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AAPI’s Legislative Initiatives For 2016-171) Physician Shortage: Increase Residency Positions
Our nation is currently experiencing a physician shortage, which will be exacerbated by retiring baby boomers. The result of such a shortage may affect thousands of patients’ access to a physician, and ultimately the health care they need. The only way to address this future crisis is to increase the number of residency positions available for future physicians to get trained, so that our nation can effectively manage the need for increased patient care. Increasing the size of medical school classes is not enough. There must be a simultaneous increase in the size of residency positions to train these future doctors. As Congress capped the number of residency positions in 1997, it is time for Congress to act NOW to remedy this critical situation. AAPI believes that ALL Americans have the right to see a physician.
2) Increase the Size of Entering Medical School ClassesFrom 1980-2005, while medical school enrollment remained flat, the U.S. population increased by more than 70 million people. Because the percentage of baby-boomer generation doctors (55 and older) rose from 27 percent to 34 percent during this time, the Association of American Medical Colleges (AAMC) predicts that America will need 90,000 physicians by 2020. The number of physicians needed by 2025 according to the AAMC will reach a staggering 130,000. One way to address this shortage is to increase medical school class sizes to meet this future health care need. This issue is vital as it pertains to health care reform, as more physicians will be needed to provide quality health care to our nation’s uninsured patients.
3) Medical Liability Reform
AAPI supports a healthy doctor-patient environment by curbing aggressive litigation targeting physicians. Such lawsuits have had a chilling effect and driven up the cost of health care, through extra testing and the practice of defensive medicine. In the 112th Congress, The “Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011,” (H.R. 5) limited the conditions for lawsuits and punitive damages for health care liability claims. It established a statute of limitations and limited noneconomic damages to $250,000. AAPI signed a coalition letter led by the American Medical Association to the Deficit Reduction Committee, which noted that the Congressional Budget Office estimated the cost savings from implementing medical liability reform, including limits on noneconomic damages, to be $62.4 billion over 10 years. Fewer physicians today practice in areas such as obstetrics and gynecology, surgery and emergency medicine, due to increased lawsuits and increasing malpractice insurance premiums.
Recommendation: AAPI supports federal and state legislation that places effective caps on non-economic damages, limits the use of joint-and-several liability, provides physicians with flexibility to negotiate settlements with medical insurers and further limits the statute of limitations for filing medical malpractice claims.4) AAPI supports the modification of the Affordable Care Act. We believe that the current ACA could be improved upon greatly. To merely repeal the ACA would result in 20 million losing their health insurance coverage and that would be problematic to say the least. A more reformed system with emphasis on free-market while retaining the provisions protecting consumers with pre-existing conditions would be ideal.
5) AAPI opposes MACRA and MIPS. These systems detract from the care of patients by adding an excessive amount of paper work. There is a tremendous burden to report all of these measures.