Charles E. Schumer
Support the COVID-19 Pandemic Physician Protection Act (CPPPA)
Colleagues, Friends, and Family, By now, many of you have been personally affected by the COVID-19 pandemic. In some households, it may be several family members, or even yourself. As physicians and healthcare workers, we have been called to the frontline of this war against COVID-19, and we do not take this responsibility lightly. However, we do need your support. We need more tools and assurances in this fight against COVID-19. After hearing the feedback of the grassroots physician community through online communities with membership totaling over 100,000 physicians, we have proposed the COVID-19 Pandemic Physician Protection Act (CPPPA), which outlines the areas where we need help the most. Highlights include: Ensuring that physicians and other healthcare workers have access to adequate Personal Protective Equipment (PPE), protecting physicians from malpractice concerns that have arisen as a result of deviation from standard practices in order to protect patients from COVID-19 exposure, increasing access and removing restrictions for TeleHealth services, keeping our private practices financially solvent, ensuring mental health coverage for healthcare workers, canceling student loan debt, and creating provisions for our families if we die or become disabled during this pandemic. Please take a moment to sign our petition, which will also supports our proposed legislation (the CPPPA). We truly believe it will save lives - not only of physicians and other healthcare workers, but of patients throughout the United States of America. Respectfully submitted, Nisha Mehta, MD Carlos Vital, MD Karla Vital, MD The full text of CPPPA can be seen at: https://drive.google.com/file/d/15ls6Mff-b5JV3uWA666Lxvo9JF1VVDEn/view?usp=sharing
Petition to President of the United States, United States Department of Health and Human Services, United States Department of Labor
Respiratory Therapists deserve to be classified as Healthcare Caregivers
Respiratory Therapists are often the unsung heroes of medicine. Most of the general public doesn't even know that we exist . We were hoping that would change during a respiratory pandemic. Sadly, it has not. When a patient in the hospital is deteriorating Nurses and Doctors alike scream, "Where is Respiratory?" Respiratory Therapists are screaming that now. When healthcare workers are mentioned, it's always Doctors and Nurses. The much needed ventilators are even mentioned but rarely the skilled professionals that manage them. Respiratory Therapists are very crucial as we intubate the patients,manage the vents and breathe for these patients during code blues. Because of this care, we are at high risk for exposure. We do this willingly because if the patient isn't breathing then little else matters. The federal government doesn't list us as caregivers or providers along with Doctors, Nurses or other Therapists. We're listed as Hospital personnel and even then, we're last like we were thrown in as an afterthought. This affects our being able to qualify for healthcare caregiver loans and grants. This also affects morale. None of us went into medicine for glory or fame but I would be less than honest if I said that this slight isn't hurtful. By signing this petition you may be helping Respiratory Therapists get the classification and recognition that we have rightfully earned and deserve. Please consider reaching out to your elected officials as well. Thank you!
Petition to State and Federal Governments
Respiratory Therapists To Be Categorized As First Responders
The purpose of this action is to see that respiratory therapists working in hospitals be recognized as first responders. Due to the coronavirus situation, our profession has been dealing first-hand with patients who have, and are suspected of possibly having Covid19. Respiratory therapists are among the first responders within the hospital setting of any patient having significant distress and are frequently putting their own health at risk in order to serve and heal others. These licensed professionals are currently undervalued, underappreciated, and there is a general lack of understanding regarding the importance of their career field. Respiratory therapists deserve to be recognized as first responders not only during this health pandemic, but also during times of economic normalcy for all of their life saving skills in critical settings. #respiratorystrong Mark J. Gilbert, RRT-ACCS, EMT-P
Petition to United States Department of Health and Human Services, U.S. House of Representatives, U.S. Senate
Allow U.S.-Based IMGs to Work in the U.S. for COVID-19 Support
27% of U.S. physicians are internationally trained with 65,000 unlicensed IMGs in the country. AMOpportunities connects international medical trainees with clinical rotations in the United States and has a solution to our healthcare shortages. You can learn more at https://www.amopportunities.org We believe that an answer to the impending physician shortage in the United States and at present the global pandemic of COVID-19, necessitates U.S.-based international medical graduates. As such, we petition the United States healthcare system to allow IMGs to assist U.S. hospitals in any capacity. We're asking you to sign our petition to demonstrate your support and show the U.S. government and healthcare system the need for the expertise of IMGs. Our country is struggling to provide much-needed healthcare to the victims of COVID-19, which has infected more than one million U.S. citizens. Already, U.S. hospitals are calling on retired healthcare professionals and medical students to lend their support. Governor Phil Murphy of New Jersey recently signed Executive Order No. 112 authorizing the Division of Consumer Affairs to grant temporary licenses to doctors licensed in foreign countries. The rest of the country must follow suit. The 65,000 unlicensed IMGs in the U.S. are the answer to strengthening the healthcare workforce and ensuring we slow the spread of COVID-19 and eventually eradicate the virus. IMGs are limited to work by policy, geography, and cost. Many of them are unlicensed due to the lack of residency positions available. These 65,000 IMGs have medical degrees, and many have passed their board licensing exams, however these qualified near physicians cannot secure the necessary residency slots and thus can’t practice. In New York, IMGs that have completed three years of graduate medical education in a postgraduate training program accredited by the ACGME or the AOA can provide patient care services even if they’re unlicensed. This petition goes one step further. We ask all state officials and medical boards to pass policies that allow IMGs who are ECFMG certified to assist under the supervision of a licensed physician, regardless of whether they have completed any U.S. postgraduate training. The untapped knowledge and expertise of IMGs are precisely what frontline healthcare workers need to fight COVID-19. Join us as we petition the government and U.S. healthcare system to invite IMGs in the U.S. to lend their extensive medical experience. We all need to do our part to confront the uncertain time we find ourselves in. Thank you for your support. AMOpportunities https://www.amopportunities.org Here are other ways you can help us gain support for IMGs in the United States to practice in the U.S. during COVID-19. 1. Encourage your state to create an International Medical Assistance Program for a pathway to practicing in the U.S., similar to what Minnesota has done for IMGs. Washington is pushing similar action. You can see what other states have done to push a pathway for IMGs here. 2. Encourage universities to create programs that strengthen IMGs’ likelihood in matching into U.S. residency positions, similar to this program at UCLA. 3. Rural care has the greatest need of care from IMGs, and many live outside of major metropolitan areas, making it easier for them to practice in rural cities. Again, Minnesota has been working toward that same cause. You can also find more information here.
Petition to Greg Abbott, Ted Cruz, Texas State House, Texas State Senate, Louie Gohmert, Alma A. Allen, Al Green, Joaquín Castro, John Cornyn, Eddie Bernice Johnson, Lloyd Doggett, Kevin Brady, Henry Cuellar, Kay Granger, Tony Tinderholt, Michael Burgess, Michael T. McCaul, Judith Zaffirini, Texas
Allow TX dentists to use Telehealth to screen, triage, consult and increase access to care
4/23/20 This petition originated on April 1st after it was posted and stated on the TSBDE website that dentists were not allowed to use teledentistry due to no laws permitting it and board rule 108.8(c)(2)(C). The use of telehealth technology has not only been shown to increase access to care, but currently as social distancing continues, telehealth is a tool that can be used to eliminate possible exposure to Covid 19 by live video consults, triaging, and advanced communications with patients. As I have been hearing from dentists both on and off this petition, I have become more aware of their concerns currently and how they have used or would be using telehealth technology. Dentists have expressed concerns of contracting the virus, and are diligently implementing new protocols for infection control and PPE to protect patients and employees. In addition, some TX dentists have concerns that, due to current law, they are not being compensated for their time or knowledge in numerous telephonic or screening consults. Others, such as a pediatric dentist have stated “telehealth makes individual and risk based preventive interventions easier, faster, and more effective. Telehealth integrates nicely with the dental home concept and the Texas first dental home initiative.” Still other cosmetic and orthodontists have supported using telehealth technology to monitor and track Invisalign and orthodontic patients respectively. We are seeking Governor Abbotts waiver to expand telehealth options to TX dentists and dental specialists with allowance of compensation and/or insurance reimbursement. Thank you April 1st, 2020Dear Governor Abbott, During the current crisis and mandates many dental offices have had to close entirely or limit their office locations and/or times for emergency services only. For those dentists who are still serving patients, the risk of exposure to Covid 19 is real for them and the patients as well as over burdening the resources of fewer amount of offices and PPE. For some patients who are immunocompromised, the risk for them may be too great to visit a dental office with an urgent dental concern. There is also a concern that patients with a NTDC (Non Traumatic Dental Condition) may present to an ED, thereby further taxing a system and possibly exposing themselves and others to Covid 19. As research has shown, please see below, the large majority of patients who present to an ED with a dental urgency are stabilized with a prescription(s) and sent home. With today’s technology, there are highly reputable platforms available for telehealth, both secure and HIPPA compliant, even some used by NASA, GE Healthcare, and Cleveland Clinic. With these platforms, dentists would be able to video screen and triage patients, who either need to present for treatment or can be stabilized with a prescription, if necessary, and scheduled for a next possible date. In addition, several major dental insurance companies are allowing the codes D0140 (limited screening problem focused) and D0170 (problem focused established patient) to be covered with telehealth. This would help in prioritizing patients who absolutely need to be seen in office and also allow patients with a dental concern to remain in their home and given an Rx, if necessary, especially forthose with an immunodeficiency. Thank you, Leanne Tessandori, DDS Emergency Department Referral Programs for Non-Traumatic Dental Conditions, 2015, astdd National Hospital Ambulatory Medical Care Survey 2009-2010 National Emergency Department 2006
Petition to Nye county commissioners, Pahrump valley fire & Rescue service
Remove Scott Lewis from fire chief
The local fire chief Scott Lewis is also the Nye county emergency manager he does not care about public safety nor does he care about the safety of other personnel from other agencies nor his own in an incident that occurred in 2019 he attacked a then 16 year old Good Samaritan with a CPR certification for helping out several of his neighbors community he would then attack the same now 17 year old again in 2019 again where the boy worked as a grocery store assistant after a medical emergency occurred in the parking lot and he responded again as a good samaritan also having ties to a volunteer fire department as a cadet Mister Lewis attacked the boy verbally as well as went to the other department to complain about the boy assisting at the call and just to be clear the boy possessed all the proper equipment and minimum certifications to be on scene Scott's Behavior both times was unbecoming of the uniform and highly inappropriate he even went as far as to stalk the young boy prior to intimidating him by using multiple law enforcement agenciesas well as attacking the boy over his fallen firefighter mother this petition is to remove him from office as either both emergency manager and fire chief or he can vacate one of the positions
Petition to Florida Governor, Donald J. Trump, Marco Rubio, Rick Scott, Donna E. Shalala, Carlos A. Gimenez, Debbie Mucarsel-Powell
MASS TESTING for Covid before any orders for social distancing are relaxed!
Experts are unanimously and universally recommending MASS TESTING of the population for the COVID 19 virus as a prerequisite to "restarting" the economy or relaxing social distancing orders. The US is testing at a rate of less than 3.2 per thousand, in eleventh place among industrial nations. This is unacceptable, as mass testing is the only way to isolate the COVID 19 virus in our communities and slow its spread considerably. Social distancing alone, without testing, is just a momentary pause (at considerable expense both socially and economically); but premature loosening measures will be counterproductive, and will only result in further harm to the population and economy. The people demand that our local, state and federal leaders commence a massive project (with the help of private industry and capital) for universal testing across the country before any relaxation of standards are considered. Time is of the essence. The people are living in a state of permanent anxiety and it doesn't help when we see the lack of coordination across the spectrum to tackle this severe health crisis. People are dying and suffering unnecessarily while we spend valuable time bickering about the details. There will be time for that AFTER we defeat this pandemic. The urgent and most consequential action to be taken right now is MASS TESTING - let's get it done!
Petition to Riverside county sheriff department, DA Mike Hestrin, Sheriff Chad Bianco, Riverside County Board of Supervisors, Chuck Washington, Kevin Jeffries, Karen Spiegel, V. Manuel Perez, Jeff Hewitt, Peter Aldana, Paul Angulo, Jon Christensen, Phil Williams, Kathleen Kelly, Tami Scott, Niamh Ortega, Tina Daigneult, Aaron Brown, Countywide Oversight Board for the County of Riverside
Implement PERT in Riverside County to decrease police presence on mental health calls!
The implementation of a PERT program in Riverside County would not only decrease police presence during emergency responses to a person experiencing behavioral health issues, but it would also ensure that a licensed mental health clinician is always in attendance with a law enforcement officer to assess the person in distress. All law enforcement officers are trained on behavioral health awareness, response, and de-escalation tactics. Law enforcement officers in Riverside County have a history of being negligent to de-escalate behavioral health-related crises and unnecessarily using excessive force on behavioral health calls which ultimately caused the death of Matthew Tucker in 2016 as well as the unjust mistreatment of Joseph Ramirez in 2020. PERT is a program used in San Diego County and should be a model for all counties to partner their law enforcement agencies with mental health providers and emergency medical services to provide the safest assessment and assistance. ~What is PERT? The Psychiatric Emergency Response Team (PERT) is a program of Community Research Foundation (CRF) in partnership with San Diego County Health and Human Services (HHSA), San Diego County law enforcement, emergency medical services (EMS), and consumer advocacy organizations. PERT contributes to the well-being of persons living with mental illness by actively and compassionately assisting those in crisis who come to the attention of law enforcement and EMS to access appropriate services through on-scene assessments and referrals. PERT pairs a licensed mental health clinician with a law enforcement officer/deputy or EMS community paramedic. The teams ride together in the field for their entire shift and are first responders to assist persons in behavioral health related crises. PERT provides training to all San Diego County law enforcement agencies, as well as fire service personnel and dispatchers on behavioral health awareness and response, including de-escalation. Vision: Persons living with mental illness will have access to and be referred to programs at the appropriate level of service and no person will be hospitalized or incarcerated unnecessarily. Mission: PERT provides effective and compassionate crisis intervention to persons (including their family members and supports) living with mental illness who are contacted by law enforcement officers/deputies and EMS. The goal is to safely and effectively de-escalate crises and provide appropriate referrals that offer the least restrictive level of care, thus avoiding unnecessary hospitalization and incarceration. PERT is recognized as a "best practice" model that epitomizes law enforcement, EMS and clinicians working together to provide the best service options for persons living with mental illness. PERT Cores Values: We believe that persons living with mental illness should be compassionately assessed and be referred to assistance that is appropriate to those needs. We believe that first responders and behavioral health clinicians have a responsibility to collaboratively work together with persons living with mental illness, their family and support persons, and the community as a whole to ensure that people receive the level of care they require. We believe that on-scene partnership of behavioral health and first responders contributes to the well-being of persons living with mental illness and to the community. We believe that outreach efforts to marginalized groups in the community assist persons to meet identified needs and assist communities to recognize and address larger issues related to community health and safety. History: In the early 1990's, there were several officer involved shootings and critical incidents involving persons living with mental illness. At that time, there was a gap in collaboration between law enforcement and mental health providers. The community at large, mental health consumers, family members, San Diego County HHSA, and law enforcement agencies convened to recommend that officers/deputies receive additional training in recognizing and responding to persons experiencing behavioral health issues and acquire clinical support from behavioral health professionals. Hence, PERT is the result of community partners collaborating to provide optimal service for persons (and their family members and supports) living with mental illness, including the provision of training to public safety personnel throughout San Diego County. ~Information provided by Community Research Foundation.