“Doctors, too, are ready for CHANGE” | The Register-Guard | Eugene, Oregon

“Doctors, too, are ready for CHANGE” The Register-Guard Eugene, Oregon:

“For most of the last century, no single group was a bigger obstacle to universal health care than organized medicine. Today, perhaps no single group stands more united in support of some form of universal coverage.

“Before their lost battle against President Lyndon Johnson and Medicare, the opposition of major medical organizations and individual physicians guaranteed doom for various state and presidential efforts to establish either a national health plan or other means to achieve universal health insurance.

“Now, surveys reveal that overwhelming numbers of physicians resent the current crazy patchwork health care system, which fixes their reimbursements, regulates and too often denies patient care, and piles physicians with paperwork so unending and from so many directions that the average doctor has little time left over to challenge the status quo.

“Add to all this the frustration arising from working for no pay to coordinate care and provide care after hours, from struggling with the cost of health care insurance for their own employees, and from seeing their uninsured and underinsured patients go without recommended care, and what emerges is widespread physician support of radical reform.

“More than four-fifths of physicians now agree that our health care system either needs fundamental changes or should be rebuilt completely.”

Keep reading, this is a nice summary of where the specialty societies are coming down on health care reform, and it is encouraging…

Millennial [Generation] Physicians

Listening to a talk recently, the speaker indicated that the Millenial generation has distinct views of work/life balance compared to us older docs. They value time off and independence. They value work and the marginal benefits of longer hours to achieve higher income as simply not really worth it.
I hope this portends some good for the profession, though the trend towards not viewing medicine as a calling may alarm some. I tend towards the Millenial view, however, seeing my profession more as a way of contributing to the world than as a true calling. And it looks like that is the majority view of my generation, the Boomers.

AMNews: March 16, 2009. White House summit takes 1st step in health system reform discussion … American Medical News

AMNews: March 16, 2009. White House summit takes 1st step in health system reform discussion … American Medical News:

AMNews had a more complete list of physicians in attendance than I did in an earlier post about the Summit:

“President Obama invited more than 100 people to a White House summit on health system reform on March 5, including the following physicians.
Rep. Michael Burgess, MD (R, Texas)
Ted Epperly, MD, American Academy of Family Physicians president
Oliver Fein, MD, Physicians for a National Health Plan director
Jeffrey P. Harris, MD, American College of Physicians president
Risa Lavizzo-Mourey, MD, Robert Wood Johnson Foundation president and CEO
Nancy H. Nielsen, MD, PhD, American Medical Association president
Irwin E. Redlener, MD, Columbia University Mailman School of Public Health professor
Elena V. Rios, MD, MSPH, Hispanic Medical Assn. president
Michael Salem, MD, National Jewish Health hospital system president
Henry E. Simmons, MD, MPH, National Coalition on Health Care president
David T. Tayloe Jr., MD, American Academy of Pediatrics president
Ho Luong Tran, MD, MPH, Asian and Pacific Islander American Health Forum president and CEO
W. Douglas Weaver, MD, American College of Cardiology president”

For my own edification, I did some research on membership numbers:
First, total number of ohysicians in US about 800K.

American College of Physicians (Internists and Medical Specialists) 126,000 members
American Academy of Family Physicians 94,000 members
American Academy of Pediatrics 60,000 members

Amercian College of Cardiology 36,000 members

AMA 240,000 including students and residents (free membership) and retired.
— maybe 140,000 practicing physicians (Approximately 20 % or less of all physicians)

Hispanic Medical Association 36,000 members

Others:

American College of Surgeons 76,000 members

American College of Obstetricians and Gynecologists 52,000 members

American Society of Anesthesiology 43,000 members

American Psychiatric Association 38,000 members

American College of Radiology 32,000 members

American College of Emergency Physicians 27,000 members

American Academy of Dermatology 16,000 members

American Academy of Ophthalmology 7,000 members

American Orthopaedic Association (AOA) 1,500 members

These numbers are from the organizations own websites, except for the AMA data which is from Wikipedia – I actually have the actual data from the membership committee buried in my office somewhere, and if I can find it, I’ll post it.

In any case, some of the numbers include medical students, residents and fellows, and international members. But at least a rough guide, suggesting that there really is no single big gorilla, but I know some small groups put their money where their mouths are and have outsized political clout…

Some State Membership numbers, from their web sites:

California Medical Association 35,000

Texas Medical Society 43,000

Medical Society of New York 30,000

Florida Medical Association 19,000

Illinois State Medical Society _____

Pennsylvania Medical Society 20,000