Aimee Moulin, MD, FACEP (California)
Current Professional Positions: associate professor, department of emergency medicine, department of psychiatry, University of California at Davis Medical Center
Explore This IssueACEP Now: Vol 39 – No 09 – September 2020
Internships and Residency: emergency medicine residency, LAC+USC Medical Center, Los Angeles
Medical Degree: MD, University of Southern California Keck School of Medicine, Los Angeles (2003)
Dr. Moulin has withdrawn her candidacy for the ACEP Board of Directors.
James L. Shoemaker, Jr., MD, FACEP (declared floor candidate)
Current Professional Positions: director of quality, director of compliance, partner, and attending emergency physician, Elite Emergency Physicians, Inc.; volunteer clerkship faculty, Indiana University School of Medicine, South Bend
Internships and Residency: emergency medicine residency, Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan
Medical Degree: MD, Indiana University School of Medicine, Indianapolis (2004)
NOTE: Dr. Shoemaker declared his intent on Sept. 18 to seek nomination as a floor candidate. His nomination will be formally presented to the Council on the first day of the Council meeting.
There may never be a more important time for ACEP than now. COVID-19 was an unexpected cessation to life as we knew it that will have negative reverberations for an unknown amount of time. Clearly, the landscape of life “pre-pandemic” has been greatly changed. It is essential that ACEP use this opportunity to highlight that emergency medicine physicians do wear the white hat and are essential frontline heroes. This can serve as a catalyst to ensure funding is available for preparedness and for those presenting to the ED and to ensure frontline heroes have stabilization of their livelihoods and jobs. The paradoxical decrease in ED patient volumes and stoppage of hospital elective procedures from COVID-19 in many areas initiated a negative and cascading domino effect of less revenue which led to furloughing of essential workers and job losses for some of our colleagues. We need do better. We must do better. It is clear that the public view of our specialty and the house of medicine has never been stronger. Let’s use this to our advantage. I am ready, willing, and able to do this with my unbiased voice that is free from outside pressures. Now is the time to lobby Congress for repeal of budget neutrality to prevent further cuts to our reimbursement and negate recent successes at the RUC, to have a method for making physicians whole financially and with appropriate tools and gear needed to perform their jobs safely. The optics are in our favor and we need to use this potential silver lining from the COVID-19 pandemic to protect us from the next unexpected event.
One of ACEP’s greatest threats is the full-on assault to erode and decrease our reimbursement. The College has amazing staff, volunteers, and lobbyists in this arena, but we will need to continue to do more collectively. We all took the Hippocratic Oath to do no harm and ensure that the patient was always at the center of our care. Insurers take no such oath. In fact, they routinely put profits over patients. One of the greatest aspects of our specialty is treating all who come to us, regardless of ability to pay or other demographic data. We are the true “safety net” in American health care. The development and implementation of EMTALA was done with the intent to prevent patient dumping and to ensure patients were all treated without discrimination. Sadly, insurers are weaponizing EMTALA against physician groups when our colleagues are trying to negotiate contracts in good faith. Prudent layperson standards mean little to the Goliath insurers if they can deny payment and tie us up in disputes over just charges. This year, I primarily authored Resolution 25(20) for the Council to address my concerns over the adverse impact health care insurers have on our livelihoods. The specialty of emergency medicine is robust, and we need to continue to portray the uniqueness of unscheduled care, 24/7/365 availability, and the value of an emergency medicine residency-trained physician caring for our loved ones in our emergency departments. I am ready to help lead in the strategic response to these unfair and unscrupulous health care insurer behaviors. I will work to help colleagues understand why we are stronger together.