AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES Resolution: 114 (A-05) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Introduced by: Massachusetts Delegation Subject: Crisis Commission on the State of Health Care in America Referred to: Reference Committee A (Alfred Herzog, MD, Chair) Whereas, The critical state of health care in the United States continues to worsen, and in response our American Medical Association has stated that the following issues are the strategic priorities of our organization: Medical liability reform Medicare physician payment reform Expanding coverage for the uninsured and increasing access to care Improving public health Managed care reform Clinical quality improvement and patient safety; and Whereas, In addition to the varied fields of medicine, these priorities cover a multitude of disciplines including government, law, economics, business, and ethics, it is therefore necessary to marshal representatives from all sectors of those who participate in the delivery of health care and public policy; and Whereas; To accomplish such a task the Massachusetts Medical Society (MMS) Delegation to the AMA Organized Medical Staff Section (OMSS) has made numerous attempts to raise the issue to such an emergency level, in order to incite our AMA to act on this dire situation facing all Americans by congregating our nation’s leaders to focus on the crisis at hand; and Whereas, This process began with the AMA-OMSS June 2002 assembly meeting, where the MMS-OMSS Delegation offered a resolution calling for the AMA to support convening a national forum designed to systematically evaluate, coordinate, and fund health care in the United States; the AMA-OMSS instructed its Delegate to amend House of Delegates Resolution 110 (A-02) to add a 3rd Resolve; House Resolution 110 was referred and assigned to the Council on Medical Service; the council reevaluated the AMA position in CMS Report 8 (I-02), leaving the resolution relatively unchanged; and Whereas, Additional grassroots efforts resulted in a subsequent resolution being submitted to our AMA-OMSS Assembly; the submission of Resolution 131 (A-04) to the House; and BOT Report 12 (I-04); the response of our AMA leaders demonstrated thoughtful and comprehensive reporting and is appreciated by our delegation; however, we respectfully request to address the issue once again, this time from a different perspective; and Whereas, The grave problems and sorrowful inequities still exist in our health care system, and although well-intentioned, current AMA policy and stances have not yet resulted in a systemic solution to this crisis, and we feel that the AMA should reevaluate its position; and Resolution: 114 (A-05) Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Whereas, We not only need the support of physicians in organized medicine to adopt policies that might offer more successful outcomes, but we must engage the many others who will bring their experience and expertise to the table; therefore be it RESOLVED, That our American Medical Association take a leading role and by any and all means, advocate for the creation of a collaborative and ongoing Crisis Commission on the State of Health Care in America, with the Commission to be launched by convening a national Summit on the Crisis in Health Care, assembling thought leaders to formulate strategies and seek implementation beginning with: Developing a mission statement as the foundation of the Commission, which would design and promulgate a rational and fair set of recommendations with respect to access to health care and the financing of health care. Advocating for the United States Department of Health and Human Services to take the lead, and sponsor, convene, and fund this Commission. Integrating adequate and competent representation from the medical profession and organized medicine, hospitals, nursing homes, allied health professionals, the Centers for Medicare and Medicaid Services, the insurance industry, the business community, consumers, the legal profession, and legislative and regulatory officials. Assuring that the leadership of the Commission, as well as the Summit moderators, consists of independent and unbiased parties. (Directive to Take Action) Fiscal Note: Advocate accordingly at estimated staff cost of $9,294. Received: 5/22/05