Monday, September 14, 2009

Doctors Want a Public Option

Many moons ago, Jim shared with us how he decided not to join the AMA. In the comments we talked about the public health insurance option in the health care reform plans and I remarked that I'd like to see a clear-cut picture of how widespread support of a public option is among rank-and-file doctors. The Robert Wood Johnson Foundation has granted my wish. The details come from the New England Journal of Medicine:

Overall, a majority of physicians (62.9%) supported public and private options (see Panel A of graph). Only 27.3% supported offering private options only. Respondents — across all demographic subgroups, specialties, practice locations, and practice types — showed majority support (>57.4%) for the inclusion of a public option (see Table 1). Primary care providers were the most likely to support a public option (65.2%); among the other specialty groups, the “other” physicians — those in fields that generally have less regular direct contact with patients, such as radiology, anesthesiology, and nuclear medicine — were the least likely to support a public option, though 57.4% did so. Physicians in every census region showed majority support for a public option, with percentages in favor ranging from 58.9% in the South to 69.7% in the Northeast. Practice owners were less likely than nonowners to support a public option (59.7% vs. 67.1%, P<0.001), but a majority still supported it. Finally, there was also majority support for a public option among AMA members (62.2%).


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