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View Public Comments for Potential NCD Topics


 
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 Public Comments
Commenter: Cotter, Dennis
Title: President
Organization: Medical Technology and Practice Patterns Institute
Date: 8/5/2008 2:21:47 PM
Comment:

Dear Sir:
I am writing to introduce you to MTPPI a 501(c)3
non-profit institute established in 1986. Among
other treatments, we are interested in studying
the causal relationship between the therapeutic
intervention epoetin in t   More...



Commenter: Thompson, Mark
Organization: Florida Radiation Oncology Group
Date: 8/8/2008 10:32:44 AM
Comment:

PROTON THERAPY....There is very limited use in
cancer therapy for this expensive technology. The
reults in treating prostate cancer are no better
than using IMRT or prostate brachytherapy which
cost a fraction of PROTON therapy. Al   More...



Commenter: Carpenter, Larry
Title: Associate Professor
Organization: Baylor College of Medicine
Date: 8/8/2008 2:20:45 PM
Comment:

I am very concerned about the current rapid
proliferation of proton beam radiation without
sufficient evidence supporting its clinical
superiority over current modalities. I have
heard that MD Anderson Cancer Center is refusing More...



Commenter: Johnson, Douglas
Title: Radiation Oncologist/Director of Clinical Research
Organization: Baptist Cancer Institute
Date: 8/8/2008 5:07:03 PM
Comment:

CORRECTED: Proton therapy for prostate cancer
should not be a covered service, as superior
radiation treatment alternatives already exist,
are proven, and can be delivered at a fraction of
the cost. Proton therapy is not new: Facil   More...



Commenter: Cesaretti, Jamie
Title: Assistant Professor of Radiation Oncology
Organization: Mount Sinai School of Medicine
Date: 8/10/2008 1:39:22 PM
Comment:

I would like to comment on the reimbursement of
proton therapy for prostate cancer. I was
optimistic at first, as a young academic
radiation oncologist, that the future of prostate
cancer treatment would include proton therapy More...



Commenter: harkaway, paul
Date: 8/12/2008 6:03:39 AM
Comment:

As I witness the profound impact that our current
economic struggles are having on our communities
and my patients, the seemingly profligate
spending going on in the health care community
befuddles me. A recent summary of major bui   More...



Commenter: kluck, bryan
Title: interventional cardiologist
Organization: heart care group
Date: 8/12/2008 7:20:41 AM
Comment:

There can be no reasonable, non political way to
justify the continued non coverage of this
proceedure in the sub-population of asymptomatic
patients at high risk for carotid
endarterectomy. The body of literature
supporting th   More...



Commenter: Weed, Dan
Date: 8/13/2008 8:55:16 AM
Comment:

Proton Therapy for Prostate Cancer.

I''m a radiation oncologist. Protons offer a
significant benefit in several oncologic
situations. Prostate cancer is not one of those
situations.

Unfortunately, however, I do believ   More...



Commenter: Augspurger, Mark
Title: MD
Organization: Florida Radiation Oncology Group
Date: 8/21/2008 12:17:57 PM
Comment:

Proton Therapy for Prostate Cancer:

Proton therapy should not be used in the
treatment of prostate cancer. Proton treatments
are much more expensive than other radiation
techniques. There is no proven benefit in tumor
contr   More...



Commenter: Holman, Paul
Date: 9/2/2008 2:27:52 PM
Comment:

[PHI Redacted] One difference between proton treatment and others is that you
leave feeling human and normal. That''s worth everything.



Commenter: Richards, Mark
Date: 9/2/2008 2:33:35 PM
Comment:

Proton Beam Radiation Treatment for Cancer - Medicare Coverage:

As a health care professional, scientist [PHI Redacted] I feel strongly that Medicare should cover this state-of-the-art treatment. [PHI Redact   More...



Commenter: whitt, william
Title: none
Organization: noww
Date: 9/2/2008 2:34:44 PM
Comment:

it works great and you can have all of your plumming afterwards ,,,, [PHI Redacted],,, It works dont be fooled .... and their no pain doing it ....



Commenter: Greening, Gayla
Date: 9/2/2008 2:40:42 PM
Comment:

Before proton therapy is denied as a viable
treatment for prostate cancer, there are many not
doing enough research!!! Please make sure you do
an extensive study re: the after-effects of the
various treatment options before dismis   More...



Commenter: Thurber, Marshall
Title: Attorney
Date: 9/2/2008 2:45:02 PM
Comment:

[PHI Redacted]

 

[PHI Redacted] no side effects and no surgery; it would be a crime not to continue to have this covered under medicare. [PHI Redacted] Why make men suffer   More...



Commenter: Davis, Michael
Date: 9/2/2008 2:49:40 PM
Comment:

[PHI Redacted] a successful proton radiation receipient that was treated for prostate cancer several years ago. [PHI Redacted]

The overwhelming majority of that evidence was that other treatment methods    More...



Commenter: Lamborn, Homer
Title: Retired
Date: 9/2/2008 2:51:56 PM
Comment:

[PHI Redacted] was treated by the Proton method (@ Loma Linda
CA) in 1996 and doing very well during these intervening years and can certaiinly vouch for this method of trestment.
Homer Lamborn



Commenter: Stewart, Ronald
Date: 9/2/2008 2:53:54 PM
Comment:

I am sending this e-mail to express my concern for removing medicare payments for Proton Therapy.

[PHI Redacted]

I believe the benefit of Proton Therapy was the reduction in side effects.

I feel that    More...


Commenter: Schick, Uwe R.
Title: Western Regional Manager
Organization: Medical Automation Systems Inc.
Date: 9/2/2008 2:55:37 PM
Comment:

I am amused by the intellectual bias of the many posts that attack the positive outcomes of Proton Therapy. Until these doctors face the reality of Prostate Cancer in their own lives, their data will prove whatever they want it to prove.
More...



Commenter: Reed, Cliff W
Title: Disabled Veteran, Retired Civil Engineer
Date: 9/2/2008 3:00:36 PM
Comment:

I have heard of a proposal to stop Medicare coverage of Proton Therapy for Prostate Cancer. I am not a doctor [PHI Redacted]. My story is very important because my doctors (three) told me that due to my other illness [PHI    More...



Commenter: DeMoss, Bill
Date: 9/2/2008 3:04:28 PM
Comment:

I believe that it is incredably important to retain the Medicare coverage for Proton
Radiation. Without it, the single best choice for many men diagnosed with prostate cancer will become unavailable.

[PHI Redacted]More...



Commenter: Giffels, Donald
Title: President
Organization: Giffels Consultants Inc.
Date: 9/2/2008 3:05:29 PM
Comment:

I have been in contact with numerous patients who
have been treated with proton beam radiation
therapy for prostate cancer. The evidence is
overwhelming that this form of treatment provides
the best outcome for the patient with re   More...



Commenter: Shuey, John
Title: Private citizen.
Date: 9/2/2008 3:06:01 PM
Comment:

RE: Proton Therapy

I am dismayed, though not surprized, at all the
postings claiming no advantage for Proton Therapy
from practitioners of competing modalities.
Apparently the profit motive is more important
than the scien   More...



Commenter: Gay, Sr., Robert
Date: 9/2/2008 3:07:39 PM
Comment:

The accuracy and depth-control of proton therapy made it possible to treat enlarged prostate without the expense and adverse side effects of lutenizing hormone ablation drugs. [PHI Redacted] in relatively good health, the qua   More...



Commenter: White, William
Date: 9/2/2008 3:12:13 PM
Comment:

[PHI Redacted] I have many friends that chose other treatment methods and are suffering a wide range of terrible side effects! [PHI Redacted] suffer none of these and strongly feel it is well worth, in the long    More...



Commenter: Smith, Richard
Date: 9/2/2008 3:12:49 PM
Comment:

The negative comments about proton therapy as it applies to
prostate cancer, made by several physicians, amount to hearsay and
are largely misleading in many of the details. The comments smack
of panic rather than sober logical statem   More...



Commenter: Gustafson, Paul
Date: 9/2/2008 3:17:23 PM
Comment:

[PHI Redacted] I am urging that reimbursement for treatment for prostate cancer via proton beam therapy remain intact. After doing some investigating, it seems that the majority of those that reimbursement be discontinued are thos   More...



Commenter: Hagemann, Lawrence
Title: Chief Technology Officer
Organization: Digital Recorders, Inc.
Date: 9/2/2008 3:17:42 PM
Comment:

[PHI Redacted] I fully endorse the proton beam therapy approach and support its further coverage under medicare.

I have had friends, relatives, and acquaintances who have had the radical prostate surgery, the Brachy therapy,    More...



Commenter: Cooper, Stuart
Date: 9/2/2008 3:18:42 PM
Comment:

I want to take this opportunity to comment on the Proton beam therapy for prostate cancer proposed rule change.

[PHI Redacted]

It is my understanding that the reason medicare is considering stopping the rei   More...



Commenter: Childers, Richard
Date: 9/2/2008 3:20:38 PM
Comment:

I would like to comment on the reimbursement of proton therapy for prostate cancer. [PHI Redacted] was treated with Proton Beam therapy which was completed 2 years ago. [PHI Redacted] made [PHI Redacted   More...



Commenter: Wilcox, Dale A
Date: 9/2/2008 3:33:02 PM
Comment:

Proton Treatment, Prostate Cancer

[PHI Redacted] received treatment in 1993, had a PSA of 6 that had rapidly escalated to 9. [PHI Redacted] received a PSA readout of 3 just recently. [PHI Redac   More...



Commenter: Miller, Richard
Date: 9/2/2008 3:33:18 PM
Comment:

[PHI Redacted] a prostate cancer patient who was treated with proton beam therapy ending on [PHI Redacted]. Since then [PHI Redacted] PSA has dropped gradually and is now at 0.98. [PHI R   More...



Commenter: Bergman, Steve
Date: 9/2/2008 3:33:32 PM
Comment:

In Feb. and March of this year [PHI Redacted] received 45 proton beam treatments with the only side efffects being mild increase in frequency and urgency in urinating which ceased after treatment was completed. The total cost    More...



Commenter: Gothard, Donald
Title: Retired Engineering Director
Organization: General Motors Corporation Manufacturing Staff
Date: 9/2/2008 3:38:21 PM
Comment:

Proton Beam Therapy for Prostate Cancer

[PHI Redacted] was treated with protons in 2001 at the age of 66. [PHI Redacted] had subsequent PSA tests every year since [PHI Redacted] treatmen   More...



Commenter: Warman, Paul
Date: 9/2/2008 3:44:16 PM
Comment:

Proton Therapy for Prostate Cancer:

[PHI Redacted] a proton beam radiation treated prostate cancer survivor. The Proton Beam treatment for prostate cancer is safer and as effective as other external beam radiation met   More...



Commenter: Cornwall, Fred
Date: 9/2/2008 3:48:14 PM
Comment:

Re: Proton Treatment for Prostate Cancer. [PHI Redacted] 65 year old man who was treated earlier this year for prostate cancer with proton therapy. [PHI Redacted] selected this form of treatment after six mont   More...



Commenter: Bevan, John
Date: 9/2/2008 3:54:11 PM
Comment:

I read with concern the proposal by CMS to exclude proton therapy for prostate cancer from Medicare reimbursement. In 2004, [PHI Redacted]was diagnosed with prostate cancer at the time of [PHI Redacted] 68th bir   More...



Commenter: MAKINSON, JOHN
Date: 9/2/2008 4:01:51 PM
Comment:

[PHI Redacted] completed proton beam therapy for [PHI Redacted] prostate cancer on 8/4/08 and intuitively feel this was the best decision[PHI Redacted]. It would not be possible if Medicare did   More...



Commenter: Schaeffer, Hugo
Title: Retired Human Resource Director
Date: 9/2/2008 4:11:11 PM
Comment:

[PHI Redacted]68 years old and consider [PHI Redacted] lucky to have choosen proton therapy over the other choices as it is non evasive and all the men [PHI Redacted] had spoken to prior to More...



Commenter: Ford M.D., Ken
Date: 9/2/2008 4:12:51 PM
Comment:

I have a 39 year medical background: Orthopedic Surgeon graduating from Medical School at The University of Texas in 1969; also I was a U.S. Air Force Flight Surgeon 1970-1972.

[PHI Redacted]diagnosed with prostate canc   More...



Commenter: Lee, Douglas
Title: Managing Director
Organization: WESST Enterprise Center
Date: 9/2/2008 4:27:47 PM
Comment:

Please do not discontinue Medicare reimbursement for proton radiation therapy for treatment of prostate cancer! [PHI Redacted] spent months researching the various options available [PHI Redacted] for PC treatm   More...



Commenter: Walker, Ethel
Title: RN (retired)
Date: 9/2/2008 4:27:53 PM
Comment:

[PHI Redacted] was diagnosed with prostate cancer 5 years ago. After much research into the various paths of treatment, he opted to have proton beam radiation. Today his PSA is 0.5 holding steady, and he has had no problems from t   More...



Commenter: Gapp, William
Title: Retired CEO
Organization: Privately owned company
Date: 9/2/2008 4:33:18 PM
Comment:

[PHI Redacted] elected to have [PHI Redacted] prostate cancer treated by protron radiation in October of 2003 after researching all [PHI Redacted] options, including direct conversations with i   More...



Commenter: Dunlap, James
Title: Captain
Organization: Frontier Airlines
Date: 9/2/2008 4:34:32 PM
Comment:

Proton Therapy,

Medicare and Medicad should continue to offer Proton Therapy as a treatment for Prostate Cancer.

Last summer, [PHI Redacted] completed proton therapy for prostate cancer and could not be happ   More...



Commenter: Wadsworth, Craig
Title: Certified General Contractor
Date: 9/2/2008 4:40:35 PM
Comment:

Regarding Medicare Coverage of Proton Beam Radiation:

[PHI Redacted] opted for Proton Beam Radiation treatment for stage 2C prostate cancer in early 2002; because [PHI Redacted] could see from the pub   More...



Commenter: Randolph, Benjamin
Date: 9/2/2008 4:40:39 PM
Comment:

[PHI Redacted] a recipient of very successful proton beam treatment for prostate cancer. [PHI Redacted] choices because of health and age were very limited and [PHI Redacted] research into a ve   More...



Commenter: Benchoff, Donald
Title: CAPT
Organization: Retired
Date: 9/2/2008 4:50:43 PM
Comment:

I want to lend my support for the continued Medicare support for proton beam therapy for prostate cancer. [PHI Redacted] I can attest to the fact that the side effects are minimal to none. The effectiveness of the treatment, in   More...



Commenter: Hartwigsen, Charles
Date: 9/2/2008 5:03:14 PM
Comment:

[PHI Redacted] a former Prostate Cancer patient. [PHI Redacted] PSA was 9.8 in May of [PHI Redacted]. The doctor said because of [PHI Redacted] Leukemia (CML), raditation was More...



Commenter: Richardson, Jack
Title: Mr.
Organization: Retired
Date: 9/2/2008 5:10:16 PM
Comment:

I believe Medicare''s proposal to stop paying for
proton beam therapy as a treatment for prostate
cancer is a serious mistake. The proposal is
based on a mistaken belief that it is too costly
and is not better than alternative treatme   More...



Commenter: Waldbauer, Donald
Date: 9/2/2008 5:12:48 PM
Comment:

This comment relates to the use of Proton Beam treatment for Prostate Cancer. [PHI Redacted] was diagnosed with prostate cancer 6 years ago. After extensive research and interviews of many others diagnosed and various treatmen   More...



Commenter: Cook, Charles F.
Title: Retired Corporate Executive
Date: 9/2/2008 5:15:20 PM
Comment:

As a 69 year old, healthy, active man, [PHI Redacted] was diagnosed with prostate cancer in [PHI Redacted]. [PHI Redacted] due diligence on all available treatments including proton beam tehrapy   More...



Commenter: Shein, F. Richard
Date: 9/2/2008 5:22:13 PM
Comment:

[PHI Redacted] was successfully treated for prostate cancer with protons at Loma Linda Hospital four years ago. That hospital has ten years of scientifically accurate research attesting to it''s extraordinary ability to succes   More...



Commenter: Spruell, Alfred
Title: Captain
Organization: USN (Ret)
Date: 9/2/2008 5:26:23 PM
Comment:

Funding of Proton Therapy to treat Prostate Cancer; It would be a huge mistake to withdraw Medicare Funding for Proton Therapy for Prostate Cancer (PCa). [PHI Redacted] This is a wonderful, and highly effective treatment    More...



Commenter: Barna-Lloyd, John
Title: None
Organization: None
Date: 9/2/2008 5:31:19 PM
Comment:

I just read the postings to this forum on Medicare coverage of treatment of Prostate Cancer by Proton Bream Therapy. So far all were written by physicians who offer treatment other than Proton Beam. [PHI Redacted] was successf   More...



Commenter: Allen, Lloyd
Date: 9/2/2008 5:35:00 PM
Comment:

I wish to speak in behalf of continuing Medicare coverage for proton therapy. [PHI Redacted] was diagnosed with prostate cancer in [PHI Redacted]. [PHI Redacted] received 40 proton treatments w   More...



Commenter: McMillan, J Richard
Title: Attorney at Law
Date: 9/2/2008 5:37:26 PM
Comment:

It is interesting to note that the major opposition to proton radiation treatment for prostate cancer patients comes from physicians (primarily urologists) whose practices are threatened by this more advanced technology and one not available    More...



Commenter: Woods, Bert
Date: 9/2/2008 5:39:56 PM
Comment:

[PHI Redacted] I wish to say that the proton therapy treatment is the best for prostate cancer. I believe it''s success rate is as good or better than any other modality, and it has negligable, if any, side effects. It is non i   More...



Commenter: Elmes, Gordon
Date: 9/2/2008 5:49:50 PM
Comment:

[PHI Redacted] very satisfied recipient of proton radiation therapy in 2004. The absolute absence of any side effects and the diminished need for follow-up medical treatment makes this method of treating prostate cancer a very   More...



Commenter: Locke, Richard
Date: 9/2/2008 6:11:13 PM
Comment:

Proton Radiation for Prostate Cancer

[PHI Redacted]

While you are in the decision making process I implore you to seek out data on the relative rates of side effects such as impotence and incontinence.

If,   More...



Commenter: taylor, hugh
Title: Pres.
Organization: Taylor & Associates, Inc
Date: 9/2/2008 6:11:30 PM
Comment:

[PHI Redacted] I can say with confidence, that proton treatment of prostate cancer was effective [PHI Redacted] since 2001-other than skin cancer, prostate cancer is the most common of cancers. In my view, un   More...



Commenter: Gadd, Joseph
Title: Retired
Organization: None
Date: 9/2/2008 6:15:47 PM
Comment:

Proton Prostate Treatment

[PHI Redacted]was diagnosed with prostate cancer, and completed the 45 session proton treatment regimen. [PHI Redacted] experienced no pain, incontinence, impotence, bleeding,    More...



Commenter: Sauer, John
Date: 9/2/2008 6:29:34 PM
Comment:

[PHI Redacted] received proton radiation therapy for prostate cancer last year. I have been in the engineering medical field for 35 years and did very extensive research on the methods and outcomes of variuos prostate cancer t   More...



Commenter: Vollhardt, Peter
Title: Professor
Date: 9/2/2008 6:34:12 PM
Comment:

Proton beam therapy for prostate cancer:
I have studied the subject matter thoroughly. As a
scientist, I have access to the primary medical
literature, and I have carefully scrutinized over
100 publications on the subject. I have also    More...



Commenter: Bruno, Fred
Date: 9/2/2008 6:55:17 PM
Comment:

[PHI Redacted] recieved Proton radiation for prostate cancer from [PHI Redacted]. The results are nothing short of fantastic. [PHI Redacted] experienced no side effects while recieving treatmen   More...



Commenter: Plummer, Cecil
Title: retired
Date: 9/2/2008 6:57:21 PM
Comment:

I believe that proton therapy has the most
benefits to the ordinary patient. The non
invasive treatment allows the patient to carry on
a normal lifestyle without weeks or months of
physical side effects that are present with otherMore...



Commenter: Eberhardt, Charles
Title: Apt. Owner
Organization: NA
Date: 9/2/2008 7:04:33 PM
Comment:

re: Medicare reimbursements for proton therapy for treating prostate cancer

[PHI Redacted]was diagnosed with prostate cancer. After six months of rigorous medical research, plus personal interviews with professionals in    More...



Commenter: Schnabel, Rudolph
Date: 9/2/2008 7:22:29 PM
Comment:

[PHI Redacted] did extensive research before deciding on pursuing Proton Radiation Therapy for [PHI Redacted] treatment for many reasons, several of which are: Proton Radiation treatment, according to the re   More...



Commenter: Gimbel, howard
Title: MD
Organization: Loma Linda University
Date: 9/2/2008 7:22:32 PM
Comment:

Regarding Proton Therapy for Prostate cancer:

I graduated with an MD degree in 1960. Two members of my class
developed prostate cancer about the same time in 2001. One had
proton treatment and never missed a day of work and had vir   More...



Commenter: Harris, Roger
Date: 9/2/2008 7:24:09 PM
Comment:

Proton radiation therapy for prostate cancer.

[PHI Redacted] was diagnosed with prostate cancer after a biopsy. PSA=14.9 and a Gleason score of 9. [PHI Redacted] was accepted for proton and photon thera   More...



Commenter: Jones, Fuller C.
Title: Project Engineer (Retired)
Organization: NASA Shuttle Launch Operations
Date: 9/2/2008 7:34:30 PM
Comment:

I believe that Proton Therapy is a valid and
useful treatment for prostate cancer. As a
graduate mechanical engineer and retired NASA
employee, I feel that my experience qualifies me
to do the research necessary to sort out the tru   More...



Commenter: Freedman, Barry
Title: retired financial advisor
Date: 9/2/2008 7:37:58 PM
Comment:

How about listening to a patient who went through Proton Beam therapy for Prostate Cancer instead of just listening to Drs who have a vested interest in their own treatment methods. [PHI Redacted] oncologist recommended and wa   More...



Commenter: Bunten, Ted
Date: 9/2/2008 7:54:59 PM
Comment:

[PHI Redacted] prostate cancer survivor with an undergraduate degree in engineering. [PHI Redacted] choice of treatment was Proton Therapy at Loma Linda University Medical Center.

More than eight year   More...



Commenter: burnidge, william
Date: 9/2/2008 8:18:37 PM
Comment:
[PHI has been redacted from this comment]

receive Proton Radition Therapy for a very aggressive type of Prostate Cancer in . Readings were over 5 for Psa and a Gleason count of over 9. This preculeded from having seeding   More...



Commenter: Tipton, Howell
Date: 9/2/2008 8:51:27 PM
Comment:

After a biopsy in 2006, [PHI Redacted] was told that [PHI Redacted] had prostate cancer. [PHI Redacted] was shocked. Being an engineer, [PHI Redacted] wanted more data. More...



Commenter: Arnold, Hubert
Date: 9/2/2008 8:57:12 PM
Comment:

In [PHI Redacted] had a PSA of 25. After consulting with a urologist [PHI Redacted] was informed that surgery was [PHI Redacted] only viable option. After research [PHI Redacted]More...



Commenter: Lester, Leonard
Date: 9/2/2008 8:59:21 PM
Comment:

I understand that reimbursement for proton beam therapy for prostate cancer is in danger of being reduced or eliminated. I wish to voice my concern that the most effective treatment out there will be unavailable to the people who would benefi   More...



Commenter: Siano, Paul
Date: 9/2/2008 9:10:22 PM
Comment:

[PHI Redacted] was diagnosed with prostate cancer. [PHI Redacted] PSA was 6.1 and had a Gleason score of 9. (4+5) [PHI Redacted] prostate was the size of a grapefruit. After considering all ava   More...



Commenter: Schwartz, Bruce
Date: 9/2/2008 9:50:59 PM
Comment:

[PHI Redacted] diagnosed with prostate cancer but [PHI Redacted] refuse to accept the barberic choices that are offered as conventional protocol. [PHI Redacted] found out about the proton beam    More...



Commenter: Healey, Robert
Date: 9/2/2008 10:09:21 PM
Comment:
[PHI has been redacted from this comment]

This comment is in support of Proton Beam Therapy (PBT) for treatment of prostate cancer. Early in was diagnosed with prostate cancer and the local medical practitioners each predic   More...



Commenter: hagen, Weldon J.
Date: 9/2/2008 10:12:45 PM
Comment:

[PHI Redacted] had treatment 11 years ago with no side effects.Many of the men that have other treatment have adverse side effects that I would prefer not to have. I feel that [PHI Redacted] received the best   More...



Commenter: Drescher, Thomas
Date: 9/2/2008 10:35:59 PM
Comment:

In [PHI Redacted] received proton radiation for prostate cancer.[PHI Redacted] satisfied with the results. [PHI Redacted] no major side effects. [PHI Redacted] walk a couple m   More...



Commenter: Virgil, Schulenberg
Date: 9/2/2008 10:43:11 PM
Comment:

I just received an email that the CMS has made a proposal to Medicare to discontinue reimbursement for proton treatment of prostate cancer. [PHI Redacted] living proof that this procedure is the BEST. [PHI Redacted]More...



Commenter: Robinson, William
Date: 9/2/2008 10:55:38 PM
Comment:

I would like to address the issue of discontinued coverage for Proton Beam Therapy for Prostate Cancer. I believe it would be a disservice to men diagnosed with Prostate Cancer. [PHI Redacted] was diagnosed with Prostate Cance   More...



Commenter: Horner, Gene
Organization: Los Angeles County Fire Dept. Retired
Date: 9/2/2008 11:08:09 PM
Comment:

I understand that CMS has made a proposal to stop
Medicare reimbursement for Proton therapy for
Prostate cancer treatments. Why?

Don''t prostate cancer patients deserve a chance to
receive the best available treatment? Are you
   More...



Commenter: smulders, louis
Title: EVP
Organization: Mairita L.P.
Date: 9/2/2008 11:08:55 PM
Comment:

[PHI Redacted] had Proton Beam Treatment for prostate cancer from [PHI Redacted].[PHI Redacted] was 63 at the time. Treatment was given at the center at Loma Linda, California. [PHI Red   More...



Commenter: Dudley, Jack
Date: 9/3/2008 12:05:46 AM
Comment:

Dear Sirs:

I am quite perplexed that some wish to stop Medicare coverage of proton beam theoropy for the treatment of prostrate cancer. [PHI Redacted] recieved proton theropy a year ago. [PHI Redacted]More...



Commenter: Nygard, Kenneth
Date: 9/3/2008 12:12:29 AM
Comment:

Re: Proton therapy for prostate cancer.

I am concerned about the campaign to eliminate Medicare coverage for the treatment of prostate cancer by proton radiation.

[PHI Redacted] was diagnosed in 2002 with pro   More...



Commenter: Montgomery, Ron
Title: Chemical and Petroleum World Wide Consultant
Organization: IBM
Date: 9/3/2008 12:32:26 AM
Comment:

I understand that Proton Beam Therapy is being reviewed by the Governing Medicare Policy board for elimination of coverage due to spurious reasons of not being significantly better than the typical treatment (i.e. Prostate Removal). [P   More...



Commenter: Pacetti, Greg
Title: Self Employed builder
Date: 9/3/2008 12:40:00 AM
Comment:

Well this has been a very interesting read. [PHI Redacted] [PHI Redacted] Urologist was a surgeon and of course he wanted [PHI Redacted] to get a Radical here locally with in the next three mon   More...



Commenter: wetzel, joe
Date: 9/3/2008 5:01:48 AM
Comment:

Please continue paying for proton therapy. It
is the most logical treatment for many kinds of
cancer.



Commenter: Garrott, Fred
Date: 9/3/2008 8:06:06 AM
Comment:

I believe Medicare Coverage should continue to cover Proton Therapy Radiation for prostate cancer and a variety of other diseases. The alternative radiation therapys may be acceptable for physicians and patients who do not have access to prot   More...



Commenter: Lipscomb, Earle
Date: 9/3/2008 9:25:12 AM
Comment:

Recognizing the conflicting interests of contributors to this discussion, I comment only as [PHI Redacted] who did [PHI Redacted] homework prior to treatment for prostate cancer. I am convinced of the superior   More...



Commenter: Englert, Bernard A
Date: 9/3/2008 9:32:40 AM
Comment:

[PHI Redacted] 82 year old man in Louisville ,Ky who had 41 Proton Beam treatments in Jacksonville ,Fl. in [PHI Redacted] and now a PSA reading of .23 and a lot better quality of life since [PHI Redact   More...



Commenter: Pezick, George
Title: Mr.
Organization: none
Date: 9/3/2008 9:39:45 AM
Comment:

Proton Therapy: [PHI Redacted] had Proton Therapy in the summer of [PHI Redacted] at Loma Linda, at age 68, with a PSA of 8.4. [PHI Redacted] thoroughly researched all [PHI Redacted]More...



Commenter: Kalin, Ken
Date: 9/3/2008 9:43:34 AM
Comment:

[PHI Redacted] treated in 2oo6 For Prostat cancer at Loma Linda Hospital in Calif. It was the best treatment with no down side. It wold be a mistake to not allow this great treatment for medicare patients.
Ken KalinMore...



Commenter: brown, Dave
Date: 9/3/2008 9:51:42 AM
Comment:

In 5 months, [PHI Redacted] PSA went from 5.9 to 1.27 as a result of Proton Therapy. The main advantage of this treatment is the fact that [PHI Redacted] experienced no side affects. As we look to the future, l   More...



Commenter: Christopher, M.D., Robert P.
Title: Professor of Medicine (Retired)
Organization: University of Tennessee College of Medicine-Memphis
Date: 9/3/2008 10:01:38 AM
Comment:

I strongly oppose the elimination of funding for proton therapy by Medicare. For thirty-three years, I served as Associate Professor then Professor of Medicine at the University of Tennesee College of Medicine. [PHI Redacted]    More...



Commenter: Goodnight, Michael
Title: Engineer / Training Consultant
Date: 9/3/2008 10:05:29 AM
Comment:

re: Proton beam therapy for prostate cancer

As one who has been researching Proton Beam Therapy, specifically existing facilities, I am dismayed at the prospect of coverage no longer being extended to this treatment option for prosta   More...



Commenter: Tuggey, Howard
Title: Colonel USA Retired
Organization: None
Date: 9/3/2008 10:08:24 AM
Comment:

Regarding Medicare Payment for Protons

[PHI Redacted] Nine years ago, [PHI Redacted] was treated for Prostate Cancer at Loma Linda University''s Proton Treatment Center, in California, started on More...



Commenter: rickard, marvin
Title: Pastor Bth, Bsl, DD
Organization: Christian Church
Date: 9/3/2008 10:17:16 AM
Comment:

Alomost 9 years ago [PHI Redacted] had proton radiation therapy for prostate cancer. [PHI Redacted] free from cancer today and have continued in [PHI Redacted] profession during these nine year   More...



Commenter: Manning, Richard
Title: Ph.D
Date: 9/3/2008 10:20:01 AM
Comment:

[PHI Redacted] was devastated by a diagnosis of prostate cancer. Initial research revealed a range of treatments with relatively similar cure potential. In my detailed research, I read several books, talked to dozens of prosta   More...



Commenter: Neubauer, Donald
Title: Retired Elevator Installer
Organization: none
Date: 9/3/2008 10:29:45 AM
Comment:

[PHI Redacted] was treated for prostate cancer in [PHI Redacted] with Protons and Photons. [PHI Redacted] PSA at treatment time was 32. [PHI Redacted] 5 years out from treatment,   More...



Commenter: Greany, Patrick
Organization: PDG Consulting
Date: 9/3/2008 10:36:18 AM
Comment:

Two issues have been brought up by others in
this commentary that should be addressed:

1) Regarding the concern that proton therapy for
prostate cancer has no additional benefit above
and beyond conventional IMRT photon treatmen   More...



Commenter: Otey, Rick
Title: Steering Committee Member
Organization: Us TOO PEORIA
Date: 9/3/2008 10:40:56 AM
Comment:

[PHI Redacted] a three year prostate cancer survivor who received Proton Beam Therapy at Midwest Proton Radiotherapy Institute in Bloomington, Indiana. [PHI Redacted] found Proton Beam Therapy to be a God sen   More...



Commenter: archer, john
Title: Vice President[retired]
Organization: Ashland inc.
Date: 9/3/2008 10:50:22 AM
Comment:

[PHI Redacted] completed proton radiaton at Loma Linda Hospital in California August [PHI Redacted].[PHI Redacted] last follow up PSA last year was still undetectible.Several of my friends    More...



Commenter: Melendez, Eliezer
Title: Minister
Organization: Retired
Date: 9/3/2008 10:50:22 AM
Comment:

[PHI Redacted] was treated with proton beam radiation theraphy for prostate cancer at the end of [PHI Redacted] through the month of [PHI Redacted] up to the 15th, 2008,45 treatments in total.    More...



Commenter: Hodgdon, Steven
Organization: Individual
Date: 9/3/2008 10:51:26 AM
Comment:

RE the proton radiation treatment for prostate cancer. [PHI Redacted] had the "traditional" treatment of prostate cancer which was surgical removal of the prostate along with seminal vesicles and lymph nodes, and four years af   More...



Commenter: Osbourn, Kenneth
Date: 9/3/2008 11:18:32 AM
Comment:

re: Proton Therapy

[PHI Redacted] a previous proton therapy patient treated for prostate cancer over five years ago and suffering no side effects, [PHI Redacted] this this treatment offers better post-t   More...



Commenter: Carter, Ian
Title: Former Chairman & CEO of publicly traded company
Date: 9/3/2008 11:49:11 AM
Comment:

[PHI Redacted] there is no question in my mind that Proton Radiation Therapy is far superior to any other form of prostate cancer treatment. When [PHI Redacted] first learned that [PHI Redacted]More...



Commenter: Severe, Errol
Title: President
Organization: Aviation Cadet Museum, Inc.
Date: 9/3/2008 12:10:09 PM
Comment:

Proton Therapy: [PHI Redacted] underwent this procedure just over a year ago. [PHI Redacted] PSA was 17.2 before beginning treatment,since then it has been checked at 6 month intervals and has been 0.3 both tim   More...



Commenter: Kohlin, Ronald
Title: (Retired)
Date: 9/3/2008 12:18:31 PM
Comment:

PROTON THERAPY for PROSTATE CANCER: [PHI Redacted] was treated with Proton Therapy in [PHI Redacted]. [PHI Redacted] suffered no significant side effects during or after treatment, which is mor   More...



Commenter: Kinney, Don
Title: retired
Date: 9/3/2008 12:27:27 PM
Comment:

[PHI Redacted] had proton radiation ten years ago at 57 years of age and I can say that without a doubt it was the best action that [PHI Redacted] could have taken to treat cancer.

[PHI Redacted   More...



Commenter: Fancher, Jack
Title: Retired teacher
Organization: Brotherhood of the Balloon
Date: 9/3/2008 12:29:02 PM
Comment:

To begin with, [PHI Redacted] was assured that Medicare would cover 80% of [PHI Redacted] Proton Therapy costs; they covered LESS than 50% & [PHI Redacted] paid the balance. The program is    More...



Commenter: Humbert, Sam
Date: 9/3/2008 1:08:22 PM
Comment:

I have been informed that CMS has made a proposal to stop Medicare reimburseents for proton therapy for treating prostate cancer. I would like to please ask them to reconsider their proposal. [PHI Redacted] had prostate cancer   More...



Commenter: Cook, Ralph
Date: 9/3/2008 1:13:14 PM
Comment:

I am concerned about the possibility the Proton Beam Radiation Therapy is even being considered of disqualification for payment by the Medicare Organization.

[PHI Redacted] was diagnosed with prostate cancer and found o   More...



Commenter: Shinn, Raymond
Title: Retired Executive
Date: 9/3/2008 1:20:57 PM
Comment:

Dear Sirs,

[PHI Redacted] was diagnosed with prostate cancer in June of [PHI Redacted]. Living in Sun City West, Arizona,a retirement community, I have many friends who have had prostate cancer and ha   More...



Commenter: Sands, Russell
Date: 9/3/2008 1:23:20 PM
Comment:

Proton beam therapy cures prostate cancer and [PHI Redacted] the side affects are
minimal. Other therapies also work, but many of my friends have experienced debilitating side affects.

If Medicare doesn''t co   More...



Commenter: Laue, Clarence
Date: 9/3/2008 2:11:26 PM
Comment:

Proton beam therapy for Prostate Cancer:
The notice CMS is planning to discontinue helping
with the treatment of prostate cancer by Proton
beam therapy is unthinkable. This treatment with
little or no side effects has been provide   More...



Commenter: Furlong, Robert (Bob)
Date: 9/3/2008 2:24:04 PM
Comment:

[PHI Redacted] received Proton Therapy for Prostate Cancer and had no adverse side effects. I feel that Medicare should continue to cover this form of treatment. Initially Proton Therapy may be more expensive, but in the long    More...



Commenter: Williams, Ivan
Date: 9/3/2008 2:29:33 PM
Comment:

In [PHI Redacted], [PHI Redacted] was diagnosed with prostate cancer. [PHI Redacted] was offered several options for treatment, chose proton therapy. The treatments caused no pain or discomfort   More...



Commenter: Bradley, USAF (Ret.), Lt. Col. John B.
Date: 9/3/2008 2:46:10 PM
Comment:

Proton Treatment of Cancer

As an Engineer, with a BS from the U. S. Naval Academy and an MSIE from Stanford University, CA,[PHI Redacted], I feel I am well qualified to comment on the mistaken approach CMS wants to ta   More...



Commenter: Halsted, Tom
Date: 9/3/2008 2:56:34 PM
Comment:

[PHI Redacted] opted for proton therapy because, in the absence of clinical trials, [PHI Redacted] became convinced through experiential data and anecdotal evidence obtained from dozens of personal interviews w   More...



Commenter: Miller, Bruce
Title: Retired
Date: 9/3/2008 3:31:27 PM
Comment:

My comment is in regard to Medicare considering no longer providing coverage for Proton treatment to prostate cancer patients.[PHI Redacted] completed Proton treatment three years ago having been diagnosed with that conditio   More...



Commenter: KLUGE, PETER
Title: member
Organization: Brotherhood of the balloon
Date: 9/3/2008 4:34:28 PM
Comment:

I am more than a little disturbed that medicaid or medicare are being advised to discontinue coverage of proton radiation therapy for prostate cancer. The urging seems to come from other professionals who offer competing therapies. [PHI   More...



Commenter: Jensen, Donald
Title: Retired Pilot
Organization: American Airlines
Date: 9/3/2008 4:48:51 PM
Comment:

It has come to my attention that some powerful forces are trying to stop Medicare and Medicade funding for Proton Radiation treatment for Prostate Cancer.

I don''t know what their motives are but their efforts are certainly very regr   More...



Commenter: Horwitz, Harold
Title: Retired/Inactive Attorney
Organization: California State Bar; ABA
Date: 9/3/2008 5:31:54 PM
Comment:

[PHI Redacted]82 years old and in excellent health, which [PHI Redacted] attribute primarily to Proton Beam therapy at Loma Linda University in [PHI Redacted]. Prior to that time, [PHI    More...



Commenter: Wright, Thomas
Title: Retired
Date: 9/3/2008 5:41:47 PM
Comment:

I think it would be a grave error to not fund proton therapy for prostate cancer. [PHI Redacted] I can attest to the fact that it is the best treatment available. [PHI Redacted]



Commenter: Rehkemper, Alan
Title: Medicare Reimbursement for Proton Radiation
Date: 9/3/2008 5:47:51 PM
Comment:

[PHI Redacted] received proton radiation treatment during [PHI Redacted], and very satisfied with the results: no incontinance or impotence, no pain during treatment, and presently a PSA level below 1.0.

   More...


Commenter: Owings, Allen
Date: 9/3/2008 6:40:01 PM
Comment:

[PHI Redacted] experienced proton beam radiation therapy treatment for prostate cancer, and can honestly say that the side effects, with the exception of minor urinary discomfort, were basically non-existant. After nine months   More...



Commenter: White, Steven
Date: 9/3/2008 6:46:32 PM
Comment:

[PHI Redacted]

I had [PHI Redacted] who had surgery and had considerable discomfort and incontinence for the rest of their lives. One had reccurance of cancer which caused his death. Also, [PH   More...



Commenter: Young, Barbara
Date: 9/3/2008 6:50:26 PM
Comment:

I am not a doctor or a nurse or medical practitioner of any kind. So, I feel like I''m battling the Goliaths (Doctors) who have already addressed this topic: - Proton Therapy for Prostate Cancer- here in this comment forum. Their education, k   More...



Commenter: Fitzner, Dale
Title: Professor (Retired)
Date: 9/3/2008 6:51:22 PM
Comment:

[PHI Redacted]I am amazed that Medicare would consider removing this effective prostate cancer treatment from its payment list! [PHI Redacted], along with the thousands of other prostate cancer survivors who w   More...



Commenter: Hopkins, Philip
Date: 9/3/2008 7:02:32 PM
Comment:

[PHI Redacted] received the proton treatment for prostate cancer last year. [PHI Redacted] had no adverse problems from this treatment. One year after the treatment [PHI Redacted] had two PSA t   More...



Commenter: Teague, Gayle
Date: 9/3/2008 7:57:40 PM
Comment:

Five years ago [PHI Redacted] let doctors talk [PHI Redacted] into surgery to try and get rid of prostate cancer. [PHI Redacted] been incontinent for five years now and the cancer has come back   More...



Commenter: Hebbard, Le Roy B., Jr.
Title: Captain US Navy ( ret.)
Date: 9/3/2008 8:24:08 PM
Comment:

[PHI Redacted] I believe the cestation of payment for Proton Beam Therapy for the treatment of Prostate Cancer would be a huge mistake. [PHI Redacted] thoroughly researched the different forms of cancer treatm   More...



Commenter: Darling, Eugene F.
Title: Retired
Date: 9/3/2008 8:32:41 PM
Comment:

[PHI Redacted] received Proton therapy last fall. [PHI Redacted], and felt that the treatment much was much less invasive then regular radiation treatment. [PHI Redacted] was considered a high    More...



Commenter: Murphy, Thomas R.
Organization: Private Citizen
Date: 9/3/2008 9:04:31 PM
Comment:

[PHI Redacted] was diagnosed with prostate cancer in 2006, at age [PHI Redacted]. Testing established that [PHI Redacted] was otherwise in good health.

I bagan my own research, intervi   More...



Commenter: Test, Sandra
Date: 9/3/2008 9:48:10 PM
Comment:

[PHI Redacted] went thru the protron treatment at Loma Linda Medical Center in CA. Please, please don''t listen to urologists, most of whom don''t recomend or understand proton treatment and are only looking out for themselves   More...



Commenter: Flygare, Gordon
Date: 9/4/2008 1:32:17 AM
Comment:

My experience with Proton Therapy for the treatment of prostate cancer is that there have been NO side effects during or following treatment.

There have been no continence or bowel control problems and no erectile function effects. No    More...



Commenter: Alwert, Dave
Date: 9/4/2008 2:21:13 AM
Comment:

I am writing this comment on Proton Beam Radiation treatment for prostate cancer as [PHI Redacted]. [PHI Redacted] last treatment was on [PHI Redacted] and most recent PSA, taken on [PHI   More...



Commenter: DeMailly, Jr., Charles
Title: retired
Date: 9/4/2008 9:16:07 AM
Comment:

[PHI Redacted] was diagnosed with prostate cancer and chose proton beam therapy treatment after carefully examing all available treatments. I strongly believe this treatment is superior to alternative procedures; especially wh   More...



Commenter: Kippley, John
Date: 9/4/2008 10:52:38 AM
Comment:

Proton treatment for Prostate Cancer

The value of Proton Beam treatment for prostate
cancer appears to be beyond dispute if patient
satisfaction with the lack of side effects counts
for anything.

The value of the prolif   More...



Commenter: Karlstrum, Delmar
Date: 9/4/2008 10:53:34 AM
Comment:

I am very diappointed to hear that CMS has proposed to stop Medicare reimbursements for Proton Therapy for treating Prostate Cancer. [PHI Redacted] was diagnosed with Prostate Cancer. [PHI Redacted] PSA 7.0 Gl   More...



Commenter: Price Jr., M.D. F.A.C.S., joshua e
Title: Board certified Surgeon
Organization: American citizen,USA veteran.
Date: 9/4/2008 11:28:42 AM
Comment:

[PHI Redacted] treated for advanced prostate cancer at LLU s proton treatment facility and cured. [PHI Redacted] PSA went from 34 to less than0.9. [PHI Redacted] disease fre 4 yrs after treatmen   More...



Commenter: Gershon, Robert
Title: Retired Information Technology Professional
Date: 9/4/2008 11:30:07 AM
Comment:

During a routine examination, [PHI Redacted] family doctor noticed a small rise is PSA 2.7 to 3.7 in a 12- month period. To be on the safe side, she referred [PHI Redacted] to an urologist. A biopsy was taken    More...



Commenter: Stytz, Jeffrey
Date: 9/4/2008 11:36:42 AM
Comment:

Proton beam therapy for prostate cancer.

The call came on Friday, [PHI Redacted]. This is Dr. XX calling with your biopsy results the voicemail said. When he heard this he knew it probably wasn’t good news. Doct   More...



Commenter: Maggio, Ted
Date: 9/4/2008 12:02:38 PM
Comment:

When [PHI Redacted] was diagnosed with prostate cancer with a PSA of 7.0 and a 7.5 Gleason Index, investigated options. I talked to many men who had surgery or regular radiation. They all had similar side affects, i.e., inconti   More...



Commenter: Wolfe, Robert
Title: Captain U.S. Navy retired
Date: 9/4/2008 12:03:33 PM
Comment:

Proton Radiation

At age 72, I believe the Lord led [PHI Redacted] to proton treatment for prostate cancer. I also believe that proton radiation has cured [PHI Redacted] prostate cancer as evidenced by t   More...



Commenter: Klein Ph.D., Paul
Organization: Independent Consultant
Date: 9/4/2008 12:49:06 PM
Comment:

I have a Ph.D. in Nuclear Engineering/Physics and
feel that I should comment on the therapeutic use
of protons for a variety of cancers including
prostate. I have no special knowledge of details
of cancer itself, or the cellular bi   More...



Commenter: Bloodgood, Charles
Title: Concerned Citizen
Date: 9/4/2008 12:59:17 PM
Comment:

With regards to the CMS proposal to stop coverage for Proton Treatment for Prostate Cancer I respectfully request that you DO NOT stop this very important coverage. [PHI Redacted] was treated with this procedure and when More...



Commenter: Schimmelman, Arthur
Date: 9/4/2008 2:03:20 PM
Comment:

[PHI Redacted] I wish to make this confirming notice that [PHI Redacted] treatment was PROTON THERAPY. Course of treatment was completed in [PHI Redacted]. [PHI Redacted] mon   More...



Commenter: Collins, David
Date: 9/4/2008 2:49:01 PM
Comment:

Any radiation is harmful to healthy tissue.
Proton treatment minimizes the entry radiation
dose, maximizes the dose to the tumor and has
negligible exit dose. Beacause the radiation
dose to healthy tissues is less with protons, th   More...



Commenter: Kumpula, Les
Date: 9/4/2008 3:31:33 PM
Comment:

The idea to remove medicare coverage for proton treatment of prostate cancer would be a major step backward. As a scientifically trained person, [PHI Redacted] made the decision to get this treatment six years ago because    More...



Commenter: Miller, Billy B.
Date: 9/4/2008 5:37:30 PM
Comment:
9-4-2008
Dear CMS,

I want to comment on Proton Beam Radiation Treatment for Prostate Cancer. [PHI Redacted] was diagnosed with Prostate Cancer at the Veterans Administration in late [PHI Redacted].    More...



Commenter: gray, carroll
Organization: individual
Date: 9/4/2008 5:43:11 PM
Comment:

I am puzzled as to why no comparative studies have been conducted between proton and photon raidation treatment. [PHI Redacted], I researched all availalble therapies and believe the best case for effective treatment of More...



Commenter: KENDEL, Michael
Date: 9/5/2008 12:27:22 AM
Comment:

It is foolish to stop Medicare payments for proton beam radiation treatments. [PHI Redacted] was treated in [PHI Redacted] at Loma Linda Hospital with proton beam radiation for prostate cancer. To this date, th   More...



Commenter: Mack, Michael
Date: 9/5/2008 1:04:08 AM
Comment:

[PHI Redacted] received Proton Beam treatment in [PHI Redacted]. [PHI Redacted] PSA was 11.2,Gleason was 4 and Staging was T1C. [PHI Redacted] PSA today is .6. [PHI Redact   More...



Commenter: Weaver, Park
Date: 9/5/2008 10:48:39 AM
Comment:

PROTON THERAPY: I write to urge continuation of Medicare reimbursement for Proton Beam Ratiation Therapy (PBRT). [PHI Redacted] diagnosed with prostate cancer in [PHI Redacted], and discussed case with several   More...



Commenter: Clark, Robert
Title: retired mechanical engineer
Date: 9/5/2008 1:36:45 PM
Comment:

I was fortunate enough to learn of proton therapy from a friend [PHI Redacted]. [PHI Redacted] underwent ten weeks of proton therapy four years ago without any side effects whatsoever, during treatment or since   More...



Commenter: Morgan, D.Min, J. P.
Title: Doctor
Organization: Retired
Date: 9/5/2008 3:46:09 PM
Comment:

Proton beam therapy for prostate cancer appears in your 7/30/2008 document as a potential topic for discussion in the third quarter of 2008. In the paragraph devoted to this topic you state, “no current comparative trials comparing (i   More...



Commenter: Jackson, Roy
Date: 9/5/2008 4:12:47 PM
Comment:

I believe it is extreamly important that Medicare continues to cover Proton therapy for prostate cancer. Side effects and cure rate are very important considerations when selecting a medical procedure.[PHI Redacted]



Commenter: Jordan, Jack
Organization: Brotherhood of the Balloon
Date: 9/5/2008 4:20:52 PM
Comment:

CMS Consideration in No Longer Providing Reimbursement for Proton Beam RX for Prostate Cancer.

[PHI Redacted] received proton beam therapy for prostate cancer paid for by Medicare and I am a proponent of Medicare con   More...



Commenter: MacKay, Mark
Date: 9/5/2008 5:41:41 PM
Comment:

I''m not going to pull any punches here but the detractors of Proton Beam treatment specifically in regard to Prostate Cancer treatment are usually specialists in other treatments. Hardly an unbiased segment of the medical ''''profession'   More...



Commenter: Odom, John
Date: 9/5/2008 6:28:08 PM
Comment:

Re: PSA Testing and proton beam treatment for prostate cancer.

I have read news reports that a discontinuance of coverage for these items is being considered. I believe this is a huge mistake. The reasons cited in the news reports we   More...



Commenter: Haas, Louis
Title: President
Organization: Fine Refrigeration
Date: 9/5/2008 8:01:14 PM
Comment:

Re: PROTON RADIATION THERAPY FOR PROSTATE CANCER My comments for the continuing reimbursement by Medicare for proton radiation treatment for prostate cancer are heartfelt and are based on my own personal experience.

[PHI Reda   More...



Commenter: Keyser, Keith
Date: 9/5/2008 10:19:36 PM
Comment:

I am commenting on the potential removal from Medicare Coverage of proton radiation for prostate cancer.

[PHI Redacted] was diagnosed with prostate cancer in [PHI Redacted]. [PHI Redacted]More...



Commenter: Mille, Rick
Date: 9/6/2008 9:36:32 AM
Comment:

[PHI Redacted] I too was troubled by lack of comparative trials between modalities. It seems that the best head-to-head study would involve a randomized test of treatments involuntarily assigning patients the modality of trea   More...



Commenter: Bullock, Dan
Title: Retired
Organization: Law Enforcement Executive/Consultant
Date: 9/6/2008 11:42:31 AM
Comment:

[PHI Redacted] a successful patient of Proton Radiation Treatment, and an aggressive and vocal proponent of that treatment option for the past five years. I was shocked to learn that Medicare coverage for this excellent treatm   More...



Commenter: Turns, Craig
Date: 9/6/2008 5:47:24 PM
Comment:

[PHI Redacted] was treated for prostate cancer using protons. [PHI Redacted] not suffered from any of the common side affects of other treatments. I consider this a superior form of treatment. Clearly the increa   More...



Commenter: Bell, Skip
Date: 9/6/2008 5:54:08 PM
Comment:

[PHI Redacted] received proton beam therapy for prostate cancer and wish to comment that the treatment was effective, with very little side effect, and has reduced any need for folllow-up. Please continue to make it available    More...



Commenter: Ralph, Joseph R.
Title: Retired building contractor
Date: 9/6/2008 6:08:13 PM
Comment:

Please do not cut medicare coverage for PROTON BEAM THERAPY to treat cancer it is the best, [PHI Redacted] received PBT [PHI Redacted] and doing fine PSA 0.01 Last four checkups.



Commenter: Wickes, Bob
Title: Business Owner
Organization: SDA
Date: 9/6/2008 6:47:31 PM
Comment:

Proton Beam Treatments for Prostate Cancer Patients

After being diagnosed with Prostate cancer in [PHI Redacted], [PHI Redacted] did a great deal of research to determine what treatment would best keep   More...



Commenter: Steele, Lee
Date: 9/6/2008 9:32:53 PM
Comment:

I wish to comment on the proposals to not cover Medicaid coverage for Proton Beam Radiation for Prostate Cancer. [PHI Redacted] received Proton Beam Radiation for prostate cancer under Medicaid/supplement insurance coverage in   More...



Commenter: Smith, Lee
Date: 9/7/2008 8:29:19 AM
Comment:

Only individuals who have not personally experienced prostate cancer could reasonably suggest that the cost comparison in this debate should begin and end with the fact that survival rates are equivalent.

Follow-on costs and quality    More...



Commenter: Smith, Wayne
Title: Maj USArmy (ret), Principle Engineer Xerox Corp
Date: 9/7/2008 11:41:45 AM
Comment:

The post Proton prostrate cancer treatment support group that [PHI Redacted] joined enlightened to the extreme side effects of radical, DiVinchi surgery, and x-ray beam treatments which [PHI Redacted] had prev   More...



Commenter: Tantlinger, Keith
Date: 9/7/2008 4:41:46 PM
Comment:

Dear Sirs,

When an [PHI Redacted] associate told me of his complete cure for his prostate cancer by Proton radiation, as a professional mechanical engineer and holder of seventy-nine United States patents, I am of co   More...



Commenter: Smith, David
Date: 9/7/2008 5:16:02 PM
Comment:

Re: Proton Therapy for prostate cancer [PHI Redacted] received proton therapy from [PHI Redacted]. The treatment was painless, quick, and effective. There were NEVER any side effects. [PHI Redacted]More...



Commenter: Leyman, James G.
Title: Private Citizen
Date: 9/7/2008 5:37:49 PM
Comment:

Please not remove CMS approval for Proton Beam therapy under Medicare. [PHI Redacted] was sucessfully treated with Proton Beam Therapy at UFPTI the fall of [PHI Redacted]. [PHI Redacted] had a    More...



Commenter: Sullivan, Ed
Date: 9/8/2008 9:11:02 AM
Comment:

Three years ago [PHI Redacted] was diagnosed with prostate cancer. [PHI Redacted] reviewed the various choices available and selected proton beam therapy. [PHI Redacted] [PHI Redacted]<   More...



Commenter: Watts, Nelson
Title: Director
Organization: University of Cincinnati Bone Health and Osteoporosis Center
Date: 9/8/2008 9:35:02 AM
Comment:

Regarding bisphosphonate treatment for
osteoporosis and osteonecrosis of the jaw, there
is no reason to believe that the route of
administration is a risk factor. Dose (i.e.,
higher doses given IV for cancer) increase the
likelihoo   More...



Commenter: Wepsic, H. Terry
Title: Former Cheif of Staff and Professor Emeritus
Organization: Veteran Administration Hospital and Univ Calif. Irvine
Date: 9/8/2008 3:05:40 PM
Comment:

I am a [PHI Redacted] retired academic Pathologist who taught at the University of California San Diego, Loyola University Medical School, and the University of California at Irvine. I had a long time affiliation with the Depa   More...



Commenter: Rosenblatt, Murray
Date: 9/8/2008 4:31:13 PM
Comment:

[PHI Redacted] a cancer survivor thanks to Proton radiation. [PHI Redacted] completed radiation in [PHI Redacted] with absolutely no side effects what so ever..[PHI Redacted] en   More...



Commenter: Boley, John
Date: 9/8/2008 5:08:53 PM
Comment:

[PHI Redacted] was treated with proton radiation three years ago and very distressed that Medicare is considering removing coverage of this vital cancer treatment. When [PHI Redacted] was diagnosed and began    More...



Commenter: GALL, ERNEST
Title: Retired US Navy
Date: 9/8/2008 6:18:57 PM
Comment:

[PHI Redacted]received 8 weeks of Proton & 3D therapy for Prostate Cancer - No complications! [PHI Redacted] had a prostatectomy - spent 10 days in the hospital, he suffered from incontinence & erectil   More...



Commenter: Pulliam, Morris
Organization: Morris W. Pulliam, M.D., LLC
Date: 9/8/2008 11:11:07 PM
Comment:

I am a neurosurgeon certified by the American
Board of Neurological Surgery in May 1979. I was
Chairman of Neurosurgery and residency program
director for 10 years at the National Naval
Medical Center, Bethesda, MD. I have been in
   More...



Commenter: Vaughn, Catherine
Date: 9/9/2008 1:37:27 AM
Comment:

Proton Beam Radiation Treatment for Prostate Cancer.

[PHI Redacted] finished treatment, [PHI Redacted], at Loma Linda, Ca. for Prostate Cancer. There has been zero side effects and he feels wonderful,   More...



Commenter: Clark, Charles
Date: 9/9/2008 12:24:00 PM
Comment:

It is disheartening to read postings
from ''medical professionals'' that only consider
the technical and first appearance cost aspects
of cancer treatment and not the final outcome.
At first glance it appears these ''professionals'   More...



Commenter: Horton, Billie
Date: 9/9/2008 12:58:57 PM
Comment:

[PHI Redacted] had the proton treatment,it is the best procedure and worth all the money and time doing it. No problems after seven years. [PHI Redacted] had this done at 80 after Dr. said we do not operate    More...



Commenter: Church, Thomas
Title: Director of Interventional Radiology
Organization: St. Rita''s Medical Center
Date: 9/9/2008 5:58:40 PM
Comment:

Both Kyphoplasty and Vertebroplasty have worked
extremely well in my practice. I have experience
with over 500 cases, and the results are nearly
miraculous. People who come into my suite barely
able to ambulate, leave one hour later    More...



Commenter: Simroth, Don
Title: Retired
Date: 9/9/2008 7:13:38 PM
Comment:

[PHI Redacted] received Proton Radiation treatment for prostate cancer which was covered by Medicare because of age (71).Being a retired chemical engineer, I carefully studied the cure rates and side effects of the various trea   More...



Commenter: Farmer, Merle
Date: 9/9/2008 10:22:41 PM
Comment:

Proton treatment for prostate cancer

[PHI Redacted] I cannot express strongly enough my belief that it should continue to be covered.

[PHI Redacted] had zero side-effects from the treatment (unl   More...



Commenter: marquis, richard
Date: 9/10/2008 12:11:39 AM
Comment:

[PHI Redacted] a survivor of prostate cancer, and I attribute the cure to the proton beam treatment [PHI Redacted]. [PHI Redacted] PSA level is now 0.1. Medicare approved the procedure and with   More...



Commenter: Wederich, Robert P
Date: 9/10/2008 6:19:48 AM
Comment:

[PHI Redacted] former prostate cancer patient who was treated with proton therapy under Medicare approximately six years ago. [PHI Redacted] suffered no side effects from the therapy, and PSA has hovered near    More...



Commenter: Edison, MD, MPH, Jay
Title: MD, MPH
Date: 9/10/2008 10:14:21 AM
Comment:
I wish to comment on the threat of withdrawal of Medicare funding of proton beam therapy for prostate cancer. I am a retired family physician, who had a second career in international public health with an NGO. [PHI Redacted] pro   More...


Commenter: Wulf, Marcus
Title: Individual
Organization: None
Date: 9/10/2008 10:15:05 AM
Comment:

[PHI Redacted] a recovering prostate cancer patient who received proton treatment. [PHI Redacted] experience-and that of the hundreds of other proton patients with whom I have had contact-was outstanding. The    More...



Commenter: Caliguri, John
Date: 9/10/2008 11:39:42 AM
Comment:

My comment is with respect to the following proposal; Proton beam therapy for prostate cancer: Proposed as means to concentrate radiation therapy and reduce side effects. Very high upfront cost to build these facilities and thus only at v   More...



Commenter: Armstrong, Eugene
Date: 9/10/2008 12:05:39 PM
Comment:

Between [PHI Redacted], [PHI Redacted] was treated for prostate cancer at Loma Linda Medical Center. [PHI Redacted] was treated with Proton Therapy. [PHI Redacted] made this de   More...



Commenter: Sellers, Don
Date: 9/10/2008 12:54:11 PM
Comment:

[PHI Redacted] underwent Proton therapy treatment for Prostate Cancer in 2005. I learned of this cancer treatment thru my dentist whose father-in-law had the treatment 16 years earlier( & is still cancer- free). After bein   More...



Commenter: Williams, Paul
Title: President
Organization: Paul Williams and Assoc.
Date: 9/10/2008 12:56:15 PM
Comment:

SUBJECT: Response to The Possibility of CMS Eliminating Payment for Proton Beam Radiation Therapy for Prostate Cancer

[PHI Redacted] received proton beam radiation therapy Gy 18 months ago to cure prostate cancer. More...



Commenter: Becker, Irving
Title: Retired CEO
Organization: Food Safety Concern
Date: 9/10/2008 1:51:01 PM
Comment:

Proton beam therapy for prostate cancer: Proposed as means to concentrate radiation therapy and reduce side effects. Very high upfront cost to build these facilities and thus only at very few facilities. For prostate cancer treatment, no curr   More...



Commenter: Bayko, John
Date: 9/10/2008 2:42:36 PM
Comment:

My Perspective [PHI Redacted] Concerning Medicare Funding of Proton Beam Therapy

[PHI Redacted] I submit the following for your consideration.

Prior to selecting PBT, [PHI Redacted]More...



Commenter: Cory, Charles
Date: 9/10/2008 6:05:03 PM
Comment:

In [PHI Redacted] developed prostate cancer and researched all the different treatments and decided, without a doubt, on Proton Therapy. [PHI Redacted] now cancer free and so thankful that Medicare and Blue Cro   More...



Commenter: Moody, Robert
Date: 9/10/2008 6:51:52 PM
Comment:

[PHI Redacted] a Prostate Cancer Survivor. [PHI Redacted] had Proton Beam Radiation on Prostate and writing to encourage you to continue financial support for this type of treatment that I would say is superio   More...



Commenter: Becker, Irving
Title: Retired CEO
Organization: Food Safety Concern
Date: 9/10/2008 6:53:12 PM
Comment:

Ablation for atrial fibrillation: If medication is not effective or not tolerated for atrial fibrillation, a nonsurgical procedure called catheter ablation may be chosen. Focal and circumferential catheter ablation for atrial fibrillation is    More...



Commenter: Hallock, Lowell
Date: 9/11/2008 12:32:15 AM
Comment:

[PHI Redacted] was diagnosed with prostate cancer in [PHI Redacted]. [PHI Redacted] doctor recommended proton therapy treatment. [PHI Redacted] accepted that advice. [PH   More...



Commenter: Lee, Arthur
Title: Partner
Organization: Wellington Orthopedics and Sport Medicine
Date: 9/11/2008 9:47:58 AM
Comment:

I have been a practicing Orthopedic Surgeon performing total hip arthoplasty for over 21 years. The BHR resurfacing arthoplasty represents a dramatic improvement in this proceedure. The BHR is a total hip in that both the acetabulum and femor   More...



Commenter: Ronald, Bruce
Title: Emeratus Professor of Chemistry
Organization: A retired private citizen!!!!!!!!!!!!!!!!!!!!!!!
Date: 9/11/2008 2:48:26 PM
Comment:

Proton Beam Therapy is the most effective method for treatment of prostate cancer. It has the best statistics for complete recovery without the serious side effects that are characteristic of ''seeds, surgery, and x-rays''. [PHI Redact   More...



Commenter: Zenz, Joe
Date: 9/11/2008 6:41:33 PM
Comment:

Proton Treatment for Prostate Cancer

[PHI Redacted] recently completed 45 proton treatments for prostate cancer. [PHI Redacted] cannot express the gratitude for being able to receive this treatment. More...



Commenter: Braren, Warren
Date: 9/11/2008 9:40:18 PM
Comment:

Eliminating Medicare coverage for the treatment of prostate cancer with proton beam therapy is very ill-advised. Attention instead should be to bring down the cost of treatment in the years ahead.

After months of careful investigation in   More...



Commenter: Kelley, Darlene
Date: 9/12/2008 7:14:45 PM
Comment:

I am not medical never have been nor will I ever be but what I do know from experience. [PHI Redacted] was diagnosed with prostate cancer over two years ago. He weighed many options but the only one that made sense to him was P   More...



Commenter: Williams, Paul
Title: President
Organization: PTher
Date: 9/12/2008 9:59:42 PM
Comment:

There is an error in my comment
The paragraph "In addition to the above, the AMA in 2005
published a report stating that over one third of those patients
having a prostatectomy will have a reoccuranceof cancer within
10 years."
<   More...



Commenter: GENUINO, RAFAEL
Title: D.V.M.
Organization: (retired) USDA, FSIS, IP, FOREIGN PROGRAMS
Date: 9/13/2008 4:58:23 AM
Comment:

I am a retired USDA Veterinary Medical Officer (Foreign Programs Officer) [PHI Redacted]. [PHI Redacted] was treated succesfully by proton beam radiation with practically no untoward effects or complications. <   More...



Commenter: Metzler, Bruce
Date: 9/13/2008 10:55:14 AM
Comment:

[PHI Redacted] was diagnosed with prostate cancer in July of [PHI Redacted] and spent six months analyzing all the treatment options (including surgery, IMRT, proton beam therapy and seeds), deciding on Proton    More...



Commenter: Althoff, David
Title: Retired
Date: 9/13/2008 12:29:19 PM
Comment:

This is in regards to Medicare possibly dropping medicare recipients from receiving aid for Proton Radiation treatments for prostate cancer. [PHI Redacted] After witnessing [PHI Redacted] with prostate cancer   More...



Commenter: Young, Robert
Date: 9/13/2008 1:15:51 PM
Comment:

Re: Proposal to stop Proton Medicare reimbursements:

[PHI Redacted] a Prostate Cancer survivor who owes life to having been able to receive Proton Therapy seven years ago. [PHI Redacted] cancer, Glea   More...



Commenter: Gift, Gary
Date: 9/13/2008 2:01:31 PM
Comment:

I am commenting on the proposal to discontinue reimbursement by Medicare for Proton Radiation Therapy. [PHI Redacted] had Proton Therapy for prostate cancer and the reason [PHI Redacted] selected Proton over al   More...



Commenter: Medley, Edward
Date: 9/13/2008 2:12:52 PM
Comment:

Proton Therapy Treatment for Prostate Cancer

Based on [PHI Redacted] experiance I strongly urge CMS to continue to cover Proton Therapy Treatment for prostate cancer. [PHI Redacted] PSA is down to .05   More...



Commenter: Kallstrom, James
Date: 9/13/2008 2:25:05 PM
Comment:

[PHI Redacted] did a lot of research and consulted several doctors before choosing proton therapy for treating [PHI Redacted] prostate cancer. I think proton therapy is best for many man due to the minimalizai   More...



Commenter: Jehn, George
Date: 9/13/2008 3:50:43 PM
Comment:

Dear Sir or Madam,

I cannot fathom the proposal to disallow Medicare reimbursement for Proton therapy treatment. This issue should not be about the cost of the treatment, but rather its effectiveness and lack of side effects, which res   More...



Commenter: Bates, Christopher
Date: 9/13/2008 4:00:10 PM
Comment:

RE: Medicare/Medicaid Coverage of Proton Therapy for Treatment of Prostate Cancer

There is no question in my mind that proton therapy offers the best available treatment option for men diagnosed with early- or intermediate-stage pros   More...



Commenter: Fisher, Gerry
Title: Director of Purchasing
Organization: Precoat Metals, a division of Sequa Corporation
Date: 9/13/2008 5:10:14 PM
Comment:
I watched [PHI Redacted] suffer incontinence, impotence, and urethra blockage following prostate surgery. So, when [PHI Redacted] was diagnosed, I was determined to find a better therapy. I quickly learned that a   More...


Commenter: Haley, Shirley
Date: 9/14/2008 9:07:12 AM
Comment:

[PHI Redacted] After checking out several alternative treatments [PHI Redacted] decided on Proton. There are very few side effects with this treatment. Just a little red spot on one hip was the extent of More...



Commenter: Krutenat, Richard
Title: Ph.D., MIT, Materials Science/Engineeing
Organization: personal
Date: 9/14/2008 9:18:58 AM
Comment:

I am concerned that CMS will remove proton therapy from coverage by medicare, based on the biased and uneducated responses of many oncologists and radiologists who favor IMRT. Many of the comments I have read so far demonstrate a lack of kn   More...



Commenter: Gaskin, Don
Date: 9/14/2008 11:57:04 AM
Comment:

I am [PHI Redacted] and a retired air Force veteran. I strongly oppose the emlimina- tion of funding of Proton Therapy from Medicare.

[PHI Redacted] a one year survivor who had Proton Therapy. More...



Commenter: Black, Dwight
Date: 9/14/2008 1:25:02 PM
Comment:

It is imperative that proton therapy be covered
by medicare! Opponents(all who seem to be
motivated by reduction in the income from their
specialties) state things like "brachytherapy
has equal result to proton therapy". No one has   More...



Commenter: Lucietto, Ledo
Date: 9/14/2008 8:35:08 PM
Comment:

Response to question of effectiveness of Proton Treatment: Proton treatment has Successfully treated prostate Cancer in 2004. [PHI Redacted] I am definitely a proponent of Proton Treatment. Thank You



Commenter: Schaefer, charles
Date: 9/14/2008 11:36:55 PM
Comment:

Regarding the funding of proton radiation
treatment for prostate cancer:
Consideration should be given to the fact that
many of the patients were not acceptable for
other cancer treatments because of the higher
grades of their c   More...



Commenter: Blaney, Charles
Date: 9/15/2008 2:05:22 AM
Comment:

[PHI Redacted] was diagnosed with Prostate Cancer and thought it was the end of the world. [PHI Redacted] doctors told [PHI Redacted] to "pick poison"; i.e. surgery, seeds, or radiation. All ha   More...



Commenter: Brinning, Ronald
Title: Member
Organization: Brotherhood of the balloon
Date: 9/15/2008 9:32:55 AM
Comment:

Proton beam therapy is definatly saving lives in
all age groups from babies to 80 year olds. Some
procedures are not even possible especially on
small children except with Proton beam therapy.
The almost total lack of side affects   More...



Commenter: Doran, Carlos
Date: 9/15/2008 11:20:30 AM
Comment:
To Whom It May Concern:

[PHI Redacted] Almost [PHI Redacted] years ago, [PHI Redacted] began proton radiation treatment at Loma Linda University Medical Center for prostate cancer. More...



Commenter: Biddle, Ray
Date: 9/16/2008 10:40:54 AM
Comment:

[PHI Redacted] I believe that proton therapy should continue to be covered by Medicare. [PHI Redacted] received news that [PHI Redacted] had prostate cancer. [PHI Redacted] ele   More...



Commenter: Schwager, Frederic
Title: Retired
Date: 9/16/2008 2:32:27 PM
Comment:

The case for proton therapy can readily be made in all three areas currently being discussed, i.e., cost, effectiveness, and quality of life during and after treatment.

Cost - The perception is generally accepted and widely disribute   More...



Commenter: Wyatt, Jim
Date: 9/16/2008 4:35:02 PM
Comment:

"The prime function of government is the protection of life and property."

Any government agency that is responsible for the welfare of its citizens, should put its citizens first especially with health care. I researched what form o   More...



Commenter: James, DC
Title: Lets Keep Proton Treatment For Prostate Cancer
Organization: Harmony Bay Publishing & Productions
Date: 9/16/2008 4:39:02 PM
Comment:

I have personally met a number of people who have
had proton treatment for prostate cancer The
level of vigorous physical activity those men
demonstrated during and after their treatment,
the sexual potency they reported and their   More...



Commenter: Osberg, Fred
Title: retired
Date: 9/16/2008 6:31:04 PM
Comment:

Many persons covered by Medicare are on fixed
imcomes and can not or may not be able to afford
the costs of Proton radiation treatment. By
removing this benifit many people would have to
choose a method of treatment that although i   More...



Commenter: Brookes, Jr., Albert Sidney
Title: none retired senior citizen
Organization: None
Date: 9/17/2008 2:31:08 PM
Comment:

Having read several books on prostate cancer and talked with a number of friends with prostate cancer, I believe that proton therapy is a very viable treatment option for this type of cancer and should be kept in the arsenal of treatment opti   More...



Commenter: Hart, Richard
Date: 9/17/2008 7:18:21 PM
Comment:

I am deeply troubled by the proposal to remove Medicare coverage of proton beam therapy for prostate cancer.

[PHI Redacted]

Granted, many candidates for proton therapy cannot take the time, nor would they ha   More...



Commenter: Renzi, Sam
Title: Pastor
Organization: Seventh-day Adventist
Date: 9/17/2008 8:29:54 PM
Comment:

Dear CMS

I understand that CMS may stop Medicare payments for prostate cancer patients using proton therapy. Please reconsider this drastic action for the following reasons.

1. The COST of proton treatment is reasonable c   More...



Commenter: Staples, Robert
Title: Mr.
Organization: Retired IBM
Date: 9/18/2008 9:24:09 AM
Comment:

Please continue medicare coverage for proton therapy.

The cause of death on [PHI Redacted] death certificate states "carcinoma of the prostate gland". You may be assured [PHI Redacted] carefully check   More...



Commenter: Ford, Pamela
Date: 9/18/2008 11:04:43 AM
Comment:

I have mailed this letter in its full form anticipating that parts of this will have to be deleted due to the "Posting Policy"...

I have no medical degree, but I have learned more in the past few years than I ever thought I would k   More...



Commenter: Walter, Patricia
Title: Owner/Webmaster
Organization: Joint Health Sites LLC
Date: 9/18/2008 1:20:27 PM
Comment:

I want to support the discussion of Hip Resurfacing and Medicare coverage of Hip Resurfacing.

I am [PHI Redacted] a Patient Advocate and Owner/Webmaster of a large Hip Resurfacing Website called Surface Hippy.     More...



Commenter: Hartley, F
Date: 9/18/2008 2:50:50 PM
Comment:

Proton Therapy is not invasive, has an excellent
cure rate and does not have side effects. For most
men this is the first choice of treatment.
PROTON THERAPY:

To consider not covering proton therapy for
prostate cancer is uncons   More...



Commenter: Morlock, Patricia
Date: 9/18/2008 3:13:05 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted] had hip resurfacing surgery (BHR) from Dr [PHI Redacted] in Honolulu in August and find   More...



Commenter: O''Malley, Paul
Date: 9/18/2008 4:12:05 PM
Comment:

I would like to support the discussion of covering hip resurfacing under Medicare. [PHI Redacted] Resurfacing is a great procedure, and its appropriateness is not determined by age, but rather by theindividual patient''s bone    More...



Commenter: Brydon MD, William
Date: 9/18/2008 8:19:59 PM
Comment:

My comments are in reference to the proposal of medicare and medicaid to no longer pay for proton radiation treatment for prostate cancer. I am now retired but was a board certified immunologist with a practice in allergy, asthma and immunolo   More...



Commenter: cepuran, Laura
Date: 9/18/2008 8:38:19 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candidates are n   More...



Commenter: Darr, John
Date: 9/18/2008 9:09:27 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candidates   More...



Commenter: Winchell, Larry
Title: Retired
Date: 9/18/2008 10:43:21 PM
Comment:

Proton Therapy for Prostate Cancer.

[PHI Redacted] completed proton therapy for prostate cancer in May [PHI Redacted]. latest PSA was .04 which indicates that [PHI Redacted] on the road    More...


Commenter: Rosenbaum, Karen
Date: 9/18/2008 11:57:57 PM
Comment:

I hope the government will cover N-plate and the other new TPOs
as treatments for ITP. So few treatments are available for those of
us who have this platelet disorder, and these new TPOs sound so
promising.



Commenter: Nowlin, Robert
Date: 9/19/2008 12:53:00 AM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

I definitely think Medicare should cover the surgery and procedure. As an engineer I view th   More...



Commenter: mcnulty, karen
Title: none
Organization: none
Date: 9/19/2008 1:20:00 AM
Comment:

Hip Resurfacing

[PHI Redacted] it is a bone conserving surgery. An analogy would be if you had a hang nail, would you amputate your finger ...no of course not ....then if you have no cartilage left from osteoart   More...



Commenter: Hardie, Eben
Date: 9/19/2008 10:20:21 AM
Comment:

[PHI Redacted] was a recipient of a birmingham hip resurfacing in [PHI Redacted] and would strongly encourage the Government to approve this procedure as an alternative to a full hip replacement. While slightl   More...



Commenter: Petrick, Susan
Date: 9/19/2008 12:41:57 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candidat   More...



Commenter: Leffel, Rick
Title: Professional Engineer
Date: 9/19/2008 8:21:28 PM
Comment:

Proton Therepy should not be elimnated from
medicare,. This therapy is state of the art,
precise and effective. We do not start treatment
with the old drugs because they are cheeper. We
use all the modern advancement to save lives.   More...



Commenter: French, Estella
Date: 9/19/2008 9:38:14 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candidates   More...



Commenter: ALMEIDA, HILARY
Date: 9/20/2008 1:49:54 PM
Comment:

Coronary angioplasty and stenting
(PCI=Percutaneous Coronary Intervention ) is
second in volume only to diagonostic coronary
angiogrphy.In patients with ACS( acute coronary
syndrome,i.e. acute MI or unstable angina) , PCI
has been    More...



Commenter: Civello, Roy
Title: Mechanical Engineer
Date: 9/20/2008 4:41:19 PM
Comment:

[PHI Redacted] found out that had prostate cancer [PHI Redacted]. As an engineer [PHI Redacted] began and exhaustive research on the type of treatment and side effects as well as the possible i   More...



Commenter: Siris, Ethel
Title: Director, Toni Stabile Osteoporosis Center
Organization: Columbia University Medical Center, New York Presbyterian Hospital
Date: 9/21/2008 8:41:35 PM
Comment:

Reagrding BISPHOSPHONATES, I am strongly opposed
to an NCD for zoledronic acid. This agent is an
excellent drug for post menopausal osteoporosis
as well as for prevention of a recurrent fracture
after a hip fracture, especially in   More...



Commenter: Hansen, John
Title: retired
Date: 9/22/2008 7:08:08 AM
Comment:

[PHI Redacted] completed proton therapy for prostate cancer[PHI Redacted].

After a couple months of reading studies in the field, talking with men who had received proton treatment, and with other   More...



Commenter: Smith, Wendy
Date: 9/22/2008 8:21:26 AM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candidates   More...



Commenter: hopson, rex
Date: 9/22/2008 9:20:45 AM
Comment:

[PHI Redacted] prostate cancer was zapped successully with proton radition. Side effects were almost non existrant during treatment and NO side effects since. Thank goodness Medicare covered this important cancer treatment.More...



Commenter: Johnson, Paul
Date: 9/22/2008 10:21:06 AM
Comment:

Please don''t stop reimbursement of Proton Radiation Terapy. To do so is to sentence many to a life of impotence an incontinance or, for those with health problems that prohibit conventional therapy, a sentence to die. [PHI Redacted]More...



Commenter: Epstein, Jacob
Title: Student
Organization: University of Michigan
Date: 9/22/2008 12:15:24 PM
Comment:

It is a miracle drug. Life changing and the key to the ITP dilemma.
It is imperative to keep this drug afloat, and to do whatever is
necessary to make it accessible and affordable for all ITP patients.



Commenter: Stabler, Sally
Title: Professor of Medicine
Organization: University of Colorado School of Medicine
Date: 9/22/2008 12:16:36 PM
Comment:

I am the co-division chief of Hematology at the
University of Colorado Health Sciences Center and
see patients with ITP frequently. I support the
coverage of Nplate for patients with
relapsed/refractory ITP. Such patients have f   More...



Commenter: Smith, Erik
Date: 9/22/2008 12:18:49 PM
Comment:

Regarding ITP and a need for more efficacious drugs, [PHI Redacted] hematologist gave the option of either a spleenectomy or oral prednisone to bring up platelet count. Neither was a good option as long as [PHI Redacted   More...



Commenter: Brooks, Maureen
Organization: PDSA
Date: 9/22/2008 12:26:40 PM
Comment:

There must be more durgs made accesible,
especially for people with ITP. Since some of the
drugs have no effect on sustaining a normal
platlet count making day to day living difficult



Commenter: GIAQUINTA, NORMA
Date: 9/22/2008 12:29:52 PM
Comment:

I sincerely hope that the Centers for Medicatre and Medicaid do not send the drug NPLATE to determinations. [PHI Redacted] a Chronic ITP Patient who already is impacted by one drug and cannot receive it because the insurance c   More...



Commenter: Gobbi, Michelle
Date: 9/22/2008 12:31:13 PM
Comment:

[PHI Redacted] I have been following the approval track of Nplate and similar drugs with anticipation. For some ITP patients, Nplate and similar class drugs, will provide a much tolerable treatment. Many times, the treatment    More...



Commenter: Guinigundo, Andrew
Title: Nurse Practitioner
Organization: Oncology and Hematology practice in Cincinnati, Ohio
Date: 9/22/2008 12:31:16 PM
Comment:

RE: Platelet stimulating factors (romiplostim).
The FDA (the agency responsible for determining
efficacy and safety of drugs) has approved this
drug based on data submitted by the
manufacturer. The FDA have also put into place
   More...



Commenter: Jasinski, Jason
Date: 9/22/2008 12:33:58 PM
Comment:

My understanding is that Nplate (romiplostim) is being considered for an NCD, which may severely limit its use for certain patients. I wish to share my views and experiences with ITP, and the treatment options that have been available. More...



Commenter: Thornburg, Teresa
Date: 9/22/2008 12:35:10 PM
Comment:

[PHI Redacted] was diagnosed with ITP two years ago. [PHI Redacted] platelet counts keep decreasing monthly and if all goes as is [PHI Redacted] will be in the high danger zone by [PHI    More...



Commenter: Mortimore, Dorothy
Date: 9/22/2008 12:36:34 PM
Comment:

[PHI Redacted] I [PHI Redacted] request that you consider the continued availability and affordability to the chronic ITP patient as recommended by the patient''s physician. Thank you.



Commenter: Hertogs, Kathy
Date: 9/22/2008 12:44:43 PM
Comment:

[PHI Redacted] was diagnosed with ITP in Oct [PHI Redacted]. He has not responded well to "typical" treatments, i.e. steroids. Thus, he tried multiple types of treatments. Since they don''t know what causes IT   More...



Commenter: Sweder, Kim
Date: 9/22/2008 12:47:21 PM
Comment:

[PHI Redacted] was diagnosed with ITP in ''[PHI Redacted] we exhausted many treatment options and eventually decided to be splenectomized. There are not many options that we haven''t already exhausted if ITP w   More...



Commenter: Earle, Bonnie B
Title: Ms.
Date: 9/22/2008 12:53:51 PM
Comment:

I think that this must be a wonderful drug however, it is so difficult for any of the ITP patients to find a good doctor that with MeiCare [PHI Redacted]I hope that you understand.



Commenter: Bitseff, Tonie
Title: Employee Benefits Attorney
Organization: Thelen LLP
Date: 9/22/2008 12:55:27 PM
Comment:

I am writting to encourage broad coverage of Nplate (romiplostim)for ITP patients.

[PHI Redacted]

[PHI Redacted]this treatment offers an important treatment for ITP patients.

In ref   More...



Commenter: Springer, Carol
Date: 9/22/2008 12:58:47 PM
Comment:

Too limit this drug would be so wrong, no one can understand the roller coaster ride that TIP puts you on...[PHI Redacted] has been on all of the current treatments, his platelets have been at 1,ooo to 215,000. He has had eye    More...



Commenter: Kretlow, Allison
Date: 9/22/2008 1:00:01 PM
Comment:

I am writing this to support improved access to new ITP treatments. [PHI Redacted] Less intrusive medications that have stronger long-term effects are desperately needed for this under-researched disorder. The one thing we kn   More...



Commenter: Cain, Patricia
Date: 9/22/2008 1:03:03 PM
Comment:
Allowing Nplate to be used by Medicare patients is really important now that I am reaching that Medicare age. Although, I have my own insurance, once I reach that magic 65 I HAVE to rely on medi- care. This drug is important to the ITP community and    More...


Commenter: Falsey, Richard
Date: 9/22/2008 1:04:49 PM
Comment:

Thrombopoiesis stimulating agents

Severe bruising and a fear of being cut and bleeding to death have really changed [PHI Redacted] life.to have drugs that can remedy this would be a blessing.



Commenter: Ashley, Saundra
Organization: None
Date: 9/22/2008 1:16:21 PM
Comment:

It is imperative that topic of Coverage should
include anyone who has ITP and that it be
available at a reasonable cost, through
conventional insurance programs with no
restrictions. .



Commenter: Emdee, Phyllis
Date: 9/22/2008 1:21:15 PM
Comment:

ITP totally took over [PHI Redacted] life. [PHI Redacted] had to go 60 miles away once a week for rutuxaban treatments which did not do any good. [PHI Redacted] was on doses as high as 80 mls.    More...



Commenter: Ensign Jr., Frank B.
Organization: retired
Date: 9/22/2008 1:22:27 PM
Comment:

I hope this new FDA approved blood-platelet drug is approved for [PHI Redacted] bone-marrow disorder is severe and at times life-threatening. Lowered blood platelets cause everyday topical hematomas on the skin, and if one wer   More...



Commenter: Towe, Kyatanya
Date: 9/22/2008 1:44:31 PM
Comment:

[PHI Redacted] was diagnosed with ITP two years ago, and I have watched her go through so many changes with this disease. The scariest time is when she has a "bleeding episode". We prayed so hard when she had her spleen remove   More...



Commenter: Chester, Jennifer
Date: 9/22/2008 2:00:18 PM
Comment:

[PHI Redacted] was diagnosed with ITP 7 years ago. [PHI Redacted] [has] utilized Rituxin, Steroids, IVIG and the only thing that has worked for short term periods of tiem is WinRho. After 4 years of using this   More...



Commenter: Graham, Courtney
Title: Engineer
Organization: NASA
Date: 9/22/2008 2:32:37 PM
Comment:

Please do not send Nplate through an NCD
process. There are so many people with ITP out
there that are running out of options to live a
normal life without resorting to surgery or
other medications that have other deteriorating More...



Commenter: Su, Edwin
Title: Orthopaedic Surgeon
Organization: Hospital for Special Surgery
Date: 9/22/2008 3:00:58 PM
Comment:

I am writing to support the Medicare coverage of
hip resurfacing as an alternative to traditional
hip replacement.
As an orthopaedic surgeon with experience with
both hip replacement and hip resurfacing surgery,
I feel that hi   More...



Commenter: Pezanowski, Diana
Date: 9/22/2008 3:01:27 PM
Comment:

Unfortunately,[PHI Redacted] passed away recently due to a fall that had caused her to bleed to death because of ITP. She had hit her head and broke her nose and they could not stop the bleeding. Please continue to send me u   More...



Commenter: Morris, Lynne
Date: 9/22/2008 3:03:19 PM
Comment:

Regarding the new treatment for ITP...[PHI Redacted] [has] had ITP for 10 years. It is always exciting to hear of any new treatments on the horizon for us. Not only does it give us hope but it is wonderful to hear that compani   More...



Commenter: hale, connie
Date: 9/22/2008 3:06:24 PM
Comment:

[PHI Redacted] The point is, those who have ITP really need new and improved options to boost platelet levels, ones that can raise platelet counts without such severe side effects. While there are other treatments than steroi   More...



Commenter: Boyce, John
Date: 9/22/2008 3:51:10 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted]

Hip Resurfacing is a viable option for people over 65 years of age. Hip resurfacing candida   More...



Commenter: Partsch, Diane
Title: member
Organization: PDSA
Date: 9/22/2008 4:59:32 PM
Comment:

I am commenting in regard to "ITP". All people with this illness need to have all treatments available to them (including the coverage of nplate). [PHI Redacted]



Commenter: Barron, Linda
Date: 9/22/2008 5:08:19 PM
Comment:

[PHI Redacted] is 21 years old and one year ago was diagnosed with ITP. Her course of treatment at the time was high doses of steroids for the first year. The steroids did increase her platelets only while she was on them, t   More...



Commenter: Desai, Pooja
Date: 9/22/2008 5:28:40 PM
Comment:

[PHI Redacted] Living a life with ITP is like walking on egg shells. You get up one day and the medicine that was suppressing your immune system does not work and the platelets are at a dangerous level and all you can do is t   More...



Commenter: Brass, Barry
Date: 9/22/2008 5:36:15 PM
Comment:

[PHI Redacted] I strongly support availability of any treatments which could assist a post splenectomy patient who still needs to increase their platelet count to safe levels.



Commenter: Strong, Diane
Date: 9/22/2008 6:17:32 PM
Comment:

[PHI Redacted] I request that patients and doctors have ease of access to bone marrow producing platelet agents such as Nplate (romiplostim). It is my undersanding that by designating this to National Coverage Determinations i   More...



Commenter: Turnberg, M
Date: 9/22/2008 7:53:23 PM
Comment:

[PHI Redacted] has chronic ITP, and I would be outraged to hear that there was indeed a treatment available to help her heal, but that I personally could not get it for her. Thta doens''t seem fair, why make everyone involve   More...



Commenter: titcomb, mary jane
Date: 9/22/2008 8:00:48 PM
Comment:

It would be crime if we are not able to receive
this treatment, when it could allow persons with
severe ITP start a productive life again. How do
you explain what it feels like to have had the
life sucked out of one''s self overnigh   More...



Commenter: Buck, Merle
Date: 9/22/2008 8:03:51 PM
Comment:

To whom it may concern

I have a [PHI Redacted] who has ITP and we have now tried Steroid treatment for two weeks and then Rituxin for 4 weeks. So far niether treatment has stablised the platelet count . They went   More...



Commenter: Ford, Loura
Title: Retired Missouri Public School Teacher
Organization: none
Date: 9/22/2008 8:10:24 PM
Comment:

It is most urgent that no restrictions be put on this medication. Rarely, are the symptoms the same, and even though the same medicine may be used for each patient, it is imparative that the industry realizes that other health factors come in   More...



Commenter: Greene, Jane
Date: 9/22/2008 8:17:50 PM
Comment:

I am deeply concerned about the possibily of an
NCD on Nplate. Those of us who suffer every day
with immune thrombocytopenic purpura are hoping
that this drug may be the answer for some ITP
sufferers. To restrict it with an NDC a   More...



Commenter: Coffey, Kristin
Date: 9/22/2008 8:21:54 PM
Comment:

[PHI Redacted] being diagnosed with ITP has been very stressful on the family. Sometimes other drugs like Rituxin and Predinose do not work and a splenectomy is called for. The only down side is that a lot of people are not go   More...



Commenter: Barnett, Ruth
Date: 9/22/2008 8:33:54 PM
Comment:

[PHI Redacted] has ITP for 8 years. SHe is 23 now. She had used Whinrho and had to have heparin lock inserted every three months for her medicine.One time it took 5 times to find a good vein.It was very truamatic for the first   More...



Commenter: ALOIA, RICHARD
Date: 9/22/2008 8:40:29 PM
Comment:

Please do not include NPlate in your list of
topics to be considered for National Coverage
Determination. ITP is a life threatening autoimmune
disease with very little treatment options
available for the afflicted. Please don''t take    More...



Commenter: Kittel, Louise
Date: 9/22/2008 10:45:11 PM
Comment:

I wish to support the new drug Nplate, which is shown to be safe and effective in the treatment of ITP (immune thrombocytopenic purpura),now under discussion for the NCD. [PHI Redacted] I can tell you that this disease is    More...



Commenter: Langenmayr, Matthew
Date: 9/22/2008 10:47:14 PM
Comment:

Please, I implore you to consider your decision carefully. Imagine going to bed with a house full of children and praying that an intracranial hemorrhage doesn''t take your life at some time during the night. ITP is a very serenity depriving    More...



Commenter: Panayoti, Gregory
Date: 9/22/2008 11:57:10 PM
Comment:

I am concerned about Nplate coverage being restricted, or not covered sufficiently as to provide access to patients across the board who suffer from chronic immune thrombocytopenic purpura (ITP). [PHI Redacted] Being able to    More...



Commenter: Ouellette, Carol
Date: 9/23/2008 12:17:51 AM
Comment:

[PHI Redacted] has had ITP for over 7 years and tried many treatments the first year that failed to eliminate her ITP. We then adopted a no treatment plan which has worked well for her at this time, however if the situation ev   More...



Commenter: Lanham, Brandy
Date: 9/23/2008 1:27:22 AM
Comment:

[PHI Redacted] has been living with ITP for a few years now. It has definetly had it''s ups and downs. Some families are not as lucky as we have been with dealing with it, so if there is any other kind of hope with new medicin   More...



Commenter: Fedor, Jeff
Date: 9/23/2008 4:09:31 AM
Comment:

I strongly encourage CMS to include Nplate in its coverage in the future. [PHI Redacted] Having new treatment options like Nplate opens other potential avenues of treatment. [PHI Redacted] Please cosider co   More...



Commenter: Blake, Joan
Date: 9/23/2008 8:46:30 AM
Comment:

[PHI Redacted] I feel it is imperative that NPLATE remain available as a treatment for ALL people, irrespective of their insurance carrier (including Medicare and Midicaid). To be otherwise would be unconsciousable!!!



Commenter: Rhodes, lynn
Date: 9/23/2008 8:48:09 AM
Comment:

U.S. Food and Drug Administration recently
approved Nplate (romiplostim), the first product
that directly stimulates the bone marrow to
produce needed platelets in splenectomized
(spleen removed) and non-splenectomized adults
w   More...



Commenter: Giles, Ian
Title: Director of Scientific Affairs
Organization: Sysmex America
Date: 9/23/2008 9:13:15 AM
Comment:

Hi
If there is a need to determine if platelet
destruction is due to bone marrow suppression, or
peripheral destruction prior to deciding how to
treat with thrombopoietic agents (and it would
make sense to do that). Sysmex has a re   More...



Commenter: O''Hara, Colleen
Date: 9/23/2008 9:16:20 AM
Comment:

[PHI Redacted] I believe it is important to cover Nplate treatments for ITP under Medicare and Medicaid in addition to other private insurers. There are not many proven ITP treatments so when a new one comes along that coul   More...



Commenter: Foote, MD, Robert
Date: 9/23/2008 10:08:26 AM
Comment:

Steve Phurrough, M.D.
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
7500 Security Blvd.
Baltimore, Maryland 21244.

Formal Request for National Coverage
Determination (NCD)
Track # 3-Inte   More...



Commenter: Hayes, Carol
Date: 9/23/2008 10:25:29 AM
Comment:

[PHI Redacted] Although some people regain their normal platelet count and go on with their lives, for a large number of ITP patients the disease becomes chronic and refractory to any known treatments. Chronic ITP patients can   More...



Commenter: McLeod, David
Date: 9/23/2008 2:14:48 PM
Comment:

[PHI Redacted] ITP. Today there are limited treatments with serious side affects. If there are any other options for ITP patients they need to be considered.



Commenter: Adams, David
Date: 9/23/2008 2:17:36 PM
Comment:

To whome it may concern. [PHI Redacted] I have learned about hip resurface and understand Medicare soes not cover hip resurface[PHI Redacted]. So If my vote counts I wold like you to consider covering Hip Resur   More...



Commenter: Collins, Heather
Date: 9/23/2008 2:23:56 PM
Comment:

I am particularly disturbed to learn that after the recent exciting news of the approval of Nplate (romiplostim) by the FOod and Drug Administration, there is the possibility that access to this life-changing and much-needed drug may be limit   More...



Commenter: Cutler, Doris
Date: 9/23/2008 3:51:55 PM
Comment:

Hip Resurfacing

[PHI Redacted] I would like to request Medicare to cover the resurfacing procedure, which would be much less traumatic. [PHI Redacted]

I will appreciate your including this re   More...



Commenter: Dawson, Sharon
Date: 9/23/2008 4:53:34 PM
Comment:

[PHI Redacted] I am concerned abouth the possible NCD for Nplate for the treatment of this condition. [PHI Redacted] I personally know of others who have been suffering with life altering issues as a result. A   More...



Commenter: Trapasso, Joseph
Date: 9/23/2008 6:16:06 PM
Comment:


Thank you for, and I applaude the current review
being undertaken by CMS concerning the conundrum
of proton beam therapy. Though it is and remains
a reputable and effective treatment with clear
indications for certain specific   More...



Commenter: LaRoy, Timothy
Date: 9/23/2008 7:56:09 PM
Comment:

Chronic Immune Thrombocytopenic Purpura (ITP) is a
horrendously debilitating condition and the
current treatments are even worse. Any
alternative treatment options such as Nplate
should be encouraged.

Please consider coverage o   More...



Commenter: Bruns, Nelson
Title: President (Retired)
Organization: M-E-I Consultants, Inc.
Date: 9/23/2008 8:17:03 PM
Comment:

I find it hard to believe that the best form of prostate cancer cure (Proton Therapy) is even being considered for non coverage by Medicare. [PHI Redacted]

[PHI Redacted] all I found from doctors were   More...



Commenter: Raynolds, John
Date: 9/23/2008 9:11:21 PM
Comment:

PROTON BEAM THERAPY

Commenter: John F. Raynolds, J D and LLD {Hon} Former President and CEO,Outward Bound USA}

[PHI Redacted] I serve on their Board of Advisors for proton treatment. In June [PHI Redacte   More...



Commenter: Taylor, Mary Paull
Date: 9/23/2008 10:35:24 PM
Comment:

heading somewhat towards the age for medicare i
think that it would be quite upsetting to know
that there could possibly be a treatment to help
with my disorder, only to be turned down because
it''s not covered for those on medicar   More...



Commenter: Kaper, Bertrand
Title: Orthopaedic Surgeon
Organization: Orthopaedic Specialists of Central Arizona
Date: 9/24/2008 12:29:26 AM
Comment:

Hip Resurfacing needs to be considered as a
viable option to standard total hip replacement
surgery.



Commenter: Felty, James
Date: 9/24/2008 6:38:07 AM
Comment:

Regarding Nplate

I have been involved [PHI Redacted] in both the Phase II and Phase III clinical trial (over four years) for Nplate by Amgen. I have seen where it has helped the majority of the ITP patients lead a mo   More...



Commenter: Pruitt, David
Title: Medical Director
Organization: St. Joseph''s Mercy Cancer Treatment Center
Date: 9/24/2008 9:37:56 AM
Comment:

The efficacy is so high and the toxicity so low
with modern photon therapy that it is extremely
unlikely that a prospective randomized trial
would be able to show a significant benefit
towards proton therapy. CMS would be well advi   More...



Commenter: Edwards, Dave
Title: Orthopedic Surgeon, MD
Organization: Orthopaedic Consultants
Date: 9/24/2008 10:00:41 AM
Comment:

re hip resurfacing- Hip resurfacing is an
excellent procedure for certain pts with hip
arthrosis. Age is not the only determinate for
deciding what is the best implant choice.
Activity level and bone quality are important
fa   More...



Commenter: Glassman, MD, Steven
Title: Co-Chair
Organization: Professional Society Coalition Task Force on Lumbar Fusion
Date: 9/24/2008 10:27:21 AM
Comment:

Response to Posting of Potential CMS NCD Topics
September 28, 2008

On behalf of the Professional Society Coalition
Task Force on Lumbar Fusion, representing the
North American Spine Society, American
Association of Neurologic   More...



Commenter: Armstrong, David
Date: 9/24/2008 11:47:31 AM
Comment:

Proton Beam Therapy

I urge you to continue reimbursing proton beam therapy (PBT) treatment for prostate cancer (Pca).

[PHI Redacted]

Last year, when [PHI Redacted] was diagnosed wit   More...



Commenter: Gibbs, Garry
Date: 9/24/2008 1:00:16 PM
Comment:

Regarding Medicare coverage for Proton Therapy for prostate cancer. In reviewing the comments posted, I see that many appear to be from practitioners of alternative (competitive) treatment approaches contrasting with proton therapy. I find it   More...



Commenter: Schulman, Kevin
Title: Professor of Medicine and Business Administration
Organization: Duke University
Date: 9/24/2008 1:02:43 PM
Comment:

I appreciate the opportunity to comment on the
potential NCD topics for the third quarter of
2008. I would like to strongly recommend that
you open an NCD for proton beam therapy for
prostate cancer (and proton beam therapy more <   More...



Commenter: southerland, vickie
Date: 9/24/2008 1:20:13 PM
Comment:

[PHI Redacted] I feel Nplate would be very beneficial since there are not many options for treatment. ITP is a very difficult disease because you don''t know when and why your platlets will drop to be able to just take a sho   More...



Commenter: Tomei, Mario
Title: Professor Emeritus, Rowan University
Date: 9/24/2008 3:12:59 PM
Comment:

Proton Beam Therapy

Dear Sirs:

I wish to add my testimony in support of proton beam therapy for prostate cancer. [PHI Redacted] was diagnosed with an advanced prostate cancer and was advised to seek radiation t   More...



Commenter: Conway, Craig
Title: Executive Director
Organization: Platelet Disorder Support Association
Date: 9/24/2008 3:15:20 PM
Comment:

September 24, 2008

Thank you for the opportunity to provide comments
to the Center for Medicare and Medicaid Services
(CMS) on potential NCD topics. I am submitting
comments on behalf of The Platelet Disorder
Support Associ   More...



Commenter: Nelson, Tom
Title: Orthopedic Surgeon, MD
Organization: Orthopaedic Consultants PA
Date: 9/24/2008 3:25:14 PM
Comment:

Hip Resurfacing,

There are many patients of medicare age that
would be excellent patients for a resurfacing
procedure. Age by itself should not be a
criteria for implant or procedure selection.



Commenter: McCarter, T. Kerry
Title: CEO
Organization: Soluble Systems, LLC
Date: 9/24/2008 4:04:09 PM
Comment:

On behalf of Soluble Systems, LLC, I am pleased
to present comments regarding CMS’ request for
comments on a list of potential topics for
future National Coverage Determinations (NCD).
Soluble Systems, LLC, a start-up medical devic   More...



Commenter: Schreiber, Brian
Title: Vice President,Medical Affairs
Organization: Sigma Tau Pharmaceuticals
Date: 9/24/2008 4:46:16 PM
Comment:

September 23, 2008



Steve Phurrough, MD
Director, Coverage & Analysis Group
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244-1850

Re: Potential topics for national coverage More...



Commenter: rogerson , john
Date: 9/24/2008 5:09:52 PM
Comment:

Hip resurfacing:

I have performed 332 hip resurfacings over the
last 2 1/2 years and feel that the best criteria
as to who should recieve the procedure is what
the patients physiologic (not chronologic) age
is, the patient''   More...



Commenter: poff, susan
Date: 9/24/2008 7:18:36 PM
Comment:

Why the government should pay for treatment with
thrombopoietin drugs. There are very few drugs
used to treat Immune Thrombocytopenia Purpura and
related blood disorders. The newest and most
effective treatments are the new throm   More...



Commenter: Levins, Lynn
Date: 9/24/2008 8:55:31 PM
Comment:

[PHI Redacted] has had ITP for quite some time nothing has helped long term. She is dealing with a platelet count of less than 30,000 consistently. Further research must be done. Especially concerning those who have had splene   More...



Commenter: Goodson, Michael
Organization: Stephen Saunders Residence
Date: 9/24/2008 11:19:00 PM
Comment:

Consumer,[PHI Redacted] request presently for access to the New ITP Treatment called Nplate (romiplostim). Patient-Consumer,[PHI Redacted] examination of a "bone marrow biopsy" relate to the diagnosis that ide   More...



Commenter: Owens, Holly
Title: Director of Legislative and Regulatory Affairs
Organization: Renal Physicians Association
Date: 9/25/2008 6:57:37 AM
Comment:

RPA recommends that ESA use in CKD not be
addressed in an NCD.

The Renal Physicians Association (RPA) is the
professional organization of nephrologists whose
goals are to insure optimal care under the
highest standards of me   More...



Commenter: Woll, Douglas
Title: Senior Vice President and Chief Medical Officer
Organization: Blue Care Network of Michigan
Date: 9/25/2008 7:14:41 AM
Comment:

To Whom It May Concern:

We are writing in regards to the issue of proton
beam therapy as a treatment modality for prostate
cancer. As major health insurers, we are
extremely concerned over the anticipated
proliferation of t   More...



Commenter: Goldberg, Tyler
Date: 9/25/2008 7:57:23 AM
Comment:

Hip resurfacing is a viable option for a certain
population that may be unfit for an immediate
total hip. I would appreciate careful
consideration for approval.



Commenter: Larson, Gary
Organization: RADIATION ONCOLOGY ASSOCIATES
Date: 9/25/2008 9:50:44 AM
Comment:

I have seen many advances in cancer treatment since I began my
residency in radiation oncology twenty seven years ago. Many
of my patients were treated with Cobalt tele-therapy machines.
When these machines were introduced in the six   More...



Commenter: Sanjeevi, Arunkumar
Title: MD
Organization: Medical center clinic
Date: 9/25/2008 9:51:23 AM
Comment:

I am concerned that an NCD would affect many ITP
patients by excluding or restricting coverage of
Nplate for Medicare and Medicaid recipients and
may influence commercial or private payer
coverage decisions.

I am a hematolog   More...



Commenter: Wilson, Emily
Title: Director of Government Relations
Organization: American Society for Therapeutic Radiology and Oncology (ASTRO)
Date: 9/25/2008 10:02:25 AM
Comment:

The American Society for Therapeutic Radiology and
Oncology (ASTRO)[1] is pleased to provide comments
to the Centers for Medicare & Medicaid Services''
(CMS) on a potential National Coverage
Determination (NCD) for proton therapy forMore...



Commenter: Fesler, Douglas
Title: Associate Executive Director
Organization: American Society for Bone and Mineral Research
Date: 9/25/2008 11:23:36 AM
Comment:

The American Society for Bone and Mineral
Research (ASBMR) is pleased to have the
opportunity to submit comments to the U.S.
Centers for Medicare and Medicaid Services (CMS)
on the topics of Bisphosphonates and
Vertebroplasty a   More...



Commenter: Kaushansky, Kenneth
Title: President
Organization: American Society of Hematology
Date: 9/25/2008 11:51:29 AM
Comment:

Dear Mr. Weems:

The American Society of Hematology (ASH)
represents over 11,000 hematologists in the United
States who are committed to the treatment of blood
and blood-related diseases. ASH members include
hematologists and hem   More...



Commenter: Warman, Carol
Date: 9/25/2008 1:29:47 PM
Comment:

I am [PHI Redacted] of a man treated at Loma Linda with proton beam therapy last year. I’m certainly not a medical professional so please take my comments in that context. [PHI Redacted] turned 65 during   More...



Commenter: Link, Mark
Title: Physician
Organization: Tufts Medical Center
Date: 9/25/2008 2:11:53 PM
Comment:

I am writing regarding ablation in atrial fibrillation. Atrial fibrillation can be debilitating to patients. And while ablation is certainly not for everyone, I have had numerous patients who have had ablation for atrial fibrillation which ha   More...



Commenter: Michaud, Gregory
Date: 9/25/2008 2:20:11 PM
Comment:

Atrial fibrillation RFA:
We as electrophysiologists have tried to move
away from the concept of cure for atrial
fibrillation, but we recognize that
radiofrequency ablation is an important adjunct
to medication in treating atrial   More...



Commenter: Clinical Endocrinologists, American Association of
Organization: AACE
Date: 9/25/2008 2:31:14 PM
Comment:

Bisphosphonates

The American Association of Clinical
Endocrinologists appreciates this opportunity to
comment on the Centers for Medicare and Medicaid
Services’ (CMS) Potential National Coverage
Determination (NCD) topics fo   More...



Commenter: Ladd, Virginia T.
Title: President and Executive Director
Organization: American Autoimmune Related Diseases Association
Date: 9/25/2008 2:51:07 PM
Comment:

Statement on the potential inclusion of Nplate
(romiplostim) for future National Coverage
Determinations (NCDs).

Although American Autoimmune Related Diseases
Association (AARDA) does not take formal position
on the recommen   More...



Commenter: Biegel, Roberta
Title: Senior Director
Organization: National Osteoporosis Foundation
Date: 9/25/2008 3:13:47 PM
Comment:

September 28, 2008

Steven Phurrough, MD
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Mail Stop C1-12-28
7500 Security Boulevard
Baltimore, MD 21244

Dear Dr. Phurrough:

Thank y   More...



Commenter: Anderson, Kurt
Title: Medical Doctor
Organization: Orthopaedic Consultants P.A.
Date: 9/25/2008 3:26:12 PM
Comment:

The metal-on-metal Birmingham Hip Resurfacing
(BHR) System received PMA approval from the FDA
in May of 2006 for use in patients requiring
primary hip arthroplasty for non-inflammatory or
inflammatory arthritis. Smith & Nephew, Inc   More...



Commenter: Baim, Sanford
Title: President
Organization: International Society for Clinical Densitormetry
Date: 9/25/2008 3:34:33 PM
Comment:

The International Society for Clinical
Densitometry (ISCD) welcomes the opportunity to
comment on the “Posting of Potential NCD Topic”
issued by CMS on 7/30/2008. We address two of the
proposed topics “bisphosphonates”
and “ver   More...



Commenter: Madison, Fiona
Date: 9/25/2008 3:38:49 PM
Comment:

Research and effective treatments are essential for disorders involving platelet reduction. [PHI Redacted] is suffering from Waldenstrom Macroglobulinemia. Very little is know about this condition, and there is no cure. He is    More...



Commenter: Reddy, Vivek
Title: Director, Electrophysiology
Organization: University of Miami
Date: 9/25/2008 4:17:53 PM
Comment:

With regards to Ablation for Atrial Fibrillation:

It is important to recognize that AF ablation is
performed for patients who have failed
medications (because either the medications
didnt work or intolerable side-effects), and <   More...



Commenter: Lewis, William
Organization: MetroHealth Medical Center
Date: 9/25/2008 6:13:22 PM
Comment:

The evidence for the safety and efficacy of
ablation therapy for atrial fibrillation is
significant. There are two large randomized
trials evaluating ablation therapy compared to
drug treatment for atrial fibrillation which
dem   More...



Commenter: Epstein, Laurence
Title: Cheif Arrhythmia Service
Organization: Brigham and Women''s Hospital
Date: 9/25/2008 6:30:24 PM
Comment:

Ablation for atrial fibrillation:
Atrial fibrillation is becoming a national
epidemic. A recent study suggested over 6 million
Americans suffer from AFib. AFib prevalence
increases with age. As the population ages the
incidence wil   More...



Commenter: Field, Jean
Date: 9/25/2008 8:13:58 PM
Comment:

I am writing regarding the prescriptive use of NPlate for the treatment of chronic ITP.[PHI Redacted] Current medical treatments for ITP have distressing side effects, and NPlate shows the promise of maintaining a safe level of   More...



Commenter: Goodson, David
Date: 9/25/2008 10:38:57 PM
Comment:

Dear Sirs,
[PHI Redacted] one of thousands of satisfied seniors that has been treated by Proton Beam radiation for prostate cancer. I have friends in my neighborhood and in other parts of my town that have expressed reg   More...



Commenter: Stephens, Don
Date: 9/26/2008 2:51:45 AM
Comment:

[PHI Redacted]

I don''t understand why medicare has not evaluated hip resurfacing procedure one or two years ago. The FDA approved the technique two years ago. Europe has been performing this procedure for 10 years. T   More...



Commenter: Jones, Scott
Title: Executive Director, Healht Policy
Organization: Novartis Pharmaceuticals Corporation
Date: 9/26/2008 7:56:46 AM
Comment:

Novartis Pharmaceuticals Corporation (Novartis)
appreciates this opportunity to comment on the
Centers for Medicare and Medicaid Services’(CMS)
Potential National Coverage Determination (NCD)
Topics for the third quarter of 2008 (P   More...



Commenter: Callans, David
Date: 9/26/2008 8:03:19 AM
Comment:

I am writing in support of catheter ablation for
atrial fibrillation. Catheter ablation is very
important for selected patients with atrial
fibrillation, particularly given the failings of
pharmacologic therapy. It is true that un   More...



Commenter: morse, patrick
Date: 9/26/2008 8:36:57 AM
Comment:

Hip resurfacing has been followed clinincally for
many years, with an excellent success rate in
treating patients that would not have been good
candidates for conventional total hip
arthroplasty. It is definitely a new approach to   More...



Commenter: Hook, Bruce
Title: Director, Arrhythmia Center
Organization: Lahey Clinic
Date: 9/26/2008 8:53:22 AM
Comment:

Ablation for atrial fibrillation.

I have been performing catheter ablation for
atrial fibrillation for approximately 9 years
and have found patients to benefit tremendously
from elimination of this arrhythmia. In addition
to   More...



Commenter: Carson, Barbara
Date: 9/26/2008 9:50:46 AM
Comment:

Nplaate (romiplostim) is the first and only drug that stimulates production of platelets. I urge CMS to provide coverage to patients.

[PHI Redacted] ITP is serious - massive spontanneous bleed, larage doses of prednis   More...



Commenter: Corcoran, Molly
Date: 9/26/2008 10:25:16 AM
Comment:

I oppose an NCD for Nplate. Nplate is the first drug manufactured specifically for ITP (a blood disorder effecting the platelet count). I fear that if an NCD is in effect for Nplate that many people who can benefit from this new drug will not   More...



Commenter: Collins, Allan
Organization: National Kidney Foundation
Date: 9/26/2008 10:36:37 AM
Comment:

September 16, 2008

Steve Phurrough, MD
Director, Coverage and Analysis Group
Office of Clinical Standards and Quality
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, Maryland 21244

Dear Dr   More...



Commenter: Thompson, Ann
Title: Director, Payer Relations
Organization: Cordis
Date: 9/26/2008 10:40:51 AM
Comment:


September 26, 2008

Title: Potential NCD for Off-Label Use of Drug-
eluting Coronary Stents
(As posted to the CMS website July 30, 2008)

Cordis Corporation appreciates the effort CMS has
taken to make available the li   More...



Commenter: Fike, Ruthita
Title: Chief Executive Officer
Organization: Loma Linda University Medical Center
Date: 9/26/2008 10:41:01 AM
Comment:

Loma Linda University Medical Center hereby
submits this comment regarding the July 30, 2008
listing by the Centers for Medicare & Medicaid
Services of potential National Coverage
Determination topics.

I. Introduction

On    More...



Commenter: Galinsky, Dennis
Title: Principal
Organization: DuPage Oncology Center
Date: 9/26/2008 10:52:39 AM
Comment:

PROTON THERAPY
CMS should not reimburse proton therapy for
prostate cancer until further research proves the
results are superior.

Protons are a proven modality, with better results
than standard photons for pediatric malignan   More...



Commenter: Poole, Colin
Title: Doctor/ Orthopaedic Surgeon
Date: 9/26/2008 10:57:51 AM
Comment:

Continued coverage by CMS for FDA approved BHR
Hip replacement system.
Hip resurfacing has proved to an excellent
alternative to total hip replacement and is not
considered to be an interim treatment in an
attempt to delay a hip   More...



Commenter: Krop, M.D., Julie
Title: Vice President, Clinical and Regulatory Affairs
Organization: Stryker Biotech
Date: 9/26/2008 11:13:23 AM
Comment:

RE: Bone Morphogenetic Protein (BMP)

Dear Sirs:
As the Vice-President of Clinical and Regulatory
Affairs for Stryker Biotech, the manufacturer of
Bone Morphogenetic Protein-7, the following
relevant information is shared to    More...



Commenter: Ennis, DO, MBA, FACOS, William
Title: President
Organization: Association for the Advancement of Wound Care
Date: 9/26/2008 11:25:17 AM
Comment:

September 26, 2008

Dr. Barry Straub
Centers for Medicare and Medicaid Services
Coverage and Analysis Group
7500 Security Blvd
Baltimore, Maryland

Dear Dr. Straub:

The Association for the Advancement of Wound Care <   More...



Commenter: Barry, MPH, MSN, RN, Kathryn
Title: Health Policy Specialist
Organization: Stryker Spine
Date: 9/26/2008 11:27:39 AM
Comment:

RE: Artificial Cervical Discs

Artificial intervertebral disc arthroplasty for
the treatment of degenerative disc disease of the
cervical spine is expected to be an effective
minimally invasive alternative for a select group
   More...



Commenter: Howard, Alonzo
Title: member
Organization: Brotherhood of the Balloon
Date: 9/26/2008 12:11:26 PM
Comment:

[PHI Redacted] a recepient of Proton therapy for prostate cancer in late [PHI Redacted]. [PHI Redacted] completely cured with no after treatment or side effects. On annual exam P.S.A.remains c   More...



Commenter: Hartwell, Lori
Title: Founder and President
Organization: Renal Support Network
Date: 9/26/2008 12:34:41 PM
Comment:

Re: COMMENT ON PROPOSED NATIONAL COVERAGE DETERMINATION LANGUAGE ON ESAs

The Renal Support Network (RSN) is a nonprofit, patient-focused, patient-run organization that strives to help patients develop their personal coping skill   More...



Commenter: Hopkins, Dawn
Title: Director of Reimbursement & Health Policy
Organization: Society of Interventional Radiology
Date: 9/26/2008 12:35:30 PM
Comment:

Comments from the Society of Interventional
Radiology (SIR)

RE: Potential NCD Topics
Vertebroplasty/Kyphoplasty and Peripheral
Arterial Stenting and Vascular Intervention

SIR does not find that the topics
Vertebroplas   More...



Commenter: Miller, Amy
Title: Public Policy Director
Organization: Personalized Medicine Coalition
Date: 9/26/2008 12:37:51 PM
Comment:

To: Centers for Medicare and Medicaid Services
Re: Potential National Coverage Determinations
Date: September 26, 2008

Submitted electronically

The Personalized Medicine Coalition is writing to
comment on the list of Po   More...



Commenter: Lynch, Ann-Marie
Title: Exec., V.P. Payment and Health Care DeliveryPolicy
Organization: Advanced Medical Technology Association (AdvaMed)
Date: 9/26/2008 12:49:08 PM
Comment:

September 26, 2008

Steve E. Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
U.S. Department of Health & Human Services
Mail Stop C1-09-06
7500 Security Boulevard
Baltimor   More...



Commenter: Stoneback, Allen
Title: retired
Date: 9/26/2008 12:58:12 PM
Comment:

The reimbursement of proton therapy for prostate cancer must continue. [PHI Redacted] currently receiving this treatment. [PHI Redacted] made the decision to have this treatment after reading the "numerous" te   More...



Commenter: Rozynski, Edward
Title: Vice President, Global Government Affairs
Organization: Stryker
Date: 9/26/2008 1:10:31 PM
Comment:

Re: Hip Resurfacing – Potential NCD Topics

Dear Doctor Phurrough:

On behalf of Stryker Corporation (“Stryker”), our
physician and hospital customers, and their
patients, we thank you for this opportunity to
comment on CM   More...



Commenter: John, Roy
Title: MD
Organization: Brigham and Women''s Hospital, Boston
Date: 9/26/2008 1:24:21 PM
Comment:

I am writing in relation to the procedure of
ablation for atrial fibrillation. Atrial
fibrillation is a common problem requiring
frequent hospitalization, sick time off work,
and requirement for potentially dangerous
antiarrhyt   More...



Commenter: Emch, Hansjuerg
Title: President
Organization: Synthes Spine
Date: 9/26/2008 2:20:53 PM
Comment:

Kerry Weems
Acting Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
7500 Security Boulevard
Baltimore, MD 21244
September 26, 2008

Re: Potential NCD List Published July 30
   More...



Commenter: Ofman, Joshua
Title: Vice President
Organization: Amgen, Inc.
Date: 9/26/2008 2:25:27 PM
Comment:

Dear Dr. Phurrough:

Amgen Inc. (Amgen) is writing regarding the
Centers for Medicare and Medicaid Services’ (CMS)
June 30, 2008, publication of and request for
comment on potential National Coverage
Determination (NCD) topic   More...



Commenter: Conterato, Dean
Title: Director of Radiation Oncology
Date: 9/26/2008 3:02:45 PM
Comment:

Subject: Protons for prostate cancer

It has come to my attention that CMS is seeking
opinions in regard to the use of proton therapy
for the treatment of prostate cancer. Normally, I
am reluctant to voice my opinion as to the More...



Commenter: Farup, MD, MS, Christina
Title: Vice President, Evidence Based Medicine
Organization: Depuy Inc
Date: 9/26/2008 3:16:49 PM
Comment:

DePuy Spine, Inc., a Johnson & Johnson company,
is one of the world’s leading designers,
manufacturers and suppliers of orthopedic devices
and supplies. We are dedicated to the
development of innovative and high quality
produc   More...



Commenter: Sale, Katherine
Organization: American Association of Orthopaedic Surgeons
Date: 9/26/2008 3:20:58 PM
Comment:

September 26, 2008

Kerry N. Weems, Acting Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1385-FC
Mail Stop: C4-26-05
7500 Security Blvd.
Baltimore, MD 21244   More...



Commenter: Estes, III, MD, FHRS, N. A. Mark
Title: President
Organization: Heart Rhythm Society
Date: 9/26/2008 3:21:22 PM
Comment:

September 26, 2008
Re: Potential National Coverage Decision Topics:
Ablation for Atrial Fibrillation

Dear Mr. Weems:

The Heart Rhythm Society (HRS) welcomes the
opportunity to provide written comments on the
Ce   More...



Commenter: Rohan, Barbara
Title: Vice President, Government Affairs
Organization: Smith & Nephew, Inc.
Date: 9/26/2008 3:22:46 PM
Comment:

September 26, 2008


Steve Phurrough, M.D., M.P.A.
Centers for Medicare & Medicaid Services
Coverage and Analysis Group
Mailstop C1-09-06
7500 Security Boulevard
Baltimore, Maryland 21244

RE: Hip Resurfacing

   More...



Commenter: Sugarman, Mitchell
Title: Senior Director, Health Economics Policy & Pymt
Organization: Medtronic CardioVascular
Date: 9/26/2008 3:45:43 PM
Comment:

September 26, 2008

Steve Phurrough, MD, MPA
Centers for Medicare & Medicaid Services
Coverage and Analysis Group
Mailstop C1-09-06
7500 Security Boulevard
Baltimore, MD 21244

ELE   More...



Commenter: johnson, rere
Date: 9/26/2008 3:49:24 PM
Comment:

NPlate is the only drug that has been targeted
to help people with ITP which currently has no
cure. The maintenance treatments are steroids
which have side effects, infusions of IVIG which
are very expensive and keeps plates at saf   More...



Commenter: Moran, Brian
Title: Medical Director
Organization: Chicago Prostate Center
Date: 9/26/2008 4:04:12 PM
Comment:

At the present time, there is absolutely no
clinical data, either in randomized or
retrospective analyses, which demonstrate an
enhanced clinical outcome for the treatment of
prostate cancer, whether it is with IMRT
(external b   More...



Commenter: Glisson, JoAnne
Date: 9/26/2008 4:07:22 PM
Comment:

On behalf of the members of the American Clinical
Laboratory Association (ACLA), I am writing to
provide comments on the Centers for Medicare and
Medicaid Services’ (CMS) Posting of Potential
National Coverage Decision (NCD) Topics   More...



Commenter: Rugo, Eric
Title: Executive Director
Organization: Alliance for Orthopedic Solutions
Date: 9/26/2008 4:40:33 PM
Comment:

Dear Dr. Phurrough:

The Alliance for Orthopedic Solutions
(“Alliance”) thanks you for this opportunity to
comment on the Centers for Medicare & Medicaid
Services’ (“CMS”) list of potential National
Coverage Determination (“N   More...



Commenter: Smith, Richard
Date: 9/26/2008 5:01:32 PM
Comment:

Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Mailstop: C1-12-28
7500 Security Boulevard
Baltimore, MD 21244


Re: Potential NCD Topics

Dear Sir or Madam:

The Pharmaceutical Research and    More...



Commenter: Hayter, Mary
Title: Vice President, Government Affairs & Health Econom
Organization: LifeCell Corporation
Date: 9/26/2008 6:41:18 PM
Comment:

Thursday, September 25, 2008

Steve E. Phurrough, M.D.
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
7500 Security Boulevard – Room C1-13-18
Baltimore, Maryland 21244-1850

Re: Potential   More...



Commenter: Cranick, Fred
Date: 9/26/2008 8:02:34 PM
Comment:

[PHI Redacted] I was fortunate to have a friend who had received Proton therapy. His PSA went down 20 points, to .03 after only six months. [PHI Redacted] The treatments started the beginning of [PHI    More...



Commenter: Hailey, Mary
Title: VP, Health Care Policy and Government Relations
Organization: Medtronic Spinal and Biologics - Kyphon
Date: 9/27/2008 4:49:21 AM
Comment:

September 27, 2008


Steve Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Mail Stop C1-09-06
7500 Security Boulevard
Baltimore, Maryland 2   More...



Commenter: Homoud, Munther
Date: 9/27/2008 8:01:37 AM
Comment:

Catheter ablation for atrial fibrillation is no
longer an "investigational" therapeutic tool.
Over the last ten years, numerous, large and well
conducted trials have established its efficacy.
When coupled with the woefully lacking    More...



Commenter: Hopkins, Donna
Organization: University at Buffalo Surgeons, Inc.
Date: 9/27/2008 9:20:19 AM
Comment:

one the of potential topics is peripheral
arterial stenting and vascular intervention. It
is good this is being considered however, what
about peripheral and percutaneous interventional
procedures when performed by vascular surgeo   More...



Commenter: Volpacchio, Dawn
Date: 9/27/2008 10:04:50 AM
Comment:

[PHI Redacted] I wish to submit my concern regarding the possible intervention of an NCD for the newest FDA- approved drug to treat ITP, N-Plate.

I advocate for the greatest possible access to any and all drug therap   More...



Commenter: sands, kenneth
Title: Orthopaedic Surgeon
Date: 9/27/2008 10:12:16 AM
Comment:

Dear committee,
My concern centers around the possible restriction of hip
resurfacing to Medicare patients. I have been performing hip
resurfacing since August 2006. I can count on one hand the
number of hip resurfacing I have perfo   More...



Commenter: Eyer, Joseph
Title: Comments on Medicare''s Priority List for NCD
Organization: Coalition for 21st Century Medicine
Date: 9/27/2008 11:36:55 AM
Comment:

On behalf of the Coalition for 21st Century Medicine (C21CM),
we are pleased to submit comments in response to the proposed
priority setting for National Coverage Determinations (NCDs) by
the Centers for Medicare and Medicaid Services    More...



Commenter: Cooper, Sally
Date: 9/27/2008 12:16:53 PM
Comment:

I want to support the discussion of Hip Resurfacing and the Medicare coverage of Hip Resurfacing.

[PHI Redacted] had a hip resurfacing and find it to be the best bone conserving option for a hip replacement. [   More...



Commenter: Kay, G. Neal
Title: Professor of Medicine
Organization: University of Alabama at Birmingham
Date: 9/27/2008 12:23:11 PM
Comment:

Coverage for Atrial Fibrillation Ablation:
AF ablation has been widely applied around the
world in hospitals medium and large. Numerous
studies have shown efficacy for medically
refractory AF. This procedure should be covered
   More...



Commenter: Wood, Robert
Title: Chairman
Organization: Prostate Cancer Support Association of New Mexico (PCSANM)
Date: 9/27/2008 12:33:42 PM
Comment:

[PHI Redacted]As Chairman of the Board of Directors of the Prostate Cancer Support Association of New Mexico I want to comment on Medicare funding for proton therapy.

There are so many uncontrolled variables in the    More...



Commenter: Brodie, Carol
Organization: WellPoint, Inc
Date: 9/27/2008 1:04:28 PM
Comment:

WellPoint, Inc. would like to congratulate the
CMS on a thoughtful list of topics for NCD
development. While we would support creation of
an NCD on all of the topics, the ones listed
below are of particular interest to WellPoint.<   More...



Commenter: Oltman, Richard
Title: Retired
Date: 9/27/2008 2:00:35 PM
Comment:

PROPOSAL TO STOP PROTON MEDICARE REIMBURSEMENTS.

I oppose any effort to stop medicare reimbursement for proton prostate cancer therapy. To me it looks like another step towards socialized medical care. Further, you can bet your b   More...



Commenter: Brooks, Peter
Title: Orthopaedic Surgeon
Organization: Cleveland Clinic
Date: 9/27/2008 2:10:42 PM
Comment:

Re: Hip Resurfacing

I am an orthopaedic surgeon at the Cleveland
Clinic, and department head at Euclid Hospital
in Cleveland, Ohio. Our department is ranked #3
in the nation by US News and World Report. I am
also one of the    More...



Commenter: Chitwood, Jr., M.D. , W. Randolph
Title: President
Organization: The Society of Thoracic Surgeons
Date: 9/27/2008 3:49:39 PM
Comment:

September 27, 2008



Mr. Kerry N. Weems
Acting Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Hubert H. Humphrey Building
200 Independence Ave., S.W.
Washington, D.C.   More...



Commenter: Rathbun, Jill
Organization: Society of NeuroInterventional Surgery
Date: 9/27/2008 4:23:27 PM
Comment:

September 26, 2008

Steve Phurrough, M.D.
Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Mailstop: C1-09-06
7500 Security Blvd.
Baltimore, MD 21244

RE:    More...



Commenter: Hatley, Melvin
Date: 9/27/2008 4:59:02 PM
Comment:

Proton Radiation. I[PHI Redacted] Please do not allow Medicare to discontinue the coverage of this excellent procedure . . . it is a modern day miracle.



Commenter: Behm, MD, Gregory
Date: 9/27/2008 5:01:30 PM
Comment:

Hip Resurfacing:
In the appropriate patient, hip resurfacing is an
extremely valuable procedure. Hip arthrosis can
be a debilitaiting and life changing problem
regardless of the age of the patient. In the
case of the young per   More...



Commenter: Goodger, John
Title: Retired Financial Executive
Date: 9/28/2008 2:01:15 AM
Comment:

Please continue Medicare coverage for proton therapy for prostate cancer.

[PHI Redacted] was a lucky recipient of it 6 years ago and had a Gleason of 8. [PHI Redacted] continued to enjoy high quality    More...



Commenter: Schmitt, D.O., Philip
Title: Orthopedic Surgeon
Organization: Specialists in Orthopedic Surgery
Date: 9/28/2008 6:52:34 AM
Comment:

As a surgeon who has done hip resurfacing on many
patients over 60 years of age I can attest that
it is a wonderful alternative to replacement in
these active, healthy individuals.

Bone age and physiological age are more accurat   More...



Commenter: dibble, dennis
Date: 9/28/2008 8:26:24 AM
Comment:

[PHI Redacted] I would like to add my comments to this discussion.

[PHI Redacted]

I know the discussion you are having is of cost,but what cost do you place on some of the side effects that th   More...



Commenter: Büttner-Janz MD, PhD, Karin
Title: President
Organization: Spine Arthroplasty Society
Date: 9/28/2008 9:55:56 AM
Comment:

On behalf of the Spine Arthroplasty Society, I
would like to thank you for providing an
opportunity for public comment to the Centers for
Medicare and Medicaid Services (CMS) on proposed
National Coverage Determination (NCD) topics   More...



Commenter: Walker, Susan
Title: Senior Director, Health Policy and Reimbursement
Organization: St. Jude Medical, Inc.
Date: 9/28/2008 9:59:41 AM
Comment:

September 27, 2008

Steve E. Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
U.S. Department of Health & Human Services
Mail Stop C1-09-06
7500 Security Boulevard
Baltimor   More...



Commenter: McCormack, Mike
Title: Sr. Manager, Reimbursement Planning
Organization: Medtronic, Spinal and Biologics
Date: 9/28/2008 11:27:39 AM
Comment:

Medtronic
Spinal and Biologics
2600 Sofamor Danek Drive
Memphis, Tennessee 38132
www.medtronic.com
tel 800.876.3133 tel 901.396.3133
fax 901.344.0781



September 28, 2008

Steve Phurrough, MD, MPA
Direc   More...



Commenter: Cameron, John
Title: Professor Emeritus, Physics Department
Organization: Indiana University
Date: 9/28/2008 11:44:53 AM
Comment:

I am writing to request that CMS continue its current policy of covering proton radiation therapy under a local coverage determination. I believe I am somewhat uniquely qualified to comment on the issue of proton therapy as I [PHI Reda   More...



Commenter: boden, william
Title: chief of cardiology
Organization: buffalo general hospital
Date: 9/28/2008 11:53:58 AM
Comment:

Dear Sir/Madam,
I would like to comment on the potential NCD
topic:
¡°Off label use of drug eluting coronary stents:
Limited data are available on the off-label use
of drug-eluting stents (DESs) in clinical
practice. Is that   More...



Commenter: Nusgart, Marcia
Title: Executive Director
Organization: Alliance of Wound Care Stakeholders
Date: 9/28/2008 1:46:48 PM
Comment:

September 28, 2008

Submitted electronically

Dr. Barry Straub
Centers for Medicare and Medicaid Services
Coverage and Analysis Group
7500 Security Blvd
Baltimore, Maryland

Dear Dr. Straub;

On behalf of the A   More...



Commenter: Grass, Joseph
Title: Attorney At Law
Organization: Self-employed
Date: 9/28/2008 2:33:22 PM
Comment:

[PHI Redacted] had proton therapy for prostate cancer. Proton therapy for prostate cancer works very well with fewer side affects than with surgery, seeds, photon beam radiation or cryogenics. Negative comments have been offer   More...



Commenter: Klein, Stuart
Title: Executive Director
Organization: University of Florida Proton Therapy Institute
Date: 9/28/2008 2:42:51 PM
Comment:

Rationale for proton therapy for cancer
Due to its unique physical characteristics,
proton therapy provides a superior radiation dose
distribution – no matter which area of the body
is being treated. With conventional external More...



Commenter: Ruskin, Jeremy
Title: Director, Cardiac Arrhythmia Service
Organization: Massachusetts General Hospital
Date: 9/28/2008 2:47:14 PM
Comment:

Circumferential catheter ablation therapy for
atrial fibrillation.

Symptomatic atrial fibrillation is a cause of
major morbidity and impaired quality of life
among patients who suffer from this arrhythmia.
The mainstay of t   More...



Commenter: Clark, Kristen Burks
Date: 9/28/2008 3:07:44 PM
Comment:

Over ten years ago, I was fortunate enough to be in a consulting position that involved work with emerging technologies. I read a number of peer reviewed journal articles on the international use of proton beam therapy and the exciting and effi   More...



Commenter: Johnstone, MD, Peter A.
Title: President and CEO
Organization: Midwest Proton Radiotherapy Institute
Date: 9/28/2008 3:40:48 PM
Comment:

September 28, 2008

Stephen Phurrough, MD, MPA
Centers for Medicare and Medicaid Services
Director of Coverage and Analysis Group Mailstop
C1-09-06 7500 Security Boulevard Baltimore, MD
21244

RE: Comment Period for the   More...



Commenter: Buto, Kathy
Title: Vice President - Health Policy
Organization: Johnson & Johnson
Date: 9/28/2008 3:47:35 PM
Comment:

On behalf of Johnson & Johnson, I am pleased to
submit comments and recommendations in response
to the Posting of Potential National Coverage
Decision Topics.

Johnson & Johnson (J&J) is the world’s most
comprehensive and b   More...



Commenter: Lorren, D.D.S., Robert
Date: 9/28/2008 8:45:33 PM
Comment:

My concern is conserning reimbursements for PROTON BEAM THERAPY.

[PHI Redacted] was diagnosed with prostate cancer five years ago; and afer talking to many men that had different types of treatment. [PHI Redac   More...



Commenter: Lewis, John
Title: Executive Director
Organization: Northern Illinois Proton Treatment and Research Center
Date: 9/28/2008 9:28:45 PM
Comment:

Proton Beam Therapy for Prostate Cancer

The Northern Illinois Proton Treatment & Research
Center (NIPTRC), in partnership with Northern
Illinois University and the Northern Illinois
Research Foundation, spent the last five yea   More...



Commenter: Mittal, Bharat
Title: Professor and Chairman Radiation Oncology
Organization: Northwestern University
Date: 9/28/2008 9:38:54 PM
Comment:

Protons has always been considered the pinnacle
of excellence in Radiation Oncology , and the
advantages have been demonstrated for several
clinical situations over decades of observation .
The dose shaping advantage of Protons app   More...



Commenter: DeSelm, Marvin
Title: Retired Banker
Organization: Wells Fargo Bank
Date: 9/28/2008 9:53:34 PM
Comment:

[PHI Redacted] was diagnosed as having prostate cancer (PSA=4.2 and a gleason of 4 plus 3).

Having received [PHI Redacted] diagnosis, [PHI Redacted] conducted a rigorous analysis of o   More...



Commenter: Spontak, Robert
Title: Retired from printing industry
Date: 9/28/2008 10:49:55 PM
Comment:

[PHI Redacted] I am convinced, more than ever, that proton therapy should be the primary choice of anyone diagnosed with prostate cancer. The risks and side effects are virtually non- existent. Continued Medicare coverage shou   More...



Commenter: Bocchino, Carmella
Title: EVP Clinical Affairs and Strategic Planning
Organization: America's Health Insurance Plans (AHIP)
Date: 9/25/2008 11:00:00 PM
Comment:

 

Steve Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Mail Stop C1-09-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850

Dear    More...



Commenter: Terk, M.D., Mitchell
Title: Medical Director
Organization: Florida Radiation Oncology Group
Date: 9/29/2008 9:10:13 AM
Comment:

Contrary to popular belief, proton beam radiation
is an older technology that has been in use in
the United States since the 1950’s. Of great
concern, there is very little published data on
proton therapy cure rates, with no studie   More...



Commenter: Cox, James D.
Title: Division Chair
Organization: University of Texas MD Anderson Cancer Center
Date: 9/29/2008 12:42:46 PM
Comment:

Dear Dr. Phurrough and Review Committee

On behalf of my colleagues at The University of
Texas M. D. Anderson Cancer Center, I wish to
offer the following comments in response to the
sufficiency of medical eviden   More...



Commenter: Fox, MD, David
Title: President
Organization: American College of Rheumatology
Date: 9/29/2008 12:56:22 PM
Comment:

September 25, 2008
Kerry Weems
Acting Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Baltimore, MD 21244-8013

Comments submitted via email:
caginquiries@cms.hhs.gov
More...



Commenter: Swartz, Douglas
Title: MD
Organization: McIver Urological Clinic
Date: 9/29/2008 1:00:51 PM
Comment:

Proton Beam for Prostate Cancer Comment:
Should not be approved for:
1) Since the beam is not aimed daily, it is made
larger therefore increasing damage to surrounding
tissue. Less expensive IMRT or Seed implant does
not have th   More...



Commenter: Pennington, Anita
Title: Health Policy Administrator
Organization: American College of Radiology
Date: 9/29/2008 4:30:11 PM
Comment:

The American College of Radiology (ACR),
representing over 32,000 diagnostic radiologists,
interventional radiologists, radiation
oncologists, nuclear medicine physicians and
medical physicists are pleased to submit comments
in   More...



Commenter: Smedberg, Paul C.
Title: Director, Policy & Public Affairs
Organization: American Society of Nephrology
Date: 9/30/2008 11:05:28 AM
Comment:

American Society of Nephrology
1725 I Street, N.W., Suite 510
Washington, DC 20006


September 28, 2008

Steve Phurrough, MD, MPA, CPE
Director, Coverage and Analysis Group
Office of Clinical Standards and Quality
Ce   More...



Commenter: Waxler, Allison
Title: Senior Manager, Health Policy & Practice
Organization: North American Spine Society
Date: 9/30/2008 4:17:42 PM
Comment:


September 28, 2008


Kerry N. Weems, Acting Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1385-FC
Mail Stop: C4-26-05
7500 Security Blvd.
Baltimore,    More...



Commenter: Ofman, MD, MSHS, Joshua J.
Organization: Amgen Inc.
Date: 9/25/2008 11:00:00 PM
Comment:
Amgen Inc. (Amgen) is writing regarding the
Potential National Coverage Determination (NCD)
More...


Commenter: Ofman, MD, MSHS, Joshua
Organization: Amgen, Inc.
Date: 9/25/2008 11:00:00 PM
Comment:

Dear Dr. Phurrough:

 
Amgen Inc. (Amgen) is writing regarding the
Centers for Medica   More...


Commenter: Yaross, Ph.D., Marcia S.
Title: VP, Clinical, Regulatory, and Health Policy
Organization: Biosense Webster, Inc.
Date: 9/25/2008 11:00:00 PM
Comment:

September 26, 2008

Steve Phurrough, M.D.
Director, Coverage and Analysis Group
Centers for Medicare & Medicaid Services
U. S. Department of Health and Human Services
Mailstop: C1-09-06
7500 Security Blv   More...



Commenter: Owens, Jenny
Date: 9/21/2008 11:00:00 PM
Comment:
hi [PHI Redacted] has itp and has been on all kinds of meds she had her spleen removed in may and it didnt help so now we are trying to get on the Nplate , she has to be approved of it . she was diagonosed in february 2008 and bacame   More...


Commenter: Reizes, Mauri
Date: 9/21/2008 11:00:00 PM
Comment:
If you are not to receive this email please forward it to the correct site. I am unable to get to CMS site from my computer.
 
I am the [PHI    More...


Commenter: Dixon, M.B.A., M.S., Thersa K.
Title: Exec. Director, Gov. Affairs & Health Economics
Organization: Advanced BioHealing
Date: 9/24/2008 11:00:00 PM
Comment:

September 25, 2008

Centers for Medicare and Medicaid Services
Steve Phurrough, M.D., M.P.A.
Director, Coverage and Analysis Group
Mailstop C1-09-06
7500 Security Blvd.
Baltimore, MD 21244

Re:   More...



Commenter: Anderson, Jr., MS, RPh, Ernest
Title: President
Organization: Association of Community Cancer Centers
Date: 9/27/2008 11:00:00 PM
Comment:

September 28, 2008

BY ELECTRONIC DELIVERY

Dr. Steve Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Mai   More...



Commenter: Saadi, M.D., M.P.H., Ryan H.
Title: Vice President, Health Economics and Reimbursement
Organization: Cordis Corporation
Date: 9/25/2008 11:00:00 PM
Comment:

September 26, 2008

Steve Phurrough, MD, MPA,
Director Coverage and Analysis Group,
Centers for Medicare and Medicaid Services,
7500 Security Boulevard
Baltimore, MD, 21244

Title: Potential   More...



Commenter: Kozloski PharmD, Gary
Title: Vice President, Medical and Professional Affairs
Organization: Watson Pharmaceuticals
Date: 9/25/2008 11:00:00 PM
Comment:

Watson Pharmaceuticals recommends against a National Coverage Decision pertaining to safety in IV iron treatment.

IV iron has been proven safe1,2 and effective in improving Hb levels and reducing ESA requirements;   More...



Commenter: Zilly, Maureen
Title: Director, Government Relations
Organization: The Medical Imaging and Technology Alliance (MITA)
Date: 9/27/2008 11:00:00 PM
Comment:

September 28, 2008

Steve Phurrough, MD, MPA
Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Mailstop: C1-13-18
7500 Secur   More...



Commenter: Murphy, MD, John
Title: President
Organization: American Geriatrics Society
Date: 9/27/2008 11:00:00 PM
Comment:

September 29, 2008

Centers for Medicare & Medicaid Services
Office of Clinical Standards and Quality
Coverage and Analysis Group
7500 Security Boulevard
Baltimore, MD 21244

RE:   More...



Commenter: Rohan, Barbara
Title: Vice President, Government Affairs
Organization: Smith & Nephew, Inc.
Date: 9/25/2008 11:00:00 PM
Comment:

Steve Phurrough, M.D., M.P.A.
Centers for Medicare & Medicaid Services
Coverage and Analysis Group
Mailstop C1-09-06
7500 Security Boulevard
Baltimore. Maryland 21244

RE: Hip Resurfacing

Dear    More...



Commenter: Kotlarz, MBA, Harry J.
Title: Director, Health Economics and Reimbursement
Organization: DePuy Orthopaedics, Inc.
Date: 9/22/2008 11:00:00 PM
Comment:

September 23, 2008

Steve Phurrough, MD
Coverage and Analysis Group
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Mailstop: C1-13-18
7500 Security Boulevard
Balt   More...



Commenter: Alder, Henry
Title: Director, Health Policy
Organization: Ethicon Endo-Surgery, Inc.
Date: 9/23/2008 11:00:00 PM
Comment:

Henry Alder
Director, Health Policy
4545 Creek Road, ML 90
Cincinnati, Ohio 45242
(513) 337-3201

September 24, 2008

Steve E. Phurrough, MD
Director, Coverage and Analysis Group
Office   More...



Commenter: Arzt, Leonard
Title: Executive Director
Organization: The National Association for Proton Therapy
Date: 9/25/2008 11:00:00 PM
Comment:

September 26, 2008

Dr. Steve Phurrough
Centers for Medicare and Medicaid Services
Director of Coverage and Analysis Group
Mailstop C1-09-06
7500 Security Boulevard
Baltimore, MD 21244

More...


Commenter: Dennis, Sandra
Title: Deputy General Counsel for Health
Organization: The Biotechnology Industry Organization (BIO)
Date: 9/25/2008 11:00:00 PM
Comment:

September 26, 2008

Steve Phurrough, M.D.
Coverage and Analysis Group
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Mailstop: C1-13-18
7500 Security Blvd. More...



Commenter: Calvert, Barbara J.
Title: Director, Medical Products Reimbursement
Organization: Abbott
Date: 9/25/2008 11:00:00 PM
Comment:

September 26, 2008

Steve Phurrough, MD, MPA
Director, Coverage and Analysis Group
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244



Commenter: Horton, M.D., William C.
Title: Professor of Orthopaedic Surgery
Organization: Emory Spine Center, Emory University
Date: 9/25/2008 11:00:00 PM
Comment:

The Adult Deformity Committee of the Scoliosis Research Society (SRS) has carefully evaluated vertebroplasty and kyphoplasty.  We feel both of these techniques have appropriate indications and a detailed assessment of the availab   More...



Commenter: Ofman, MD, MSHS, Joshua J.
Title: Vice President, Global Coverage and Reimbursement
Organization: Amgen Inc.
Date: 9/25/2008 11:00:00 PM
Comment:

Joshua J. Ofman, MD, MSHS
Vice President
Global Coverage and Reimbursement
Global Health Economics

Global Government Affairs
555 Thirteenth Street, NW
Suite 600 West
Washington, DC 20004 <   More...



Commenter: Patel, Parashar B.
Title: Vice President Health Economics & Reimbursement
Organization: Boston Scientific
Date: 9/27/2008 11:00:00 PM
Comment:
Parashar B. Patel
Vice President Health Economics & Reimbursement
One Boston Scientific Place
Natick, MA 01760

September 30, 2008

Steve Phurrough, MD, MPA
Director, Coverage and A   More...



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