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Maintenance of certification (MOC) for something as significant as the practice of medicine seems like a harmless enough idea.

But for physicians across the country who dedicate thousands of hours to study, earn licensure, achieve board certification, and practice medicine, MOC is not only unnecessary but also a resource-consuming mandate that does nothing to improve patient outcomes and quality of care.

Supreme Court Justice Louis Brandeis popularized the phrase “laboratories of democracy”: “(T)o describe how a ‘state may, if its citizens choose, serve as a laboratory; and try novel social and economic experiments without risk to the rest of the country.’” Cities and towns also experiment with policy novelties – serving as even smaller laboratories. From what we’ve seen, urban localities are doing some really weird, very failed science. No one on the planet respects it less than government. Fighting mightily for the title of dumbest local lab – is South Miami, Florida: “(T)he South Miami City Commission will decide on July 12 when they vote on a ordinance that would require solar photovoltaic systems be installed on all newly constructed homes.

For instance, Seattle, Washington doesn’t do math very well. Older homes would also be subjected to this requirement if more than 50 percent of its square footage is renovated.” This would be government dumb – piled on top of government dumb. ) of billions of dollars government has already wasted on the production of solar power (and we here define “power” in the loosest, most meaningless possible way).

If successful, the Massachusetts bill would launch the state into the company of states with similar aggressive decarbonization goals.

So far, the state has mandated 1,600 MW of offshore wind, and is seeking to set an energy storage goal. Sean Garballey, one of the bill's sponsors, said in a statement that the measure "provides a bold step by placing the Commonwealth on a path to a cleaner and more sustainable future." He said eliminating the use of fossil fuels would encourages job creation and provide health and environmental benefits. The legislation would require the state's Department of Energy Resources to set binding targets for carbon-free energy growth in major sectors of the economy, and issue regulations to ensure that Massachusetts stays on track towards 100% renewable energy by 2050.

Learn about the genesis of the foundation’s policy in this blog post by Trevor Mundel, MD, the foundation's President of Global Health and read more about the policy’s formation on the SPARC website.

The science of abuse deterrence is relatively new, and both the formulation technologies and the analytical, clinical, and statistical methods for evaluating those technologies are rapidly evolving.Dawn Buckingham, MD, a physician in the Austin area.Texas’ SB 1148 prohibits the state from using MOC as a requirement for state licensure or renewal.According to the American Board of Medical Specialty’s (ABMS’) own website: “Board certification is a voluntary process, and one that is very different from medical licensure …Board certification demonstrates a physician’s exceptional expertise in a particular specialty and/or subspecialty of medical practice.” In other words, physicians who pursue board certification self-identify as professionals committed to ongoing learning and subject-matter mastery.




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