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Will you join?
That is because many doctors feel the AMA doesn't really represent their interests and viewpoints.Why is physician membership in the AMA so low? Will you join?
Lets us know about the results of your lobbying next year as an M1. Hope you can bring about the change you are looking for.Not an actual med student until August - but I saw this thread and had to respond.
So... people aren't interested in joining the AMA because the AMA doesn't represent their concerns - and it doesn't represent their concerns because not enough MDs are in it.
Wouldn't it make more sense if more people joined the AMA in order to make it represent their concerns? The AMA is among the most powerful lobbying groups in the country...
Yes I plan to join the AMA.
Not an actual med student until August - but I saw this thread and had to respond.
So... people aren't interested in joining the AMA because the AMA doesn't represent their concerns - and it doesn't represent their concerns because not enough MDs are in it.
Wouldn't it make more sense if more people joined the AMA in order to make it represent their concerns? The AMA is among the most powerful lobbying groups in the country...
Yes I plan to join the AMA.
This is what ends up happening. So, physicians join groups that represent their own specialty or whatever. This way, you have a much greater chance of contributing to a cause you can actually get behind.Yes, but until a majority of physicians who support your own views join the AMA, you are paying dues to an organization that may be lobbying for the exact opposite of what you want.
Also, in my own experience it seems like half the physicians I worked with supported Obamacare and the other half did not. How would the AMA be able to reconcile such contradictory stances from its members(assuming that most/all physicians become members)?
Lets us know about the results of your lobbying next year as an M1. Hope you can bring about the change you are looking for.
Actually, it doesn't represent doctors' view because the people in charge don't speak for the majority. You know the kids over in Pre-Allo who talk about wanting to work for less money and for the greater good, no matter what? Though only a very small percentage of people actually stick with that view beyond the first couple days of med school, some of the ones who did are now running the AMA, and it's going to be a long time before they're deposed.Not an actual med student until August - but I saw this thread and had to respond.
So... people aren't interested in joining the AMA because the AMA doesn't represent their concerns - and it doesn't represent their concerns because not enough MDs are in it.
Wouldn't it make more sense if more people joined the AMA in order to make it represent their concerns? The AMA is among the most powerful lobbying groups in the country...
Yes I plan to join the AMA.
On a sidenote, compared to the nutbags part of AMSA, the student AMA is actually pretty mild in terms of its views. Or maybe it's dependent upon the school you attend...which is more crazyActually, it doesn't represent doctors' view because the people in charge don't speak for the majority. You know the kids over in Pre-Allo who talk about wanting to work for less money and for the greater good, no matter what? Though only a very small percentage of people actually stick with that view beyond the first couple days of med school, some of the ones who did are now running the AMA, and it's going to be a long time before they're deposed.
As for the med student section of the AMA, to be kind, it is a complete joke and accomplishes exactly nothing. It's like a daycare for med students who want to feel important and inflate their own egos. During last summer's national conference, the rep from the "real" AMA made it very clear that the med students were an insignificant part of the action.
OMG!!! are you kidding me??? ofcourse!
The AMA wants 60 bucks or so for an annual membership fee... how could you turn that down??? they're gonna give you some free netters flashcards!!! beat that!!! (they're 25 bucks on amazon)
I'm gonna be a DOCTOR!!! the AMA = "doctoring" = me. As soon as I got my acceptance, I joined as many medical student and medical organizations as I could! You know that crap that falls out everytime you open one of them AAFP magazines? I filled out every single one of them too!
And that's not even half the story!! I am now part of the A.... M.... A..... !!! "M" stands for MEDICAL!!!
oh yeah baby!
On a sidenote, compared to the nutbags part of AMSA, the student AMA is actually pretty mild in terms of its views. Or maybe it's dependent upon the school you attend...which is more crazy
Yep, I'd agree. It seems that the lunatic fringe gets trimmed even more when the prospect of real responsibility comes into play, so the AMA doesn't end up being quite as radical a supporter of making all physician work pro bono as it could be.On a sidenote, compared to the nutbags part of AMSA, the student AMA is actually pretty mild in terms of its views. Or maybe it's dependent upon the school you attend...which is more crazy
Not an actual med student until August - but I saw this thread and had to respond.
So... people aren't interested in joining the AMA because the AMA doesn't represent their concerns - and it doesn't represent their concerns because not enough MDs are in it.
Wouldn't it make more sense if more people joined the AMA in order to make it represent their concerns? The AMA is among the most powerful lobbying groups in the country...
Yes I plan to join the AMA.
It's like a daycare for med students who want to feel important and inflate their own egos.
Depending on how well your chapter is run, there can be some delicious food. The AMA at my school provided some good food. AMSA...not so much. Free lunches can be hugely convincing.Hrmmm starting school in August, non-traditional, not a prayer of joining AMA.
As has already been alluded to here, the AMA has actually made a habit of doing the OPPOSITE of what's good for physicians, instead advocating for "the welfare of all patients." Let's take a brief look at their recent activity - supporting a bill to inevitably ration care, decrease physician reimbursements, restrict autonomy, and aid the argument for more nurse practitioners (whose outrageous recent activity they've done NOTHING to hamper).
What we need is an organization that HASN'T been brainwashed by altruist propaganda and Nancy Pelosi. Unfortunately, this would not be an organization of physicians, since they've no idea how to stick up for their own rights and/or freedom to earn a living. What we need is to pay a large organization of lawyers to stick up for us, since they're not wimps.
Since the falloff of the AMA, there are now officially ZERO influential organizations fighting for our well-being.
No veil here. Just narcissism!Agree. The sooner we all realize that medicine is just narcissism hiding behind a veil of altruism, the sooner we will be able to use our work ethic and intelligence to grow a spine and advocate for things that lead to an early retirement on a nice beach somewhere 😉 God I hate Nancy Pelosi
Good luck with that.I think it is important for doctors to have a unified, national voice.
I am glad I did not go to your medical school. No wonder suicide rates are so high.Actually, it doesn't represent doctors' view because the people in charge don't speak for the majority. You know the kids over in Pre-Allo who talk about wanting to work for less money and for the greater good, no matter what? Though only a very small percentage of people actually stick with that view beyond the first couple days of med school, some of the ones who did are now running the AMA, and it's going to be a long time before they're deposed.
As for the med student section of the AMA, to be kind, it is a complete joke and accomplishes exactly nothing. It's like a daycare for med students who want to feel important and inflate their own egos. During last summer's national conference, the rep from the "real" AMA made it very clear that the med students were an insignificant part of the action.
Agree. The sooner we all realize that medicine is just narcissism hiding behind a veil of altruism, the sooner we will be able to use our work ethic and intelligence to grow a spine and advocate for things that lead to an early retirement on a nice beach somewhere 😉 God I hate Nancy Pelosi
🙄 You can still want to help people and be a good doctor without undermining your own earning potential and quality of life, you know.I am glad I did not go to your medical school. No wonder suicide rates are so high.
If you add the provision that every doc gets to pick from either a BMW 7 Series or a Mercedes Benz S Class, I'm down.Lets start a new organization: ANA (American Narcissist Association)
We partner up with our narcissist lawyer counterparts to - halt, and even reverse, the encroachment of midlevels on medical practice; rally everyone to refuse medicare patients so that the government is forced to redistribute our income (you know... the 40% of our taxes they took) back to us; TORT REFORM!
If you add the provision that every doc gets to pick from either a BMW 7 Series or a Mercedes Benz S Class, I'm down.
Written by Scott Becker, JD, CPA | April 07, 2010
The American Medical Association has been in existence for 162 years now, making it the oldest trade association in the nation, but this organization doesn't have a clue anymore as to what a trade association is about.
A trade association promotes its members' best interests. From time to time, it can embrace higher causes, even a cause such as health reform. But if it strays too far from its core mission of delivering benefits for members, it ceases to be a trade association and becomes something else maybe an officious advisory group, as when the AMA declared in 2008 climate change was real.
Last year, the AMA gave its support to a fledgling health reform process whose ultimate success was very much in doubt at the time. In return for that support, the AMA wanted at minimum two basic things: federal tort reform and a permanent fix of Congress' noxious sustainable growth rate. The SGR, promulgated in 1997, has been producing ever-higher proposed cuts in Medicare physician reimbursement, which constantly have to be patched but are never removed.
Now health reform has become law, and what does the AMA have to show for its early support? No SGR-fix, no tort reform and a number of new payment problems created by the new law. Here are just four examples.
* a powerful new advisory board that can lower physician fees with little Congressional oversight.
* an estimated 15 million previously uninsured people who will be covered at very low-paying Medicaid rates.
* the prospect of intra-professional conflict as Medicare reimbursements for some areas may be raised and, under the zero-sum game of Medicare spending, physician reimbursements will probably fall.
* the demise of physician-owned hospitals. No new facilities can be built after this year and existing facilities cannot expand upon the date of enactment.
That adds up to no wins and several losses for physicians, leaving Paul DeHaan, MD, an orthopedic surgeon and AMA member in McHenry, Ill., feeling frustrated. In the health reform process, "there are huge concerns that many critical items we've been asking for were ignored," Dr. DeHaan told the Chicago Tribune. "I believe they [the AMA] lost much support and confidence from a large faction of members, and that will hurt them in recruitment and retention."
Who got the better of whom?
AMA President J. James Rohack, MD, has repeatedly said the AMA's early support of the health reform bills gave it a front-row seat at the bargaining table, where it would be able to finesse more physician-friendly provisions into the final law. Last August he characterized an early version of the House health reform bill as "a starting point for the health reform debate, and the AMA is committed to staying engaged to improve the final legislation."
But as it turned out, the chief benefit of AMA involvement in the process was to make it easier for President Obama to sell the bill to Congress and the nation. Urging the House to pass the reform bill in November, Mr. Obama noted that the doctors of the AMA were behind it, and "they would not be supporting it if they really believed it would lead to government bureaucrats making decisions that are best left to doctors."
Actually, the President needed the AMA more than the AMA needed him, according to Howard Smith, MD, a Washington, D.C., obstetrician-gynecologist. "Obama needed to get all the major actors on board to have any hope for it to pass," Dr. Smith wrote last year in the blog, DC Examiner. "Knowing this, it stood to reason that it would be more to the advantage of the AMA to hold its support off until it could get the best deal possible."
As the AMA became more expendable in moving the bill forward, its influence over the process waned. The fate of the SGR-fix is a good example. "The flawed Medicare payment formula must be fixed," Dr. Rohack told MedPage Today in the summer, when things still looked pretty promising for this issue. The House passed an SGR-fix in its first version of health reform, but then things went downhill. The SGR-fix has a huge price tag $210 billion to $230 billion over 10 years. That's the amount on paper, at least. In reality, Congress has always in the past staved off the cuts and the money is never realized. In the strange world of Capitol Hill, though, this fictional amount is real money so real that it threatened to squeeze out the money Congress wanted to spend on expanding coverage to millions of uninsured people, while delivering net savings over 10 years. After the short-lived victory in the House, the Senate threw the SGR-fix out of its reform bill, introduced it as a separate measure and voted it down.
That was the end of the fee fix as part of health reform, but Congress was still assuring the AMA until the end that the SGR-fix had a chance, and the AMA believed them. As recently as last month, just before the final health reform vote, Dr. Rohack was still promising in a conference call to reporters he'd hold Congress' "feet to the fire" and make it pass a permanent fee-fix. But it was too late. "It becomes extremely difficult to do a fix now that health reform has passed with such a big price tag," Julius Hobson, the AMA's former chief lobbyist, told Chicago Business a few days after the final vote.
Why the AMA failed to have influence on health reform
Why, after being so tough on President Clinton's health reform proposal in the early 1990s, did the AMA roll over so easily for President Obama and the Congressional Democrats? Many personally blame Dr. Rohack. This cowboy-booted cardiologist from Texas entered the AMA's one-year presidency just when health reform negotiations heated up and he's pretty much been front-and-center ever since. But even if Dr. Rohack shares some of the blame, the AMA's mistakes run deeper than one man who took office last June and will be gone from it this coming June.
One mistake was the organization's highly nuanced position on health reform, which nobody but the AMA got. The organization frequently said while it supported the proposed health reforms, it did not endorse them. What? "'Endorse' means you think it's perfect and love it the way it is; 'support' means there is enough there to keep it moving while realizing there are things that need to be changed," an AMA delegate explained to Psychiatric News. A good explanation, perhaps, but the headline always was the AMA supports health reform. In a December letter on the Senate's reform bill to Senate Majority Leader Harry Reid (D-Nev.), the AMA said it "firmly supports critical aspects of the bill" but "there is still work to be done." What kind of negotiation tactic "firmly" supports a plan even parts of a plan and still demands changes? Do you even listen to the demands of a negotiating partner who has already agreed to the contract?
The AMA's biggest mistake, however, was getting so smitten with the prospect of health reform that pocketbook interests for members were put in the trunk. Even before the reform debate, "the AMA was traditionally cautious about advocating the interests of doctors because it feared that advocacy could be misperceived by the public as partisanship," Dr. Smith explained in his blog. This time around, AMA officials also appeared to have no appetite any more for always having to nix ambitious, well-meaning social programs in favor of pocketbook issues. Some delegates at the AMA's December meeting praised the organization's affirmative stance on health reform and criticized "the AMA's reputation over the years as a nay-sayer voting against Medicare in 1965 and the Clinton health care reform proposal in the 1990s," the Psychiatric News reported.
Though Dr. Rohack and the rest of the AMA board set AMA policy through most of the health reform debate, the House of Delegates, the ultimate authority in the AMA, had a chance to redirect it at an interim meeting in Houston last December. Three former AMA presidents and 10 state and specialty societies came in open revolt against the board's stance, but delegates firmly rejected a motion to rescind AMA support of health reform by a vote of 315-199. (However, they did pass several resolutions condemning parts of the bill, such as the advisory board.)
The Houston vote was a validation for Dr. Rohack, giving the beleaguered board an endorsement from the entire "House of Medicine." "Our policy is created through our House of Delegates," he told Analyst Wire afterwards. "Our House of Delegates represents every state medical association, over 170 specialty societies, medical students, residents, faculty of medical students, faculty of medical schools. So our policy is created by the profession."
AMA policy was endorsed by the profession. The delegates might have made the endorsement, however, because they were handed a fait accompli with little choice but to accept it. Sure, they could have yanked the AMA board from its chosen path, but health reform already seemed to be well into its last lap (that is, until Scott Brown (R-Mass.) won the U.S. Senate race in Massachusetts and put off final passage for a couple of months).
While the House of Delegates true stance on health reforms seems a little unclear, polls of physicians are even hazier. A National Public Radio poll in September found that nearly three-quarters of physicians favored a public option for health insurance, but another poll the same month by Investors Business Daily found 65 percent of doctors opposed government expansion of healthcare.
No longer a membership-driven organization
The House of Delegates may still represent physicians to some degree, but the AMA definitely does not. AMA membership reportedly reached a peak of 70 percent of physicians in 1962 and now is generally pegged at about 17-20 percent of all doctors. (The number is fuzzy because members include medical students and retired physicians, who have relatively high membership rates because they pay discounted dues.)
While plummeting membership would cripple most organizations, the AMA makes up for lost dues income by relying increasingly on other income. Product endorsements have been out ever since the 1997 Sunbeam scandal, but publications like CPT coding manuals have filled in the gap. In 2008, dues made up only 16 percent of AMA revenues, or $43.9 million, while books & products made up $69.9 million in revenues, database products made up $47.6 million and publications, $64.6 million, according to the most recent statistics in the AMA's 2008 annual report.
Other trade organizations have to meet the needs of dues-paying members, but the AMA is in its own, strange orbit. While it is still regarded, for now, as a major force in national policymaking, whether it can remain so is an open question. It is no longer the tough-minded trade group that frequently went to the mat on payment issues with federal policymakers. Its membership is broad and too ill-defined to direct policy. And, in the health reform debate, at least, its leadership seems to lack the most basic negotiating skills.
"The AMA, when first established, represented the views of the doctors in the 'trenches,' but now they have capitulated to our government and are not interested in the needs of practicing physicians," wrote Harold Fields, MD, in a comment on the HCP Live Network last July. "The AMA is only interested in self-advancement and maintaining its position."
This is utterly preposterous.
Would you join the republican or democrat party so that you can change the views of its members? Or would you attend a church and then try to tell their members that there is no god?
And if you did join such a group, would the leaders in these organizations allow you a position to influence its members against what they believe?
No, I am not going to join an organization, support them, give them money, and let them say they represent one more physician, if I do not agree with their policies.
🙄 You can still want to help people and be a good doctor without undermining your own earning potential and quality of life, you know.
This gets a bit tougher though if you go into FM, and you aren't under-represented for scholarships and such. I am sorry, but this is a huge issue--tuition for med school and that large repay w/ not-so-fabulous compensation. I really wish this was not the issue it is; but there you go.
Its not just an issue with FM
Aren't they having the biggest trouble with compensation--well as well as general peds?
Depending on how well your chapter is run, there can be some delicious food. The AMA at my school provided some good food. AMSA...not so much. Free lunches can be hugely convincing.
Wow, I can't believe how many times some semblance of the phrase "they don't represent what I believe in" was uttered in this thread. You guys are adults, right? Did you get out there and fight for what you believe? Do you think the AMA is just going to coddle you and ask what you want them to do while they buy you ice cream and stroke your hair?
I, for one, felt stronly about a few issues so I ran to be a delegate from my school. I won. This summer, I'll be in Chicago, writing resolutions, giving testimony, and VOTING for what I want as a medical student at the annual meeting, instead of whining on SDN about how the AMA doesn't represent me.
Wow, I can't believe how many times some semblance of the phrase "they don't represent what I believe in" was uttered in this thread. You guys are adults, right? Did you get out there and fight for what you believe? Do you think the AMA is just going to coddle you and ask what you want them to do while they buy you ice cream and stroke your hair?
I, for one, felt stronly about a few issues so I ran to be a delegate from my school. I won. This summer, I'll be in Chicago, writing resolutions, giving testimony, and VOTING for what I want as a medical student at the annual meeting, instead of whining on SDN about how the AMA doesn't represent me.
I guess this explains all those conservative republicans heading up ACORN and the liberal dems being part of the tea parties.
Just because someone doesn't feel like joining a group that doesn't represent them doesn't mean, or has no bearing on their maturity. I wouldn't join a group that doesn't represent me (like the AMA, but kudos to justdoit, I'll join TMA as well). By this logic emergency medicine physicians should be joining OB/GYN groups trying to vote them into supporting ER issues.
Not every med student or physician has the time, inclination, or desire to run for office or become deeply involved in decision making of interest groups. Its ok to join a group simply to support them and their support of your ideals.
Except that if you don't want to join the Republican party, you can always join the Democrat party. There is no alternative to the AMA for a group representing all physicians. There are other groups for different social classes of physicians (AMWA, NMA, etc) and for different specialties (ACP, AAP, ACEP, ACS, etc) but there is no other group representing physicians as a whole.
Like it or not, to the lay public (& to the politicians) the AMA (especially the house of delegates) represents the will of the house of medicine. Unlike something like one of the major political parties, its not that hard to get involved with the AMA, and if you feel strongly about any issues, nothing is stopping you from having them brought up. At the very least, get involved with your state medical society and vote on issues that you feel should be brought up at the national level.
The medical societies don't have as much teeth as the bar associations, but I don't see anyone bringing forth any alternatives, so if you feel strongly, get involved and try and get them to build those teeth.
So gabby's post getting on to people for not joining the AMA because they dont represent them was overstated a bit.
it looks (a) lazy, (b) immature, (c) hypocritical.
OH the venom! 🙄
Calm down. People are answering a question about would they join and giving reasons why they would not join. Your calling their answer and reason "bitching" and then attributing (a) lazy, (b) immature, (c) hypocritical characteristics to them.
People are simply answering a question, no need to get rowdy. However, changing the face of the AMA is a much harder task than you are letting on. Plus no one is under any obligation to change the AMA, they can join or not join, its up to them. To call those who do not join names isn't getting anywhere. If anything it might lead some further away from membership. I know I would have no desire to be a part of an association with people who are going to call me names for my thoughts and action.
Just saying.
Hey, if you don't want to join or don't have interest in making things better, that's all you. But don't expect not to be called on it when you complain. I think of it the same way I do elections -- you didn't vote? Don't bitch. Simple as that.
Hey, if you don't want to join or don't have interest in making things better, that's all you. But don't expect not to be called on it when you complain. I think of it the same way I do elections -- you didn't vote? Don't bitch. Simple as that.
My understanding of the situation is that you are a part of the AMA, you believe in their goals, and you are biased.
But what you are now saying is, join the AMA or stop the complaining and saying why we do not like the AMA.
So these are our only two choices you are giving us? You want us to stop voicing our opinions and criticizing the AMA? Are we now living in a fascist regime with no freedom to do so?