America's largest medical specialty society endorses single-payer Medicare for All

January 20, 2020

(Jan. 20) Physicians for a National Health Program (PNHP) today welcomed the American College of Physicians' (ACP) endorsement of single-payer Medicare for All. The ACP, a national organization of 159,000 internists, is the largest medical specialty society and second-largest physician group in the U.S. after the American Medical Association (AMA).

The ACP announced its endorsement of Medicare for All in a special supplement to its official journal, the Annals of Internal Medicine, where the group also endorsed a "universal public choice" reform model.

The ACP endorsement coincides with the publication of an open letter signed by more than 2,000 physicians "prescribing" Medicare for All, an effort organized by advocates separately from the ACP. Among the "prescribers" are towering figures in American medicine, including Dr. Marcia Angell, former editor-in-chief of the New England Journal of Medicine; Dr. Bernard Lown, developer of the defibrillator; Dr. Paul Farmer, infectious disease expert and founder of Partners in Health; and Dr. Mary Bassett, former New York City Health Commissioner. The letter will appear as an advertisement in the New York Times the week of January 20.

Along with the ACP's position paper, the Annals of Internal Medicine published an editorial by PNHP co-founders Drs. Steffie Woolhandler and David Himmelstein. Drs. Woolhandler and Himmelstein, noting that organized medicine had opposed national health insurance for a century, called the ACP's new position "a sea change for the medical profession."

The ACP's endorsement of Medicare for All and the publication of the open letter reflects growing support for single-payer reform among physicians. Recent surveys have found that half of all doctors now favor national health insurance. Last June, the AMA's House of Delegates only narrowly defeated a resolution that would have rescinded its long-standing opposition to Medicare for All. Under pressure from Medicare for All supporters, the AMA then resigned from the dark money group Partnership for America's Health Care Future, which opposes single-payer reform.

"As physicians, we see daily the harm that our fragmented, private-insurance based system does to our patients," noted Dr. Adam Gaffney, President of PNHP and a pulmonary and critical care physician at Harvard Medical School and the Cambridge Health Alliance. "Patients go without the care they need, and physicians squander time and resources on wasteful billing and clerical tasks. Medicare for All would be a much better way -- for patients and doctors both."

According to Dr. Woolhandler, a Distinguished Professor at the City University of New York at Hunter College and Lecturer in Medicine at Harvard Medical School, "When we started PNHP, doctors who supported single-payer reform were considered radicals, and reporters likened us to 'furriers for animal rights'. Now we're squarely in the mainstream of the medical profession. More and more doctors have realized - often from talking to our Canadian colleagues - that single payer is the only way to cut insurers' paperwork and profits that siphon hundreds of billions annually from care in the U.S." Dr. Woolhandler is a Fellow of the ACP, but not an official spokesperson for that organization.
PNHP is a nonprofit research and education organization whose more than 23,000 members support single-payer Medicare for All reform. PNHP's physician members have been working for single payer since publication of its policy proposal in the New England Journal of Medicine in 1989.

The following documents are available to credentialed media professionals upon request:

1) "Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care," by the Health and Public Policy Committee of the American College of Physicians, Annals of Internal Medicine, published online ahead of print January 20, 2020. doi:10.7326/M19-2415

2) "The American College of Physicians' Endorsement of Single-Payer Reform: A Sea Change for the Medical Profession," by Steffie Woolhandler, M.D., M.P.H., and David Himmelstein, M.D. Annals of Internal Medicine, published online ahead of print January 20, 2020.

Physicians for a National Health Program

Related Medicare Articles from Brightsurf:

Falling Medicare reimbursement rates for orthopaedic trauma
The amount Medicare reimburses for orthopaedic trauma surgery has fallen by nearly one-third over the past two decades, reports a study in the Journal of Orthopaedic Trauma.

Medicare coverage varies for transgender hormone therapies
A new study has shown substantial variability in access to guideline-recommended hormone therapies for older transgender individuals insured through Medicare.

Medicare changes may increase access to TAVR
The number of hospitals providing TAVR could double with changes to Medicare requirements.

Inequitable medicare reimbursements threaten care of most vulnerable
Hospitals, doctors and Medicare Advantage insurance plans that care for some of the most vulnerable patients are not reimbursed fairly by Medicare, according to recent findings in JAMA.

Medicare may overpay for many surgical procedures
For most surgical procedures, Medicare provides physicians a single bundled payment that covers both the procedure and related postoperative care over a period of up to 90 days.

Only 1 in 4 Medicare patients participate in cardiac rehabilitation
Only about 24% of Medicare patients who could receive outpatient cardiac rehabilitation participate in the program.

How common is food insecurity among Medicare enrollees? 
Nearly 1 in 10 Medicare enrollees age 65 and over and 4 in 10 enrollees younger than 65 with long-term disabilities experience food insecurity.

Medicare for All unlikely to cause surge in hospital use: Harvard study
Despite some analysts' claims that Medicare for All would cause a sharp increase in health care utilization, a new study finds the two biggest coverage expansions in US history -- Medicare and the ACA -- caused no net increase in hospital use.

Critical heart drug too pricey for some Medicare patients
An effective drug to treat chronic heart failure may cost too much for senior citizens with a standard Medicare Part D drug plan, said a study co-authored by a John A.

Research suggests strategy for more equitable Medicare reimbursement
Those who were enrolled in both Medicare and Medicaid were sicker, had more cognitive impairments and difficulty functioning, and needed more social support than those who were not enrolled in both government programs, Saint Louis University research found.

Read More: Medicare News and Medicare Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to