--- In [email protected], Bhairitu <[EMAIL PROTECTED]> wrote:
>
> shempmcgurk wrote:
> > --- In [email protected], Bhairitu <noozguru@> wrote:
> >   
> >>
> >> The AMA is not a government agency.
> >>     
> >
> >
> >
> > Sorry, I didn't mean to imply that they were.
> >
> > But it is true, I believe, that much of their mandate IS as a 
result 
> > of federal law.
> >   
> Hardly.  The AMA lobbies for these policies.  The government does 
not 
> come up with.  The AMA mainly consists of a bunch of doctors who 
got 
> their because daddy was a doctor and made sure that sonny or 
daughter 
> got through medical not from skill but from help from daddy's 
> connections just so they can have an easy life golfing and 
occasionally 
> looking at a patient's blood panel and sticking their finger up the 
> patients ass.   Doctors who are truly interested in practicing 
medicine 
> often find the AMA's exploits appalling.

The following is from a much longer article found at 
http://www.mises.org/fullstory.aspx?Id=1749 but I think you'll find 
here that the AMA has quite a legislated mandate (here they talk 
about legislated mandates by states; I believe there is also a 
federal mandate as well):


Medical Regulation and the AMA

Besides paying some of the highest prices for health care, we have 
the dubious distinction of having the most heavily regulated 
healthcare system in the world. In no other country on earth are 
doctors and hospitals subjected to as many oversight and enforcement 
agencies, bureaus and commissions. Rules, regulations, and laws are 
duplicated, redundant, multiplied, magnified, and contradictory. Laws 
and regulations covering doctors and hospitals plus all the other 
parts of our healthcare system now account for over half of all the 
words, sentences, and paragraphs in our entire body of law.

If regulations could make a healthcare system work better, ours would 
surely be perfect. In fact, the opposite has occurred. Even those who 
believe that only government regulation can assure quality health 
care should face this fact. More laws and regulations are not going 
to fix our system. If we are truly concerned about the high cost of 
health care, if we really desire greater safety and higher quality, 
then we must undertake a dispassionate analysis of the current mess. 
If we wish to begin effective treatment of our healthcare system, we 
must first make an accurate diagnosis.

To make the correct diagnosis in a complicated medical case it is 
often helpful to have patients recount their first encounter with 
their symptoms. So it is with understanding the conundrum we call our 
healthcare system.

We have to go very far back to the first meeting of what would become 
the American Medical Association. This meeting was held in New York 
City in 1846. Twenty-nine allopathic doctors (MDs) attended the 
meeting. They wanted to establish a monopoly over health care in the 
United States for those doctors that practiced higher quality 
medicine, such as themselves. They felt there were too many different 
kinds of doctors practicing too many questionable forms of medicine. 
They wanted only doctors that conformed to their brand of medicine to 
be allowed to practice. They wished to set up their association as a 
medical elite and obtain a government-enforced monopoly over health 
care in the United States.

The following year the AMA was officially launched. Members' efforts 
were at first slow to yield results. One of their first successes was 
in getting the exclusive right to positions in the federal 
government. Then, around 1870, the AMA began to find success at 
setting up medical boards in each state. The rationale behind these 
medical boards was twofold.

First, it was assumed that only doctors knew enough about medicine to 
be able to determine whether a physician was competent. And second, 
it was felt that doctors accused of misconduct should not be 
subjected to the public humiliation of an open trial. Typically the 
AMA would team up with key lawmakers in a state and lobby for 
legislation to "protect public safety." The idea was that incompetent 
and unscrupulous doctors were doing great harm to healthcare 
consumers. There was no proof of this, but it was their claim.

A state consumer protection agency staffed by AMA members was 
promoted. That is, a state board made up of AMA members would examine 
applicants who wanted to practice medicine and only license those who 
were, according to them, competent and morally fit. So each state in 
turn passed a Medical Practice Act which created a board of medical 
examiners with police powers to enforce their decisions. It was 
critical to the AMA's long-range plans that states establish these 
medical boards.


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