N E W Sx I T E M S

SHC launches on-line physician portal

Dean praises student free clinic

Column 1 Michael Sexton, president of
CMA

Column 2 J. Kent Garman and James Hinsdale

Tennis? Innovative medical treatment
for tendonitis

Nurse week scholarship winners

NIMH study seeks memory patient referrals

Letter to the Editor - Sri Lanka

Cop Doc Norris may now carry Glock

Clinics move to Blake Wilbur building

 

 

 

 

 

 

 


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.