FAQs
What’s wrong with corporations practicing medicine?
Only state-licensed individuals can practice medicine. But, when a corporate entity gets between the doctor and patient decisionmaking or safety, for example, that’s CPOM. States have varying degrees of anti-CPOM laws and loopholes. Many of these laws are very old and need a refresh, like Oregon has done, to catch up with years and years of MSO attorneys’ shenanigans.
The reason for these laws should be obvious. The sacred relationship between a sworn doctor and their patients is too easily corrupted by outside owners with a fiduciary priority. This is where anti-CPOM laws began in the first place over 100 years ago.
Judge Kasubhai sums it up well: “Dr. Chapman and Patel made a very conscious choice to try and deceive this court.” “I don’t doubt Dr. Chapman wants to do good [in] the world. But the business model got in the way…they lost sight of what mattered.”
What’s the playbook?
MSO’s will sometimes use complicated corporate structures and paper owners to provide “plausible deniability,” to use Judge Kasubhai’s words, that the intent of states’ anti-CPOM laws are not being violated.
Why PACPOM?
Management Service Organizations (MSOs) are corporate entities driving the consolidation of healthcare delivery. Certain large business models have been harming patients by inserting themselves between an individual and their physician.
The anti-corporate practice of medicine doctrine was established in the Gilded Age, when robber barons and con artists bilked desperate patients willing to pay anything for hope. Despite capitalism’s many contributions to civilization, the sacred relationship between a patient and their doctor—who’s ethically bound by their oath—must be protected from corporate interference and with strong guardrails. Finally, states have begun updating their century-old legal doctrines prohibiting the corporate practice of medicine. They are closing loopholes that MSOs have exploited for decades.
In 2026, Oregon’s new protections went into effect. When an out-of-state MSO tried running its usual playbook there, it was taken to court and run out of town.
Outside of Oregon, MSOs continue stepping between physicians and their patients in the other 49 states—using what Oregon federal judge Kasubhai described as a “shellgame” and a “playbook” executed “with a handshake and a wink.” Now that it’s outlawed in Oregon, help us outlaw it in your state by first holding the perjuring doctors who tried to run this scam in Oregon accountable.
Dr. Glaucomflecken breaks down the playbook.
How can I contact you?
We’re a virtual grassroots organization for organizing citizen voices and shielding speakers’ identities from reprisal, on request. We can be reached at info@PACPOM.org. Also follow us on Facebook and X.
What’s next?
Wherever the principles prohibiting the corporate practice of medicine are violated, PACPOM will be there to notify the local community and organize campaigns to close the loopholes, state by state.