AACU Founding President Charles A. Hoffman, MD

Charles A. Hoffman, MD.“The state of mind of most physicians today is one of profound disquiet. This grows out of the threat we feel each day to our profession. Almost daily there are new infringements on the way we practice — intrusions by government and other third parties. Almost daily there are attacks on our methods of practice, on our methods of payment, even on our motives and our life styles. All too often these attacks are not given fair tests for accuracy and truth. And always there hangs over us the looming specter of a massive government program — undefined at the moment and doubly disconcerting because of this uncertainty.”

AACU Founding President Charles A. Hoffman, MD, in his inaugural address as President of the American Medical Association, June 21, 1972, San Francisco, Calif.

(House of Delegates Proceedings, Annual Convention, Volume 1972, Issue 000, Pub. Date 1972, pp. 23-28)

The birth of the American Association of Clinical Urologists in 1968 was preceded by a gestation period of several decades of growing concern by American urologists. To understand its relationship to the AUA and to appreciate its origin and subsequent development, one needs to know a bit about the socio-economic and political atmosphere of the period that preceded 1968. In developing this history the Historian, in addition to his personal records and memories, relied heavily on written recollections of the Past-Presidents of the AACU as well as the minutes of meetings preserved by the various previous Historians.

Charles Hoffman and Russell Carson invited the AUA Section Presidents and some others who had similar concerns to a breakfast gathering to be held during the AUA 1968 Miami Meeting. The purpose was to explore the founding of the American Association of Clinical Urologists.

The concept was a 501 c.6 organization whose mission would be to provide information about issues affecting socioeconomic and political spheres of our profession, and to influence directly the resolutions of those issues by providing one-on-one communication between urologist and legislator in order to assist in the development of suitable legislation in the best interests of private clinical patient care. The socio-economic and political purpose always was to complement the AUA, not to compete with it.

The answer was as simple as a basic logic syllogism: if A is related to B, and B is related to C, then A is also related to C.

There was a "Need" for urologists to be active politically, political action required a special 501.c.6 organization separate from the AUA.

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History of the American Association of Clinical Urologists (1968 - 2001)
Harry C. Miller, Jr., MD; Emeritus Professor & Chair; Department of Urology; The George Washington University School of Medicine & Health Sciences; Washington, D.C. 20037

Legislative Priorities
  • Proper Implementation of MACRA

    Urologists support the goals of Medicare payment reform, but Congress must monitor its implementation to ensure that the intent of MACRA is fully realized and preserved.BackgroundIn April 2015, Congress passed, and the president signed into law, the Medicare Access and CHIP Reauthorization Act (P...

  • Repeal the Independent Payment Advisory Board

    Urologists urge Congress to repeal the Independent Payment Advisory Board (IPAB). We urge Representatives to cosponsor H.R. 849. We urge Senators to cosponsor S. 251 and S. 260. Each of these measures would permanently repeal the IPAB.Take ActionSend an email to Congress, requesting support for H...

  • Support Transparency and Accountability for USPSTF

    Urologists urge Congress to support legislation that promotes greater transparency and accountability from the U.S. Preventative Services Task Force (USPSTF).  We urge representatives to cosponsor H.R. 539, the “USPSTF Transparency and Accountability Act of 2017”.Take ActionSend...

State Advocacy
  • Fair Contracting and Medical Practice Freedom

    Where We Stand Ensure openness and fairness in health care provider contacts. Prevent third-party payors from changing the terms of their provider contract without notice to the provider and without the consent of the provider. Ensure that physician licensure is based upon a physician's...

  • Medical Liability Reform — Expert Witness Qualifications

    Strengthen expert witness standards Ensure that expert witness is from the same specialty as the defendant physician Prevent frivolous lawsuits Improve the practice environment for physicians in your stateWhenever a physician’s conduct is being called into question, it is only fair...

  • Prostate Cancer Awareness & Assessment

    Where We Stand Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing. Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician...

  • Uniform Prior Authorization for Prescriptions and Health Services

    Where We Stand Prior authorizations cost the health system $728 million in 2012. Prior authorization requests must use a single form, no more than two pages in length. Forms must available for both access and submission electronically. Requests are deemed approved if no response is...

  • Work Force — Scope of Practice

    Where We Stand Allow the maximum patient-to-physician ratio to increase based on the number of physician assistants in a practice. Expand the ability of nurse practitioners and physician assistants to supervise medical assistants when doctors aren’t on the premises.Proactive Physician...

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