QJE-Studie: Die American Medical Association (AMA) spielte eine zentrale Rolle bei der Blockierung der Schaffung einer staatlichen Krankenversicherung in Amerika nach dem Zweiten Weltkrieg, während sie gleichzeitig Menschen in private Krankenversicherungen einschloss, um die Nachfrage von einer öffentlichen Alternative abzulenken.
https://doi.org/10.1093/qje/qjag024
16 Kommentare
For those not aware, QJE is a top journal. For them to publish an ECON history paper speaks to its quality.
This also supports a broader finding; that unions, when they dabble outside of the labor market, tend to lead to worse economic outcomes. Especially when they move into politics.
So, not only have they restricted entry for medical graduates, hiking wages for their members while increasing patient wait times, they were instrumental in fostering an insurance system tied to employment. And all those attendant negative consequences.
I thought this was common knowledge. Phil Ochs even wrote a song about it. „If you can’t afford my bill don’t tell me that you’re ill ‚cause the free enterprise way.“
Look at the wages of doctors in nationalized systems and you can see why they did this. But man what a slap in the face to the history of the medical profession. It’s one thing to be greedy and take money but to do so in a way that causes more death and suffering? Thats next level greed.
They literally chose profit over people and called it freedom of choice
People point at the education system and say doctors would never work so hard if they did not receive remuneration at high level for their investment. Every other country has doctors and many don’t have an artificial shortage imposed by our quota system. They should all take a collective haircut. You would have smart well meaning physicians not gunners looking for a huge paycheck.
Isn’t it well known the AMA is a primary cause for medical costs in the US?
They also blocked the creation of new med schools for decades in order to keep doctor pay as high as possible. Coincidentally they reversed this policy after PA and DO school exploded.
Tax the AMA. Make them fund national healthcare
the AMA had serious power 80 years ago. unfortunately they abdicated their power to make money in codes, & left doctors behind w/ them
The AMA has done an amazing job branding itself as a „medical“ group when it is just a union. They don’t exist to make things better for patients. They exists to make things as good as possible for DOCTORS. Do you want to know how to make costs cheaper in the US? Change billing, do electronic records, negotiate for prices etc. Also just pay doctors less. I get medical school is expensive. However the medical school I work for basically gives scholarships to everyone, even rich kids. Their debt is very, very low to their incomes. A resident „only“ makes 70K. Starting attending though make bank in a lot of specialties. I remember a first year physician saying casually „well all of you PhDs make over the NIH salary cap (currently $220k).“ No, maybe full professors hit that, maybe. This is someone in a low paying subspecialty. Some surgical specialties will make 800K.
AMA eventually came around to a public option in 2020 without any obligatory participation of physicians in that insurance plan. It would still likely drive prices down and offer some form of competition.
A friendly reminder that doctor pay makes up about 8 to 11 percent of medical system cost. They have lost forty percent of pay in the last twenty years compared to inflation with the trend accelerating.
So you can cut physician pay to zero and your 1000 dollar hospital bill will still cost about 910 dollars. Except you won’t have any doctors. The profession is already cracking with the inflation eating it away.
Greed is more important than your health
This really wasn’t a secret, the AMA lobbied long and hard to stop it and a cursory glance at their statements at the time left little doubt about that
One of the most troubling components of how compensation impacts US Healthcare is that it causes the best medical students to pursue medical practice as Dermatologists.
Which is fine, I guess.
The AMA claimed Medicare was „creeping socialism.“