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Support for National Health Insurance among U.S. Physicians: 5 Years Later

Aaron E. Carroll, MD, MS; and Ronald T. Ackerman, MD, MPH
[+] Article and Author Information

From the Indiana University School of Medicine, Indianapolis, IN 46202.


Potential Financial Conflicts of Interest: None disclosed.


Ann Intern Med. 2008;148(7):566-567. doi:10.7326/0003-4819-148-7-200804010-00026
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Grahic Jump Location
Figure.
Support for government legislation to establish National Health Insurance in 2007 and 2002, by specialty.

2002 data are not available for pathology and radiology because of lack of response in those categories. OB-GYN = obstetrics and gynecology.

Grahic Jump Location

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Continued efforts to assess physician favorability of national health insurance.
Posted on April 2, 2008
Timothy V. Johnson
Emory University School of Medicine
Conflict of Interest: None Declared

To the Editor: Drs. Caroll and Ackermann should be congratulated for their recent contribution, "Support for National Health Insurance among U.S. Physicians: 5 Years Later," recently published in The Annals. This follow- up to their significant previous work sheds light on the importance of health insurance and medical coverage in the United States. Their findings are certainly useful for both proponents and opponents of such measures. To enhance the impact of their findings, I would like to encourage the authors to address two issues in future assessments.

First, the authors should provide a greater comparison between their subset and the general physician population. Several key factors that might contribute to physician opinions were not addressed in their current or original manuscripts. For example, efforts should be made to assure that the sample population matches the general physician population in terms of income, geography, and practice setting (academic versus private practice).

Additionally two trends stand out from the figure recently published. Based on average annual income appears to be inversely correlated with favorability to national health insurance, while direct patient contact appears to be positively correlated with favorability. Univariate and multivariate analysis of the drivers of physician opinion might elucidate these relationships. Such analysis will improve an already strong report regarding a timely and important topic.

Respectfully,

Timothy V. Johnson, Emory University School of Medicine, Atlanta, Georgia

Conflict of Interest:

None declared

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