Trump’s HHS pick brings physician, policy experience to role

Kevin B. O'Reilly
AMA Wire
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President-elect Trump has announced that he will nominate Georgia Rep. Tom Price, MD, to serve as secretary of the Department of Health and Human Services (HHS). If confirmed by the Senate, Dr. Price would be the first physician since fellow Georgian Louis Sullivan, MD, a hematologist, to serve as HHS secretary.

Dr. Price, an orthopaedic surgeon who represents Georgia’s 6th congressional district, would be only the third doctor to fill the top spot in the six-decade history of the agency, stretching back to when it was structured as the Department of Health, Education and Welfare. Family physician Otis Bowen, MD, appointed by Ronald Reagan in 1985, was the first doctor to serve as HHS secretary. The HHS secretary oversees nearly 80,000 employees at agencies such as the Centers for Medicare and Medicaid Services (CMS), Centers for Disease Control and Prevention and Food and Drug Administration.

AMA Board of Trustees Chair Patrice A. Harris, MD, said the Association “strongly supports” Dr. Price’s nomination.

“His service as a physician, state legislator and member of the U.S. Congress provides a depth of experience to lead HHS,” she said in a statement. “Dr. Price has been a leader in the development of health policies to advance patient choice and market-based solutions as well as reduce excessive regulatory burdens that diminish time devoted to patient care and increase costs.”

“We urge the Senate to promptly consider and confirm Dr. Price for this important role,” Dr. Harris added.

Prior to his election to Congress in 2004, Dr. Price—an AMA member—served as assistant professor of medicine at Emory University School of Medicine and as medical director of the orthopedic clinic at Grady Memorial Hospital, in Atlanta. He completed his surgical residency at Emory, and earned his medical degree from the University of Michigan Medical School. Dr. Price currently chairs the House Budget Committee. He previously chaired the House Republican Policy Committee and Republican Study Committee.

Dr. Price in May introduced the Empowering Patients Act to fully replace the Affordable Care Act with a combination of age-adjusted refundable tax credits, incentives to encourage use of health savings accounts, medical liability reforms, $1 billion in federal funding for state-run high-risk insurance pools, and other health system changes. In a statement issued at the time, Dr. Price said the bill would “get Washington out of the way while protecting and strengthening the doctor-patient relationship.”

In October, Dr. Price joined two other members of the House GOP Doctors Caucus to contribute their views on the ACA’s “flaws” and outline health system reform alternatives as part of the JAMA Forum weblog. “No one is talking about returning to the pre-ACA status quo,” they wrote, “but there is a better way to achieve health system reform in this country.”

At the 2016 AMA Interim Meeting, the House of Delegates adopted a resolution voicing “firm commitment” to current AMA policy on health system reform. “The AMA remains committed to improving health insurance coverage so that patients receive timely, high-quality care, preventive services, medications and other necessary treatments,” AMA President Andrew W. Gurman, MD, said at the time, pointing to the comprehensive policy framework the Association has refined over the last two decades. A core AMA policy principle, Dr. Gurman added, is that proposed reforms should not cause patients currently insured to become uninsured.

During the presidential campaign, Donald Trump pledged to “repeal and replace” the Affordable Care Act. But following a 90-minute meeting with President Obama days after the Associated Press declared him the electoral college winner, the real-estate magnate and former reality TV star said he would be open to maintaining elements of the ACA. Those reportedly include ACA provisions such as the one that bars insurers from denying coverage or setting rates based on a patient’s pre-existing health condition and another that allows parents to cover their children as health-plan dependents through age 25.

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This is one of the reasons the AMA is becoming irrelevant and represents only a minority of physicians. Dr. Price has on many occasions expressed very conservative opinions on health care access and choice that has manifest as legislation (meaning he wants these conservative opinions legislated on his fellow Americans). This includes being anti-choice, anti-gun regulations, anti-LGBT protections and he's also against stem cell research. His views on women's access to birth control, insurance coverage of birth control and women's rights to make decisions about their own bodies is in stark contrast to the opinions of many American physicians and the expressed views of ACOG. The repeal of the ACA with no viable plan in place other than tax breaks for the wealthier among us, the dismantling of Medicare as we know it, and his complete resistance to reining in the pharmaceutical industry and their price-gouging are all at the expense of the sickest and poorest among us. I cannot believe the AMA has come out with such glowing support of Dr. Price. It only further proves how out of touch the AMA is with the needs and desires of American physicians and the needs of our patients.
Instead of defending service to everyone, including the poor, the homeless, the vulnerable, the children, we have a leader-to-be and his administration working with the AMA cronies to line their own pockets and help the insurance industry continue to rule and ruin the lives of patients and providers alike. It's a shameful far cry from the Hippocratic oath! Why not work toward a single payer system that wouldserve all equally and equitably? I will certainly not continue my membership in this organization which disgusts me.
What a breath of fresh air! This common sense change in direction is exactly what the AMA needs to begin bringing private-practice physicians back into AMA membership. Dr. Price's proposal of the "Empowering Patients Act" would be a great opening act to return medicine into the control of doctors and patients. Will it be perfect? Of course not. Will it have some unintended consequences? Probably. But it's a step in the right direction. I'm so saddened that the previous two respondents are so closed-minded to see it's benefit. They seem only care about gun control, abortion, abnormal sex, and expanding government control over medicine.
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Nov 13, 2018
Cost concerns too often prevent patients from pursing evidence-based care their doctors recommend. The AMA details tools, insurance plan designs and advocacy initiatives that can help.