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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72" style='word-wrap:break-word'><div class=WordSection1><div><div><div><div><div><div><div><p class=MsoNormal align=center style='text-align:center'><span style='font-size:9.5pt'><img width=540 height=163 style='width:5.625in;height:1.6979in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_1" src="cid:image001.jpg@01D84E6F.87AE40B0"></span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><div style='margin-left:15.0pt;margin-top:7.5pt;margin-right:15.0pt;margin-bottom:7.5pt' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782content"><div style='border-top:solid #7F7F7F 1.0pt;border-left:none;border-bottom:solid #7F7F7F 1.0pt;border-right:none;padding:4.0pt 0in 4.0pt 0in'><p class=MsoNormal style='mso-margin-top-alt:7.5pt;margin-right:15.0pt;margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#7F7F7F'>Apr. 12, 2022</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p></div><div style='margin-top:11.25pt;margin-bottom:11.25pt'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=650 style='width:487.5pt'><tr><td width=650 valign=top style='width:487.5pt;background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0><tr><td width=650 valign=top style='width:487.5pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td width=650 valign=top style='width:487.5pt;padding:0in 0in 0in 0in'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=KN-S3U55LP1c6V9iUxGEwCB6AMbM3e1641G7zJbyZeMoBjlfwBgHmsM_QRSY4fcV8UxGscTNR5qMnPLSbRfCtw**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAl5OSwM7f$"><span style='color:windowtext;text-decoration:none'><img border=0 width=650 height=200 style='width:6.7708in;height:2.0833in' id="_x0000_i1025" src="https://maassets.higherlogic.com/image/AAEM/Advocacy_Alert_Email_Header_(650_x_200_px)(2)_2037189.png" alt=Placeholder></span></a><o:p></o:p></span></p></td></tr></table></td></tr><tr><td width=630 valign=top style='width:472.5pt;padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>The Department of Justice (DOJ) and the Federal Trade Commission‘s (FTC) are requesting feedback on <a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=jG2CwSgUINs87ZIQVtgRvk-grtf_GKHRVCYWdCfEptf5P4XVUVDz-vDd5BepbHyMxjoN_mOFGwppOfFH5s4gnw**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAl3NR22dE$">merger guidelines</a> from real people as opposed to corporations.<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>You can take action by posting a comment on their website.<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><br>Your personal stories are important to our efforts to draw the attention of these agencies to PE in medicine. We believe this will have a significant impact, as many regulators believe that most physicians are benefiting from this arrangement rather than being exploited by it.<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><br>Read the response by the AAEM Board of Directors.<o:p></o:p></span></p></td></tr><tr><td width=650 valign=top style='width:487.5pt;padding:7.5pt 0in 7.5pt 0in'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=200 style='width:150.0pt;background:#EC1C2D'><tr><td style='padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:white'><a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=EEyzP3ZWRi-KsZJSMChIANbRWWv-56c4oHVZz1EvPU5D2N2202HBNq5rvL6fDR1wmV9hjhxQKIaLdM8HrhcBZA**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAlyPS9qiI$" target="_blank"><span style='color:white'>Learn More</span></a></span></b><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></b></p></td></tr></table></div></td></tr><tr><td width=650 valign=top style='width:487.5pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td width=630 valign=top style='width:472.5pt;background:black;padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:white'>WE STILL NEED YOUR HELP</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p></td></tr><tr><td width=630 valign=top style='width:472.5pt;padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>How to Post a Comment</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>To post your comment(s), visit <a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=ZjCXCejHT9-8aSPelGr4E4ZtfWByXKMUnM9MQ9Dx91PBzNo-0JHshB1b3GJxSzQtBe0yvFY_0hOlc-GHJBzfkw**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAl6f5K2Ga$">www.regulations.gov/document/FTC-2022-0003-0001</a> and then click on the comment box.<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Your comment(s) can be anonymous.They do not have to be long or referenced. Speak from the heart. We suggest you comment on any of the following you feel comfortable with:<o:p></o:p></span></p><ol style='margin-top:0in' start=1 type=1><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Dominance of PE in your specialty or area of the country<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Financial issues: effects on patients, blinding to what is billed in your name, worries about upcoding and the pressure to do so, etc.<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Suppression of wages: pay and hour cuts<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Effects on working conditions: productivity metrics, forced supervision of NPPs, etc.<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Ability to speak up on behalf of patients, denial of due process<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Loss of contracts due to joint ventures or cross-subsidy issues (e.g., ED and hospitalist bundling)<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Inability to compete for ED contracts: non-interference clauses, non-competes<o:p></o:p></span></li></ol></td></tr></table></td></tr><tr><td width=650 valign=top style='width:487.5pt;padding:7.5pt 0in 7.5pt 0in'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=200 style='width:150.0pt;background:#EC1C2D'><tr><td style='padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:white'><a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=AlSSa6RZtHE7CwDJTHZwI3rNJ9uH_IbYGsc3-WdKPFg93GCeew_vv6xlBMNx6k-WjeyOzuFo8fkqNy5nPOGq9A**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAlyk4dBIz$"><span style='color:white'>Post a Comment</span></a></span></b><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></b></p></td></tr></table></div></td></tr><tr><td width=630 valign=top style='width:472.5pt;padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sample Comment</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <br>I am a(n) [emergency] physician who pursued my field to help patients during their most vulnerable moments. Changes in recent years have made it difficult, if not impossible, for me to deliver high-quality care to my patients while avoiding causing significant financial harm to them. I am not allowed to view what is billed or collected in my name without risking retaliation by my employer, as my contract required me to bypass my due process rights as a condition of employment. The field of emergency medicine has gone through rapid consolidation over the past decade, now with an estimated 50% of emergency physicians employed by private equity-owned entities that prioritize overleveraged debt and corporate profits over patient care. The emergency department is effectively the nation’s only form of universal healthcare due to EMTALA, a government mandate that requires, but does not fund, all emergency patients to be seen regardless of ability to pay. Corporate interests have exploited this inelastic market for profit in detestable ways, cutting staffing and replacing qualified emergency physicians with cheaper, less qualified personnel while driving the out-of-network billing crisis by suing indigent patients and garnishing their wages. I did not become a physician to put desperate, unsuspecting patients into debt. I urge the Federal Trade Commission to conduct a 6B investigation into the effects of emergency medicine staffing group mergers and acquisitions by private equity at the expense of American society.<o:p></o:p></span></p></td></tr><tr><td width=630 valign=top style='width:472.5pt;background:black;padding:7.5pt 7.5pt 7.5pt 7.5pt'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td width=630 valign=top style='width:472.5pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td width=630 valign=top style='width:472.5pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td width=630 valign=top style='width:472.5pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td width=610 valign=top style='width:457.5pt;padding:7.5pt 7.5pt 7.5pt 7.5pt'><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=-T98K_S_FtWeY1RctFFmiyKWREsOo3CcOuILhptQ7GLZ3ypUWzLyRofu_V0lkG6Rk4rzT2csen-i8PgK-AnGzw**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAl6FC33WC$"><span style='color:windowtext;text-decoration:none'><img border=0 width=32 height=32 style='width:.3333in;height:.3333in' id="_x0000_i1026" src="http://images.magnetmail.net/images/template/template_library/responsive_generic/facebook_w.png" alt=facebook></span>  </a><a href="https://urldefense.com/v3/__http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw**A&pe=zznr6NaR4pdpbl-j5LfuovKBCPFaX0y69xuKeIrIvWMMURG9oQjMX_bBRvRNuKV34-R_nUjfyQSjkDZDCUqi6Q**A&t=HO43fqQ1NbBwmpdYTdvxBw**A__;fn5-fn5-!!CzAuKJ42GuquVTTmVmPViYEvSg!NbKbvyXYzJXqcMbItwfDoW4qBs5Y5v30uyJPvyH5qZnpfVpQ4mN01ZjxcF_-KCOGfUMQIj_-k86uprMAl9UQzDdT$"><span style='color:windowtext;text-decoration:none'><img border=0 id="_x0000_i1027" src="http://images.magnetmail.net/images/template/template_library/responsive_gen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