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Broad state-based initiatives: AMA looks beyond tax credits to solve insurance crisis.(News)
CHICAGO -- The American Medical Association House of Delegates approved language at its 2004 annual meeting to urge congressional support for a variety of state-based initiatives aimed at providing health coverage to low-income patients.
"America's physicians already provide thousands of hours of uncompensated care, and now we must seek additional ways to increase coverage for uninsured and underinsured patients," AMA President John C. Nelson said in a statement.
Sponsors of the resolution included the the American College of Obstetricians and Gynecologists, American College of Physicians, the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Emergency Physicians, the Alaska State Medical Association, and the Oregon Medical Association.
A report at the AMA's 2003 interim meeting emphasized tax credits as an option for improving care of low-income patients. Primary care groups pursued the new resolution because "we thought the original report was too narrow," ACP delegate Dr. Mary Herald said in an interview.
The AMA's policy for "refundable" tax credits--credits that could be given even to people whose incomes are too low for them to pay taxes--might cover two-thirds of the uninsured. The remaining one-third of the uninsured, however, are the most vulnerable and least equipped to negotiate tax credit initiatives, Dr. Kathleen Weaver, medical director of the Oregon Health Plan, told this newspaper. "About a third of these people have mental health problems and don't even know where their lunch is coming from."
Dr. Edward Langston, an AMA trustee, told reporters that the resolution was an opportunity for the AMA to work with medical specialty organizations "to publicly facilitate new initiatives at the state level."
"I think the board of trustees has realized that something had to happen" to jump-start coverage of the uninsured, AAFP President Michael Fleming told this newspaper. "We're close to a crisis. The safety net is eroding. We've got community health centers that are closing down, and states tightening their Medicaid requirements."
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Source: HighBeam Research, Broad state-based initiatives: AMA looks beyond tax credits to solve...