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Wednesday Mar 05, 2014

How Family Medicine Upstaged Ben Affleck

It's not an everyday occurrence when a family physician proves to be a bigger draw -- at least for a few minutes -- than a two-time Academy Award winner. But that was the case last Wednesday when Sen. John McCain, R-Ariz., stepped out of a Senate Foreign Relations Committee hearing (where Ben Affleck was testifying about issues in the Congo) to talk with me about the sustainable growth rate (SGR) formula and the need to extend funding for teaching health centers.

The AAFP Board of Directors was meeting in Washington, but we made time in the agenda to talk to our own legislators about these critical issues. I had met with McCain's staff several times in previous trips to our nation's capital, but this was my first visit with my state's long-time senator. The meeting was quite encouraging. In fact, McCain was one of nearly two dozen members of Congress who agreed to co-sponsor the SGR Repeal and Medicare Provider Payment Modernization Act last week.

The bipartisan legislation introduced last month in the House and Senate would permanently repeal the SGR and enact reform that would support improvements in health care delivery. If Congress doesn't act before March 31, the SGR would cause Medicare payments to physicians to be cut by 24 percent.

It's easy for individuals to think they can't make a difference against huge challenges like this one, but the reality is that legislators might not even be aware of a problem unless a constituent is willing to bring it their attention. That was the case with the issue of teaching health centers -- or the lack of them -- in Arizona.

Fewer than half of the states have teaching health centers, and Arizona is one of those on the outside looking in. Sen. McCain wasn't aware of that shortcoming. But when I told him about the benefits of teaching health centers and why funding should be extended beyond 2015, he wanted to know more. I will certainly follow up with his staff to make sure he understands the value and importance of teaching health centers.

Arizona, a state with 6.5 million people, has only eight family medicine residencies, including the University of Arizona Family Medicine Residency Program where I am an associate professor. Adding a teaching health center would be a huge step in the right direction, ensuring family medicine becomes a more vigorous force in health care delivery.

Sometimes we find support in seemingly unlikely places, but we have to be willing to look for it. Have you reached out to your federal legislators about the SGR and graduate medical education?

Carlos Gonzales, M.D., is a member of the AAFP Board of Directors.

Posted at 02:30PM Mar 05, 2014 by Carlos Gonzales, M.D.

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