Where MDs Fear to Treat

Ocean County Observer

January 3, 1982

 

The American Medical Association (AMA) lost considerable credibility during the Medicare Hearings in 1966-67. Organized medicine, as the American Medical Association is often un-affectionately called, was quite antagonistic to the legislation, and its representatives made statements that no official of that organization woujld make today. They were prescient in one aspect of their testimony however; namely that government subsidy brings government control.

 

The control has accelerated as rapidly as inflation and the government is controlling the entire health care system to the extent that it is actually starting to ration facilities and put a cap on the purchase of new equipment. It does this tentatively while gauging public reaction.

 

Since most medical bills today are paid by third parties (the insurance carriers), the public is in sort of a bind. It finds that the third party payments are falling short of the rate of inflation, which raises hackles; but the public doesn’t want to fuss too vigorously with its benefactors because it fears that they might cut off payments altogether which would be catastrophic.

 

Labor and industry  are uniquely allied with government in trying to contain the costs of medical care because medical care has become a fringe benefit in labor contracts. Industry has to provide it. If industry can cut the cost of medical care its labor contracts become cheaper. If labor can cut the costs of medical care it becomes easier to win fringe medical benefits.

 

As a result, with government, labor and industry allied in the quest for cheaper health care the health care industry is effectively regulated. Hospitals are restricted by state licensure and Medicare-Medicaid regulations. Doctors, a licensed profession, are considered to be beneficiaries of what is called a legislatively granted monopoly; thus the rationale for controlling doctors.

 

In this environment the AMA has all it can do to stay organized. Doctors who are salaried by institutions, universities or government feel no need for the AMA. They are a protected species. Doctors in practice might glean some benefits from the AMA but the benefits are hard to define and for the most part constitute a delaying action against the encroachment by various forces. The government for one is currently seeking to establish competitive groups within the medical profession. The media relishes the medical scandal business and takes pride in showing off the money grubber, the mal practitioner, the Medicare cheat and tends to ignore the other 399,000 doctors who make sick people better. Malpractice litigation and large awards have become so automatic that it is no longer necessary to prove malpractice, all that must be shown is a poor result or an injury for a jury to award  plaintiffs megabuck verdicts.

 

In the face of all this, the AMA and its constituent state societies are virtually helpless. The AMA is struggling for membership, confusing itself with a new code of so-called ethics and joins its enemies in conferences calculated to water down unfriendly legislation, but no longer has the wallop to change the direction of events. The profession of medicine is fast becoming regulated to a degree second to no other industry. The ANA is in danger of going out of business.

 

I have been obliged of late to participate in county and state medical society activities and must ruefully confess that they are in a “no win” position. The forces arrayed against the medical  medicine are enormous, moneyed and well organized. The bureaucracy has nothing more to do but to trifle with medical matters and organize the health care industry. It is their full time job. Industry and labor hire full-time administrators to put their medical houses in order; but the medical societies alas function on the overtime energy of practicing physicians. The doctors are attending to their political business part time, overtime, on weekends. Everyone else is full time.

 

The medical societies are overmatched. Doctors collectively are not good at lobbying, not good at legislation, not wise about litigation and not even aware that most of the wars they are fighting have already been lost.

 

As a result the medical societies accomplish much less than that which the public credits them, and some are reduced to chowder and marching clubs, brassy perhaps, but useless.

 

The public must learn to judge the doctors on their performance as doctors  not  as politicians;  and by the same token must understand that those that legislate health care cannot heal a sick child.

 

The real purpose of medical societies is to maintain the highest standards of medical practice and this they seem to have done. Perhaps if they stop parading as politicians the public will accept them for what they are – practicing doctors. No machinations, no hidden motives, no political axes to grind, onlys  one purpose; to cure, to heal to succor to preserve to help.