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You wouldn't know it from news reports, but most doctors support national health care

June 15, 2009 4:19 pm ET by Jamison Foser

In the comments section of my column about media coverage of the AMA, a reader writes:

Do you think you are fooling people? In this entire article, you never once address what the FAR MAJORITY of Doctors believe. They believe that a nationalized program will be the downfall of coverage and care as we know it. There is no argument there. And all you had to do was look at polls or interview them. It i no secret. Do your job as a jornalist. ...

If you all want to be responsible reporters, then report the facts. The facts are Doctors OVERWHELMINGLY are opposed to a nationalized plan. All you have to do is ask. And to imply that is not the case is hogwash, and you should be ashamed of yourselfs. Unfortunately, your lemming readers will belive it.

Well.  I'm no journalist; I'm a media critic.  But the reader is correct that responsible reporters should report the facts.  And the facts are that, despite what the media is reporting about the AMA's recent comments would lead you to believe, most doctors support national health care:

More than half of U.S. doctors now favor switching to a national health care plan and fewer than a third oppose the idea, according to a survey published on Monday.

The survey suggests that opinions have changed substantially since the last survey in 2002 and as the country debates serious changes to the health care system.

Of more than 2,000 doctors surveyed, 59 percent said they support legislation to establish a national health insurance program, while 32 percent said they opposed it, researchers reported in the journal Annals of Internal Medicine.

The 2002 survey found that 49 percent of physicians supported national health insurance and 40 percent opposed it.

"Many claim to speak for physicians and represent their views. We asked doctors directly and found that, contrary to conventional wisdom, most doctors support national health insurance," said Dr. Aaron Carroll of the Indiana University School of Medicine, who led the study.

"As doctors, we find that our patients suffer because of increasing deductibles, co-payments, and restrictions on patient care," said Dr. Ronald Ackermann, who worked on the study with Carroll. "More and more, physicians are turning to national health insurance as a solution to this problem."

...

"Across the board, more physicians feel that our fragmented and for-profit insurance system is obstructing good patient care, and a majority now support national insurance as the remedy," Ackermann said in a statement.

The Indiana survey found that 83 percent of psychiatrists, 69 percent of emergency medicine specialists, 65 percent of pediatricians, 64 percent of internists, 60 percent of family physicians and 55 percent of general surgeons favor a national health insurance plan.

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    • Author by jonwisby (June 15, 2009 4:38 pm ET)
         
      This THE NEW YORKER article is a must read if you want understand the health care debate. It's very long but does an excellent job of explaining where the waste is going; as well as, destroying various strawmen that clutter the discussion.

      The Cost Conundrum
      What a Texas town can teach us about health care.
      by Atul Gawan
      Report Abuse
    • Author by juliajayne1 (June 15, 2009 4:41 pm ET)
         
      Bill Moyers had a good show on May 22nd that detailed the fact that nurses and doctors do indeed want a single payer system. They'd like to be able to care for their patients rather than worry about if they'll be covered.

      I bet nobody's seen the demonstrations either. He profiled a group of doctos and nursed picketing outside the WH, but I haven't heard a word about it in the MSM.
      Report Abuse
      • Author by sinclairc1 (June 15, 2009 5:04 pm ET)
           
        I am a proud doctor who recieved the aforementioned poll. The question was asked, "If a Single Payer National Health Care plan which would guarantee that you would always get paid the full amount of your fees for the care you provided, would you be FOR or against that plan? I answered FOR. So did all the doctors I know. Then we all discussed the Islands in the Bahamas that we were going to buy.
        Report Abuse
        • Author by jonwisby (June 15, 2009 5:19 pm ET)
             
          Bon voyage.
          Report Abuse
        • Author by twseattle (June 15, 2009 5:25 pm ET)
             
          I would personally like to see more doctors in the island-buying category, especially if they get dreat deals from bankupt insurance company executives. That's financially bankrupt, moral bankruptcy is a long ago memory for them.

          How about a poll of doctors who have left the medical profession? What were their reasons? And what careers did they move into? As health care costs to consumers have risen for years, doctors reimbursments have not kept pace. Insurance profits have soared and drug companies get almost free reign to market directly to patients. Follow the money and it will not lead you to doctors in regular practice.
          Report Abuse
        • Author by MM_JF (June 15, 2009 5:39 pm ET)
             
          That is not the question that was asked in the poll in question. It asked "In principle, do you support or oppose
          government legislation to establish national health insurance?"

          Source: http://www.annals.org/cgi/reprint/148/7/566.pdf
          Report Abuse
        • Author by juliajayne (June 15, 2009 8:32 pm ET)
             
          Sinclair, did you get into medicine to help patients or to make tons of money. Just asking. Seems doctors in other countries with similar systems are doing just fine pay wise.
          Report Abuse
      • Author by Limit Corp. Ownership (June 15, 2009 5:04 pm ET)
        1  
        The MSM is really only interested in ways they can tear down National Healthcare.

        It's totally ingrained in the corporate media that National Healthcare "must" be wrong. Therefore, they will be on high alert for stories and angles and arguments which support their ingrained bias.

        Facts which go against their conditioning will just not be reported.
        Report Abuse
    • Author by captfoster2 (June 15, 2009 5:13 pm ET)
      1  
      I really wish each and every Democrat, advocate, and pro health-care liberal would say what this issue is and isn't truly about....

      IT IS NOT ABOUT WHETHER THE HEALTH-CARE IN AMERICA IS THE BEST OR WORST IN THE WORLD... IT IS ABOUT BEING ABLE TO ACCESS ALL THAT GREAT HEALTH-CARE IN AMERICA!!!

      Report Abuse
      • Author by shaggles (June 15, 2009 5:24 pm ET)
        1  
        Yes. Americans are too hung up on being the best at everything (or telling ourselves we're the best, anyway.) The fact is there are few things we're actually the best at. The US is beginning to remind me of Imperial China. They were far ahead of the rest of the world in most things a 1000 years ago and they rested on their laurels for hundreds of years, convinced of their inherant superiority, while the rest of the world passed them by.
        Report Abuse
      • Author by twseattle (June 15, 2009 5:41 pm ET)
           
        Conservatives are the ones constantly harping about the U.S. system being the best in the world with very little basis. Always gets them on corporate tv when they say it, though. Keeps the insurance ad money flowing. (campaign contributions, too) We do a little better at fighting major disease, but other indicators show we have a lot of room for improvement. We aren't even the leader in life expectancy for countries of similar size.

        So it really is a huge part of the debate to bring facts to the table when the opposition has made this slogan such a huge underpinning of their arguement.
        Report Abuse
        • Author by steelers84 (June 15, 2009 9:16 pm ET)
          1  
          We don't lead in ANY category, except money spent on health care. And major categories like life expectancy and infant mortality, we're among the likes of Costa Rica. But just keep shouting, "we have the best, we have the best, we have the best!!"

          It would be like a Houston Texans fan screaming that his team is the best in the league because every other team wishes it had Andre Johnson as its wide receiver. Pointing out that their record was 8-8 and didn't make the playoffs is just a bunch of pointy-headed, Ivy League elitism. And the newspaper that listed the Texans 8-8 record on the agate page just shows typical East Coast liberal bias.
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          • Author by twseattle (June 15, 2009 11:10 pm ET)
               
            I thought I saw statistics recently that showed the U.S with the best survival rates for heart disease and certain cancer treatments. Although not by much. We also are leaders in advancements in emergency medicine, although that's hard to quantify. That we excel only in the areas that are the most expensive to treat should scream to reasonable people that the for profit system does not serve us well.
            Report Abuse
    • Author by bcamarda (June 16, 2009 8:19 am ET)
         
      I will offer an anecdote for whatever it's worth. My brother-in-law is a surgeon who voted Republican for the past 20 years. Last year, he brought up Michael Moore's Sicko, and told me: "You must see this movie." He then proceeded to vote for Obama. Just one data point, I realize, but you could've knocked me over with a feather.
      Report Abuse
    • Author by achrispage6992 (June 16, 2009 8:31 am ET)
         
      We've heard this argument before, which is whether or not health care is a right. To me, that is the basis of this debate. Obviously, many conservatives and others who oppose a national option hold the opinion that health care is not a right. Besides, they'll tell you that we have emergency rooms, so really everyone can get treated if they need it. Of course they'll say this in one breath while in the next breath they'll speak of those who use E.R's for routine medical care as drags on society and the economy.

      To me, as a former health professional, it is appalling that some of our elected representatives don't blink an eye in spending a trillion dollars in Iraq over a period of time, but scream to high heaven if that dollar amount is suggested as required to provide citizens of this nation a fundamental right. The fact that anyone feels the need to oppose health care because they are worried about the poor little private insurance companies is beyone belief as well.

      I see no problem with offering people a competitive choice in health care between government and private insurers. That is really the crux of Obama's plan anyway. If private insurance is so much better then why is there fear of a government competitor? As long as it's not free to those who are capable of contributing I see no problem with competing with these insurance companies anyway. Let's see how they operate in an environment where their competitor isn't in the business of denying claims as opposed to paying them. If the model of a capitalistic economy the conservatives love so much is correct, then obviously lower costs will be the end result....right? How compelling would it be to place emphasis on disease prevention and see it work?

      One think I would like to see is across the board lower premiums for those who quite smoking those d@mn cigarettes and don't allow their bodies to become bastions of obesity and hardened arteries. I do believe that those who voluntarily choose to destroy their bodies with tobacco, potato chips, and twinkies should have the right to care but they should also suffer the consequence of higher premiums. I don't think anyone would find it fair to monetarily contribute the health care of an individual who makes poor health choices without that person contributing proportionally more.
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      • Author by juliajayne (June 16, 2009 3:04 pm ET)
           
        Good post Crispy, you make some really great points.

        After seeing "Sicko" myself recently, it does seem like the countries that offer the so called "socilaized" medicine are very proactive on the preventitive side of medicine. That's the key.
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