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GUEST
COLUMN 1
JULY
2005
Volume 29
No. 7

MICHAEL
SEXTON, M.D. president, California Medical Association
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We
Need Stanford Physicians: Why You Need Us
California
has its own ground zero - our health care delivery system - or what is
left of it. Few academic medical centers or their affiliated medical groups
are immune from the constant economic and regulatory pressures felt by
their community colleagues.
In recent
years, larger numbers of UC-Davis and UC-San Diego physicians have joined
CMA because they have done the math - their investment of professional
dues yields a tremendous rate of return. I can fill this newsletter with
dozens of examples of why every Stanford physician should join SCCMA and
CMA, but I'll focus on just a few:
RICO Class Action vs. For-Profit
HMOs
Nearly five years ago, CMA lit the fuse, bringing a class action lawsuit
against HealthNet, PacifiCare and Blue Cross for what we saw as concerted
anti-competitive practices. Many other states piled on and more HMO defendants
were named. Aetna, CIGNA and now HealthNet have settled. Stanford may
receive approximately $1 million from the CIGNA settlement alone. Beyond
monetary damages, this litigation is creating court-enforced changes in
how HMOs do business with physicians and patients.
Defending MICRA
California's MICRA malpractice statute is the envy of physicians around
the nation and, not surprisingly, is the bull's-eye in trial attorneys'
gun sights. Enacted in 1975, this statute saves every physician in California
nearly $60,000 each year - ranging from several thousand dollars for psychiatrists
to more than $100,000 per year for surgeons. That is several million dollars
that Stanford does not have to pay to insure its physicians each year.
A key focus for CMA is protecting MICRA, and CMA defends this law from
assault in Sacramento and the courts 24/7/365 days a year.
MediCal
CMA's lawsuit has stopped the governor and legislature from imposing 10
to 15 percent reductions in physician Medi- Cal payments each year since
2002. What would a 15 percent reduction in MediCal physician payments
mean to Stanford and its medical center?
Medicare
CMA is leading the charge to unite our state's Congressional delegation
against the scheduled physician fee reductions (more than 35 percent over
five years!). What would such a cut mean to Stanford? And even closer
to home. . .
Medical Education Solutions
The Steven M.
Thompson Physician Corps permits more than 100 physicians to receive
medical school loan repayment in exchange for practicing for three years
in medically underserved areas.
State legislation
to convene a workgroup, in consultation with California medical schools,
to study methods to reactivate the Fifth Pathway Program in medical
schools. CMA is a leader in public health, including bio-terrorism planning,
vaccine supply and availability and anti-smoking efforts. There's also
a myriad of free practice-related resources and other benefits available
only to CMA members.
Beyond the
business case for membership, there are two very simple reasons for Stanford
physicians to join CMA and SCCMA:
Stanford needs a voice in making CMA policy
Joining is the
right thing to do.
We are all
responsible for our profession and many of the threats facing medicine
today would be simpler to deal with were CMA even stronger.
My colleagues
in CMA leadership - including your own Jim Hinsdale - welcome the opportunity
to visit and speak with you, in a group or individually. Questions?
Give me a call at (916) 551-2030.
CMA and SCCMA
are safeguarding the practice and viability of medicine, enabling you
to spend more unfettered time with your patients, providing them the highest
quality of care with as little interference as possible. We need Stanford
physicians and Stanford physicians need us.
Please join
us in this important work.
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