Here is the question to be answered:  How do you fight the power of the federal government?

This is a case that I really haven’t formed my opinion on. But in spite of the charges, I still have reservations in deciding this doctor is guilty of the hearsay “evidence” against him. I would appreciate the knowledge of others who knew him—his wife, family, patients—to fill in the blanks as to the truth. (see comment at end of post to answer this)

But even if he is guilty of the “hearsay” evidence, to charge him criminally using the Controlled Substance Act (CSA) is still illegal government overreach into medicine.  And the words used by the prosecution and judge in this case is actually making the situation worse and opening the door to more vague attacks on any physician.

Ricky Houdersteldt, MD’s case

Ricky L. Houdersheldt, DO, 68, of Hurricane, West Virginia was convicted August 10 of 17 counts of illegal distribution of controlled substances after only a 6-day trial.

Dr. Houdersheldt was one of 13 people, 11 of them physicians, who was indicted on charges September, 2019, as part of the Appalachian Regional Prescription Opioid Strike Force. APCO was formed in October, 2018 and has over 70 indictments to its credit, with 9 guilty pleas from medical professionals.

Dr. Houdersheldt was charged with violation of Title 21, USC, Section 841(a)(1).

Section 841(a)(1) states:

§841. Prohibited acts A
(a) Unlawful acts
Except as authorized by this subchapter, it shall be unlawful for any person knowingly or                     intentionally—
to manufacture, distribute, or dispense, or possess with intent to manufacture, distribute,                    or dispense, a controlled substance;

The “except as authorized” refers to

§829. Prescriptions
(A) The term “valid prescription” means a prescription that is issued for a legitimate medical                      purpose in the usual course of professional practice by—
(i) a practitioner who has conducted at least 1 in-person medical evaluation of the                                  patient;
(B)(i) The term “in-person medical evaluation” means a medical evaluation that is conducted                       with the patient in the physical presence of the practitioner, without regard to whether                        portions of the evaluation are conducted by other health professionals.

The intent behind §829(A) when the CSA was written was to exempt physicians treating patients. Multiple Supreme Court decisions have supported that.  But the government has taken this phrase and turned it against doctors by stating in their indictments, that the doctor prescribed without a legitimate medical purpose outside the usual course of professional practice.  But then the government agents can’t state what is “legitimate”. They even admit on the witness stand that they can’t “because they aren’t doctors”.  You see, the CSA even states that only the doctor can determine what is legitimate medical practice.

So doctors can only be convicted on innuendo and propaganda. But the government succeeds 98% of the time.  How can this be?

The federal government initially charged that Dr. Houdersheldt had met with a female patient outside the office at various locations, including gas stations and dollar store parking lots, to write medically unnecessary prescriptions for Percocet or Codeine.

The woman, by the government’s own words, was a “patient”.  So by the description of the CSA above, only the doctor can determine what is legitimate.  This particular woman had been a patient for over 3 years.  And during that time I’m sure she had a physical exam to determine the need for pain meds.  In the course of the 6 prescriptions he was being charged with, they were simply continuing established treatment.  150 pills of Percocet or codeine over 6 months is not an abusable amount.

And then the government adds that these prescriptions were to “establish a sexual relationship”.  Come on… give me a break.  A 68 y/o married physician having to give a woman 2 percocets/day for sex?  I don’t think so.  And then he met the patient in the open in store parking lots.  Sounds more like he was a compassionate physician from years gone by, when your “relationship” with a patient meant that you did what you needed to do to help them. And if she couldn’t get in to the office, it sounds like he went out of his way to be helpful.

Now it is really easy for the government to get witnesses to testify to whatever they want.  All they have to do is threaten the witness with charges of drug possession/distribution, and they will be singing canaries.  That seems more likely in this case than a woman selling sexual favors for a couple of Percocet.

In other charges, Dr. Houdersheldt was charged with being “outside the scope of professional practice and without a legitimate medical purpose because his prescriptions were higher than the 90 mme’s “recommended” by the Centers for Disease Control, including dangerous combinations, referring to the “Holy Trinity” of an opioid/benzodiazepine/Soma combo.  The attack on this combination is purely government-created for conviction purposes.  Patients have been on this combination of medicines for 20+ years without any poor outcomes. Again, the medical decision is the doctor’s alone, not the government’s.

Now the worrisome takeaway from this conviction is the extent to which the government is moving to practice medicine in the court, giving the DOJ license to say what isn’t “legitimate”. An example of the broad range being introduced is in Judge Robert Chambers’ remarks at the hearing on Mar 2, 2020. Judge Chambers states in his ruling that

“21 U.S.C. § 841(a)(1), which makes it unlawful to distribute controlled substances outside a range of narrow exceptions.”

This statute doesn’t have a “range of narrow exceptions”.  The only exception is that the prescription is written by a doctor for a patient.  But now this type of precedent comment in court allows for all kinds of interpretation in future cases, which can claim anything they want to be “outside the range of narrow exceptions” that don’t even exist.  People—wake up.  The jury pools of the country need to understand the truth, not make decisions based on government “propagenda”.

And we need to get the legislature to repeal the Controlled Substance Act, as its entire purpose was to disenfranchise minorities and hippies, and build the prison population.

Someone who knows Dr. Houdersheldt, but is not a patient or has any personal reason to lie has informed me that he is innocent of the government-created lies.  So my opinion is correct, that anoother innocent doctor has been targeted and convicted by government misconduct. People need to get on board the action that will stop these atrocities–what we teach here on DoC. Until then, the suffering will continue.

Addendum

Dr. Houdersteldt was supposed to be sentenced in December, 2020 but there were some problems identified in the trial that caused two of his convictions to be reversed. There is no word as to where things stand. So we wait.

About the Author Linda Cheek, MD

Linda Cheek is a teacher and disenfranchised medical doctor, turned activist, author, and speaker. A victim of prosecutorial misconduct and outright law-breaking of the government agencies DEA, DHHS, and DOJ, she hopes to be a part of exonerating all doctors illegally attacked through the Controlled Substance Act. She holds the key to success, as she can offset the government propaganda that drugs cause addiction with the truth: The REAL Cause of Drug Abuse.
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