The Texas Medical Mafia: Part 1

Spotlight on our nation's largest medical society, the Texas Medical Association

Heads are spinning in Texas following the indictment of general surgeon Dr. Eithan Haim, a recent graduate of Baylor College of Medicine who - with astounding bravery - exposed Texas Children’s Hospital for continuing to perform gender reassignment procedures on children despite assuring Attorney General Ken Paxton and the general public that it wasn’t. Days later, a second, equally courageous, whistleblower stepped up - nurse Vanessa Sivadge witnessed Texas Children’s transgender clinic fraudulently billing Medicaid, miscoding illegal care as something legal in order to receive payment. SB14, a law passed a year ago, prohibits physicians in Texas from providing gender-affirming care to minors. Texas Children’s Hospital apparently found ways around this.

The outcry from state politicians was immediate and caught the attention of Attorney General Ken Paxton, who swiftly stepped in, declaring he was launching an investigation into Texas Children’s. The hospital immediately retreated, taking down its press contact page, calling the cops on a reporter and scrubbing their website’s information of the two doctors implicated in the scandal, Drs. Richard Ogden Roberts and David Paul as well as their entire board of directors.

The response from our elected officials was appropriate and expedient, but at the same time frustrating - the COVID response from our leaders has been far more tentative. Four years later, we are still trying to right the ship. No one has been held accountable, very few politicians will acknowledge the COVID shots are dangerous and should be pulled off the market, and the first hospital in the country to mandate the shots has yet to lose a lawsuit. Like a smoldering burn that will not extinguish, I continue to fight the Texas Medical Board to clear my name. I did not secretly insert hormone pellets into 12 year old girls and bill the taxpayers - instead, I stepped on the toes of two multibillion dollar ‘nonprofit’ hospitals by speaking up against mandates and fighting to protect - through the court system - the medical wishes of a dying man whose caretakers refused to respect his rights.

COVID opened my eyes to a very dark side of healthcare - a side I had seen hints of throughout my career but had managed to avoid. When I decided to take care of COVID patients and buck the establishment, I met the darkness head-on. I accepted the challenge and intend on shining light on the darkness.

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Background

On April 1, 2021, the day HHS announced the launch of its vaccine propaganda machine, COVID-19 Community Corps, and five months before Biden announced the federal employee mandate, Houston Methodist Hospital proudly declared it was setting a precedent - “leading medicine” as they like to say - and mandating COVID shots for all of its employees. At the time, these shots were not FDA- approved and only under EUA status - they had been on the market for less than four months. In June of 2021, the hospital fired 153 employees who refused to comply.

I had many patients confide in me their reluctance to abide by the mandates, voicing concerns about the safety of these new modified mRNA shots. Because my clinic was doing a lot of testing, I saw the breakthrough cases and even reached out to an administrator at Houston Methodist, asking him if he was seeing what I was seeing. My concerns were dismissed.

Ignored by Methodist, I started speaking out on X, daring to tweet “Vaccine mandates are wrong.” In retaliation, Houston Methodist suspended my privileges, declared to the world I was “dangerous,” and reported me to the Texas Medical Board. At the same time, I was asked to help a dying man obtain ivermectin by serving as an expert witness and a consulting physician in his lawsuit against Texas Huguley Hospital. He lost his legal battle and ultimately died, but despite their victory, the hospital reported me to the Texas Medical Board. Nearly three years and over $175,000 later, I am still defending myself against the charges both Houston Methodist and Texas Huguley hospital brought against me.

The backlash against Eithan Haim by Texas Children’s Hospital was more severe than my experience - I am not potentially facing prison time - which I presume is a reflection of the particularly ardent fervor of the ideological movement he has challenged. We were both thrust into the public eye and punished by government authority for honoring the Hippocratic oath over extreme public healthcare policies. Many have asked how such persecution could occur in the seemingly red state of Texas, but I believe these attacks are orchestrated and part of a bigger plan. Healthcare is serving as a Trojan horse to sneak in powerful far-left tenets and change the political landscape of our state. Mandates were just the beginning - the extremists knew if they could get away with mandates in Texas, they could get away with them anywhere. As goes Texas, so goes the country.

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The Changing Demographics of Texas

I live in Harris County, the most populous county in Texas, the 3rd most populous county in the nation, and home to the largest medical complex in the world - the Texas Medical Center (TMC). The TMC hosts 61 hospitals, including the world’s largest children’s hospital (Texas Children’s Hospital) and the world’s largest cancer hospital (MD Anderson.) I’ve wondered what sort of impact this gigantic system has on Texas state politics and decided to dig into the numbers.

Source: https://www.apmresearchlab.org/blog/unequal-counties

Over the last 10 years, Texas’ population has surged. Austin’s population has grown 33%, Dallas and Houston have each grown 20%. Recent figures show from 2021 to 2022, hundreds of thousands of people fled the blue cities of New York, Los Angeles and Chicago to settle in Houston and Dallas.

And where are these people working? In 2022, the top employment sector in Texas was healthcare. Presently, the top position advertised online in Texas is for Registered Nurses.

Healthcare is the number one source of employment growth in the region. At the current growth rate, the area expects to grow to approximately 1,935,146 jobs by 2030, a 23.4 percent growth rate from 1,567,737 positions in 2020.

Houston’s Texas Medical Center is the world’s largest medical complex by several measures: number of hospitals, number of physicians, square footage and patient volume. The TMC employs over 106,000 people, hosts 10 million patient encounters annually, and has a gross domestic product of US$25 billion. Overall, the healthcare industry contributes over $105 billion to Texas’ GDP.

Over the past 10 years, Texas grew its physician workforce at a faster rate than the state’s population; the total number of physicians grew at 2.5 times the population rate. Every year, nearly 2500 first year residents enter Texas to work in teaching hospitals, and this number is growing. From 2021 to 2022, the number of newly licensed physicians increased by 1,300 (24%), from 5,300 newly licensed in 2021 to 6,600 newly licensed in 2022. This is the second highest year-over-year numerical increase for newly licensed physicians in Texas in 40 years.

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The Shifting Politics of Healthcare Professionals

In the last 8 years, health professionals PACs’ contributions to candidates have shifted allegiances; in 2014, the majority of contributions went to Republican candidates but over the ensuing 8 years, healthcare PACs have shifted their money to the Democrats. [Source: OpenSecrets.org]. Though donations were down significantly to both parties, 2023 saw a shift back towards Republicans

2014: $15,429,353 to Republicans vs. $10,597,508 to Democrats

2018: $13,819,441 to Republicans vs $10,949,985 to Democrats

2020: $10,839,418 to Republicans vs $10,784,919 to Democrats

2022: $9,932,381 to Republicans vs $11,163,321 to Democrats

2023 $7,045,496 to Republicans vs $6,497,799 to Democrats

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The Texas Medical Association

The Texas Medical Association (TMA) is the nation’s largest medical society and claims to be the strongest voice for physicians in Texas. With over 57,000 members, approximately 80% of Texas physicians belong to the TMA. In 2022, they collected over $16 million in membership dues. Historically, TMA has been pro-physician and pro-patient, a group designed to help individual and small groups of doctors and their patients stand up against large hospitals and insurance companies. Lately however, their public health policies, legislative priorities, candidate endorsements and donor lists suggest otherwise.

Since 2010, the majority of funds raised by the TMA have supported Republicans, but in 2024, 50% of donations went to Democrats, including vaccine crusaders and mandate enthusiasts Reps Julie Johnson and Jasmine Crockett.

The two biggest line items on the TMA foundation’s “Program Service Accomplishments” in 2022 were “Diversity and Medicine Scholarship” for $179, 514 and “Vaccine Defend What Matters” for $106,021.

TMA Supports Mandates

Dr. Jimmy Widmer, head of TEXPAC, the political arm of the Texas Medical Association, testified against the Texas COVID-19 Vaccine Freedom Act and SB 177, a bill allowing individuals to reject the COVID-19 shots based on informed consent.

Pediatrician Dr. Valerie Smith wrote opposing testimony to Texas Senate Bill 29, prohibiting government vaccine mandates, mask requirements, or private business or school closures to prevent the spread of COVID-19:

In a TV interview, Dr. Smith recommended universal masking in schools. As part of TMA’s COVID-19 Task Force, she helped craft the following COVID propaganda:

The TMA has written policies supporting universal flu vaccines and removing parents’ right to refuse vaccinations for their children.

At their last annual meeting on May 5, 2024, Dr. Ori Hampel, a urologist in Houston, proposed a policy opposing mandates for any and all medical interventions. The majority of the 500 TMA delegates voted this measure down, signifying that the largest medical association in the country believes the government should have the authority to force Texas citizens to undergo a medical intervention.

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TMA Supports Gender Transitioning Treatment for Minors

SB14, Prohibiting Gender Transitioning Procedures and Treatments for Minors, passed and was signed into law but was opposed by TMA. Claiming to represent all 55,000 physicians in Texas, Dr. Linda Villarreal, President of Texas Medical Association, and Dr. Charleta Guillory, President of Texas Pediatric Society, sent a letter to Attorney General Ken Paxton opposing “the criminalization of evidence-based, gender-affirming care for transgender youth and adolescents.”

TMA’s policy outlining gender affirming care for minors was crafted in 2021 by a small coalition of LGBQT activists - Drs. Brett Cooper, Shanna Combs, Emily Briggs, and Maria Monge.

TMA opposes “conversion therapy” meaning “any form of talk therapy or similar activity that seeks to break down a person's sexual attraction or  gender identity. Attempts may also be made to force an attraction to the opposite sex, or identification with recorded birth sex.” The language of the TMA’s policy on gender affirming care for minors is purposely confusing but amounts to supporting gender transitioning through medical interventions in minors and opposing therapy that might change their mind.

One of TMA’s strongest proponents of transitioning minors is Dr. Maria Monge. Until recently, she was the director of adolescent medicine at Dell Children’s Medical Center in Austin Texas but departed after Attorney General Ken Paxton announced an investigation into the hospital for illegal performance of gender transitioning procedures on minors. Of note, every doctor in the adolescent medicine department at Dell Children’s Medical Center left the hospital following Ken Paxton’s announcement.

Dr. Monge developed her extreme views while training at Boston Children’s adolescent care program. She now runs an independent practice in Austin. A source who knows her told me she is passionate about providing gender affirming care.

In 2021, the TMA passed a resolution opposing criminalization of gender modification treatments on minors.

According to a former leader within the TMA, medical students were used as a Trojan horse to introduce this legislation. TMA culture is one of head-patting and giving leeway to medical students, and despite only comprising 12 of the 500 delegates, the medical student section submitted 40 resolutions last session. Audio transcripts from a LGBTQ section meeting on January 28, 2022 attended by Dr. Brett Cooper, Sealy Massengill, Shanna Combs, Emily Briggs and John Carlo demonstrate how a small group of activists from different groups within the TMA can strategize to push through controversial policy. Dr. Sealy Massingill, CMO of Planned Parenthood said “And we get those two things tagged in there. That would be outstanding, but again, you need the right Trojan horse to bring that in…. Shanna [Combs], just putting the text isn’t the worst idea ever, it'd be easier and potentially less problematic for to come find the right Trojan horse, that'd be the best way to do it.” The group knew if the policy had come directly from the LGBTQ section there would have been more pushback, so they arranged for the medical students to introduce it and sneak it in.

Dr. Emily Briggs, part of TMA’s COVID-19 Task Force and a LBGTQ section leader, was instrumental in forming the original gender affirming care for minors policy out of the Committee for Child and Adolescent Health. She runs a full-spectrum family practice in New Braunfels, TX

The members of TMA’s LBGQT group knew the importance of getting the right language into policy in order to force the TMA advocacy team to action. Sealy said, “All y'all are exactly right, this allows…actually forces the advocacy staff to say we have a position. Now whether they will or won't care, do we have a position as they didn't, a lot during the last session is going to depend on how much we PRESS them to take a position. And that's why Council on Legislation chair, that's an important position, why the advocacy, vice presidents are such an important position, we got to keep pressuring them to do the right thing is pretty clear they don't always want to do the right thing. This came up in the last in the special sessions, as John Carlo, and his role as chair of Council on Legislation asked about is the TMA didn't actually have policy. So there was nothing that our Council on Legislation could take to the Capitol. That's why this is needed.”

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TMA Joins Forces with Lambda Legal

Doe v. Abbott is a lawsuit brought by a family investigated by the Texas Department of Family and Protective Services (DFPS). Abbott directed them to investigate parents seeking medical care for minors with gender dysphoria. Texas Medical Association filed a friend-of-the-court brief in support of the plaintiffs (March 10, 2022.) “TMA supports physician efforts to provide medically appropriate therapies relating to gender identity and opposes efforts to criminalize evidence based, gender-affirming care for transgender youth.” The lawsuit is pending appeal before the Third Court of Appeals.

Doe v Abbott is backed by Lambda Legal , the ACLU and Baker Botts. Lambda Legal was started in 1971 to advocate for gay rights. The firm has grown to twenty attorneys and is financially backed by George Soros. With assets estimated over $16 million, Lambda Legal has expanded to become active in transgender cases, notably ones involving minors. Another minor gender modification case they backed, Loe v Abbott, challenging SB14, was shut down by the Supreme Court of Texas on June 28, 2024.

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One Physician Fights Back

During their last annual meeting, May 5, 2024, Dr. Michael Ready, a neurologist in Temple, Texas, submitted a proposal to change the language of TMA’s guidelines from “gender-affirming care” to “evidenced-based care.” Of all the resolutions proposed, this one stimulated the most pushback, inciting a storm of LBGQT TMA activists to submit written testimony in opposition. His efforts really didn’t stand a chance - nearly 80% of the 500 delegates voted against this resolution and it was easily struck down.

Opposing testimony was submitted by Drs. Lindy McGee, Brett Cooper (on behalf of the LGBTQ Section), Benjamin Lee (on behalf of the Council of Science and Public Health), Shanna Combs, John Carlo, Celia B. Neavel (on behalf of the Behavioral Health Committee), Kelly Ann Bennett and Mr. Jon Roth (on behalf of Dallas County Medical Society).

Only two physicians supported the resolution - John R. Asbury, MD and Vivek U. Rao, MD (on behalf of the Lone Star Caucus - Lone Star Caucus is the caucus of all the small counties and towns in Texas and makes up approximately 40% of caucus strength at TMA.)

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Meet the Activists

Dr. Lindy McGee is an assistant professor of pediatrics at Baylor College of Medicine with Texas Children’s Hospital and serves as chair of the Committee on Child and Adolescent Health at Texas Medical Association. She is a vaccine enthusiast, sitting on the board of The Immunization Partnership, a Houston-area organization that promotes vaccines, and recently presented at UT Southwestern’s Pediatric Ground Rounds, “Anti-Vaccine Rhetoric and the Threat to Routine Childhood Immunizations.” In an article published on TMA’s website titled “Getting Another Shot: Physicians Combat Post-COVID Vaccine Hesitancy,” McGee states, “Increased skepticism about childhood vaccines has been encouraged by anti-vaccine forces.” McGee fears it will be used to convince lawmakers to weaken requirements that schoolchildren be vaccinated. 

Her written testimony to the TMA from May 2024 demonstrates her support for allowing minors to sexually transition.

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Dr. Brett Cooper , Assistant Professor in the Department of Pediatrics at UT Southwestern Medical Center, specializes in adolescent medicine, including puberty consultations and LGBTQ health.

In his written testimony to TMA, Dr. Cooper wrote, “Just because the legislature decided that they know how to practice medicine better than we do doesn’t mean we should remove our support of the ability to provide ALL evidence-based care.”

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Dr. Benjamin Lee is Associate Professor in the Department of Pediatrics at UT Southwestern Medical Center and a member of TMA’s Infection Control and Health Information Management committees. He served as past chair of the Committee on Child and Adolescent Health and is the current chair of the Council on Health Promotion within the Texas Medical Association.

Dr. Lee also proposed a resolution supporting transgender youth participation in sports. This was fully supported by TMA’s Committee for Child and Adolescent Health and LGBTQ section but did not pass thanks to the efforts of former Board of Trustees member Dr. Lisa Erlich and the TMA’s Council on Science and Public Health.

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Dr. Shanna Combs is an assistant professor in Pediatrics and Adolescent Gynecology at University of North Texas Science Center, is chair of the Women’s Section of Texas Medical Association and vice-chair of Tarrant County Medical Society. A former leader in TMA told me she was reprimanded by a hospital for performing gender affirming care on minors.

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Dr. John Carlo is a public health activist and board member of the Texas Medical Association. He served on TMA’s COVID-19 Task Force, chaired the Texas Public Health Coalition, the Councils on Science and Public Health, Legislation, and Socioeconomics and is a delegate to the American Medical Association. John Carlo trained as a general surgeon but supposedly did not complete his residency and is not board certified in general surgery. He is CEO of Prism Health, a company that focuses on HIV and transgender care and accepts Medicare and Medicaid. He is reported to be pro-mandate, pro-mask, pro-vaccine, pro-lockdown and a prominent member of TMA’s COVID-19 Task Force.

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Dr. Celia Neavel is co-chair of TMA’s Behavioral Health Committee and the medical director for the Center for Adolescent Health at People’s Community Clinic in Austin.

Dr. Neavel holds the belief that transitioning minors prevents suicides, writing “The Committee on Behavioral Health (CBH) is against Resolution 326. CBH stands by the original TMA policy 260.139 on Gender-Affirming Care, as this is rooted in evidence-based and patient-centered care practices. CBH affirms support for TMA policy 260.139 which was approved by the House of Delegates. TMA policy 260.139 contributes to improving the mental health and reducing suicide risk of transgender patients.”

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Dr. Kelly Ann Bennett, chair of TMA’s LGBQT Health Section, is an associate professor in family medicine at the Texas Tech University Medical Center in Lubbock Texas.

Dr. Bennett leaned on WPATH in her testimony opposing Dr. Ready’s resolution.

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Mr. Jon Roth, CEO of the Dallas County Medical Society, also opposed Dr. Ready’s resolution.

Mr. Roth replaced outgoing CEO of Dallas County Medical Society Michael Darrouzet after Darrouzet was promoted to become CEO of TMA in 2019. According to a former leader within the TMA, Mr. Darrouzet is the impetus behind the deviation in TMA’s mission from protecting the physician-patient relationship to embracing extreme left-wing public health policies. Darrouzet set TMA on a new trajectory and has been quoted as calling physicians who disagree with this trajectory as “rogue.” Mr. Darrouzet has been accused of bringing Washington DC politics and AMA values into the Texas Medical Association, clouding a vision that previously had been clear.

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TMA Opposes Free Speech

In 2023, the TMA Board of Trustees created a ‘medical disinformation’ policy. Apparently my name was brought up multiple times during the committee meeting drafting this policy.

The ringleaders for this resolution were pediatricians Dr. Jason Terk and Dr. Valerie Smith - both members of TMA’s COVID-19 Task Force.

Dr. Jason Terk was on TMA’s Committee for Science and Public Health the past two years and reportedly targeted me and other physicians who had the courage to speak out against mandates. In an interview with KevinMD, Terk recounts how one of his patients infected his father with COVID. The implication was that both the son and the father not being vaccinated were to blame for his death - he made no mention of early treatment or comorbidities.

TMA is a member of a group called “Shots Heard,” an organization describing itself as “a rapid-response digital cavalry dedicated to protecting the online safety of health care providers and practices.”

During the pandemic, members of Shots Heard encouraged the public to report me and other physicians to the medical boards. Here’s an example where TMA member and Houston pediatrician Dr. Christina Propst spurred other members to make fake claims against me to the Texas Medical Board:

I reported this action of Dr. Propst to the medical board, but the board declined to investigate, admitting they don’t regulate speech.

When I posted TMA’s evidence of membership in Shots Heard on X, TMA responded by blocking me. I’ve sent them numerous emails asking for explanation that have all remained unanswered.

Despite the fact that the TMA is part of a group trying to take me down, I am forced to pay them $810 in annual dues. If I don’t, I lose my malpractice insurance with TMLT - an option I don’t have since I am in the midst of defending myself against the medical board.

TMA and TMLT have an intimate relationship - the chair of TMA’s Board of Trustees, Dr. Joseph Valenti is also on TMLT’s Board of Trustees. TMLT has a virtual monopoly for medical malpractice in Texas, and TMA enables the monopoly in two ways. First, it obstructs competitors from representation at their annual meeting. Medpro allegedly offered one million dollars to have a booth and was denied - other competitors have been subjected to the same stacked deck. Second, a condition of having insurance with TMLT is membership with TMA. Valenti was witnessed celebrating this requirement, calling it “golden handcuffs” for Texas physicians.

Gynecologist Valenti is a regular donor to Democrats - he is particularly fond of Rep. Julie Johnson who is very vocal about her views on abortion.

The three most powerful leaders of TMA sit on the board of the Physician’s Foundation - TMA Board of Trustees chair Dr. Joseph Valenti, TMA’s CEO Michael Darrouzet and TMA’s COO John Dorman. The Physician’s Foundation financially supports medical associations across the state and in 2022, gave $450,000 to Weill Cornell Medical College.

Houston Methodist is also friends with Weill Cornell Medical College. From Methodist’s website: “Houston Methodist is affiliated with Weill Cornell Medical College and the Weill Cornell Graduate School of Medical Sciences of Cornell University. The educational programs at Houston Methodist are coordinated by the Academic Institute, under the leadership of Houston Methodist Academic Institute president H. Dirk Sostman, MD, FACR, Research Institute president and CEO Edward Jones, and Education Institute director Timothy Boone, MD, PhD. It is advised by a council of chairs of the academic clinical and research departments.”

I’m curious why TMA and first hospital in the country to mandate the COVID shots are both so closely connected to Weill Cornell.

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Only a handful of physicians within the TMA have been brave enough to publicly stand up to the left-wing public health activists. Trying to reframe a failed Free Speech resolution he had written a few years before, Dr. Michael Ready, backed by the Lone Star Caucus, made waves again when he submitted the following resolution at last May’s TMA meeting:

Dr. Ready was motivated by what he had perceived as self-censoring of physicians (primary in response to DEI programs - as a recent study has shown that free speech is suppressed or goes down in the presence of DEI programs). 

A dermatologist from Tyler, Texas, Dr. Laura Haygood, submitted testimony in favor of the proposal, but her support was overshadowed by that of the Harris County Medical Society, who rejected the proposal. The measure was struck down.

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TMA Ignores SB14

Despite the Texas law against gender transitioning care for minors, TMA offered a CME course on transgender care at their annual meeting on May 5th. Activists Brett Cooper, Emily Briggs and Sealy Massingill were part of the team that presented this talk.

The talk encompassed care for adolescents and children.

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Impact on State Policies

Texas does not have a state Surgeon General. During the pandemic, Governor Abbott relied on Texas Department of State Health Services (DSHS) commissioner Dr. Hellerstedt, who spoke of his close relationship with TMA.

 “We had daily discussions with TMA,” in coordination with the association’s COVID-19 Task Force, he reflected. “They were a great resource for getting out information to other physicians. It was extremely helpful to have that [coordination] and be able to have regular in-depth conversations with medical professionals.”

Prior to his DSHS term, Dr. Hellerstedt served as a consultant to TMA’s Council on Public Health.

Dr. Hellerstedt was eventually awarded with the Texas Hospital Association’s THA Trustee Award - the highest honor given to someone not directly involved in hospital management. The THA commended him for “wearing a mask and becoming one of the first Texans to become vaccinated against COVID-19….During industry-wide calls to address the pandemic, Dr. Hellerstedt made sure the needs of hospitals were amplified as the state public health team worked to respond.”

Here he is receiving the award with Dr. Marc Boom, CEO of Houston Methodist Hospital:

Current DSHS commissioner Jennifer Shuford, MD, who was front and center during TMA’s COVID Task Force meetings, spoke of the chemistry between TMA and the public health agency:

“TMA has been an extraordinary partner during my time as commissioner.”

Shuford served as consultant to TMA’s Council on Science and Public Health and Committee on Infectious Diseases and recently attended TMA’s Leadership Conference in January to address the state’s syphilis epidemic. 

“The benefit is mutual, and I can say that having been a member of TMA before [becoming commissioner]. Seeing everything that they can do to improve the lives of patients through public health is great.”

“I had no idea they [TMA] were such an advocate for public health until I was in this role.” 

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Setting Precedents for the Rest of the Country

Texas has become the testing ground for far left public health policies - I believe Houston Methodist was strategically chosen to be the first hospital in the country to mandate the COVID shots. By pulling off mandates in the largest freedom-loving Republican state in the country, Houston Methodist proved mandates can happen anywhere. And by targeting me - a solo physician inconsequential to their revenue stream - they sent a strong message to other physicians who might have wanted to speak out. TMA was part of that effort.

The largest medical association in the country is being led by extremists who embrace mandates, censorship and gender transitioning of minors. As evidenced at their last meeting, the majority of delegates within the TMA also embrace these tenets.

TMA has lost its way and should be dismantled. TMA’s close relationship with the largest malpractice insurance carrier in the state should prompt an anti-trust investigation.

In subsequent chapters, I will look at the politicians working with TMA and other institutions making up the Texas Medical Mafia. Please subscribe and send this to your legislators.