AMNews: April 21, 2008. More physicians backing national coverage -- study ... American Medical News

AMNews: April 21, 2008. More physicians backing national coverage:

"Physicians who support 'government legislation to establish national health insurance'
-------------------------2002-------------2007
All specialties------------49%--------------59%
Psychiatry---------------64%--------------83%
Pediatric subspecialties---71%--------------71%
Emergency medicine-----53%--------------69%
Pediatrics----------------64%--------------65%
Internal medicine--------56%--------------64%
Medical subspecialties----50%--------------63%
Pathology----------------n/a---------------60%
Family medicine----------44%--------------60%
Ob-gyn-------------------48%--------------58%
General surgery----------52%--------------55%
Surgical subspecialties----37%--------------45%
Anesthesiology-----------35%--------------39%
Radiology----------------n/a---------------30%

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't access it here at home tonight.

Update: here is the link to the Annals page. Actually not much more info there but here is the full results summary:

Results: Of 5000 mailed surveys, 509 were returned as undeliverable and 197 were returned by physicians who were no longer practicing. We received 2193 surveys from the 4294 eligible participants, for a response rate of 51%. Respondents did not differ significantly from nonrespondents in sex, age, doctoral degree type, or specialty. A total of 59% supported legislation to establish national health insurance (28% "strongly" and 31% "generally" supported), 9% were neutral on the topic, and 32% opposed it (17% "strongly" and 15% "generally" opposed). A total of 55% supported achieving universal coverage through more incremental reform (14% "strongly" and 41% "generally" supported), 21% were neutral on the topic, and 25% opposed incremental reform (14% "strongly" and 10% "generally" opposed). A total of 14% of physicians were opposed to national health insurance but supported more incremental reforms. More than one half of the respondents from every medical specialty supported national health insurance legislation, with the exception of respondents in surgical subspecialties, anesthesiologists, and radiologists. Current overall support (59%) increased by 10 percentage points since 2002 (49%). Support increased in every subspecialty since 2002, with the exception of pediatric subspecialists, who were highly supportive in both surveys.

The spin in the AMA News article is predictable (poorly worded survey questions), and, OK, fine, maybe some didn't mean exactly as they answered. We've all taken surveys, and it is true, you can only answer the question that is asked.

But look at some of these numbers because they are astounding. When 45% of physicians in surgical subspecialties (we're talking orthopods, urologists, and neurosurgeons here!) and 55% (!!!!) of general surgeons answer this way, there is a problem.

AMA Policy is against single payer. But AMA policy is determined by it's House of Delegates. 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.

Putting this together with the Minnesota and Jackson and Coker surveys, we may finally be acheiving critical mass.

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