Vital Times 2020 - 16

governance, the House declared a recess early,
after only approving elections and some consent
calendar items. Thus, the HOD did not act on several
issues of concern to the organization, including the
following:
1.	 A statement on distraction in the OR. The
reference committee report with suggested
language can be found here.
2.	 A statement on the environmental sustainability/
compatibility of anesthetic practice, especially
with regards to the green house effects of some
of the inhaled anesthetics. This was part of the
Ethics Committee's documents, and discussion at
the BOD meeting in August felt that this belonged
elsewhere. This is not the first time this year that
this topic has been discussed by CSA members.
Earlier this year, a CMA resolution was proposed
by a non-anesthesiologist without involving the
CSA. The Reference Committee report, including
proposed changes from the Western Caucus, can
be found here.
3.	 A statement on fatigue in the OR. This was
probably the most contentious issue. The
reference committee can be found here.
The issues discussed passionately included
physicians who are genuinely concerned that
fatigue creates impairment in anesthesiologists,
and if a strong position on the issue is not taken
by the ASA, outside regulatory agencies will do so
(this exact situation happened with airline pilots).
Several members expressed appropriate concern
about creating a restrictive statement that will
place anesthesiologists at risk if they are needed
to work after call.
A date for the ASA House of Delegates to resume
deliberation on these important issues was
rescheduled for Sunday, December 13. You can find
this update at the end of the report.

16 |

CSA Vital Times

Budget and Finance
The ASA is a membership-driven organization and
normally receives financial benefit from the Annual
Meeting. Since many of our ASA members are under
financial stress because of the COVID crisis, there is
concern about the forward-looking financial health
of the organization. While the ASA is currently
financially healthy, with over 70 million dollars in
reserves, the ASA is looking to cut costs where it can
and consider other sources of non-dues revenue.
The ASA BOD did approve a 2021 budget of 46 million
dollars, which includes a deficit of 3 million dollars.

Advocacy
At the annual ASAPAC donor's lunch, Charlie
Cook gave a great analysis of the current political
environment and the upcoming election.
California was recognized for our win in the Day of
Contributing Challenge with the most money raised
in one day for ASAPAC (107,000 dollars). However,
Texas held on to the Alabama Cup for the second
year in a row, with the most dollars raised throughout
the year (Texas raised 193,806 dollars and California
came in a very respectable second at 170,173
dollars). Thank you to all who supported ASAPAC!
On the issues front: ASA rolled out their review of
the Medicare payment inequity situation, which was
authored in part by former CSA President Jonathan
Pregler, MD, and can be accessed here. The ASA is
aware of the importance of this issue to members,
and is putting as many resources as possible into this
fight. Many of the surprise billing pieces of legislation
use Medicare as a benchmark, and with the possibility
of Senate and White House changing parties, there is
a real possibility of Medicare for all or Medicare for
more.



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