It seems that the American Medical Association has been watching too many Seinfeld re-runs!
Today the American Medical Association is voting on whether to introduce new billing codes for insurance purposes to determine when patients are not being "compliant" which in turn will keep insurance companies from paying for patients' care when they question their doctor, are non-compliant or ungrateful or whatever. Interesting. So much for the land of the free, eh?
Read on and enjoy... the AMA votes today...I will post later with the results.
**
The AMA Resolution
Resolution: 710 (A-09)
Introduced by: Michigan Delegation
Subject: Identifying Abusive, Hostile or Non-Compliant Patients
Referred to: Reference Committee G, (J. Leonard Lichtenfeld, MD, Chair)
_____________________________________
Whereas, Many patients are becoming more abusive and hostile toward physicians for many reasons not limited to the economy, increasing co-pays and deductibles, unreasonable expectations and demands, a lack of instantaneous cure, arrogance and/or the belief that they “own” their physicians; and
Whereas, There are decreasing numbers of physicians both in primary care and specialties especially in terms of access; and
Whereas, Increasing noncompliance with treatment can reflect negatively on physicians during black box audits by insurance companies and oversight governmental agencies; and
Whereas, Abusive, hostile, and noncompliant patients result in increasing office resources, adding to office overhead and added stress on all of the office personnel, which can lead to potential ill health; and
Whereas, The stress of dealing with ungrateful patients is adding to the stress of physicians leading to decreased physician satisfaction; and
Whereas, Any complaint to any oversight investigative regulatory body leads to uncompensated expenditure of time, resources, and monies to defend physicians or the “guilty until proven innocent” principal; and
Whereas, Physicians need to own the data to simplify patient collection and identification to defend themselves as well as alert outside investigating agencies to the potential nature of the patient’s records; therefore be it
RESOLVED: That our American Medical Association ask its CPT Editorial Panel to investigate for data collection and report back at Annual 2010 meeting: 1) developing a modifier for the E&M codes to identify non-compliant patients and/or 2) develop an add-on code to E&M codes to identify non-compliant patients. (Directive to Take Action)
Fiscal Note: Staff cost estimated at less than $500 to implement.
Received: 05/06/09
Tuesday, June 16, 2009
Wednesday, May 27, 2009
I Want To Grow Old With You
My husband is trying to be the diet buster.
Yep.
He likes his white flour and white sugar. He made homemade white rolls yesterday, buttered one up and ate it in front of me to tempt me. I didn't even give in once! Stinker. He is moaning and groaning about our new diet. I know it will help him to feel better in the long run though. He just doesn't know it yet! I am doing this because I love him and want his heart to be healthy. He'll thank me when we are old and gray together. I think sometimes we take it for granted that we will be old and gray someday. I am going to be old and gray and dancing and hiking and playing and thinking and doing things! But the most important part is: I will get to be old and gray. We don't all get that chance.
And it has to start now.
Today.
Celery, anyone? {dipped in peanut or almond butter of course!}
Yep.
He likes his white flour and white sugar. He made homemade white rolls yesterday, buttered one up and ate it in front of me to tempt me. I didn't even give in once! Stinker. He is moaning and groaning about our new diet. I know it will help him to feel better in the long run though. He just doesn't know it yet! I am doing this because I love him and want his heart to be healthy. He'll thank me when we are old and gray together. I think sometimes we take it for granted that we will be old and gray someday. I am going to be old and gray and dancing and hiking and playing and thinking and doing things! But the most important part is: I will get to be old and gray. We don't all get that chance.
And it has to start now.
Today.
Celery, anyone? {dipped in peanut or almond butter of course!}
Thursday, May 21, 2009
Our New Diet
So it's been forever since I updated our blog... shame on me. Life gets in the way! :}
Busy with school, activities, soccer, piano lessons, spring cleaning, etc, oh yeah and going on a diet!
Actually this diet we're doing isn't really a diet, it's a major change to our life style and eating habits. My family is already having a hernia about it and painfully and reluctantly going along with the flow {because they have no choice in the matter!} LOL
Here is the diet...
No MSG
No hydrogenated soybean oil
No Sugar
No White flour
No high fructose corn syrup {fancy name for sugar and causes major hyperactivity issues/brain changes in children}
No packaged, processed foods
What we CAN eat:
Whole grains {oats, wheat, spelt, amaranth, etc} {whole grain only}
vegetables
fruits
nuts and seeds
meat sparingly {lean poultry and fish mostly}
I am doing some baking already. We had oatmeal mixed with apples and cinnamon yesterday and the kids liked it. I got agave nectar yesterday as a healthy alternative to sugar. I loaded up on groceries and we are having fun so far!! {Not! More like withdrawals is more like it! Try taking away processed foods and sugar and white flour and you will find out just what you are really addicted to- or your kids are addicted to and it's so bad for your heart too!}
For breakfast we had whole grain pancakes...
In the blender, I mixed in whole wheat with whole oats, Almond milk, honey, salt, baking power, baking soda, soybean oil, applesauce and cinnamon and cooked them on the stove and that was our pancakes. We put sugar free jam and applesauce on our pancakes. Yummy!! It's not real sugar but it was still yummy {oh yeah and I put some cucumbers in the pancake mix and the kids never knew it!}
Busy with school, activities, soccer, piano lessons, spring cleaning, etc, oh yeah and going on a diet!
Actually this diet we're doing isn't really a diet, it's a major change to our life style and eating habits. My family is already having a hernia about it and painfully and reluctantly going along with the flow {because they have no choice in the matter!} LOL
Here is the diet...
No MSG
No hydrogenated soybean oil
No Sugar
No White flour
No high fructose corn syrup {fancy name for sugar and causes major hyperactivity issues/brain changes in children}
No packaged, processed foods
What we CAN eat:
Whole grains {oats, wheat, spelt, amaranth, etc} {whole grain only}
vegetables
fruits
nuts and seeds
meat sparingly {lean poultry and fish mostly}
I am doing some baking already. We had oatmeal mixed with apples and cinnamon yesterday and the kids liked it. I got agave nectar yesterday as a healthy alternative to sugar. I loaded up on groceries and we are having fun so far!! {Not! More like withdrawals is more like it! Try taking away processed foods and sugar and white flour and you will find out just what you are really addicted to- or your kids are addicted to and it's so bad for your heart too!}
For breakfast we had whole grain pancakes...
In the blender, I mixed in whole wheat with whole oats, Almond milk, honey, salt, baking power, baking soda, soybean oil, applesauce and cinnamon and cooked them on the stove and that was our pancakes. We put sugar free jam and applesauce on our pancakes. Yummy!! It's not real sugar but it was still yummy {oh yeah and I put some cucumbers in the pancake mix and the kids never knew it!}
Wednesday, March 18, 2009
1 in 3 women face the knife!
Cesarean Rate Jumps to Record High; 1 in 3 Pregnant Women Face Surgical Delivery
Today at 4:03pm
Date:
Mar 18 2009
For Immediate Release
Cesarean Rate Jumps to Record High; 1 in 3 Pregnant Women Face Surgical Delivery
More Women Forced into Surgery; Few Mothers Recognize They Can Reduce Their Risk of Surgery
Redondo Beach, CA, March 18, 2000 – The National Center for Health Statistics has reported that the cesarean rate hit an all‐time high in 2007, with a rate of 31.8 percent, up two percent from 2006.
“Every pregnant woman in the U.S. should be alarmed by this rate,” said Pam Udy, president of the International Cesarean Awareness Network (ICAN). “Half or more of cesareans are avoidable and over‐using major surgery on otherwise healthy women and babies is taking a toll.”
A major driver of cesarean overuse is underuse of vaginal birth after cesarean (VBAC). The VBAC rate currently hovers around 8 percent, far lower than the Healthy People 2010 goal of 37 percent. Driving this decline is the growing practice of hospitals banning VBAC.
In February, ICAN released the results of a new survey showing a startling increase in the number of hospitals banning VBAC. The survey showed a near triple increase (174%) from November 2004, when ICAN conducted the first count of hospitals forbidding women from having a VBAC. In 2004, banning hospitals numbered 300. The latest survey, conducted in January 2009, counted 821 hospitals formally banning VBAC and 612 with “de facto” bans.1 Full results of the research can be seen at http://www.ican‐online.org/vbac‐ban‐info. Between formal and de facto bans, women are not able to access VBAC in 50% of hospitals in the U.S.
Research has consistently shown that VBAC is a reasonably safe choice for women with a prior cesarean. According to an analysis of medical research conducted by Childbirth Connection, a well‐respected, independent maternity focused non‐profit, in the absence of a clear medical need, VBAC is safer for mothers in the current pregnancy, and far safer for mothers and babies in future pregnancies.2 While VBAC does carry risks associated with the possibility of uterine rupture, cesarean surgery carries life‐threatening risks as well.
“The choice between VBAC and elective repeat cesareans isn’t between risk versus no risk. It’s a choice between which set of risks you want to take on,” said Udy.
Studies from the National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network, one most recently published in the February 2008 issue of the Journal of Obstetrics and Gynecology, demonstrate that repeated cesareans can actually put mothers and babies at greater clinical risk than repeated VBACs.3
In October 2008, Childbirth Connection released a report called “Evidence‐Based Maternity Care: What It Is and What It Can Achieve,” 4 showing that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence‐based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less.
“All pregnant women are faced with important choices in their pregnancies. It is critical for women to understand what their choices are, and learn to spot the red flags that can lead to an unnecessary or avoidable cesarean,” said Udy.
Women who are seeking information about how to avoid a cesarean, have a VBAC, or are recovering from a cesarean can visit www.ican‐online.org for more information. In addition to more than 90 local chapters nationwide, the group hosts an active on‐line discussion group that serves as a resource for mothers.
For women who encounter VBAC bans, ICAN has developed a guide to help them understand their rights as patients. The resource discusses the principles of informed consent and the right of every patient to refuse an unwanted medical procedure. The guide can be found at http://www.ican‐online.org/vbac/your‐right‐refusewhat‐do‐if‐your‐hospital‐has‐banned-vbac‐q.
About Cesareans: When a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies from cesareans include: low birth weight, prematurity, respiratory problems, and lacerations. Potential risks to women include: hemorrhage, infection, hysterectomy, surgical mistakes, re‐hospitalization, dangerous placental abnormalities in future pregnancies, unexplained stillbirth in future pregnancies and increased percentage of maternal death. http://www.icanonline.org/resource/white_papers/index.html
Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal‐child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. There are 94 ICAN Chapters across North America, which hold educational and support meetings for people interested in cesarean prevention and recovery.
1. A “de facto” ban means that surveyors were unable to identify any doctors practicing at the hospital who would provide VBAC support.
2. http://www.childbirthconnection.org/article.asp?ck=10210#bottom Best Evidence: VBAC or Repeat C‐Section, Childbirth Connection
3. Mercer et al, Labor Outcome With Repeated Trials of Labor Am J Obstet Gynecol 2008;VOL. 111, NO. 2, PART 1 Silver et al, Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries, Am J Obstet Gynecol 2006; VOL.107, NO. 6
4. http://www.childbirthconnection.org/article.asp?ck=10575 Evidence‐Based Maternity Care: What It Is and What It Can Achieve
Updated 11 minutes ago · Report Note
Today at 4:03pm
Date:
Mar 18 2009
For Immediate Release
Cesarean Rate Jumps to Record High; 1 in 3 Pregnant Women Face Surgical Delivery
More Women Forced into Surgery; Few Mothers Recognize They Can Reduce Their Risk of Surgery
Redondo Beach, CA, March 18, 2000 – The National Center for Health Statistics has reported that the cesarean rate hit an all‐time high in 2007, with a rate of 31.8 percent, up two percent from 2006.
“Every pregnant woman in the U.S. should be alarmed by this rate,” said Pam Udy, president of the International Cesarean Awareness Network (ICAN). “Half or more of cesareans are avoidable and over‐using major surgery on otherwise healthy women and babies is taking a toll.”
A major driver of cesarean overuse is underuse of vaginal birth after cesarean (VBAC). The VBAC rate currently hovers around 8 percent, far lower than the Healthy People 2010 goal of 37 percent. Driving this decline is the growing practice of hospitals banning VBAC.
In February, ICAN released the results of a new survey showing a startling increase in the number of hospitals banning VBAC. The survey showed a near triple increase (174%) from November 2004, when ICAN conducted the first count of hospitals forbidding women from having a VBAC. In 2004, banning hospitals numbered 300. The latest survey, conducted in January 2009, counted 821 hospitals formally banning VBAC and 612 with “de facto” bans.1 Full results of the research can be seen at http://www.ican‐online.org/vbac‐ban‐info. Between formal and de facto bans, women are not able to access VBAC in 50% of hospitals in the U.S.
Research has consistently shown that VBAC is a reasonably safe choice for women with a prior cesarean. According to an analysis of medical research conducted by Childbirth Connection, a well‐respected, independent maternity focused non‐profit, in the absence of a clear medical need, VBAC is safer for mothers in the current pregnancy, and far safer for mothers and babies in future pregnancies.2 While VBAC does carry risks associated with the possibility of uterine rupture, cesarean surgery carries life‐threatening risks as well.
“The choice between VBAC and elective repeat cesareans isn’t between risk versus no risk. It’s a choice between which set of risks you want to take on,” said Udy.
Studies from the National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network, one most recently published in the February 2008 issue of the Journal of Obstetrics and Gynecology, demonstrate that repeated cesareans can actually put mothers and babies at greater clinical risk than repeated VBACs.3
In October 2008, Childbirth Connection released a report called “Evidence‐Based Maternity Care: What It Is and What It Can Achieve,” 4 showing that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence‐based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less.
“All pregnant women are faced with important choices in their pregnancies. It is critical for women to understand what their choices are, and learn to spot the red flags that can lead to an unnecessary or avoidable cesarean,” said Udy.
Women who are seeking information about how to avoid a cesarean, have a VBAC, or are recovering from a cesarean can visit www.ican‐online.org for more information. In addition to more than 90 local chapters nationwide, the group hosts an active on‐line discussion group that serves as a resource for mothers.
For women who encounter VBAC bans, ICAN has developed a guide to help them understand their rights as patients. The resource discusses the principles of informed consent and the right of every patient to refuse an unwanted medical procedure. The guide can be found at http://www.ican‐online.org/vbac/your‐right‐refusewhat‐do‐if‐your‐hospital‐has‐banned-vbac‐q.
About Cesareans: When a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies from cesareans include: low birth weight, prematurity, respiratory problems, and lacerations. Potential risks to women include: hemorrhage, infection, hysterectomy, surgical mistakes, re‐hospitalization, dangerous placental abnormalities in future pregnancies, unexplained stillbirth in future pregnancies and increased percentage of maternal death. http://www.icanonline.org/resource/white_papers/index.html
Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal‐child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. There are 94 ICAN Chapters across North America, which hold educational and support meetings for people interested in cesarean prevention and recovery.
1. A “de facto” ban means that surveyors were unable to identify any doctors practicing at the hospital who would provide VBAC support.
2. http://www.childbirthconnection.org/article.asp?ck=10210#bottom Best Evidence: VBAC or Repeat C‐Section, Childbirth Connection
3. Mercer et al, Labor Outcome With Repeated Trials of Labor Am J Obstet Gynecol 2008;VOL. 111, NO. 2, PART 1 Silver et al, Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries, Am J Obstet Gynecol 2006; VOL.107, NO. 6
4. http://www.childbirthconnection.org/article.asp?ck=10575 Evidence‐Based Maternity Care: What It Is and What It Can Achieve
Updated 11 minutes ago · Report Note
Tuesday, February 24, 2009
25 Things You Didn't Know About Me
1. My husband was my first kiss! He is my best friend.
2. When I was little, I wanted to be a writer when I grew up.
3. I have sung at over 100 weddings, funerals, church events, plays, programs, etc.
4. I had the lead role in my high school musical which was a 60's spin off of Alice in Wonderland.
7. I was one of the most popular girls in my 6th grade class in elementary school and then when a squabble erupted I was disposed of and bullied for two months by my "friends". {This led to my switching schools where I made lifelong friends! I love Sycamore Elementary School! :}
8. My favorite teacher of all time in high school, Phyllis, was my mentor in every way and she helped propel my love affair with the classics!
9. When I was 19, I lived on Long Island and visited New York City alone every weekend for two months and saw every musical on Broadway that I could afford!
10. I have only had milk once in my life and it was nasty!
11. I haven't ever had any meat in my life until a few years ago.
12. I can swing dance and I love it! {Now that my husband has taken lessons we can swing together!}
13. My first crush was Blake Boulter.
14. I once jumped off a friend's sailboat with my friends and swam in the middle of the ocean! {Yes I was terrified of sharks... we didn't stay in the water long!}
15. I met my husband at my best friend's wedding. My best friend and her husband set us up.
16. I got in trouble in Elementary School for helping out my friends with their school work when I was done with mine.
17. I got detention in Jr. High for reading a book during class. {Oh yeah I'm such a rebel. Gotta love our messed up educational system.}
18. In 7th grade a 250+ page novel that I was writing was stolen and never found.
19. I have had 2 cesarean sections. One almost ended in my death due to complications with anesthesia. That was my introduction to motherhood.
15. I have had 4 natural births. The last one almost ended in my death due to hemorrhaging. That was my end to childbearing.
16. I have 6 adorable children that make my heart hurt every day!
17. I should have been a mother to 7 children. My first pregnancy was twins and one baby died. Hannah survived barely.
18. We homeschool our children using the Thomas Jefferson Education philosophy and we love it! {Just got back from a 2 day seminar!}
19. I teach childbirth classes privately and in groups and I LOVE it!
20. I am apprenticing with a homebirth midwife and I love that too! 12 days ago I attended the birth of one of my dearest friends.
21. I went cliff diving with my cousins when I was 15.
22. I shared a room with my great-grandmother for a few years when I was little and she lived with us. She fascinated me with stories about her life.
23. I saved my friend and I from being attacked by some men attempting to break into our car.
24. I went to Denmark when I was 10 with my parents and my brother and I learned to speak Danish.
25. In 10th grade my best friend and I learned sign language and we communicated all through English class without talking. We still got in trouble!
Saturday, February 14, 2009
Tuesday, February 10, 2009
Books Made Before 1985 BANNED!
Commission Announces Major Changes to Child Product Safety Rules
February 9, 2009
Introduction
HSLDA met on Wednesday with Commissioner Thomas Moore, of the Consumer Product Safety Commission, to discuss the law imposing strict limitations on lead and phthalates in children’s products. The proposed regulations had persuaded many small family businesses to shut their doors and cease production. We are pleased to report that CPSC announced numerous changes to their regulations. Home School Legal Defense Association is satisfied with the meeting and its aftermath and remains strongly convinced that no small business should close down because of the lead requirements, which take effect February 10.
Changes made by the Commission
Last Friday, the CPSC declared numerous changes in their regulations, including the following exemptions that correspond with requests made by HSLDA in our meeting with Commissioner Moore:
* An exemption for certain natural materials such as wood, cotton, wool, and certain metals and alloys that rarely contain lead;
* An exemption for ordinary children's books printed after 1985;*
* An exemption for textiles, dyed or undyed (not including leather, vinyl, or PVC) and non-metallic thread and trim used in children's apparel and other fabric products, such as baby blankets.
* HSLDA asked for an exemption for all books. Commissioner Moore argues, however, that the ink in books prior to the 1980s did contain lead.1
Prosecution under the law, the CPSC announced, will ensue only if “someone had actual knowledge that one of these children’s products contained more than 600 ppm lead or continued to make, import, distribute or sell such a product after being put on notice.”2 In fact, according to Commissioner Moore, manufacturers will not be prosecuted for violating the law during the one-year postponement of testing requirements (lasting till February 10, 2010), unless their products actually cause an injury or have the potential to hurt someone.3 Moore further assured HSLDA that small businesses, in particular, will have nothing to worry about. “Historically, we haven’t gone after these kinds of businesses,” he told HSLDA, “not cottage industries.”
HSLDA hopes that these policies, along with the Commission’s yearlong postponement of testing requirements, will provide significant relief to family businesses and providers to the homeschool community.
Conclusion
“If there is one message a small manufacturer should take from the Commission’s action [of delaying testing requirements] it is this,” Commissioner Moore said: “If you have been making products without receiving any safety-related complaints, you should go on selling your products.” This will remain true for at least until February 10, 2010. Even beyond this date, HSLDA is confident of the future of small businesses under this law, and is grateful to the Commission for its cooperation and its sensitivity to the needs of family businesses.
Additional Information
CPSC Spells Out Enforcement Policy for New Lead Limits in Children’s Products Effective February 10
Statement of Commissioner Thomas Moore on the one-year extension of testing requirements (requires Adobe Acrobat Reader)
Statement of Acting Chairman Nancy Nord on the one-year extension of testing requirements (requires Adobe Acrobat Reader)
Notes
1. Thomas Moore, letter to Senators Rockefeller and Pryor, and Representatives Waxman and Rush, http://www.cpsc.gov/PR/Moore020309.pdf (February 3, 2009), p. 4
February 9, 2009
Introduction
HSLDA met on Wednesday with Commissioner Thomas Moore, of the Consumer Product Safety Commission, to discuss the law imposing strict limitations on lead and phthalates in children’s products. The proposed regulations had persuaded many small family businesses to shut their doors and cease production. We are pleased to report that CPSC announced numerous changes to their regulations. Home School Legal Defense Association is satisfied with the meeting and its aftermath and remains strongly convinced that no small business should close down because of the lead requirements, which take effect February 10.
Changes made by the Commission
Last Friday, the CPSC declared numerous changes in their regulations, including the following exemptions that correspond with requests made by HSLDA in our meeting with Commissioner Moore:
* An exemption for certain natural materials such as wood, cotton, wool, and certain metals and alloys that rarely contain lead;
* An exemption for ordinary children's books printed after 1985;*
* An exemption for textiles, dyed or undyed (not including leather, vinyl, or PVC) and non-metallic thread and trim used in children's apparel and other fabric products, such as baby blankets.
* HSLDA asked for an exemption for all books. Commissioner Moore argues, however, that the ink in books prior to the 1980s did contain lead.1
Prosecution under the law, the CPSC announced, will ensue only if “someone had actual knowledge that one of these children’s products contained more than 600 ppm lead or continued to make, import, distribute or sell such a product after being put on notice.”2 In fact, according to Commissioner Moore, manufacturers will not be prosecuted for violating the law during the one-year postponement of testing requirements (lasting till February 10, 2010), unless their products actually cause an injury or have the potential to hurt someone.3 Moore further assured HSLDA that small businesses, in particular, will have nothing to worry about. “Historically, we haven’t gone after these kinds of businesses,” he told HSLDA, “not cottage industries.”
HSLDA hopes that these policies, along with the Commission’s yearlong postponement of testing requirements, will provide significant relief to family businesses and providers to the homeschool community.
Conclusion
“If there is one message a small manufacturer should take from the Commission’s action [of delaying testing requirements] it is this,” Commissioner Moore said: “If you have been making products without receiving any safety-related complaints, you should go on selling your products.” This will remain true for at least until February 10, 2010. Even beyond this date, HSLDA is confident of the future of small businesses under this law, and is grateful to the Commission for its cooperation and its sensitivity to the needs of family businesses.
Additional Information
CPSC Spells Out Enforcement Policy for New Lead Limits in Children’s Products Effective February 10
Statement of Commissioner Thomas Moore on the one-year extension of testing requirements (requires Adobe Acrobat Reader)
Statement of Acting Chairman Nancy Nord on the one-year extension of testing requirements (requires Adobe Acrobat Reader)
Notes
1. Thomas Moore, letter to Senators Rockefeller and Pryor, and Representatives Waxman and Rush, http://www.cpsc.gov/PR/Moore020309.pdf (February 3, 2009), p. 4
Subscribe to:
Posts (Atom)
