Practicing internist and psychiatrist Muhamad Aly Rifai discusses his article "Criminalizing care: How the system turned on physicians." He argues that physicians, historically pillars of trust, are increasingly being targeted and criminalized under regulations like the Controlled Substances Act and health care fraud statutes. Muhamad details several cases, including those of Drs. Sachy, Kousa, and Anand, as well as his own acquittal on federal fraud charges, to illustrate how medical judgment and complex patient care are being conflated with criminal activity. He critiques the tactics used, such as aggressive federal investigations, flawed audits, data manipulation in PDMPs, inflammatory press releases ("dirty doctors"), and a perceived erosion of the presumption of innocence, noting that only 0.4 percent of federal defendants are found not guilty. Muhamad highlights the devastating personal and professional consequences for physicians and the disruption to patient care, calling for urgent reforms including clearer guidelines, prosecutorial accountability, DEA process reform, and equal application of due process to end the war on healers.

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Healers or criminals: the alarming trend of physician prosecution

The Podcast by KevinMD