It does not take a Cochrane review to see that the emperor has no clothes. This is not difficult. It is straightforward and simple.

As an illegitimate and irrational authority it is necessary that this opinion remain unchallenged. We need to challenge it.

Historical, political, economic and social analysis reveals that the “PHP-blueprint” is a false-construct built on circumnavigation and obfuscation. An evidence-based scrutiny of the literature would reveal it to be invalid and of little probative value.

But if nobody speaks up it is inevitable that they will expand the “PHP blueprint” to other employee assistance programs and schools.

Source: The Proposed Expansion of PHPs. Illegitimate and Irrational Authority and the Urgent need for a critical analysis of the “PHP-Blueprint”

An effective judicial system depends on the honesty and integrity of the lawyers who appear before its tribunals. Matter of Mahlowitz, 1 Mass. Att’y Discipline Rep. 189, 194 (1979). See Hazel-Atlas Glass Co. v. Hartford-Empire Co., 322 U.S. 238, 246 (1944) (fraud on the court is “a wrong against the institutions set up to protect and safeguard the public, institutions in which fraud cannot complacently be tolerated consistently with the good order of society”). As “an officer of the court, an attorney . . . is bound to uphold the integrity of [our system of justice] by being truthful to the court and opposing counsel.” Neitlich, supra at 423. A violation of that obligation warrants and requires meaningful sanction. Absent substantial mitigating factors, none of which was present in this case, the minimum sanction for such conduct is a one-year suspension from the practice of law. Neitlich, supra at 423.

Fraud on the Court “Fraud on the court”  occurs when the judicial machinery itself has been tainted, such as when an attorney, who is an officer of the court, is involved in the perpetr…

Source: Massachusetts Board of Registration in Medicine Attorney Deb Stoller’s “Fraud on the Court”

Although the current use of these tests is limited to the criminal justice system and professional monitoring programs this may soon change as the American Society of Addiction Medicine is proposing a “new paradigm” of zero-tolerance random widespread drug and alcohol testing. This is outlined  in the ASAM White Paper on Drug Testing and described by Robert Dupont in his keynote speech  before the Drug and Alcohol Testing Industry Association (DATIA) annual conference in 2012.The ASAM White paper states drug testing is “vastly underutilized” throughout healthcare and describes the use of drug testing “within the practice of medicine and, beyond that, broadly within American Society.”

Source: Junk Science and the Need for Regulatory Oversight of Forensic Laboratory Developed Tests

I can think of nothing more institutionally unjust than an unregulated zero-tolerance monitoring program with no oversight using unregulated drug and alcohol testing of unknown validity.   But that is what is occurring.   Some of us are trying to expose this corrupt system but barriers exist. As with the Laboratory Developed Tests (LDTs), those involved have intentionally taken steps to remove both answerability and accountability.  Both the tests and the body of individuals administering these tests are notable for their lack of transparency, oversight and regulation.  This renders them a power unto themselves.

Source: An Open Letter to Senator Elizabeth Warren Regarding Laboratory Developed Tests, Physician Health Programs and Institutional Injustice

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Source: Need Allies and Funding: Please Help Continue the Fight on Disrupted Physician