Health care professionals as an industry are huge campaign contributors. Since 1990 their PACs and lobbyists– and individuals– have showered politicians with $410,976,959. In the early 90’s, the industry was given about equal amounts to Democrats and Republicans. But, like many Americans, they were seduced by Newt Gingrich’s siren song in 1994 and the 50/50 pattern turned overwhelmingly in favor of Republicans. That last a dozen years and culminated in 2006 when Republicans reaped $33,770,168 (62%) and Democrats got $20,186,251 (37%). Several factors have made health care professionals start to seriously reassess their donations. So far in the current cycle, 54% of the contributions ($26,623,398) have gone to Democrats, the first time since 1992 that Democrats were given more than Republicans.
Perhaps you saw or heard some of the ads the powerful American Medical Association ran this past weekend threatening Republican senators who had voted to cut doctors’ fees by over 10% when they serve elderly Medicare patients. Many Republicans did– and they are angry… and scared. Yesterday’s Hill pointed out that health care professionals have been abandoning Republicans and supporting Democrats, although the Hill has an odd slant: Docs Risking Ire of GOP on Medicare.
The risk is pretty one-sided at this point and the Republicans are up the proverbial creek without a paddle. "The immediate interests of the American Medical Association (AMA) and allied groups clearly lie with the Democrats, who control Congress and have been pushing legislation to undo a 10.6 percent cut in Medicare payments to doctors that kicked in on July 1."
Senate Republicans have stood in their way. Though the House passed a Democratic bill to prevent the cuts by a whopping 355-59 vote, a cloture vote in the Senate failed by a single vote, with most Republicans voting against cloture.
That drew public condemnation from the AMA, backed up by a television and radio advertising campaign over the Independence Day recess. The broadcast spots called out individual Republican senators by name, including Sens. John Sununu (N.H.), Roger Wicker (Miss.) and Arlen Specter (Pa.), who all voted against cloture.
… When the Medicare bill failed by a single vote, though, the AMA and some of its allies let their “outrage” show and directed their invective squarely at the Republican Party.
In states like Texas, Mississippi and New Hampshire, medical societies took aim at their incumbent senators. The Texas Medical Association made headlines when it withdrew its endorsement of Sen. John Cornyn (R-Texas) in retaliation for his “no” vote. If Cornyn holds on to his seat, he’s not going to forget that his state’s doctors turned their backs on him.
From the physicians’ perspectives, they’re siding with themselves, not congressional Democrats.
Snarlin’ Arlen, for one, squealed like a stuck pig. He clearly didn’t like being singled out as the butt of an ad from such a prestigious group, one he has assiduously cultivated. Every Democrat voted for the doctors but the only Republicans to join them were the ones who are running scared in tight re-election campaigns and have suddenly decided to start voting like Democrats (perennial rubber stamps like Susan Collins, Norm Coleman, Gordon Smith, Pat Roberts, Elizabeth Dole, even Ted Stevens! Too stupid and pig-headed to even understand the jeopardy they face are nitwits like James Inhofe, Cornyn, Lindsey Graham, Miss McConnell, Sununu and Wicker.
[Cross-posted at Down With Tyranny.]
Related posts:
- NYT, AHIP and Those Greedy Doctors: Part II
- Surprise! AMA Wants to Shield Insurance/Pharma (and Doctors) from Public Plan Competition
- AHIP Sics NYT on Those Greedy Doctors, Hospitals
- Jon Kyl’s (R-AZ) Brilliant Idea for Health Care Reform: Let’s Be Like Texas!
- America Doesn’t Ration Care – Except to Those Who Don’t Have Insurance





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HOWIE IS GOD.
HOWIE IS *A* GOD. Sorry.
Yeah, even Howie would probably admit that folks like Clapton or Dylan or Springsteen or Ginger Baker or Duane Allman are closer to Godhood than he is… /s
i dunno, howie’s pretty godLIKE. he might object, but other’s wouldn’t.
GREAT POST Howie.
wow
don’t let the God stuff go to your head.
hehe
Not to mention The Clash and everyone who worked so hard on the FISA ad campaign all weekend– although it was a very fitting way to spend the 4th of July holiday
The end of that piece in The Hill is a keeper:
If the insurance industry is the only part of the medical/industrial complex that is in favor of this, that tells you a lot. But the GOP, given a choice between dealing with medical providers on the one hand and money-handlers on the other makes their usual choice: they’ll go for the money every time.
Oh, and how good will those plans be, if none of the doctors will treat the patients under the terms those policies require?
Looks like Blue America is going to have some big guns joining us to fight the reactionary Republicans and Blue Dogs on health care. I just updated my original post. $40 million sounds good– and worthwhile!
This is good news, Howie. Thanks for the excellent post. The more folks we can sic on the Blue Dogs, the better.
Howie, why am I flashing back to Deliverence on this?
Poor haggis. People are starting to get his number: he sounds outraged, then votes with Bush/Cheney right down the line. I hope Pennsylvania Democrats have some fun defeating him in 2010.
Lucy, on the field, with football.
Ian Welsh has a fresh post upstairs!
Starving in the Streets (End of Free Trade Edition)
It would be great if we didn’t have to listen to John Cornyn’s obnoxious speeches in Congress.
BTW. I found it almost impossible to get on this site until I switched to an anonymous server. The Tinfoil hat in me tells me Comcast doesn’t like Jane’s FISA ad and is blanking outthe site. I could be wrong. I just feel a little suspicious of Comcast these days. Dunno why.
I know people in PA who have apologized for voting for Specter in 2004 – they thought he was a moderate. Some people in PA don’t do their research.
Too bad his doctor doesn’t tell him to take a hike – over this vote. I’d pay to watch that.
I know quite a few doctors who have retired/been run out of business because of this 10% cut
A gentle question – a post every hour? How can we keep up?
I feel old saying this; but the attention-span at this place is starting to remind me of a FOX SPORTS broadcast, complete with WHOOOOSH! sounds.
It’s HARD to keep up and deal with of the puter life, and it kinda sux cause every single post is relevant and exceedingly well written by excellent authors, so I don’t want to miss anything. It’s tough!
I scramble daily to catch up.
I love this site.
*off the puter* life.
it’s like “college”……
lol
I don’t know. I have very little sympathy with the AMA, which has certainly done it’s share to put us into the current health care debacle we are currently experiencing. In particular, the way that they’ve manipulated med school admissions, and jimmied the international entrance requirements for the board exams in such a way to keep the number of doctors artificially small. While this has kept doctors extremely well paid, it has also shifted a lot of the burdens of our expanding health care system on everyone else in the system, as doctors’ time has become prohibitively expensive.
Don’t get me wrong. I love every bit of this site, and lots of folks who’re connected with it.
I just have a hard time when things start going so fast. I don’t have a seat-belt.
lol
well I am built for comfort, not speed!!!!
It’s a daily challenge, to be sure.
Excuse me. It’s this site has been totally unaccessible to me all day via AT&T, not Comcast.
I agree that sometimes a thread doesn’t get the attention it should.
Howie, that is a great picture, Rembrandt’s The Anatomy Lesson of Dr. Nicolaes Tulp, which hangs in the Maritshuis in The Hague. There is a good description at the museum, and another here.
The health professions think they are ‘players’ with the big money boys. They are not. The corporate GOP types consider folks who shuffle money to be players, not hired help, like gardeners, housecleaners and health professionals. They do useful work with their hands, after all. How gauche and petty! Suckers and marks, nothing more.
The AMA money was not critical in the last administration, so they got a rude brush off with the GOP whenever their interests did no coincide with the corporations. Let us see what happens this time. Looks like the GOP will stick it out with the big corps to the very end.
The AMA has consistently been a Patriarchial Society and deemed itself the sole provider of law for healthcare concerns for decades and decades.
As America downsized, consolidated and outsourced in the late 70’s and thru the 80’s, the AMA led the charge to support it all, wiping out family practices, and many, many other jobs of RN’s and more in the process.
All the while, covering the back of their core investors even as malpractice insurance rose, further eliminating the small offices and practitioners.
Like some kind of Eminent Domain, the AMA continued to side with big biz, pharma . . while wiping out independent practice.
That the AMA stands for this Medicare Issue, is lovely. But again, it’s not about the healthCARE, it’s about their own pockets and the pockets of their patriarchial society.
I concur, though, Howie, nice post . . . any small good news is better than what we usually get . . . but let’s not lose sight of the AMA, and it’s history which is LESS than stellar with respect to really fighting for the patient, and more about fighting for the doc’s they control like a trade union gone bad.
I’ll buy their goodness when they announce all their doc’s will treat everyone at the highest levels, with or without insurance . . . and take the losses in their OWN fuckin pockets, to do so.
We don’t need no stinking healthcare coverage, we need phrellin healthCARE!!!
Harumph.