Thursday, June 1, 2017

The USPSTF

Over the last ten years we have commented upon what we feel is the generally inappropriate direction from the USPSTF. This is the collection of folks who thought that it was fine to do away with PSA testing.

Urotoday has a fantastic video describing the USPSTF and its failings. It is truly worth watching. The first slide shown below is what is iitruly terrifying.
 

USPSTF - ISSUES

           Proceedings are not required to be made  public
           Exempt from FACA review process
           Exempt from the Administrative Procedures Act (APA)
           Requires public disclosure and participation in activities
           Defines scope of judicial review
           Encompasses:
           The Freedom of Information Act (FOIA)
           The Privacy Act

           USPSTF is only Federal Agency which can set payment policy exempt from FAPA/APA


Note that the ACA, known as Obamacare, allows this group of what in my opinion are less than truly qualified folks, to mandate what is proper care. The second slide shown below:



USPSTF - ISSUES

           Proceedings are not required to be made  public
           Exempt from FACA review process
           Exempt from the Administrative Procedures Act (APA)
           Requires public disclosure and participation in activities
           Defines scope of judicial review
           Encompasses:
           The Freedom of Information Act (FOIA)
           The Privacy Act

           USPSTF is only Federal Agency which can set payment policy exempt from FAPA/APA

shows that they do so without any accountability.

If one were to have followed the PSA debate, in the professional media or in my writings as noted herein, one would see that the mortality from PCa has exploded since the USPSTF mandated no coverage of PSA testing and its sequellae.

These folks are in my opinion one of the many "Death Panels" established under the ACA. Yes, they denied coverage and people died.

Hopefully Congress will eliminate this, in my opinion, "mad dog" group as well as many others formed under the aegis of the ACA such as PCORI!