Joe Conason: The AMA’s Unhealthy Obsession

http://www.truthdig.com/report/item/20090617_the_amas_unhealthy_obsession/

The AMA’s Unhealthy Obsession

Posted on Jun 17, 2009

By Joe Conason


Campaigning to build the widest possible consensus for reform of the nation’s health care system, Barack Obama told the delegates of the American Medical Association that he wants their support, too. Persuasive and always polite, the president did not mention the embarrassing truth about his hosts—namely, that the AMA has undermined universal care with mindless zeal for more than 70 years.

The real question is not what the AMA will support or whether the attitudes of the AMA have changed, but why anyone would still heed its policy prescriptions. Very few national organizations have been so wrong for so long about the matters most salient to their own members.

The AMA’s sad history dates back to the Depression of the 1930s, when progressive doctors sought to organize themselves into the first health cooperatives, or health maintenance organizations, so that they could provide care to working families under a group plan. Seeing a threat to its own power, the AMA, in a blatant antitrust violation, prohibited members from working for those early health maintenance organizations.

During the decades that followed, the AMA dedicated millions of dollars to stopping universal health care in the United States, even as other developed nations were establishing a variety of successful systems that covered every citizen while holding down costs. This was an obsession that the organization shared with political forces on the far right. When President Harry Truman proposed a national health plan in 1948, the AMA unleashed a Red-baiting fury.

n the book “The Culture of the Cold War,” Stephen J. Whitfield recalls how the AMA vowed to “resist the enslavement of the medical profession,” warning that Truman was attempting to impose “a monstrosity of Bolshevik bureaucracy” on America. In pamphlets issued to fight the Truman plan, AMA publicists included a phony quote from Lenin proclaiming “socialized medicine is the keystone to the arch of the Socialist State.” The same pamphlets smeared supporters of Truman’s “compulsory health insurance” plan by connecting them to the Communist Party.

Having killed Truman’s bill, the AMA continued to amass enormous amounts of money for what historians say was the most massive special-interest campaign in American history up to that time. Among the darkest episodes was its opposition to free government-sponsored distribution of the Salk polio vaccine, which the AMA and its extremist allies regarded as yet another step toward socialism. That plan, too, was killed, depriving millions of children and adults of critical care during a national epidemic, in an act that amounted to a lobbying violation of the Hippocratic oath.

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The AMA is like a company union that pretends to represent employees while always protecting the interest of the boss. The result is that American doctors find themselves at the mercy of corporate insurance bureaucrats—and that most of them no longer belong to the once-venerable organization that purports to speak for them. If the AMA truly supports reform this time, as its leaders have announced, then it must abandon its historical subservience to corporate medicine. These physicians are long overdue to heal themselves.

their agenda? Doctors around here seem to be really fed up with the status quo.

And since their little announcement the number of docs with membership is dropping like a rock. Some estimates put their numbers at 10% of physicians.

Their student organization is getting pummeled by a rival.

to lose them.