Friday, February 5, 2010


Dix On How to Fix Haiti

Psst, Commies, don't you think that talk of "revolution" in a country that has been undone by natural disaster, Totalitarianism, black on black slavery, and insidious invasion of Communist doctrine is a, um, bit inappropriate?

You just have to hand it to Communist instigators; they are consistent, tortuous liars, irrespective of the facts on the ground.

Haitians have been beset with insurmountable horrors and Carl Dix of the Revolutionary Communist Party, U.S.A., can only bring himself to nit-pick at America's past shortcomings. What do Hatian's need? They need a Communist revolution, he says.

Pardon me, Comrade, Haitians do not need  a communist tear-it-all-down revolution in an effort to construct  an "international socialist society."

The propaganda poster above and to the left provides a sense of what Carl Dix has in mind for Haiti: in fact their undoing has long been in the process with Marxist, Aristide, acting as the chief hatchet man. The poster's message does not bring to mind Christ the King.

Conversely, the poster reminds us that Communism and communist-inspired destructive forces will continue to tear down Haiti. Nature's Creator is speaking Comrade Dix, it's time to listen while you can.

Judging from history, Haitians must concentrate on the creation of  a Haitian society which will both launch them into the twenty-first century, and give them a unique sense of self, built on self-respect and, Comrade Dix, an abiding faith in God, minus, voodoo, black magic, drugs and instigators of all stripes.   

When the dead are all buried and the homes are rebuilt, Haitians, I hope, will take time to reflect on the footpath they have chosen. If they are honest, they will have to acknowledge that they have been cheating on the One, True, God for several hundred years, with the help of Tyrants and Tyrant wannabes, who want to keep them uneducated and subject to fearsome Gods and Witch Doctors.

Maybe as a people they are in the process of becoming a unique people, in need of the fine-tuning, to which we are all subject. I doubt, though, that God intended them to become mindless, godless, communist bureaucrats.

It's a good bet that Haitians primarily need to grow a  fact-based identity that is not chained to a superstitious pagan past, allowing them to claim perennial victimhood. 

We all come from pagan ancestors who at some point, when confronted with the Triune God, discarded their false entities and grew, while keeping remnants of their ancient past.  We are all thus provided with a rich library of quaint fables and Metaphors, which serve to remind us of our child-like beginning.

As for pagan ancestors, each night I ask God to bless them and show mercy on the day of the final judgment for their having discovered, accepted and passed on the teachings of the true Catholic faith, wherein Christ is King.



(Some of us finally got it right!)

James 2:8  If then, you fulfil the royal law. according to the scriptures, Thou shalt love thy neighbour as thyself; you do well. Holy Bible (Douay Rheims Version)

To the world at large: this statue depicts the real life drama of a homeless boy who made his way to Father Flanagan's, Boy's Town.  His reply to the priest's concern was: "He ain't heavy Father he's my brother." The rest is history.

Thursday, February 4, 2010

THE DEVIL'S FINAL BATTLE: Ignore This Book at Your Peril

May you have eyes that see and ears that hear!

Click http at bottom of page

Ignore the will of heaven to appease the Vatican II Crowd?

Non Possumus!

Authors Note: When others have worthwhile things to say I move over. This woman poured her heart out for our benefit to the Fatima Network. Let us consider her experiences with charity and resolve to push back against the forces that have kept the faithful in the dark.

To our shame the reader's experiences are encountered  everywhere. For those who denigrate and dimiss us as "Fatimists" beware! We pray for your enlightenment for the sake of your souls. However, the burden of speaking on behalf of God falls to all of us. We cannot be silent. C. F.

The Devil’s Final Battle

"Let me say first that what you are doing takes great courage and a great love for God, His Word, His teachings and the souls of mankind. You have chosen the right course, the correct course, but certainly not the easy course. I will pray daily for you as I now pray daily for your mission, the mission of Our Lady of Fatima (to defeat Satan and to save souls), and for our beloved Church which no longer looks like the Church Jesus established.

"Your book, The Devil’s Final Battle, came as a lifeline to me at a time when I had been praying for understanding. I was confused and sad and I felt lost in our Church. I felt sure our pastor was teaching a wrong message and leading souls to hell but was made to feel as though I was the one teaching the wrong message (I was teaching 7th grade CCD at the time). I went to the bishop and found no help there and I began to wonder about the bishop, although my talk with him wasn’t very clear. Then I began to wonder if perhaps I was paranoid.

"You see, I left the Catholic Church when I was 16 (in 1959). My parents divorced and I went to live with my mother. She left the Catholic Church and went to some non-denominational church and I tagged along. For a very long time I was confused and guilty because "out there in the world" there were (are) no rules and I could do pretty much what I wanted to do without it being considered a sin. For a 16-year-old, this was enticing (perhaps age has nothing to do with that) and although I went along with the program (leaving the Church) I felt profoundly uncomfortable.

"So I wasn’t around for Vatican II. And I didn’t come back to the Church until 1999. So I was "missing" for about 40 years, wandering, as it were, in the World. All I wanted when I returned was the loving comfort of my beloved Church with Her teachings and traditions. I had had enough of the World and its ways. And when I first came back to the Church, I thought it was the same for a while because I was still following the "old ways." But then a few things happened.

"There was an announcement after Mass one Sunday calling for people to teach CCD and I literally felt pulled to volunteer. My life was already packed full with a husband, three children, a full-time "job" and if that doesn’t sound like a lot, let me tell you it is. But this was something I really wanted to do so I volunteered and was assigned the 7th grade to teach for 1.5 hours on Wednesday evenings.

"The first year went okay until the last two classes. We used a book that I found unsatisfactory because it was all about becoming a disciple of Jesus but taught nothing about Jesus. It mentioned Jesus and talked about feeding the poor and other good works but never spoke about Jesus’ life, His miracles, or His death and resurrection and what that meant to us.

"So I polled the class and asked them just what they knew about the Catholic Faith and found they knew almost nothing. I was appalled. Where was the richness of the Faith? What happened to the Beatitudes, the Ten Commandments, the real meaning of the Resurrection? They had absolutely no clue why Christ had died in the first place. They didn’t know about transubstantiation. These children were prime candidates for heresies such as "Christ is merely a man," or "the Eucharist is merely bread and water." They had not heard of miracles, nor of Fatima, had no idea of who any of the Saints are, had not heard of Purgatory and didn’t know they should pray for those who had died — that this was a Work of Mercy (a Work of Mercy, what’s that?). And they were absolutely unprotected from Satan because they knew nothing about him, his cunning, his deceptions, his lies and their guard was down. Heck, they had no idea they even had to guard against him.

"Well, bless their hearts, they wanted to know, were excited to know more. So I wove in a movie about Fatima and tapes about miracles — Eucharistic miracles, healing miracles. The children ate it up. They were dumbfounded about Fatima and miracles and I was dumbfounded at how little we had prepared them for the World. At the end of the year, there were two "free" classes and we teachers could use them in any way we wanted. So I finished up about God’s heavenly angels, their Guardian Angel and the host of other "good" angels. My last class was all about Satan and his little band of demons. Well, that one did it. Of course, I was totally unaware I had done something unspeakable.

"I was called into the Director’s office and told she had received several phone calls from angry parents. Why??? Well, I was told any talk about Satan "frightened" the children (I know now this was not the full truth). But how can they protect themselves from him if they don’t know about him and what he’s up to? Lots of double talk from the Director followed, but the bottom line was that somehow I was teaching false doctrine and should stay strictly with the book.

"The following year (my last to teach CCD though I didn’t know it then) I stayed with the book — somewhat — but added in vignettes about the life of Christ. I felt compelled to give these children a tiny drop of the beauty of the Catholic Church, a seed that God could water after they left the class and once they entered the World unarmed. I felt their souls were at stake — and I had no idea at the time what was going on in the Church, the crisis of the Faith. I asked myself if I wasn’t being a bit dramatic and I answered myself clearly that I was not. I felt (feel) very strongly that their souls and those of their families (and the world I now see) were at stake.

"Well, all this confused me. Needless to say, at the end of the CCD year, I was told that "I was not invited to return to teach." I guess I’m one of the first volunteers in history to be fired from a really hard, non-paying job. I was very, very hurt. And I was made to feel that I was some sort of heretic. I was even told by the Director that she had stood outside my closed classroom door listening to what I was teaching. She didn’t hear anything condemning but was certain that I had put my own "spin" on things. When I repeated Jesus’ words to her, words written in the Holy Bible, I was accused to being a Fundamentalist! The priest even told me to "Watch it!" in regard to teaching the 7th graders religion and he said it in such a way that I felt first shocked and then threatened. I began praying for him because I felt the burden for his soul would be so much greater for leading so many souls astray.

"So I knew something was wrong. I just didn’t know what. I didn’t know if it concerned the entire Catholic Church or if it was only the church I was attending or if it had to do with the liberal ways of California which had, perhaps, slipped into Church doctrine. So I started to research. I had a feeling that "something" must have happened at Vatican II because things were fine, clear before that when I was attending church and Catholic school, all prior to 1960. I even bought a tape on Cardinal Suenens who seemed to be very influential at Vatican II. I didn’t like what I saw but I could not quite get a "handle" on what "it" was that was wrong.

"It seemed to me that the problem had to do with Liberalism and that it had somehow infiltrated the Church. I found a truly wonderful book entitled Liberalism is a Sin by Father Felix Sarda Y Salvany originally published in 1899 and reprinted in 1979 and 1989 by TAN books. It contains an Imprimatur from John J. Kain, Archbishop of St. Louis, June 30, 1899. In a nutshell, it seemed to me that liberalism puffed man up to be the "center of the universe," the sole power in charge, and the one best to make his own decisions. Man looks only to himself as the prime maker of rules, the law. In effect, it put man above God, if it, in fact, even recognized God.

"It seemed Modernism had crept in too. After researching Modernism (I knew nothing about it) I think in a nutshell it means that man is now so much more enlightened. We know about science. We are so much more intelligent. Social values have changed. So that means God has to change too to meet the needs of modern man. Or, the Church must change the way in which She relates to modern man by changing Her traditions, rules, laws, doctrine, to meet modern man’s needs. What a disillusionment! It’s a lie sowed by Satan who is the master of deceit and confusion.

"Well, I knew that all this could be stopped if the Pope would just consecrate Russia to the Immaculate Heart. My husband asked me why he hadn’t and I said I thought many of the bishops refused to go along. I thought this horrible because we all answer to the Pope. I couldn’t tell him why or how any priest or bishop could refuse. He is the Vicar of Christ.

"Now, after reading The Devil’s Final Battle, it is far more clear to me, although I still don’t know why the Pope doesn’t just stand up and take the reins that Christ gave to him. Is it because he’s very old, in poor health and weak? But he was young and strong once. Why not then? Is he threatened in some way? After all, Pope John Paul I was alive only 33 days and he was strong and a warrior for Christ. Or is it because he, too, is a good man disillusioned into following the wrong path? I find this last explanation difficult to believe.

"When The Devil’s Final Battle came in the mail, Father, I began to read it and I could not put it down. I went running to my husband shouting, "See, see, this is what it’s all about. This is why things are what they are."

"I finished reading the book in about four days, Father, and the very first effect it had on me was to lead me to prayer. I promised God I would attend Mass every day and offer it to Him along with His suffering for the sins of the world, along with your prayers. I will continue praying for the Message of Fatima to be revealed and for Russia to be consecrated to the Immaculate Heart of Mary. The second thing I did was to start praying the Rosary every day. I just didn’t realize how very serious it all is, how very deep runs the deceptions and evil, and how short the time is.

"And now I worry for the souls of my children and their children. I worry about the annihilation of nations and the fact that so many good souls are slipping into the Abyss. They have been tricked and deceived, and although I realize that at some point they made the decision to follow the "new ways" of the Church, many may have done so unwittingly, without knowing truly what is at stake.

"Padre Pio said, "The Rosary is THE weapon," after the Mass. So these are the first two weapons I have chosen. I am reminded that the pen is mightier than the sword. And it is! I feel strongly, as I am sure you must, that The Devil’s Final Battle must get into as many hands as possible, especially priests and religious. It is one of the most profound books I have ever read and it took tremendous courage on your part to print it. I would like to purchase additional copies that I might start getting it out to several priests in my area and I would also like to send it to the bishop and the Cardinals of Los Angeles and Orange counties. How can I do this? Have you printed additional copies yet?

"I am enclosing your petition with several signatures. I believe the Vatican must be bombarded with paper, tons and tons of paper for God. I feel this message must get out to the World, but the World is slow to hear. I believe they will begin to "hear" with your book. However, many priests and bishops will be angry and resistive. Others will be fearful. I don' t know who will be courageous. But I don' t believe we should worry about that. Just leave that to Our Lady. She will ask Jesus to soften hearts. We need only to do our part.

"Spreading copies of The Devil’s Final Battle to priests, bishops, Cardinals and lay people is, I believe, one of the best ways to wake up Catholics from our 40-year slumber.

I am yours in Christ,

C C, CA"

To see this endorsement with full attribution, click below for other endorsements as well. This is not an advertisement, only a heads-up for the coming battle.


The Words of Excommunication

Is this what Vatican II's, John Paul II, laid on the head of Archbishop Lefebvre and others - who kept and saved the faith? 

Non Possumus!

The saintly Archbishop Marcel Lefebvre

"By the authority of God Almighty, the Father, Son, and Holy Ghost; and of the holy canaons (sic); and of the undefiled Virgin Mary, mother and patroness of our Saviour; and of all the celestial virtues, angels, archangels, thrones, dominions, powers, cherubins and seraphins; and of all the holy patriarchs and prophets; and of all the apostles and evangelists; and of the holy innocents who in the sight of the holy Lamb are found worthy to sing the new song; of the holy martyrs and holy confessors; and of the holy virgins; and of all the saints together, with the holy and elect of God:

"We excommunicate and anathematise him, malefactor, and from the thresholds of the Holy Church of God Almighty we sequester him, that he may be tormented, disposed and delivered over with Dathan and Abiram, and with those who say unto the Lord God, depart from us, we know not Thy ways. And as fire is quenched with water, so let the light of him be put out for evermore, unless it shall repent him and make satisfaction. Amen.  [emphasis mine].

"May the Father who created man, curse him. May the Son who suffered for us, curse him. May the Holy Ghost who was given to us in baptism, curse him. May the Holy Cross which Christ for our salvation triumphing over his enemies, ascended, curse him.

"May the holy and eternal Virgin Mary, Mother of God, curse him. May St. Michael the advocate of holy souls, curse him. May all the angels and archangels, principalities and powers, and all the heavenly armies, curse him.

"May St. John the forerunner and Baptist of Christ, St. Peter and St. Paul, St. Andrew, and all other of the apostles of Christ, together curse him. And may the rest of his disciples and the four evangelists, who by their preaching converted the whole world, and the holy and wonderful company of martyrs and confessors, who by their holy works are found pleasing to God Almighty, curse him.

"May the holy choir of the holy virgins, who for the honor of Christ have despised the things of the world, curse him. May all the saints who from the beginning of the world to everlasting ages are found to be beloved of God, curse him. May the earth, and all the holy things remaining therein, curse him.

"May he be cursed wherever he be, whether in the house or the stables, the garden or the field, or the highway, or in the path, or in the wood, or in the water, or in the church. May he be cursed in living, in dying, in eating, in drinking, in hungering, in thirsting, in fasting, in sleeping, in slumbering, in walking, in standing, in sitting, in lying, in working, in resting, in pissing, in shitting and in bloodletting.

"May he be cursed in all the faculties of his body. May he be cursed inwardly and outwardly. May he be cursed in the hair of his head. May he be cursed in his brains, in his vertex, in his temples, in his forehead, in his ears, in his eyebrows, in his cheeks, in his jaw-bones, in his nostrils, in his foreteeth and grinders, in his lips, in his throat, in his shoulders, in his wrists, in his arms, in his hands, in his fingers, in his mouth, in his breast, in his heart and purtenance, down to the very stomach, in his reins, in his groin, in his thighs, in his genitals, in his hips, in his knees, in his legs, in his feet and in his toenails.

"May he be cursed in all the joints and articulations of his members, from the top of his head to the soal of his foot: may there be no soundness in him.

"May the Son of the living God, with all the glory of his Majesty curse him, and may heaven with all the powers which move therein, rise up against him and damn him unless he repent and make satisfaction. Amen. So be it, so be it. Amen. [Emphasis mine].


"Dominus Marcellus Lefebvre"

From the Office of

the Congregation for Bishops

1 July 1988

Monsignor Marcel Lefebvre, Archbishop-Bishop Emeritus of Tulle, notwithstanding the formal canonical warning of 17 June last and the repeated appeals to desist from his intention, has performed a schismatical act by the episcopal consecration of four priests, without pontifical mandate and contrary to the will of the Supreme Pontiff, and has therefore incurred the penalty envisaged by Canon 1364, paragraph 1, and canon 1382 of the Code of Canon Law.

Having taken account of all the juridical effects, I declare that the above mentioned Monsignor Marcel Lefebvre, and Bernard Fellay, Bernard Tissier de Mallerais, Richard Williamson and Alfonso de Galarreta have incurred ipso facto excommunication latae sententiae reserved to the Apostolic See.

Moreover, I declare that Monsignor Antonio de Castro Mayer, Bishop emeritus of Campos, since he took part directly in the liturgical celebration as co-consecrator and adhered publicly to the schismatical act, has incurred excommunication latae sententiae as envisaged by canon 1364, paragraph 1.

The priests and faithful are warned not to support the schism of Monsignor Lefebvre, otherwise they shall incur ipso facto the very grave penalty of excommunication.

From the Office of the Congregation for Bishops, 1 July 1988.


Prefect of the Congregation for Bishops

CF's humble addendum to this post:

John 19:11  "Jesus answered: [t]herefore, he that hath delivered me to thee, hath the greater sin."

Pray for the bishops and priests of The Society of St. Pius X [SSPX] that they may be as wise as the serpent.

Tuesday, February 2, 2010

Not so NICE Healthcare: Note to Senator Begich of Alaska

Senator Begich (D) of Alaska

Dear Senator Begich:

I have contacted you to protest your "yes" votes for national health care.  You aren't taking heed of my protest, but you did write a long politicized letter to justify your views. The information below is factual: facts on the ground as they say. 

You have shown yourself to be a party man. Clearly, you aren't a man of the people.  Due to the fact that your letter demonstrates a lack of first-hand knowledge, I am submitting this post for your edification. 

The attached letter below demonstrates how global governmental health care works and the information above it, describes the EU individual in charge.
Notice her credentials:

Dr [PhD not an M.D.] Carole Longson, Health Technology Evaluation Centre Director

Getting to know a pleasant-faced, EU Bureaucrat
[C]arole joined NICE ["NICE was established in the 1990's to ensure that the government-run National Health System used 'best practices' in medicine. It's become is a rationing board. Health care costs have exploded in Britain, as they have in the U.S. and most developed countries. So NICE reduces spending by limiting treatment"]in 2000 as Health Technology Evaluation Centre Director. [If the term "technology" disturbs you, it should.  Do the words, " experimentation" or "inhumane" come to mind?] 

A citizen argument against NICE decision making:

NICE self-assessment:

Career history: [What is emphasized clinical or pharmacological backgound]?

After graduating from the University of Aston in Birmingham with a PhD in pharmacology, Carole spent eight years with Glaxo Wellcome, working on the development of innovative pharmaceuticals for hypertension, migraine, and schizophrenia.

She undertook a number of academic research secondments at The Institute of Molecular Biology in Geneva and the University of California in Irvine, USA and gained valuable experience in health technology assessment as Director of the Evidence Research Unit* at the Complete Medical Group

She contributes to many international health policy forums, including the [WHO] advisory group on Priority Medical Devices and Health Technology Assessment International.

*[edit] Political criticism of Evidenced Based Medicine [EBM]

"There is a good deal of criticism of evidence based medicine, which is suspected of being - as against what the phrase suggests - in essence a tool not so much for medical science as for health managers, who want to introduce managerialist techniques into medical administration. Thus Dr Michael Fitzpatrick writes: "To some of its critics, in its disparagement of theory and its crude number-crunching, EBM marks a return to 'empiricist quackery' in medical practice [20]. Its main appeal, as Singh and Ernst suggest,[21] is to health economists, policymakers and managers, to whom it appears useful for measuring performance and rationing resources."[22]  Source: Wikipedia

And how does the internationalist Ms. Longson, non-medical doctor, function?
We get a feel for how life would be like if we had international medical care. Patients' letters in red.

Dr Carole Longson

Director, Centre of Health Technology Evaluation

National Institute for Health and Clinical Excellence

MidCity Place

71 High Holborn

London WC1V 6NA

19 May 2008

Dear Dr Longson,

Appraisal consultation document for: Adalimumab, Etanercept and Infliximab for rheumatoid arthritis

We welcome the opportunity to respond to NICE’s preliminary recommendations on the sequential use of TNF-α inhibitors in the treatment of rheumatoid arthritis.

Rheumatoid arthritis is a debilitating long-term condition, which can have a profound impact on the lives of those who have the condition. Successful treatment with TNF-α inhibitors has been positively life-changing for many people with rheumatoid arthritis.

We are disappointed that following the successful appeal in 2007 and re-consideration of the topic, NICE has not recommended the sequential use of these therapies.

This recommendation comes immediately after the NICE decision not to recommend abatacept for rheumatoid arthritis. Arthritis Care is concerned that people with rheumatoid arthritis in England and Wales are step by step having their choices limited and will be missing out on therapies which could have a profound positive effect on their quality and length of life.

In concert with clinical evidence suggesting the efficacy of sequential use, (as detailed in the Arthritis and Musculoskeletal Alliance submission supported by Arthritis Care) people currently using TNF-α inhibitors feel very strongly that they must be given the opportunity to switch from one therapy to another if the first fails to work for them. One user in her thirties is frightened that one day her current therapy may cease to work. She says:

“I recently had an operation which required me to take 9 weeks off from my anti-TNF therapy. As a result I experienced a severe flare up. As well as experiencing constant pain I had no concentration and my energy levels were low. My work was badly affected.

This made me realise what life could be like if I were denied an effective treatment. I have a very aggressive type of rheumatoid arthritis and getting the right drugs is very important or I find it hard to have a “normal” life. I want to work, I want to pay my way, don’t want to be stuck at home or taking up hospital beds. This decision is very short-sighted.

Since taking anti-TNF therapies, there has been no further deterioration in my condition for the first time ever. Without the correct medication I would end up costing more in benefits and NHS resources for the rest of my life.

Once you know that life can be better, it’s a scary prospect that it could have been you who was denied this treatment, had the option of that life taken away. The more people know about this decision, the angrier they will be. How can people be in better health and then denied it? Don’t deny people the right to live their life when the means are right in front of them.”

Furthermore, this decision is in conflict with the precedent set in other EU nations, where sequential use is already available. When making a decision that goes against the grain of policy in Europe there must be extremely compelling evidence which we believe is not apparent in this case. To disallow switching to alternative TNF-α inhibitors when it is allowed elsewhere is unjust and will lead to England and Wales being the “poor man” of Europe, indeed of the UK itself.

A person with arthritis in Northern Ireland or Scotland may still have access to further TNF-α inhibitors, creating stark inequalities across the UK. The following quote is from a man who has had access to three TNF-α inhibitors over the past 5 years, in Northern Ireland; [Turning patients into beggars]. Emphasis mine.

“I have had rheumatoid arthritis for 27 years, I was diagnosed aged 12.

I had been through many different kinds of medication- anti-inflammatories, gold injections and methotrexate. After receiving my first anti-TNF therapy in 2001, my life completely changed. I didn’t need anti-inflammatory medication any more, I was active and able to live my life to the full.

Unfortunately, in spring 2006 I unexpectedly developed an allergic reaction to the therapy and it gradually stopped working. I experienced a heavy and frightening relapse. Unable to get out of bed, I relied on my son to care for me where before I had been independent. I ended up being hospitalised for several weeks, given morphine for the pain.

I switched to a different anti-TNF therapy. This pulled me out of the worst of it. It managed the condition, but I still felt fatigued and required anti-inflammatories.

After several months it was decided that this was not working as well as it could, and I switched to a third anti-TNF. This brought me back completely, I got my old energy back. In fact, I feel stronger now than I was on my first therapy.

I never understood what it must be like to be diagnosed with arthritis late in life, to lose the mobility you once had. Now I know. When my anti-TNF therapy failed, I was agitated, depressed, house-bound and reliant on other people. I have a new appreciation for life now.

You cannot and should not put a price on someone’s quality of life. These drugs mean the difference between a full life and one of dependence, pain and depression for me. The decision not to allow switching to alternative anti-TNF therapies is frightening”.

A TNF-α inhibitors user from Scotland adds;

“I had an allergic reaction to infliximab and was put on etanercept. I was shocked by how bad my condition got when I could no longer take infliximab. I spoke to my rheumatologist and he told me that without the option of using etancercept he doesn’t know what we could have done. Thankfully it worked.

Preventing someone from accessing alternative anti-TNF therapies is ruining their quality of life. I don’t necessarily mean in terms of jobs, employment, I mean down to the little day to day things you just can’t do. NICE must listen to patients”.

Although we acknowledge that there will remain the possibility of sequential use in cases of adverse reaction, these examples clearly illustrate the need for this to be an option for all people with severe RA.

Rheumatoid arthritis is a debilitating condition which if not managed effectively can lead to a high burden on NHS resources in lifelong care. It would appear that the prior recommendation and relative cost-effectiveness of rituximab has distorted the market, making cost-effectiveness greatly outweigh clinical effectiveness in all subsequent considerations of TNF-α inhibitors. This short-sighted view fails to take into account that long term costs in ongoing care, including surgery, and palliative care which accompany ineffectively managed rheumatoid arthritis, in many cases will outweigh the short-term cost of switching to alternative TNF-α inhibitors.

Through this decision, the appraisal committee is asking people with rheumatoid arthritis to accept a future of pain, disability and eventually palliative care, rather than effective treatment. The positive changes to quality of life afforded by TNF-α inhibitors are profound and should not be easily dismissed.

Decisions of such impact as this must be made only with compelling evidence which examines more than the cost-effectiveness of the treatment. We consider that the balance of cost-effectiveness to quality of life needs more careful consideration, and urge NICE to reconsider its decision.  Emphasis mine.

Yours sincerely,