Why Physician Autonomy Must Be Restored
Dr. Pierre Kory discusses the American Board of Internal Medicine’s decision to revoke his medical certifications and what he believes it means for the future of the patient and physician autonomy and the doctor-patient relationship
I will just start by saying that I believe that the American Board of Internal Medicine (ABIM) decision was 100 percent predetermined even before we first received their accusation in June 2022.
There was no way they were going to declare us innocent of misinformation, even though a good portion of this country knows how effective and accurate our deeply evidence-based COVID-19 treatment guidance was (and still is).
One of the reasons why they were never gonna let us off is that, if they declared us “innocent,” (i.e. accurate) that action would have immediately imperiled the decisions by medical boards across the country who persecuted hundreds of doctors for using ivermectin or hydroxychloroquine or for recommending against COVID-19 mRNA gene therapy products.
More importantly, it could potentially launch hundreds of thousands of lawsuits by the families of patients who died due to a lack of early treatments offered by clinics and hospitals or filled by pharmacies.
The above examples which led to the deaths of so many show the sheer power of mega-corporations that put their financial interests ahead of our health and our lives.
Through their overwhelming influence over nearly every institution of society and science (media, journals, health agencies, politicians, medical schools, physicians, etc), they literally succeeded in depriving a whole country (and world) of the most effective, inexpensive, safe and widely available treatments for COVID-19.
My biggest worry is that this crime against humanity may never enter the history books and thus will be eventually erased from memory. Which is looking probable.
The massive financial opportunities that COVID-19 immediately presented to Big Pharma were threatened by the “inconvenient truths” Dr. Paul Marik and I put out there.
This ABIM action is one way in which Big Pharma punishes those who are foolish enough to do so. Foolish is not quite the right word in our case as I would argue we were simply naive to the consequences of advocating publicly for the use of off-patent medicines for an immensely profitable disease.
It wasn’t heroism as some think, but rather extreme naivete.
I really never thought I would have to lose/leave three jobs and now three board certifications for speaking truths. Recall that I was very well known in my specialty prior to COVID-19 and was about to become full professor when I resigned as chief of the Critical Care Service at the University of Wisconsin (where I was also the medical director of the Trauma and Life Support Center).
Reading this Washington Post article was a pretty sobering reminder of how far I have supposedly “fallen” (Not so fun fact: they completely overstated my salary as the money I received in 2022 included retroactive pay for 2021).
But I am still standing folks. I am happily practicing medicine at my Leading Edge Clinic with my amazing partner Scott Marsland, FNP-C. As many know, we specialize in treating vaccine injury syndromes and Long Covid, and I believe we are soon closing in on having treated our 1,400th patient.
Thank God I managed to build a private, fee-based practice two and half years ago. At the time I suspected this was coming while also already aware that I was “unemployable” by the system.
I got fired by my last hospital for a 100 percent made-up complaint, despite the fact they desperately needed me. I was an independent contractor at the time and my intensive care unit, or ICU, partners and all the nurses really liked me.
But my partners were telling me that they were under increasing pressure by the Chief Medical Officer to “get rid of Kory.”
Although they initially resisted, my stance on vaccines started to cause even more problems for them. When the ICU director, who was both a friend and a colleague, called to fire me, his last words were, “Pierre, I know there is a war going on and unfortunately you are a casualty.”
Truer words were never spoken.
Just know that board certification is not a license to practice medicine (that comes from state medical licensing boards of which I have more than a few still). But this ABIM action now puts a definitive end to any hope of me returning to an academic or “system” position (not that I have that hope anymore). Why is that?
Well, because board certification was originally just a badge of distinction that doctors could use to impress each other and their patients. But they have since weaponized and monetized board certification in that currently you cannot obtain a faculty appointment at an academic medical center without one.
Nor can you work for most hospitals without one.
Even worse, insurance plans will not put you on their provider panels without it. So, although I have been fully excommunicated from “the system,” I cannot be happier about it.
Understand that what happened to me this week was a devastating censorship action, plain and simple.
It was done for two reasons; the first was to destroy my reputation and credibility so that my voice would no longer carry (essentially silencing me) and the other was to send a message to doctors that if they stray from consensus, no matter how scientifically absurd (e.g. mRNA vaccines for a coronavirus), dangerous (e.g. remdesivir, mRNA jabs), or ineffective (Paxlovid), they will be punished.
The damage that will result to patients, again, is incalculable. No longer will “system” doctors be able to practice medicine with the autonomy they require to arrive at the best decision for each individual patient.
Nearly everything they do will be protocolized with society guideline-recommended treatments (i.e. consensus manufactured by Pharma). No longer will they be able to “think out of the box” or use treatments that although known effective, do not have the blessing of those in control of that system.
I am as terrified as ever of needing a hospital.
Not to overstate the importance of their actions, but medicine as I knew it, or thought I knew it, is even more dead if that is possible. If you can’t have a differing scientific opinion without losing your career over it, then how is that medicine or science?
In fact, in our repeated written defenses, we challenged the ABIM, asking them where “the line” is between legitimate scientific debate driven by a differing emphasis on or interpretation of data and outright misinformation.
Misnformation, as I understand it, is defined as “incorrect or misleading” information. For us to be misinformationists, in my mind, would mean that all the data from trials and studies that exist for therapeutics in COVID-19;
- The overwhelming preponderance of data for the efficacy and safety of ivermectin in COVID-19 shows it to be ineffective and dangerous.
- The overwhelming preponderance of data for the vaccines show they are safe and effective.
Basically, it comes down to how you interpret the body of evidence which currently exists. Marik and I adhered rigidly to a “totality of the evidence” approach, drawing from in-vitro, in-vivo, clinical and epidemiologic data.
All of it lined up in a truly magnificent, inspiring and unprecedented way. Well, except for the “Big 7 RCTs,” or randomized control trials, which manipulated the design, conduct and analyses to conclude ivermectin was ineffective.
I spent literally hundreds of hours (along with others like Alexandros Marinos), publishing critiques that exposed the most absurd scientific misconduct I had ever witnessed.
If interested, here are just some of those critiques, e.g. Oxford’s PRINCIPLE trial, the TOGETHER trial (three parts, here, here, and here, and the National Institutes of Health ACTIV-6 trial).
We also evolved with the data, unlike the agencies that had quickly determined in December 2020 that the vaccines were safe and effective and never, ever veered from that stance up until this day.
In contrast, the founding members of the Front Line COVID-19 Critical Care Alliance (FLCCC), for quite a long time, differed with respect to the efficacy, safety and need for the mRNA vaccines.
I was the first and most vocal against the mRNA vaccines (starting in April 2021) which actually almost led to the breakup of the FLCCC or at least the membership of the original five.
Prior to April 2021, I was simply neutral/skeptical. That skepticism was due to what I thought might be folly in trying to vaccinate against a coronavirus (I knew that historically coronavirus vaccines had failed because the vaccinated animals developed antibody-dependent enhancement and also that coronaviruses mutate rapidly).
Then I did my first deep dive on the Vaccine Adverse Event Reporting System, or VAERS, and the epidemiologic data showing massive spikes in mortality and hospitalizations timed with the rollout of the jabs across dozens of countries.
Voila, I was now “anti-vaxx.” I continued to track and analyze the ever-emerging data and the horrors they revealed.
This work ultimately led the FLCCC to reach an internal “consensus” that the vaccines should be avoided at all costs (literally at all costs as none of the costs incurred by taking the jab were worth someone’s life).
Anyway, I just wanted to show that we evolved with the data, always questioning and reviewing as new data emerged.
I will end by reminding all of how dangerous the ABIM’s actions will be to all of our lives because it will further erode and/or literally destroy the patient-physician relationship. As I wrote in a previous op-ed in the Daily Caller on Jan. 31, 2023, “A War Is Still Being Waged Against Doctors Who Question Covid Orthodoxy:”
By virtue of their professional training, doctors must advise patients on available treatments and known risks of any treatment or procedure. By threatening doctors who might provide information different than their preferred worldview, ABIM is disrupting the doctor-patient relationship.
When allowed to practice their craft freely, physicians can prevent societal disaster by focusing on individual patients, informed by clinical experience.
Groups like the ABIM, and public medical officials like Dr. Anthony Fauci, should support and encourage evidence-based debate and patient-centered care.
Instead, they have suppressed both that debate and treatment approach by persecuting its proponents.
This campaign must be stopped, its origins and evolution must be thoroughly documented, and it must never be allowed to recur.
Physician autonomy must be restored lest all patients suffer.
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solarsmurph
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Another example of Western Medical Medical Mafia, and Big Pharma making and changing the rules for their profiteering goals.
A doctor should be able to prescribe what they feel will work best for their patients/customers, without fear from the illegitimate authorities.
A patient’s records are strictly between the doctor and the patient, and that is where the access should stop!
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Saeed Qureshi
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@ “Why Physician Autonomy Must Be Restored”
I find the topic amusing, maybe hilarious. What kind of autonomy are physicians asking for? They already have complete autonomy and some more. They decide what they like, e.g., there is a virus, there is a pandemic, there are tests for viruses, and there are safe and effective vaccines. Perhaps more critically, they have the autonomy to declare they are scientists or follow science without providing any support for such a claim—just bullying.
@ “There was no way they were going to declare us innocent of misinformation, even though a good portion of this country knows how effective and accurate our deeply evidence-based COVID-19 treatment guidance was (and still is).”
Has this claim been assessed by anyone independent of physicians? Of course not. If it had happened, it would have been clear that there is no COVID-19, let alone a treatment or “successful” one for it.
Physicians are accountable to no one and are not auditable by anyone except themselves (peers, buddies, bullies). I believe they have too much independence and have abused it, which requires some auditable and accountable mechanisms.
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