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APRIL 2016
PCMS welcomes
two new board members
Match Day ends suspense
for UA medical students
Sombrero
Pima County Medical
Society Officers
Jerry Hutchinson, DO
Roy Loewenstein, MD
Kevin Moynahan, MD
Snehal Patel, DO
Wayne Peate, MD
Kenneth Sandock, MD
Sarah Sullivan, DO
Salvatore Tirrito, MD
Debra Townsend, MD
Fred Van Hook, MD
Scott Weiss, MD
Leslie Willingham, MD
Jaren Trost, MD (Resident)
Aditya Paliwal, MD (alt. resident)
Jared Brock (student)
President
Timothy C. Fagan, MD
President-Elect
Michael A. Dean, MD
Vice-President
Susan J. Kalota, MD
Secretary-Treasurer
Unfilled / Appointment
Past-President
Melissa D. Levine, MD
Members at Large
Charles Krone, MD
Clifford Martin, MD
Robert M. Aaronson, MD
R. Screven Farmer, MD
Board of Mediation
Thomas Griffin, MD
Evan Kligman, MD
George Makol, MD
Sheldon Marks, MD
Mark Mecikalski, MD
Delegates to AMA
Timothy C. Fagan, MD (alternate)
Gary R. Figge, MD
Michael F. Hamant, MD (alternate)
Thomas H. Hicks, MD
Arizona Medical
Association Officers
Michael F. Hamant, MD
Vice President
Thomas C. Rothe, MD
Outgoing Past President
Executive Director
Bill Fearneyhough
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Inside
5 Dr. Timothy C. Fagan: Who qualifies for
Home Health Care?
On the Cover
Keet Seel is one of the best preserved Anasazi ruins in the
Southwest. It can be visited by hiking a difficult 9-mile trail in
Navajo National Monument near Kayenta, Arizona. (Dr. Hal
Tretbar photo).
any physicians,
particularly primary care
physicians for adult patients,
have documented Face-to-Face
evaluations and signed orders
for Home Health Care. Many
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about definitions, how plans of
care are developed, how Home
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regulated, and how they are
paid.
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PCMS News
In Memoriam
By Dennis Carey
Estes was preceded in death by his wife Mickie, and son Ken.
Survivors include sons Dave, Bob, John Estes and daughter Holly
Coast; daughter-in-law Laura Bennett; grandchildren Dan, Katie,
Brian Matthew, Caitlin, Jenny and Emily Estes and five great
grandchildren. A memorial was held at Brings Broadway Chapel
on March 12. In lieu of flowers, donations should be made to the
Alzheimers Association or similar organization.
Cameron
Cameron Javid
Javid MD
MD
April
April Harris
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MD
Egbert
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MD
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. The Ranger describes a typical Kiva. There is a fire pit with the
wind defector behind it. A manmade hole in the middle of the
floor is the Sipapu that symbolizes a spiritual relationship to
Mother Earth.
The Ancient Ones built a retaining wall before leveling the floor.
Now a 40-foot ladder is needed to gain access to the well
preserved structures.
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There are still many items of everyday life to be found. Here are
corn cobs, pottery shards and grooved sharpening stones.
Most walls were built with flat rocks and mud mortar. Jacal
construction used slender upright poles that were plastered over.
Up to 120 people lived in the 150 rooms of two storey Keet Seel.
The deep alcove protects Keet Seel from the hot summer sun.
This trail goes down the 1,000-foot wall to Tsegi Canyon that
leads you to Keet Seel.
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13
Opinion
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14
Makols Call
15
one dollar each from a 100 men, than $100 from one man.
Personally, Im just happy when I make a hundred bucks.
With that said, would one really want to be in that top one
percent considering how selectively vilified they are today by the
press and the political class? Today we have politicians accusing
incredible businessmen, like those mentioned, of not paying their
fair share of taxes, of making too much money, and, in general,
being bad people. It is interesting however that the same
hypocrites do not criticize the astronomical salaries of actors such
as Tom Cruise, entrepreneurs like Oprah Winfrey, or sports stars
who sign contracts for hundreds of millions of dollars, many of
whom never reaching their potential as players due to personal
peccadilloes.
In my opinion, its time we turned our fire on the Internet and old
media demagogues who continue to vehemently ridicule the rich
for making too much money and paying too few taxes. Just a few
months ago, the IRS published a table showing how much the
400 richest Americans pay in taxes. It received coverage in the
December 2015 Wall Street Journal and was posted on the
Internet. It only took me a few keystrokes to bring it up on my
computer screen. The data is through tax year 2013. According
to the report, these 400 individuals paid an average of 60.8
million each in federal income tax on total earnings of 265
million. That calculates into an average federal tax rate of 22.9%.
Keep in mind this does not include Medicare and Social Security
taxes, state taxes, county taxes, sales taxes, luxury taxes, real
estate taxes and gift taxes since many in this bracket frequently
gift money to their families.
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As a hospice physician, it is
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This is why I became a doctor in
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SOMBRERO April 2016 phone.
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Medical Educaon
April
Steven J.
Blatchford,
MD
A. J. Emami,
MD, FACS
James D.
Gordon,
MD
(520) 792-2170
Adam D. Ray,
MD
Green Valley
Sierra Vista
Marana
David T.
Miyama
MD
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