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Home / News & IndustryManaged Care Insight and Analysis
Updated: Aug. 26, 2008
Most Doctors Support National Health Insurance, New Study Shows

Reflecting a shift in thinking over the past five years among U.S. physicians, a majority of doctors –59 percent – now supports national health insurance, according to a new study by the Indiana University researchers.

Such plans typically involve a single, federally administered social insurance fund that guarantees healthcare coverage for everyone, much like Medicare currently does for seniors, the researchers said.

The plans typically eliminate or substantially reduce the role of private insurance companies in the healthcare financing system, but still allow patients to go the doctors of their choice.

Published in Annals of Internal Medicine, the study reports that a survey conducted last year of 2,193 physicians across the United States showed 59 percent of them "support government legislation to establish national health insurance," while 32 percent oppose it and 9 percent are neutral.

The findings reflect an increase of 10 percentage points in physician support for national health insurance (NHI) since 2002, when a similar survey was conducted. At that time, 49 percent of all physician respondents said they supported NHI and 40 percent opposed it.

Support among doctors for NHI has increased across almost all medical specialties, said Dr. Ronald T. Ackermann, associate director of the Center for Health Policy and Professionalism Research at Indiana University’s School of Medicine and co-author of the study.

Support for NHI is particularly strong among psychiatrists (83 percent), pediatric sub-specialists (71 percent), emergency medicine physicians (69 percent), general pediatricians (65 percent), general internists (64 percent) and family physicians (60 percent). Fifty-five percent of general surgeons support NHI, roughly doubling their level of support since 2002.

Doctors have often expressed concern about lack of patient access to care due to rising costs and patients’ insufficient levels of insurance. An estimated 47 million Americans currently lack health insurance coverage and another 50 million are believed to be underinsured. At the same time, healthcare costs in the United States are rising at the rate of about 7 percent a year, twice the rate of inflation.

The healthcare issue continues to rank high among voter concerns in the 2008 elections, placing thirdin a recent poll after the economy and Iraq.

In addition to measuring attitudes toward NHI, the survey also asked doctors about their views about "more incremental reform," often interpreted as state- or federal-based programs requiring or "mandating" that consumers buy health insurance from private insurance companies, legislative measures providing tax incentives to businesses to provide coverage for their employees, or similar steps.

Fewer physicians (55 percent) were in support of "incremental" reform. Moreover, virtually all those opposed to national health insurance also opposed incremental reform to improve access to care. In fact, only 14 percent of physicians overall oppose national health insurance but support more incremental reforms. Ironically, many medical organizations and most politicians have endorsed only incremental changes.

Dr. Aaron E. Carroll, director of Indiana University’s Center for Health Policy and Professionalism Research, and lead author of the study, commented: "Many claim to speak for physicians and reflect their views. We asked doctors directly and found that, contrary to conventional wisdom, most doctors support the government creating national health insurance."

Other signs indicate that attitudes among doctors are changing. The nation’s largest medical specialty group, the 124,000-member American College of Physicians, endorsed a single-payer national health insurance program for the first time in December 2007.

Address: Physicians for a National Health Program, 29 E Madison Suite 602, Chicago, IL 60602; (312) 782-6006,

  This article was taken from:
The Executive Report on Managed Care

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