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Lessons learned on a journey to the soul of medicine

AMA Leader Commentary. By J. Edward Hill, MD, May 15, 2006.

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AMA LEADER COMMENTARY

A few words about current events in medical practice

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A message to all physicians from AMA President J. Edward Hill, MD.

When I was elected AMA president 11 months ago, I urged physicians to always consult an internal, moral compass when wandering the wilderness of Medicare payment problems, personal injury attorneys, bureaucracies and third-party payers.

It was a lesson I learned while lost in a real-life swamp as a youngster -- and which I have been reminded of frequently during a year in which I used my compass time and again.

I used it when I discussed the AMA's approach to getting coverage to the 46 million Americans with no health insurance -- a national disgrace that needs a fast and permanent solution.

I used it when I talked to physicians about enhancing the safety and quality of medical care for all Americans, regardless of race and ethnicity.

And I used my compass when I discussed those issues that cause physicians and patients so many fitful nights, such as cuts in Medicare payment, the medical liability crisis and the chronic increases in the costs of medical care.

Despite the universal frustrations that physicians feel with the current environment, most I've met in my travels have maintained their optimism and their pride in profession.

This was one of the best perks of being AMA president -- I've enjoyed a unique opportunity to witness firsthand the state of American medicine and our health care system, warts and all.

I was excited about the innovative teaching techniques I saw at our medical schools, such as the state-of-the-art labs for clinical skills, and strong curriculums for ethics, science, even the humanities.