Do Your Part Today To Protect GME! URGENT

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majatoi

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Dear Colleagues,

Did you know that by the time the Class of 2015 is getting ready to match for residency there will be a shortage of 3,000 residency slots? With the physician shortage projected to reach over 91,000 by the year 2020, increasing class sizes in our medical schools is not enough. We must complete residency training in order to be licensed. Add to that the fact that the Joint Select Committee on Deficit Reduction (aka "Super Committee") is considering drastic cuts to Graduate Medical Education (GME), the portion of Medicare funding that helps pay for resident slots, in order to reduce our national deficit.

What can you do about it?
Call or email your representatives in Washington TODAY, November 17, as part of a nationwide effort to have the voices of medical students heard loud and clear. It's easy! Follow the simple steps below to contact your representatives to tell them that the future generation of physicians must have access to residency training. If you only have time for one form of communication then please CALL. Otherwise, please call and email! Here are the directions:


BY PHONE:
1. Call the AMA advocacy hotline. 1-800-833-6354<tel:1-800-833-6354>
2. Provide your zip code.
3. Connect directly or write down the names and numbers of your representatives the hotline provides.
4. When connected, read the following:

"As a medical student from your Congressional District (for Representatives)/state (for Senators), I strongly urge you and your colleagues to preserve Medicare funding for Graduate Medical Education (GME) and adamantly oppose any GME cuts that might be included in a deficit reduction package. GME payments help support a portion of the costs associated with training physicians under close supervision once they complete medical school. They also help the nation’s teaching hospitals cover a portion of the unique costs of caring for highly complex, seriously ill, and critically injured patients who require a level of clinical expertise and technology usually unavailable elsewhere in the community.

It is imperative that Congress preserve Medicare support for residency training programs (GME) so that we, as the next generation physicians, can fulfill our aspirations of keeping America healthy. In fact, the Medicare Payment Advisory Commission (MedPAC) has, since June 2010, urged Congress to preserve—and not cut—GME support.
We appreciate the seriousness of our nation's deficit and the work underway by the "Super Committee." However, as our nation faces a physician shortage, along with a record number of new Medicare beneficiaries, it is unwise to reduce support for programs that produce the doctors our seniors will need.

Ple ase urge your colleagues, the Congressional Leadership, the Obama Administration, and the Super Committee to oppose Medicare GME reductions as part of deficit reduction."

5. Tell your friends to do the same.

BY EMAIL:
1. Visit http://www.capwiz.com/AAMC/home/
2. Click on "Take Action"
3. Use a personal email address (not your school email) to fill out the form and send your messages.
4. Tell your friends to do the same.

Join your fellow medical students from all over the country in making a statement. I appreciate you taking the time to help make a difference in the future of our education!

This is a message from the AMA-MSS, we had a teleconference yesterday evening with the National Chair of the AMA-MSS. Please forward on to your colleagues, we are doing the same on the osteopathic side!

Thank you all!
 
As of noon today, the AAMC reports 12,600 students and over 40,000 emails sent to your legislative officers to protect GME! Keep it up!
 
This is a nice way to think you're doing something, however as someone who knows a little "inside baseball" on people in congress (I've had a few friends serve on staff and I've got some family ties to one current member), let me put this in some perspective.

These form emails, while not totally ignored, are not going to do much. Let me tell you why - They are coming from someone who is:

1) assumed to be somewhere in the 20-30 year old age group. A group that does not, as a whole, vote. I know YOU probably vote, because you're a good citizen. But people in congress don't know you. So you are pretty much discounted. You want attention? Have your grandparents send this letter, THEY vote and congresspersons know it. A 55+ yo person ALWAYS gets attention. You'd be amazed.

2) You didn't give $2500 to the congressman last year. Elected officials have to spend so much time fundraising that money = attention. It sucks, but it's the way it is. He who spends $1000 on dinner at a fundraiser gets to call up Rep. Suchandsuch, and he takes the call. You get to leave a message.

You want this to get attention? Start thinking of everyone you know, everyone older, and that might have possibly donated to a campaign, or knows a donor. Get them ON THE PHONE with your representitive. If you're from a small town, you probably know the local banker, mayor, and any other muckety muck to go to bat. Write an op-ed for your home town paper. This is an influence game.

Failing that, don't email, CALL. Have EVERYBODY you know CALL. One call is worth 100 emails. Flood the switchboard.

It's worth fighting for.
 
you know, if they cut funding to the point where it keeps out IMG and such I don't really care. There's more than enough spots for US MD graduates now anyway and pretty much all of them match so I really don't see why everyone is so concerned. If there are less doctors that just means we will all make more money...

It's actually true, US allo students at decent schools will benefit from reduced supply. As long as legal barriers keep IMG and midlevels from filling the demand, there will be an incredible physician shortage suffered by everyone except the physicians. Less competition, higher pay. Patients will be sicker too, even higher pay.
 
you know, if they cut funding to the point where it keeps out IMG and such I don't really care. There's more than enough spots for US MD graduates now anyway and pretty much all of them match so I really don't see why everyone is so concerned. If there are less doctors that just means we will all make more money...

this is true except they might cut residency salaries which would be unpleasant or lower the fellowship spots making them even more competitive.
 
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They failed. What does this mean.

Not too sure, but looks like maybe it's not going to be that bad in terms of healthcare effects?

"That would leave $984 billion in automatic spending cuts over 10 years. That works out to around $55 billion annually each from defense and domestic programs though a CBO analysis shows that comes out to 10 percent of the Pentagon budget in 2013 alone, a huge hit.
On the domestic side, the law exempts Social Security, Medicaid and many veterans' benefits and low-income programs. It also limits Medicare to a 2 percent reduction. That leaves education, agriculture and the environment programs exposed to cuts of around 8 percent in 2013, according to the CBO. For many Democrats, those are cuts worth fighting against, especially if Republicans try protecting defense programs."

http://www.foxnews.com/politics/2011/11/21/clock-ticks-down-to-super-committee-failure/

Here's an interesting article that talks about why it's better if the super committee fails (from back in Sept):

http://www.nejm.org/doi/full/10.1056/NEJMp1109865
 
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Maybe it's just my cynicism speaking, but it seems unlikely to me that the actual result will be that which is currently spelled out in the "automatic cuts" program. No doubt they will alter it and form yet another committee before anything actually happens.
 
I'm going to echo the sentiment that as long as the cuts are not drastic, they can actually benefit US graduates. If the number of residency spots are slashed, less IMGs coming in, fewer newly minted docs, and higher salaries.
 
Maybe it's just my cynicism speaking, but it seems unlikely to me that the actual result will be that which is currently spelled out in the "automatic cuts" program. No doubt they will alter it and form yet another committee before anything actually happens.

yeah, I read that there are discussions going on right now in Congress to hold off on automatic cuts.
 
yeah, I read that there are discussions going on right now in Congress to hold off on automatic cuts.

Yep, a bunch of the political commentators have been discussing all day the half dozen back doors Congress left themselves with before the automatic cuts go into effect. Considering how much time there is to go before said cuts occur, you can bet they'll likely choose one of them
 
Of course, it isn't that simple. However, fundamentally, a BIG reason why derm and rads is such desirable fields to go into is because the number of residency spots is tightly limited. Sure, we will probably see more mid level infiltration, but I just can't see how a decrease in the number of doctors can possibly make doctors worse off economically.
 
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