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To: President Donald TrumpRe: An Urgent Request from the Physicians of AmericaApril 10, 2020Dear Mr. President:We, the undersigned physicians, urgently ask that you take two steps to help us treat patients according to ourbest ability and medical judgment, using the clinical and basic science data we already have on the effectivenessof certain established medicines in this war against COVID-19:1. An Executive Order to remove the FDA Emergency Use Authorization restriction that states Hydroxychloroquine(HCQ) and Chloroquine (CQ), from the National Strategic Stockpile, are only approved "for certain hospitalizedpatients," and to direct the FDA, and other federal agencies, to support the option of early out-patient use of thesemedications, whether from the stockpile or otherwise.2. An Executive Order to a) prohibit state governors from arbitrarily restricting HCQ and CQ to only hospitalizedpatients, and b) prohibit state medical boards and state pharmacy boards from threatening disciplinary action (nowoccurring in multiple states) against doctors and pharmacists legally prescribing and dispensing HCQ or CQ (or otherFDA-approved medications) off-label for early treatment or prophylaxis for COVID-19 in out-patients or at-risk orexposed persons.Restricting use to hospitalized patients means loss of the critical early window of opportunity to: (1) prevent thevirus attaching to host cells, (2) reduce viral replication that prolongs time of infectivity and spread, (3) reducethe number of hospitalizations and need for intubation and mechanical ventilators, and (4) reduce risk of multiorgan damage and death or permanent lung impairment after recovery.Evidence of successful treatment in thousands of patients is accumulating from many countries as well as U.S.physicians; it is far beyond “anecdotal.”HCQ has been FDA-approved for malaria since 1955, and it is now also approved for treating lupus andrheumatoid arthritis, with an impressive safety record.When World Health Organization and U.S. academic experts say there is “no evidence that any medicine canprevent or cure” COVID-19, they correctly mean that we don’t yet have a randomized, placebo-controlled,double-blind clinical trial (RCT). But designing, setting up, conducting, and analyzing any RCT takes manymonths or years.We can’t wait months for a completed RCT or a vaccine. People are dying every day. Staggering numbers ofpeople have lost jobs, incomes, and ability to live life normally, all of which lead to loss of life that couldquickly exceed losses from the virus.Physicians taking care of patients in our communities across the country must be free to use the availablemedicines free of politicians’ and bureaucrats’ second-guessing and threats. It is unprecedented—and lethal—for state governors and medical boards to forbid physicians’ freedom to prescribe long-approved and safelyused medications to save lives.In a war to save lives and our country, we must fight with all the weapons we have at hand.Sincerely, Elizabeth Lee Vliet, M.D. and 1304 additional signers.

1. Elizabeth Lee Vliet, M.D.VIVE Life CenterTucson, AZ2. Sheila Page, D.O.Aledo, Tx3. GEORGE SMITH, M.D.Solo Family Medicine MDCovington, Ga4. Ann Ranelle, D.O.Aledo, TX5. Jane Orient, M.D.Association of American Physicians andSurgeonsTucson, AZ21. Vann Schaffner, M.D.Bernalillo, NM22. James Schaller, M.D.Naples, Florida23. Khanh Vu, D.O.24. David Borenstein, M.D.New York, New York25. Shari Spitzer, M.D.American Academy of Family PhysicianKaufman, TX26. MItchell Giangobbe, M.D.Sun City West, AZ6. Aamir Hussain, M.D.27. Martha M Grout, M.D.Arizona Center for Advanced Medicine7. Sebastian Troia, M.D.28. Emil Shakov, M.D.8. Julienne Aulwes, M.D.29. Clifford Strupp, M.D.9. Douglas Perednia, M.D.30. Stephen Leonard, M.D.10. Val Finnell, M.D.31. Gary Berlin, M.D.11. Ron Oberfoell, D.O.32. stephen Welk, M.D.12. Scott Washburn, M.D.33. Joseph Guarino, M.D.13. Mary Zesiewicz, M.D.34. David Hanson, M.D.14. Barry Beaty, D.O.35. Robert Beckman, D.O.WMH PediatricsManhasset, NYOmaha, NEKapolei, HawaiiPortland, ORMcKees Rocks, PABranson, MOTacoma, WAFort Worth, Texas15. Thomas Irvine, M.D.Falmouth, Massachusetts16. Sam McCreedy, M.D.Gorham, NH17. Stuart Spitzer, M.D.Fellow American College of SurgeonsKaufman, Tx18. Peter Curka, D.O.Houston, TX19. Maria-Lucia Anghel, M.D.Oceanside, NY20. Ibrahim Shalaby, M.D.ProvidenceLubbock, TexasScottsdale, AZToms River, NJColumbia, MissouriBoise, IdahoArlington, TexasGreensboro, NCScottsdale, AZSault Ste. Marie, MI36. Michael J. A. Robb, M.D.Robb Oto-Neurology ClinicPhoenix, Arizona37. James Cleveland, M.D.Reston, VA38. Safaa Hakim, M.D.NORWICH, CT39. Valerie Bonnett, M.D.Pella, IA40. Katarina Lindley, D.O.Brock, Texas41. Brenda Arnett, M.D.Winchester, VA42. John Fish, M.D.AAPSBig Spring, Texas43. John Minarcik, M.D.150 medical schoolsGurnee, IL44. Tom Kendall, M.D.AAPSGreenville, SC45. Daniel Whipple, M.D.Avon, Indiana46. Tracy Ragland, M.D.OneFamilyMD PLLCCrestwood, KY47. Rima Kittley, M.D.Lufkin, Texas48. George Keough, M.D.Knoxville, Tennessee49. Marshall Wise, M.D.Taylor Mill, Ky50. Emile Broussard, M.D.Abbeville, LA51. Katy Hoover, M.D.Lost Creek, WV52. Larry Doss, M.D.Physicianscare Inc.Lancaster, Ohio53. Robert Nelson, M.D.Auburn, MI- MICHIGAN54. Ryan Cole, M.D.CEO Medical Director/Cole DiagnosticsBOISE, ID55. Anthony Sajewicz, M.D.Greenbrae, CA56. Sandra Garred, D.O.Peterson Medical AssociatesKerrville, Texas57. Richard Fisher, M.D.Distinguished Professor Emeritus BaylorCollege of MedicineHouston, Texas58. Andrew Vinson, M.D.Madison, WI59. Barbara Appel, M.D.Fayetteville, NC

60. Mary Coday, M.D.79. John Halbrook, M.D.100. Dennis Cooper, M.D.61. Michael Reburn, M.D.80. Kerry Willis, M.D.101. lawrence larabee, M.D.81. JOHN WATERS, M.D.102. lawrence larabee, M.D.82. LEONARD FRIEDMAN, M.D.103. David Gerber, M.D.Tomball Walk in clinicBellevue, WA62. Connie Uribe, M.D.Yuma, AZ63. Robert Appel, M.D.Fayetteville, NC64. Hiram Garcia, M.D.Hiram L. Garcia, MD PAPharr, Tx65. Douglas Smith, M.D.Add zinc and/or azithromycin with theHCQ66. Donald Miller, M.D.Professor Emeritus, University ofWashington School of MedicineSeattle, WAMeridian, MSbeaufort, NCFLINT, MIMiddleton, Massachusetts83. Lee Klopfenstein, M.D.Maumee, OH84. David Hartsuch, M.D.Bettendorf, IA85. James Ferguson, M.D.Waco, TX86. ANTONIO MARTIN, M.D.Covington, LAScottsdale, ArizonaAhoskie, NCAhoskie, NCTomball, Tx104. Douglas Campbell, M.D.Miami, Arizona105. Mark Cooper, M.D.Dallas, Texas106. Franklin De La Cruz, M.D.ACOG, ABPS,Bardstown, KY107. David Olalekan, M.D.67. Kenneth Bochenek, M.D.87. James Ritze, D.O.68. Robert Izor, M.D.St. Davidâ s North Austin MedicalCenter88. Lawrence Vierra, D.O.108. Paul Church, M.D.Retired89. Karen Betten, M.D.109. Zygmunt Golek, M.D.Lafayette, INAustin, Texas69. David Springer, M.D.Media, Pennsylvania70. Denis Yalkut, M.D.Lexington, KY71. meryl nass, M.D.ellsworth, maine72. Wesley Carr, M.D.Anderson, SCBroken Arrow, OKGoshen, INPortage, MI90. Harbir Makin, M.D.Anchorage, Alaska91. Damon Zavala, D.O.Reno, NV92. Rob Rosborough MD, M.D.Silverton, OR93. Brian Kung, M.D.Bellevue, WA73. Mark Vuolo, M.D.General Psychiatry94. H. Michael Lewis, M.D.74. Scott Roethle, M.D.95. Cheryl Goyne, M.D.75. Hari Bogabathina, M.D.96. Robert Castillo, M.D.76. JAMES BOYED, M.D.97. Marilyn Singleton, M.D.77. Diana Blum, M.D.98. Joyce Carnes, M.D.78. Kimberly Legg Corba, D.O.AAPS99. Jerome Arnett, M.D.CASPER, 50Leawood, KSShreveport, LouisianaTUCSON, AZMenlo Park, CAAllentown, PAArlington, TXJefferson, LouisianaHacienda Heights, CARedondo Beach, CaliforniaBend, OregonHelvetia, WVNashville, TNWayland, MassachusettsSouthbury, CT110. Raymond Pierce, M.D.Dakota Stem Cell InstituteRapid City, South Dakota111. James Monath, M.D.Wyomissing, PA112. E. John Eldridge, M.D.E. John Eldridge, M.D., S.C.Kenosha, WI113. Glen Morgan, M.D.114. James Lindley, M.D.Neurological Institute of Savannah andCenter for SpineSavannah, Georgia115. Natalie Wang, M.D.Malibu, CA116. Joel Singer, M.D.New York, NY117. Susan Marcel, D.O.PHILADELPHIA, PA118. Joseph Scherzer, M.D.AAPSParadise valley, AZ

119. lawrence lenhart, MD, M.D.139. Maria Stubbs, M.D.160. Peter Rouvelas, M.D.120. Eric Eck, D.O.140. Douglas Clark, M.D.161. Lynne Studebaker, M.D.121. Alieta Eck, M.D.141. Rene Perez, D.O.162. Keith Stampher, M.D.122. Devon Charlton, M.D.University of Pittsburgh Medical Center142. MaryKelly Sutton, M.D.163. Karladine Graves, D.O.AAPSBurlingame, CAReno, NVPiscataway, New JerseyPittsburgh, PA123. Susan Mantell, M.D.Center for Your HealthPhilo, IL124. Lee Welter, M.D.SACRAMENTO, California125. Scott Forrer, M.D.Yuma, Arizons126. Harry Rose, M.D.Williamsport, PA127. Robert Izenberg, M.D.San Marcos, CA128. Mark Berman, M.D.Beverly Hills, CA129. Jeffrey Glassheim, D.O.Albuquerque, NM130. Peter Barry, M.D.Marin Hills Medical groupRoss, CA131. Laurel DeStefano, M.D.Westfield, IN132. Jeffrey Loughead, M.D.Darien, Illinois133. Frank Wickert, M.D.Olmsted Twp, Ohio134. Leonid Macheret, M.D.PIW, incCincinnati, OH135. Alison Dancer, M.D.Stillwater, OK136. Douglas Clark, M.D.Tempe, Arizona137. Terrence Lakin, D.O.Southern Colorado ClinicPueblo, CO138. James DelloRusso, M.D.Huntington Beach, CaCrossville, TennesseeTempe, ArizonaMiami, Floridafair oaks, ca143. Anthony Pappas, M.D.Portland, Or144. Paul Tack, M.D.Gurnee, IL145. Kenneth Fisher, M.D.NephrologistKALAMAZOO, MI146. MaryKay Balluff, M.D.Milford, MI147. Renee Caputo, M.D.Columbus, Ohio148. Stefanie Colavito, M.D.149. Doug Hargrave, D.O.AOAVineland, New Jersey150. Deborah Moritz, M.D.NORTH MYRTLE BEACH, SouthCarolina151. Richard Swint, M.D.Paris, Texas152. Dan Purser, M.D.Lindon, UT153. John Davis, M.D.HHS Indian Health ServicePhoenix, Az154. Tony Maglione, M.D.Wilmington, NC155. PHILIP ROHOLT, M.D.N CANTON, Ohio156. Jennifer Kottra, M.D.Flagstaff, AZ157. Antonio Bifero, D.O.Brooklyn, New YorkGolden, COColorado Springs, COKansas City, Missouri164. J. Curtis Frazier II, M.D.AAPSSpringfield, Missouri165. William Waller, M.D.Rapid City, SD166. Carol Clark, M.D.Bloomfield Hills, MI167. Charles Hogge, M.D.Warrenton, VA168. Chanida Supavong, M.D.Fort Worth, TX169. Landrus Pfeffinger, M.D.retiredWalnut Creek, CA170. Susan Kawakami, D.O.AOADowney, CA171. Lorraine Kottra, M.D.Anchorage, AK172. Salvatore Iacobello, M.D.VERNON, CT173. Marie Gronley, M.D.Scottsdale Mental Healthcare, P.C.Scottsdale, AZ174. Vicki Wooll, M.D.Eagle, ID175. Mark Haywood, M.D.Lawrenceville, Georgia176. Robert Bransfield, M.D.Red Bank,b4e221939fb79b2a8fcd023640ed617fd5d75fe6158. Rebecca Rea, D.O.177. Amanda Allan, M.D.159. Stephen Davidson, D.O.178. Harish Hosalkar, M.D.North Street, MIPhoenix, AZDenver, ColoradoSan Diego, Ca