I’ve generally been against whatever the American Medical Association supports. (It basically sees itself as a trade union for wealthy doctors.) This relationship with the AMA has gone on long enough that I find comfort in learning that the AMA opposes an issues that I support; I know I’m probably on the right side of that issue. Sometimes in trying to figure out what my position is, my starting point will be the opposite of whatever position the AMA has taken.
The AMA has now got me flummoxed with it’s opposition to the repeal and replacement of Obamacare. This change is apparently opposed by most doctors and the AMA as well. Insurance companies seemed reluctant to endorse this until the GOP plan included $400 million in tax breaks for insurance companies, which seems to have done the trick for many of them. With this plan reducing coverage for the elderly and the poor, and likely adding significant expense to the middle class, it looks like this battle is pretty much between the wealthy — who benefit enormously — along with several insurance companies — which are also benefitted –against pretty much everyone else.
I presume that the AMA’s position has something to do with the loss of 37 million patients who would otherwise be insured and thereby worthy recipients of services commanded by the Hippocratic oath. This loss of income source also threatens hospitals that are operating on a thin margin and so the health care services of the insured will diminish.
This legislation looks like a straight forward attempt to preserve and strengthen the class structure of the country. There there are just enough crumbs for the poor and middle class to give the Republicans talking points and opportunity for spin. While these points are intended to cause popular support for the bill, they have alienated conservatives who oppose absolutely any “gratuitous” support for the poor and middle class.