A new Investor’s Business Daily poll of more than 1,300 physicians finds that nearly two-thirds (65%) don’t back ObamaCare, more than 70% say the government cannot provide insurance coverage for 47 million additional people and save money without harming quality, and 45% of doctors say they “would consider leaving their practice or taking an early retirement” if the liberal health care plan passes.
Earlier this week, as the front-page story in today’s Investor’s Business Daily noted, the Los Angeles Times ran a front-page story touting the American Medical Association (AMA)’s backing of President Obama’s health care plans, while a National Public Radio publicized a poll funded by a pro-ObamaCare group to claim that “nearly three-quarters of doctors said they favor a public option.”
The IBD/TIPP poll of 1,376 physicians suggests that the AMA does not represent most doctors as it advertises and lobbies on behalf of the administration’s plan, and offers a second opinion to the poll (of 991 physicians) originally published in the New England Journal of Medicine suggesting strong support for a bigger government role.
Here’s an excerpt of today’s IBD story (they promise more data from the poll for tomorrow’s paper), followed by excerpts from the Los Angeles Times and NPR stories mentioned in the article:
Two of every three practicing physicians oppose the medical overhaul plan under consideration in Washington, and hundreds of thousands would think about shutting down their practices or retiring early if it were adopted, a new IBD/TIPP Poll has found.
The poll contradicts the claims of not only the White House, but also doctors' own lobby — the powerful American Medical Association — both of which suggest the medical profession is behind the proposed overhaul.
It also calls into question whether an overhaul is even doable; 72% of the doctors polled disagree with the administration's claim that the government can cover 47 million more people with better-quality care at lower cost....
It also differs with findings of a poll released Monday by National Public Radio that suggests a "majority of physicians want public and private insurance options," and clashes with media reports such as Tuesday's front-page story in the Los Angeles Times with the headline "Doctors Go For Obama's Reform."
Nowhere in the Times story does it say doctors as a whole back the overhaul. It says only that the AMA — the "association representing the nation's physicians" and what "many still regard as the country's premier lobbying force" — is "lobbying and advertising to win public support for President Obama's sweeping plan."...
The U.S. today has just 2.4 physicians per 1,000 population — below the median of 3.1 for members of the Organization for Economic Cooperation and Development, the official club of wealthy nations.
Adding millions of patients to physicians' caseloads would threaten to overwhelm the system. Medical gatekeepers would have to deny care to large numbers of people. That means care would have to be rationed.
"It's like giving everyone free bus passes, but there are only two buses," Dr. Ted Epperly, president of the American Academy of Family Physicians, told the Associated Press.
# Tuesday’s Los Angeles Times story, with the online headline: “Healthcare reform wins over doctors lobby,” which stressed how physicians were clamoring for Obama's health care changes:
The American Medical Assn., after 60 years of opposing any government overhaul of healthcare, is now lobbying and advertising to win public support for President Obama's sweeping plan -- a proposal that promises hundreds of billions of dollars for America's doctors.Of all the interest groups that have won favorable terms in closed-door negotiations this year, the association representing the nation's physicians may have taken home the biggest prizes, including an agreement to stop planned cuts in Medicare payments that are worth $228 billion to doctors over 10 years.
In addition, the proposal that would require all individuals to obtain medical insurance includes premium subsidies to ensure that their doctor bills would be paid....
In the past, the AMA saw the government as endangering doctors' incomes and independence. Now, with the advent of Medicare and other federal programs, which the organization originally opposed, the government has become a vital source of revenue and stability for doctors.
"Doctors are really, really discouraged now about people not getting access to medical care," said Dr. Nancy Nielsen, immediate past president of the AMA, who has been meeting with top congressional officials this summer on behalf of the association.
# And, an excerpt from the September 15 “Morning Edition” story on NPR (audio available here):
REPORTER JOSEPH SHAPIRO: In the survey, nearly three-quarters of doctors said they favor a public option. Co-author Dr. Salomeh Keyhani is a researcher at Mount Sinai School of Medicine.DR. SALOMEH KEYHANI (Researcher, Mount Sinai School of Medicine): The results of the study demonstrated that the majority of physicians support a public option in the United States of America.
SHAPIRO: That included the 63 percent who say they'd like to see patients get a choice of public or private insurance and another 10 percent who favor a public option only. They'd like to see a single-payer system. When the public in general is surveyed, support for a public option has run between 50 and 70 percent....
SHAPIRO: Lots of the doctors in the survey said that they sometimes run into problems with Medicare. But Keyhani, who's spoken publicly in support of a public option, says doctors she spoke to for the survey often worry more about their uninsured patients.
DR. KEYHANI: So many of Americans are uninsured and physicians have to take care of uninsured patients. A public option would sort of help guarantee that most people had coverage. And I think that's very important to physicians who wake up in the middle of the night, they go to the hospital and they take care of patients and are not reimbursed. So having a guarantee of reimbursement of some sort I think is very appealing to most physicians.
SHAPIRO: The new survey was published online by The New England Journal of Medicine and funded by the Robert Wood Johnson Foundation, a health care organization that favors health reform. Joseph Shapiro, NPR News.
ANCHOR RENEE MONTAGNE: And we should note that the Robert Wood Johnson Foundation also supports NPR.
—Rich Noyes is Research Director at the Media Research Center.





Two of every three practicing physicians oppose the medical overhaul plan under consideration in Washington, and hundreds of thousands would think about shutting down their practices or retiring early if it were adopted, a new IBD/TIPP Poll has found.
It also differs with findings of a poll released Monday by National Public Radio that suggests a "majority of physicians want public and private insurance options," and clashes with media reports such as Tuesday's front-page story in the Los Angeles Times with the headline "Doctors Go For Obama's Reform."














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Then...
September 16, 2009 - 11:13 ET by BondPlainBondThis new IBD poll also disputes Obama's claims most doctors back ObamaCare.
It's reports like this that
September 16, 2009 - 11:15 ET by Chris NormanIt's reports like this that makes one conclude that, not only is the media not doing the job they're supposed to do in simply reporting the news, but they are now the anti-news.
The "Mainstream" Media: By liberals. For liberals.
Nowhere in the Times
September 16, 2009 - 11:19 ET by black47211Nowhere in the Times story does it say doctors as a whole back the
overhaul. It says only that the AMA — the "association representing the
nation's physicians" and what "many still regard as the country's
premier lobbying force" — is "lobbying and advertising to win public
support for President Obama's sweeping plan."...
Their words. Follow the money, baby. The Dems have claimed that Republicans are in the pockets of lobbyists? Fah. Hello, kettle? This is pot. Um, you're black.
http://www.pelicanmarsh68.blogspot.com
I think I read that only
September 16, 2009 - 11:39 ET by celatorI think I read that only about 20 percent of the nation's physicians are members of AMA. Maybe someone has more accurate figures.
No citizen's right to life, liberty, pursuit of happiness, or property is safe as long as Obama is President of the United States.
I went to their site...no
September 16, 2009 - 11:52 ET by black47211I went to their site...no info I could find on member numbers.
http://www.ama-assn.org/ama/pub/membership.shtml
http://www.pelicanmarsh68.blogspot.com
18%
September 16, 2009 - 11:59 ET by KylerkCiting the article that appeared yesterday (9/15/09) in Investor's Business Daily by Terry Jones -- "The AMA, in fact, represents approximately 18% of physicians and has been hit with a number of defections by members opposed to the AMA's support of Democrats' proposed health care overhaul."
Kylerk....WOW! Looked at in
September 16, 2009 - 12:04 ET by celatorKylerk....WOW!
Looked at in another way, 82 percent of physicians are not members of AMA. That's a pretty deal. They obviously are not the voice of the medical community, though, of course, that's how traditional media presents them. Thanks!
No citizen's right to life, liberty, pursuit of happiness, or property is safe as long as Obama is President of the United States.
Let me Be the First too Give the NYT Response
September 16, 2009 - 11:22 ET by Airforce_5_O<chirp, chirp>
Liberalism: The haunting feeling that someone, somewhere, can help themselves.
ABC News
September 16, 2009 - 11:32 ET by JayceI wonder if Charlie will find the time to report this poll concerning Healthcare. I won't hold my breath.
My oldest son and his wife
September 16, 2009 - 11:56 ET by jdhawkMy oldest son and his wife are both doctors (general surgeon and urologist), neither one belongs to the AMA, neither one is for Obamacare.
My youngest son and his girlfriend are both in medical school, they don't belong to the AMA as students and both are opposed to Obamacare.
Our family doctor doesn't belong to the AMA, is opposed to Obamacare and if it passes with a public option, he will drop all government medical insurance programs. He gets 20 cents on the dollar, on average, for every government medical insurance program patient that he sees now. If anything resembling HR 3200 passes, he will get even less. He has one full time and one part time admin just to take of all the government paperwork involved in getting paid. His average time for reimbursement is 3 months with some claims taking over two years and some just never get paid, period.
Wonder why your health care insurance is going up? Read the above paragraph. The government stiffs doctors and hospitals and have been for decades. So, they make up the difference by charging you the difference with higher premiums. And throw in the cost of seeing thoses that just won't pay a dime whatsoever - like illegal aliens.
Obamacare will make you sick; it may even kill you.
Excellent post,
September 16, 2009 - 13:21 ET by stratmanExcellent post, jdhawk.
The AMA gave free memberships to students and first year residents when I went through the process. I may have checked a box to agree with receiving the membership but I don't recall that happening. It's been a while since then and there were more important tasks at hand.
One clarification. Physician's fee schedules, a list of prices for work performed, are nothing more than wish lists EXCEPT if you are a self-pay patients. Then you are billed the full amount, which can be negotiated down sometimes.
It is the insurers who determine reimbursement no matter what the physician requests in his fee schedule. For instance, and this is only a made up example, if you ask for $75 for a 99213 visit (eg simple strept throat or acute bronchitis) the insurers will reimburse $56 and the Government will reimburse $41. Asking for more than $75 will not get you more money. And if the physician then sets his fee to the amount the insurer was reimbursing last contract, which a friend of mine did in an attempt to not play games, then insurers will give you LESS than before. Go figure.
Whatever a physician asks for, the insurer will nearly always reimburse less. Asking for more does not result in being reimbursed more. Asking for less may result in being reimbursed less.
Double post, oops!
September 16, 2009 - 15:43 ET by jdhawkDouble post, oops!
Exactly.
September 16, 2009 - 16:05 ET by TailgunnerYou're right on the money here.
Much of the reason YOUR private health insurance is so high is because hospitals have to pad your account (i.e. with a $5 aspirin or a $20 hospital meal) because Medicare deliberately underpays its bills.
Medicare also has other neat little rules.
For example, a hospital may not prescribe a medication to a private patient if they don't offer it to Medicare patients...even if Medicare refuses to pay for it.
That means hospitals must provide the latest, most cutting edge (and expensive) medications to Medicare patients for FREE...while YOUR private health insurance pays through the nose for THEIR drugs.
Democrats want to jumpstart Obamacare by...guess how...stripping Medicare of hundreds of billions of dollars.
How are they going to make up this larceny? You guessed it...by paying doctors and hospitals LESS.
Obamacare is basically Medicare for everyone.
And Obamacare is going to reimburse providers using the same rate schedule as Medicare.
Now with Medicare on a national scale, with private insurance picking up the slack of hundreds of billions more dollars in Medicare and Obamacare underpayments, how long before private healthcare in America is extinct?
And what's going to happen when they're gone, and Obamacare can't write blank checks on YOUR private healthcare insurance anymore?
There's an iron fist inside Obama's velvet glove.
Rationing, death panels, arbitrary restrictions on surgeries, drugs and other treatments.
And we'll see it all once the money's gone.
Nationalized Healthcare is a DEATH SENTENCE.
Democrats are the party of killers, racists, pedophiles, bribe takers, serial sexual harassers, liars, perjurers, obstructors of justice and treasonous frauds.
i am going to keep my
September 16, 2009 - 12:34 ET by JAJTi am going to keep my fingers crossed that Charles Gibson will cover this!
JAJT
JAJT--
September 16, 2009 - 17:28 ET by Kat Outta the BagBetter hope your hand doesn't cramp up while waiting. ;-)
so does that mean 65% of
September 16, 2009 - 12:35 ET by JAJTso does that mean 65% of our doctors are Racists?
JAJT
Re AMA
September 16, 2009 - 13:07 ET by slickwillie2001Regarding the AMA's politics, the outcome is predicted by O'Sullivan's First Law: All organizations that are not actually right-wing will over time become left-wing.
O'Sullivan's First Law: http://www.nationalreview.com
We see this happen time after time. It happens to the big benevolent organizations like the Ford Foundation, Annenberg Foundation, AARP, etc, etc.
Barry's Plantation
September 16, 2009 - 14:41 ET by Wesen"Barack Obama will require you to work. He is going to demand that you shed your cynicism. That you put down your divisions. That you come out of your isolation, that you move out of your comfort zones. That you push yourselves to be better. And that you engage. Barack will never allow you to go back to your lives as usual, uninvolved, uninformed."
Michelle, Barry's first wife.
Be curious to see a poll of
September 16, 2009 - 15:10 ET by RR GOPBe curious to see a poll of Soldiers, Marines and Airmen as to what they think of the current rules of engagement in Afghanistan.
Or, is it just one of those things where you don't have to pay any attention to what folks think and just do what you're going to do anyway, especially if they're under your direct control?
Really stumped on that one./sarc
One of the 34% who thinks George W. Bush was a great President. One of the 86% who wants to bring back the stock and pillory.
Terrible Survey
September 16, 2009 - 15:25 ET by unitaryexecutiveYou don't need the IBD poll to tell you that the NEJM poll is not entirely accurate (WARNING: Boring analysis to follow).
The information regarding the NEJM poll can be found here:
http://healthcarereform.nejm.org/?p=1790&query=home
The first thing that no one has mentioned about this poll is that the doctors support a purely private option to a purely public option by almost a 3-to-1 margin (yes, 3-1, I wonder why NPR wouldn't mention that). The remainder of the doctors support the "sure, let's allow people to have all options available" line of reasoning. It is interesting to note that the public option presented to the doctors was not the one found in H.R. 3200, but rather one that would function "like Medicare" (translation: spews cash/imminently bankrupt).
But the more interesting point is that the NEJM left out a very important piece of analysis from a related survey found here:
http://healthcarereform.nejm.org/?p=1785&query=home
In this survey, the NEJM appears to find evidence that doctors' opinions related to health care reform are most closely associated with -- you guessed it! -- their political beliefs. So, if you asked a group of doctors for their thoughts on H.R. 3200 or future iterations, the answer would seem to be dependent largely on whether you are asking conservatives or liberals.
Even with these findings, the NEJM "forgot" to ask those surveyed in the oft-cited poll that is the subject of this post about their political affiliations. So, we have no idea if the 63% of physicians who support a public option are doing so because they are mostly liberal or moderate, or if they support it for some reason relevant to their profession (BTW, the survey had a response rate of 43.2%, which could allow for tainting of the sample).
In other words, the NEJM survey is practically useless because it asks a question that does not reflect the proposals currently before Congress and it leaves out a key demographic factor that would help us analyze these results. Oh, and there is still overwhelming support for a solely private option over a single payer system.
Thanks for nothing, NEJM.
We have so many people who can't see a fat man standing beside a thin one without coming to the conclusion that the fat man got that way by taking advantage of the thin one.
-Ronald Reagan
Don't forget the Catholic hospitals...
September 16, 2009 - 15:34 ET by Tailgunner...which I've read make up about a third of all US hospitals.
If Obama insists on overturning the 'conscience clause' on abortion, expect 33% of US hospital beds to simply disappear.
Any way you look at Obamacare, in whatever form it's finally enacted, it will be a disaster for US health care.
And Canada's health care.
And the UK's health care.
And France's.
And Sweden's.
Etc. etc. etc.
Nationalized Healthcare is a DEATH SENTENCE.
Democrats are the party of killers, racists, pedophiles, bribe takers, serial sexual harassers, liars, perjurers, obstructors of justice and treasonous frauds.
The AMA does not speak for
September 16, 2009 - 17:57 ET by chicagotraumaThe AMA does not speak for the majority of Doctors. People think they do.
They are liberal shills.
Many (if not most) of the docs I work with are Liberal. None of them had read HR3200. I read it, and when we discussed the bill their jaws dropped.
The docs that support it are either libs that trust this government and haven't read the bill or they are from the ivory towers of teaching, where reality never reaches.
"and 45% of doctors say
September 16, 2009 - 22:02 ET by Cthulhu2012"and 45% of doctors say they “would consider leaving their practice or
taking an early retirement” if the liberal health care plan passes."
Ohhh, so THAT'S how Obama plans to give everyone total health coverage and still save costs!
Why choose the lesser of two evils?