How the AMA Sold Out Doctors, Patients for Obamacare
by Nadia NaffeDuring the healthcare debate conservatives spent months trying to figure out why the leadership of the American Medical Association signed the nation’s doctors up in support of Obamacare.

The AMA endorsed Obamacare when member physicians were fiercely opposed. The groups early support was one factor that contributed to the bill’s passage, contrary to the expressed will of the majority of member physicians.
The answer lies in the AMA’s revenue stream. The AMA has been a puppet of the government since the early 1990’s in order to protect their multi-million dollar monopoly on the CPT coding system that all doctors have to use to bill Medicare and insurance companies, the licensing of which provides the AMA over 70 percent of its income.
The AMA earns only a fraction of its revenue from dues it receives from doctors, representing only 17 percent of doctors nationwide, according to their website. The lion’s share of AMA’s revenue, about $118M, comes from the sale of copyright publishing of billing codes for medical procedures and services.
How the AMA made medical code writing a multimillion dollar business
Before CPT Codes existed and when ICD-9-CM codes were just being developed, doctors had to write out in words what symptoms a patient had, what the diagnosis most likely was, and what visits, services, and procedures they thought they should get paid for. Then in 1966 Current Procedural Terminology or CPT was designed by the AMA to assist doctors in billing Medicare and health providers using codes. Doctors use the CPT Codes to specify to health care providers the service rendered so that they can get paid.
Headquartered in Chicago (Obama’s hometown, no citation needed), the AMA also controls the CPT Editorial Panel and CPT Advisory Committee, along with the staff which is responsible for editing, adding, and deleting CPT Codes.
Until now, doctors had rarely been politically active (unlike lawyers); their tendency was to back away, knowing they could do little as individuals. For years the membership ranks of the AMA have dwindled, but when the AMA betrayed the very people it was ostensibly meant to represent, doctors began organizing on their own.
“No one came to the forefront of the medical debate for the good of the doctor-patient relationship,” said Dr. Joe Whitaker, who founded the United States Medical Association to repeal Obamacare. “Government run healthcare is impossible to afford and impossible to implement.”
The AMA endorsed Obamacare as a way to protect its medical coding monopoly with the federal government, in-turn, the Obama Administration recieved the medical communities support for socialized healthcare – that was the deal. “Dollars are driving the entire process,” said Dr. Whitaker. “Doctors and patients want a national voice different from the AMA that is not controlled by the educational elite.”
Now, we know why doctors were standing behind the President in lab coats during the healthcare PR events at the White House.






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59 Comments
You mean the same AMA that covers for drug addicted doctors?
We have to remove these dem/progressive/liberal/RiNO fools from power, whether it be at the national, state, or local level.
We must confront them and expose their arguments, ideologies, and schemes for the frauds they are.
At every meeting of the PTA/Schoolboard, at every town hall meeting, every city council meeting, every open committee meeting at every level, we must confront their anti-American screeds with the truth.
It will take a generation or two to right the ship.
November's coming baby!
Been spending alot of time in the Hospital as of late. Some of these posts were written as a way to get my mind off of reality. Not one doctor or nurse thinks that things are going to get better, not one. There main complaint was lawsuits, as I write this they face massive ones and it is going to destroy, if it has not already, the profession of medicine.
Funny, the one thing that would have guaranteed to squeeze massive cost out of the delivery of medical care, not present in this bill. Things that make you go huh? Those trial lawyers are like a case of herpes, once you get them they never go away.
I had the misfortune to watch a questionable comedy called "Idiocracy"
Could not sleep after that, seeing the parallels to the present admin scared the pi$$ out of me.
The article was right on the money!!! When progressive/socialist talk about the high cost of medical care rarely do they talk about how payment is based on the CPT codes. The government determines the cost of a service based on these codes, which develops the RBVS (relative based value system— The price) of each CPT code. An example is 94060 (spriometry or Blow test) is RBVS'd at $95. But codes 94010, 94065 etc are added on to the 94060 CPT code (though the other codes are inhearent in the 94060) Since the EMT (Evaluation Management Treatment, which in olden days was known as the visit) CPT codes (99214, 99213, 99215 etc) are paid at a low rate (between $60 and $100), this encourages physicians to add on test to pay for costs. The system was set up to fail back in the 60s with this kind of system, and alas it has played out that way.
Thanks Nadia. Mom said it when I was just a lad, "If you want to know what's going on, follow the money."
Nothing like the government owning the very people who should be standing up to them. The bigger they get, the more contracts they can hand out to shut dissenters up or pay off their donors with taxpayer money. And they already own most of the media in one way or another.
All government contracts should be handled by a third party private company that cannot be influenced by politicians and is monitored for ethical distribution of contracts based on appropriate financial decisions, not whether an applicant is unionized or a political donor. It would clean a lot of corruption up in the U.S.
If Obama can wait 70 days to ask for help to stop an Economic and Environmental disaster
how long can the Governmetn wait to save you miserable puny life?
Until your dead. Good Answer!
YES, YES , YES, lets gets rid of these right wingers, who call themselves Democrats, and put in real progressives!!
remember when we used to be a proud free people?
When we took joy in having a job?
When we respected entrpreneurs and doctors?
WOW. The Socialist are singing Ted Nugent songs now.
"Got you in a stranglehold baby".
What kind of people are we now?
Despite evidence that the cost of tort insurance, litigation, and damage claims is lower now as a share of the economy than it was 20 years ago, various interest groups continue to claim there is a tort crisis and that the economy would benefit if the rights of tort plaintiffs were limited. According to insurance industry consultant Towers Perrin. Towers Perrin predicts tort costs will remain below 2.28% of GDP. Yet business groups and others advocating changes in U.S. tort laws often claim that our tort system hurts U.S. competitiveness. Yet Economic Reports made no real attempt to substantiate these claims, and the available evidence indicates that each of these assertions is false.
I always thought that like most politically active organizations that claim to represent various groups, that the AMA was just taken over by liberals. That might yet be true, but now I see that mostly its the dollars. Disgusting.
This is yet another reason why there should be no monopolies.
Thanks Nadia for the informative article….I know 2 doctors and both are against
socialized medicine, as are the few nurses I know….Everyone I talk to who goes
to a doctor tells me their doctors are not happy with what Obumble and the other
jerks did to our healthcare system…I have a feeling this is par for the course!
Truly interesting.
But I'm sure ObamaCare will be just fine — Right?
(do I really need a sarc tag on this?)
Ok, call me a pig. But two days in a row. Two incredibly beautiful black women on Big Gov. GRRRRRRR:)
The fact that they are this site speaks volumes for anyone. If only the first lady had the class that either of these two had, she would be revered by more than just the loons on the far left. Additionally, if she were even half as attractive as these ladies……I should stop now.
A thousand thumbs-up on that one!! Yes, the people that think government healthcare is a great idea only think that because they have not experienced it yet.
That doesn't account for the cost of malpractice insurance. There is a reason the vast majority of doctors site tort reform as the number one factor in lowering health care costs. They can't all be wrong.
Smoke & MIRRORS LIES & MONEY… SELLOUTS and VOTE OUTS. NOVEMBER TO REMEMBER is only 4 months off. God help us to survive till then!
So, the government bought the AMA? And AARP? And the unions. And the poor. And mexicans are next. ALL WITH OUR MONEY!
AARP, AMA, what a disgrace. I hope the members and former members cancel their memberships enmasse. What a disgusting unAmerican organizations. Sell out 300,000 million people and the great Medical industry that has raised the quality of life for the entire population of the planet.
Pond scum!
I would argue that the cost of the denial of care or cautious care is incalculable. Think of it this way. Your house is on fire. The fireman shows up. They unfurl their hoses and then begin to debate a less risky way of breeching your door while you are upstairs about to burn to death. That is the hell we have brought on ourselves and it will kill us, financially as well as physically.
Howard Dean on why medical litigation tort reform was not in the bill (with some relevant dramatic visuals): http://www.youtube.com/user/Optoons#p/u/27/XyKxoR...
You are, of course, insane. The cost of ANYTHING that needs to be described as a percentage of GDP is a HUGE COST! 2.28% of GDP for tort costs? TORT COSTS???
I'm convinced now more than ever that we need tort reform. And we need it NOW! Thanks for the ammunition.
How about that- the AMA not representing Doctors, just like the Congress is not representing We The People.
The best thing we could do about Obamacare is to repeal it.
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big … – Big Government [...]
Awwww maaaaannn…….
Arrogant, power brokers sell out members AND ethics????
again????
dang
that would be why fewer than 15% of doctors even BELONG to this crap organization, Rebas.
Waste of hot air, or cool air, depending on how owlgore's investments on the carbon exchange are doin on any given day, lol.
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[...] This post is amazing. I have never supported the AMA with my money, and know many others who refuse to as well, but I never knew why they had so much money to spend. Now I know. [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big … [...]
Follow the money is correct. Aside from CPT coding that is the basis for all medical billing, government or private, current government medical programs already make up a significant portion of revenue for physicians, hospitals and other medical companies. Medicare makes up between 30-45% of many operations' revenue depending on their geography and demographic. Medicaid is a very close runner up sometimes as high as 25-30% (most companies try to hold that down as it is often a loss leader). This is only going to grow, even without national health care, as the population ages and child birth decreases.
Current estimations have 50% of the population over the age of 50 within the next two decades meaning that a significant portion of citizens will already be using government health care and insurance programs. The initial attempt by the government to privatize Medicare has backfired. Many insurance companies have either had to dump their Medicare policies or significantly reduce coverage of services based on decreasing income and policies that require more management and services for fewer dollars.
Worse, contracting with Medicare means that insurance companies must adhere to certain policies that originated to insure there was no discrimination in services provided to the elderly as opposed to those provided to private health insurance policy holders. This policy boils down to insurance companies having to set their reimbursement based on Medicare's fees. Physicians and other health care providers had to accept this pricing scheme in order to contract with the insurance companies and government health care programs. Under the guise of non-discrimination, handing over health care pricing to the government.
So, while everyone is pointing fingers at insurance companies and health care providers for the rising cost of health care, they ask the government to step in and fix it. Effectively asking the fox to guard the hen house.
Those pricing schemes are based on a national average, with small adjustments by region. High or low, this effectively limited health care providers' and insurance companies' bargaining abilities. They end up lobbying congress over Medicare fees because they know in the long run it will effect private reimbursement. Because government adjustments are usually incremental or result in decreases, that usually means that health care providers and insurance companies lobby for higher incremental prices across a wide variety of services, even if their cost has not significantly increased, in order to make up any short falls in other services where they are losing money.
Further, in regards to covered services, this contracting requirement usually has insurance companies basing their coverage of procedures, equipment and services on government policies and guidelines. If Medicare has not approved of a procedure or has limited the utilization based on diagnosis, that is what the insurance companies are going to cover. Why can't a patient get certain drugs, procedures or services based on their physician's recommendation?
Ask the government. Then look forward to more of the same when they control all of health care. The price won't go down, the coverage won't get better. It will likely be worse.
Excellent article, and Nadia Naffe is hot!!!
The Administration rants against capitalism, yet uses the market to push their socialist agenda. A very anarchist tactic.
I had a well though out comment based on my 30 years experience as a physician and the site told me to break it up. Forget that.
Bottom line…THe AMA is a worthless organization of self- important suits and ties whose only concern is rubbing elbows with the politicos. I have not belonged in over 20 years and trash everything that they send to me.
They are as guilty as the politicians who voted for health care because they were silent. They are not friends to the doctors who are in the trenches.
[...] in response to the medical expenses inflation. This was passed after being signed more… How the AMA Sold Out Doctors, Patients for Obamacare – Big Government (blog) – biggovernment.com 07/02/2010 How the AMA Sold Out Doctors, Patients for ObamacareBig [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big Government [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big … [...]
Pretty scary aint it. Whoda thunk that that movie would turn out to be a prophecy!
I've been an RN for 14 years and I don't think I'll be staying in the profession much longer. As an RN in an open heart recovery ICU I am nothing more than a waiter for most of my patients.
I actually had a patient call me into their room to have me open their eyes for them! Most of the time these cases are of people that are diabetic, go on a 3 day drinking binge without eating and decide to take a few days off in the hospital. They just sign out "against medical advise" when they are rested and are sick and tired of not being able to smoke. It's only gonna get worse when Obamacare kicks in.
Havn't spoken to an MD yet that agrees with the new Law.
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big Government [...]
The AMA are uselsess and represent themselves. There's a reason why most docs like me aren't members. they caved on tort reform and gave Obama some political cover. Don't they realize that the admininstration will put them under the bus the moment it is politically expedient to do so? Does anyone care what actual doctors think? See http://www.MDWhistleblower.blogspot.com.
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big … [...]
[...] How the AMA Sold Out Doctors, Patients for Obamacare [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big Government [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big … [...]
[...] » How the AMA Sold Out Doctors, Patients for Obamacare – Big Government [...]
[...] with the AMA since that group has already sold its soul, supporting Obamacare in return for keeping an arcane publishing monopoly and receiving sure-to-be-broken promises about Medicare reimbursement [...]
[...] with the AMA since that group has already sold its soul, supporting Obamacare in return for keeping an arcane publishing monopoly and receiving sure-to-be-broken promises about Medicare reimbursement [...]
Conservatives have been accused of having a small tent. This is true, because we refuse to accept the idiocy that the democrats pander to.
Liza
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