Florida Doctors Lead The Fight Against Change

Dear Friends and Colleagues:
An article in today's (12/29/2009) New York Times, "Health Lobby Takes Fight to the States," reports that Florida is debating a proposed amendment to its state constitution that would try to block, at least symbolically, much of the proposed federal health care overhaul on the grounds that it tramples individual liberty. Its 42 co-sponsors, all Republicans, were almost all recipients of outsized campaign contributions from major health care interests, a total of about $765,000 in 2008. Last year, for example, the drug industry poured more than $20 million into political contributions in states around the country. In California alone, the industry spent an additional $80 million on advertising to beat back a California ballot measure intended to push down drug prices. The idea of amending state constitutions to block the core of the federal health care legislation, including the requirement that individuals and businesses buy insurance, began at the conservative Goldwater Institute in Arizona, the state where the first such measure will appear on the ballot next year. The states where the amendment has been introduced are also places where the health care industry has spent heavily on political contributions in recent years, according to figures from the National Institute on Money in State Politics. Over the last six years, health care interests have spent $394 million on contributions in states around the country; about $73 million of that went to those 14 states. Of that, health insurance companies spent $18.2 million, according to the institute. In Florida, where health interests have given a total of about $32 million over the last six years, the state medical association has become an especially important backer of the proposed amendment. In contrast to the American Medical Association, the Florida Medical Association has come out firmly against the current Congressional proposals, and a spokeswoman said the Florida group had embraced the proposed state amendment “to protect Florida from being forced into a federal government mandate that would hurt patients.” Dr. Madelyn E. Butler, president elect of the Florida Medical Association, said, “We are trying to ameliorate the effects of national health care reform on the State of Florida.” James Greer, chairman of the Florida Republican Party, said he too supported the proposal, which could be on the ballot in 2010 or more likely in 2012. Whatever its legal weight, Mr. Greer said, its mere presence on the ballot would give it political force. Its time that doctors stand up against those powerful interest groups. In some areas in Miami (Hialeah) the Uninsured rate has surpassed 50%. Many of my patients will be forced to drop health insurance coverage in 2010 because they cannot afford the high premiums. One of my family members was told that her back pain constitutes a pre-existing condition and her employer informed her that his small group insurance premiums will increase if he decides to continue providing coverage for her. As physicians we have the moral obligation to protect our patients interests and to stand up against the powerful and mighty insurance industry. Enough is enough!

Have a Happy New Year.

Yours Bernd