The AMA v. Dobbs. Part 1. – The Health Care Blog

Allan I. Fleming


Need to anybody existing know of any reason that this few must not be joined in holy matrimony, discuss now or eternally hold your peace.”     Book of Frequent Prayer, Church of England, 1549

Very last night Trump rose from the ashes and declared it was time to “Make The usa Fantastic and Wonderful Again” (MAGAGA).

This past 7 days, 5 days soon after the Midterm elections, AMA President, Jack Resnick, Jr., MD, raised his voice from the podium at the AMA Interim Assembly in Hawaii with the AMA’s personal model of a simply call to action:

“But make no slip-up, when politicians insert on their own in our examination rooms to interfere with the affected person-health practitioner romantic relationship, when they politicize deeply personal well being conclusions, or criminalize proof-primarily based care, we will not back down…I by no means imagined colleagues would uncover by themselves tracking down clinic attorneys right before performing urgent abortions, when minutes count … inquiring if a 30% chance of maternal death, or impending renal failure, meet up with the requirements for the point out’s exemptions … or no matter whether they will have to hold out a while lengthier, until their pregnant affected person will get even sicker…Enough is adequate. We can’t permit physicians or our clients to become pawns in these lies.”

In excess of a yr ago, they had signaled consciousness that assaults on Roe v. Wade might essentially challenge client autonomy and the sanctity of the client-medical professional relationship. On September 21, 2021, the AMA with 25 other professional medical organizations submitted an amicus short in opposition to the restrictive Mississippi abortion legislation, Dobbs v. Jackson Women’s Well being Firm.  And on  October 12, 2021, 19 health care societies, with the AMA in the lead, filed  an amicus quick in U.S. v. Texas, the abortion vigilante regulation signed by Gov. Greg Abbott.

In excess of the past yr, the AMA had sufficient warning that the problem was spinning out of command. On June 27, 2022, I wrote: “My concern right now, inspite of the strong messaging from Chicago, is that the AMA and its membership have not completely absorbed that this is a ‘mission-critical’ moment in the organization’s history… The powerful terms, devoid of steps to back again them up will permanently seal the AMA’s fate, and obstacle Medicine’s standing as a ‘profession.’”

I was reacting to the AMA’s statement three times before, on launch of the Dobbs conclusion, which labeled the decision “an egregious allowance of federal government intrusion into the medical evaluation space, a immediate assault on the practice of medicine and the affected person-medical professional relationship…the AMA condemns the superior court’s interpretation in this scenario. We will generally have physicians’ backs and protect the exercise of medicine, we will battle to safeguard the affected individual-medical doctor partnership.”

At the time, I encouraged that the AMA mobilize and orchestrate their Federation state and specialty societies to pursue acts of “physician ‘civil disobedience’ where appropriate to safeguard the health and effectively currently being of all ladies, irrespective of age, race, sexual identity, faith, or financial status.”

This warning came 6 months following I highlighted Charles Dickens words and phrases in a “Tale of Two Cities” – “It was the best of moments, it was the worst of instances, it was the age of knowledge, it was the age of foolishness, it was the epoch of perception, it was the epoch of incredulity, …” – as a way to dramatize that we way too are a “tale of two cities”  as this map of the United States, coloration coded for regressive legislation and strategies to disenfranchise women and children, people of color, the poor and the vulnerable, effectively illustrates.

On November 8, 2022, the AMA web-site posted a section titled “Advocacy in action: Protecting reproductive overall health.” But a constructive critic would be justified in suggesting that the prepare is tall on “advocacy”, but small on “action.”

What does “action” glimpse like? In Part 2 of this piece, I’ll supply examples from Michigan, Kansas, Kentucky, and Washington.


Mike Magee MD is a Healthcare Historian and writer of “CODE BLUE: Inside of the Health-related Industrial Complicated.”

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