{"id":790,"date":"2008-04-14T20:30:00","date_gmt":"2008-04-15T00:30:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=790"},"modified":"2008-04-14T20:30:00","modified_gmt":"2008-04-15T00:30:00","slug":"amnews-april-21-2008-more-physicians-backing-national-coverage-study-american-medical-news","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=790","title":{"rendered":"AMNews: April 21, 2008. More physicians backing national coverage &#8212; study &#8230; American Medical News"},"content":{"rendered":"<p><a href=\"http:\/\/www.ama-assn.org\/amednews\/2008\/04\/21\/gvsb0421.htm\">AMNews: April 21, 2008. More physicians backing national coverage: <\/a><\/p>\n<p>&#8220;Physicians who support &#8216;government legislation to establish national health insurance&#8217;<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-2002&#8212;&#8212;&#8212;&#8212;-2007<br \/>All specialties&#8212;&#8212;&#8212;&#8212;49%&#8212;&#8212;&#8212;&#8212;&#8211;59%<br \/>Psychiatry&#8212;&#8212;&#8212;&#8212;&#8212;64%&#8212;&#8212;&#8212;&#8212;&#8211;83%<br \/>Pediatric subspecialties&#8212;71%&#8212;&#8212;&#8212;&#8212;&#8211;71%<br \/>Emergency medicine&#8212;&#8211;53%&#8212;&#8212;&#8212;&#8212;&#8211;69%<br \/>Pediatrics&#8212;&#8212;&#8212;&#8212;&#8212;-64%&#8212;&#8212;&#8212;&#8212;&#8211;65%<br \/>Internal medicine&#8212;&#8212;&#8211;56%&#8212;&#8212;&#8212;&#8212;&#8211;64%<br \/>Medical subspecialties&#8212;-50%&#8212;&#8212;&#8212;&#8212;&#8211;63%<br \/>Pathology&#8212;&#8212;&#8212;&#8212;&#8212;-n\/a&#8212;&#8212;&#8212;&#8212;&#8212;60%<br \/>Family medicine&#8212;&#8212;&#8212;-44%&#8212;&#8212;&#8212;&#8212;&#8211;60%<br \/>Ob-gyn&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-48%&#8212;&#8212;&#8212;&#8212;&#8211;58%<br \/>General surgery&#8212;&#8212;&#8212;-52%&#8212;&#8212;&#8212;&#8212;&#8211;55%<br \/>Surgical subspecialties&#8212;-37%&#8212;&#8212;&#8212;&#8212;&#8211;45%<br \/>Anesthesiology&#8212;&#8212;&#8212;&#8211;35%&#8212;&#8212;&#8212;&#8212;&#8211;39%<br \/>Radiology&#8212;&#8212;&#8212;&#8212;&#8212;-n\/a&#8212;&#8212;&#8212;&#8212;&#8212;30%<\/p>\n<p><em>I will try to get more of the details to the original article from the April 1 Annals of Internal Medicine tomorrow, as I can&#8217;t access it here at home tonight.<\/em><\/p>\n<p><em><span style=\"color:#3333ff;\">Update:<\/span> here is the link to the <\/em><a href=\"http:\/\/www.annals.org\/cgi\/content\/full\/148\/7\/566\"><em>Annals page<\/em><\/a><em>. Actually not much more info there but here is the full results summary:<\/em><\/p>\n<p><em><\/p>\n<blockquote><p><em>Results:<\/em> Of 5000 mailed surveys, 509 were returned as undeliverable<sup> <\/sup>and 197 were returned by physicians who were no longer practicing.<sup> <\/sup>We received 2193 surveys from the 4294 eligible participants,<sup> <\/sup>for a response rate of 51%. Respondents did not differ significantly<sup> <\/sup>from nonrespondents in sex, age, doctoral degree type, or specialty.<sup> <\/sup>A total of 59% supported legislation to establish national health<sup> <\/sup>insurance (28% &#8220;strongly&#8221; and 31% &#8220;generally&#8221; supported), 9%<sup> <\/sup>were neutral on the topic, and 32% opposed it (17% &#8220;strongly&#8221;<sup> <\/sup>and 15% &#8220;generally&#8221; opposed). A total of 55% supported achieving<sup> <\/sup>universal coverage through more incremental reform (14% &#8220;strongly&#8221;<sup> <\/sup>and 41% &#8220;generally&#8221; supported), 21% were neutral on the topic,<sup> <\/sup>and 25% opposed incremental reform (14% &#8220;strongly&#8221; and 10% &#8220;generally&#8221;<sup> <\/sup>opposed). A total of 14% of physicians were opposed to national<sup> <\/sup>health insurance but supported more incremental reforms. More<sup> <\/sup>than one half of the respondents from every medical specialty<sup> <\/sup>supported national health insurance legislation, with the exception<sup> <\/sup>of respondents in surgical subspecialties, anesthesiologists,<sup> <\/sup>and radiologists. Current overall support (59%) increased by<sup> <\/sup>10 percentage points since 2002 (49%). Support increased in<sup> <\/sup>every subspecialty since 2002, with the exception of pediatric<sup> <\/sup>subspecialists, who were highly supportive in both surveys.<\/p><\/blockquote>\n<p><\/em><em>The spin in the AMA News article is predictable (poorly worded survey questions), and, OK, fine, maybe some didn&#8217;t mean exactly as they answered. We&#8217;ve all taken surveys, and it is true, you can only answer the question that is asked.<\/em><br \/><em><\/em><br \/><em>But look at some of these numbers because they are <strong>astounding<\/strong>. When 45% of physicians in surgical subspecialties (we&#8217;re talking orthopods, urologists, and neurosurgeons here!) and 55% (!!!!) of general surgeons answer this way, there is a problem.<\/em><br \/><em><\/em><br \/><em><a href=\"http:\/\/cmhmd.blogspot.com\/2007\/01\/ama-policy-finder-american-medical.html\">AMA Policy is against single payer<\/a>. But AMA policy is determined by it&#8217;s <a href=\"http:\/\/www.ama-assn.org\/ama\/pub\/category\/9873.html\">House of Delegates<\/a>. This is a very democratically structured body, but frankly, delegates are far older and more conservative than all other AMA members and AMA members are older and more conservative than physicians as a whole, so this is a problem that will take a leader from within the AMA leadership to take up and champion. Which, knowing the culture a bit, would be courageous, but history making.<\/em><br \/><em><\/em><br \/><em>Putting this together with the <a href=\"http:\/\/cmhmd.blogspot.com\/2008\/02\/most-minnesota-doctors-like-single.html\">Minnesota <\/a>and <a href=\"http:\/\/cmhmd.blogspot.com\/2008\/04\/jackson-and-coker-physician-survey-on.html\">Jackson and Coker <\/a>surveys, we may finally be acheiving critical mass.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AMNews: April 21, 2008. More physicians backing national coverage: &#8220;Physicians who support &#8216;government legislation to establish national health insurance&#8217;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-2002&#8212;&#8212;&#8212;&#8212;-2007All specialties&#8212;&#8212;&#8212;&#8212;49%&#8212;&#8212;&#8212;&#8212;&#8211;59%Psychiatry&#8212;&#8212;&#8212;&#8212;&#8212;64%&#8212;&#8212;&#8212;&#8212;&#8211;83%Pediatric subspecialties&#8212;71%&#8212;&#8212;&#8212;&#8212;&#8211;71%Emergency medicine&#8212;&#8211;53%&#8212;&#8212;&#8212;&#8212;&#8211;69%Pediatrics&#8212;&#8212;&#8212;&#8212;&#8212;-64%&#8212;&#8212;&#8212;&#8212;&#8211;65%Internal medicine&#8212;&#8212;&#8211;56%&#8212;&#8212;&#8212;&#8212;&#8211;64%Medical subspecialties&#8212;-50%&#8212;&#8212;&#8212;&#8212;&#8211;63%Pathology&#8212;&#8212;&#8212;&#8212;&#8212;-n\/a&#8212;&#8212;&#8212;&#8212;&#8212;60%Family medicine&#8212;&#8212;&#8212;-44%&#8212;&#8212;&#8212;&#8212;&#8211;60%Ob-gyn&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-48%&#8212;&#8212;&#8212;&#8212;&#8211;58%General surgery&#8212;&#8212;&#8212;-52%&#8212;&#8212;&#8212;&#8212;&#8211;55%Surgical subspecialties&#8212;-37%&#8212;&#8212;&#8212;&#8212;&#8211;45%Anesthesiology&#8212;&#8212;&#8212;&#8211;35%&#8212;&#8212;&#8212;&#8212;&#8211;39%Radiology&#8212;&#8212;&#8212;&#8212;&#8212;-n\/a&#8212;&#8212;&#8212;&#8212;&#8212;30% I will try &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=790\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;AMNews: April 21, 2008. More physicians backing national coverage &#8212; study &#8230; American Medical News&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[76,62,115],"tags":[],"class_list":["post-790","post","type-post","status-publish","format-standard","hentry","category-ama","category-physician-surveys","category-single-payer-health-care-physicians-opinions"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/790","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=790"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=790"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}