16,440 petitions

Started 5 hours ago

Petition to United States Department of Health and Human Services, US Surgeon General, Jeff Merkley, Ron Wyden, Earl Blumenauer, Rachel Prusak, Suzanne Bonamici, Kate Brown, Peter DeFazio, Kurt Schrader, Oregon

"X the X waiver" for APRNs and PAs too! Let us save lives!

We are Oregon Health Care Workers: Nurses (RNs), Physicians (MDs/DOs), Physician Assistants (PAs), and Advanced Practice Registered Nurses (APRNs) including Nurse Practitioners, Midwives, Nurse Anesthetists and Clinical Nurse Specialists. We are especially committed to the compassionate treatment of persons with opioid use disorder in our state, where 8 of every 100,000 Oregonians die from opioid overdose annually.    While there is great promise in the January 15th, 2021 HHS announcement stating physicians will no longer be required to complete additional “X-waiver” training in order to prescribe medication containing buprenorphine, we are disappointed that this does not extend to ALL clinicians eligible to prescribe this life-saving treatment. The elimination of this time-consuming and unnecessary obstacle in fighting our country’s opioid epidemic is monumental, but it also excludes two groups of qualified frontline practitioners.   For more than 50 years, PAs and APRNs have provided primary, acute, and specialty healthcare services by diagnosing, treating, and prescribing medications. Since PAs and APRNs were first given authorization to prescribe buprenorphine in 2016 they have made great progress in increasing access to medication. APRNs and PAs were the first X-waivered clinicians in 285 rural counties covering 5.7 million residents.   As of 2018, less than 5% of all eligible US clinicians had completed the requirements to obtain an X-waiver. Furthermore, while there are fewer waivered clinicians per capita working in the rural areas that APRNs and PAs are most likely to serve, PAs and APRNs have been primarily responsible for managing buprenorphine there. Without question, buprenorphine treatment (and in turn, HIV and Hepatitis C prevention) in rural areas cannot succeed or grow without empowering PAs and APRNs.   PAs and APRNs are clinical leaders in America’s interprofessional healthcare system. It is critical that DHHS grants APRNs and PAs the same exemption from X-waiver training as physicians.    Thank you in advance for your respectful consideration and support.   Sincerely,  Ben Colburn, MD-Family Physician Laurel Hallock Koppelman, DNP, FNP-C, APRN-Nurse Practitioner Shelby Lee Freed, MSN, FNP-BC-Nurse Practitioner          

Laurel Hallock Koppelman
66 supporters
Started 6 hours ago

Petition to Food and Drug Administration, US Commissioner of Food and Drugs Stephen M. Hahn

Regulate Weight Loss Supplements!!

Many people have fallen victim to the consequences of dangerous diet pills and other weight loss supplements. This happened to Sue Golder, a 51 year old hairdresser living in Hertfordshire. She was overweight and desperate to get down to a healthy weight. Searching for solutions, she came across these diet pills that had a doctor with a stethoscope around his neck in the advertisement. The doctor in the advertisement convinced her into thinking that these pills would be effective. After taking the pills for 3 weeks, she had a terrifying experience. A wave of sickness fell over her; her legs were shaking and she saw stars flying around. She thought she was going to die.  Turns out, the pills she had taken contained certain pharmaceuticals where the health risks outweighed the benefits. There are many more cases like Golder's where people have taken diet pills without the knowledge that they contained deadly dosages of pharmaceuticals not listed in the ingredients section. Many diet pills cause serious side effects such as dizziness, vomiting, heart trouble, and in some severe cases, death. The FDA treats diet pills and other weight loss supplements like food, which means they are considered "safe until proven otherwise." However, I believe weight loss supplements need to be treated like drugs, which must be approved by the FDA before entering the market. Therefore, a policy needs to be implemented that requires the FDA to approve and regulate weight loss supplements in order to protect the safety of US citizens.

Anna R.
9 supporters