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Sally Satel's avatar

Dear All ... Thank you for taking the time to write.

Yes, it makes perfect sense that MDs would have an important say in access to care via coverage. The main points I tried to make were that the more distant from our mission of health provision and the less we know about a policy (MDs are not training in economic policy), the more questionable our involvement becomes. Is it a wise trade-off, then, to take energy we take away from patients.

As for specific, partisan legislation, some could argue that it is worth the AMA taking a stand. The AMA did that with the ACA and got burned (lost membership and was seen as politicized). I think that organizations purporting to represent all doctors, should stay away from endorsing legislation. MDs can do that as private citizens or form interest groups (there is already Physicians for a National Health Program). Sure, they policitized themselves even then but they are not presuming to represent all doctors. Thanks again to everyone for responding to the piece.

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Sally Satel's avatar

Dear David O - much appreciated.

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