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    White men need to do their part and make healthcare safe again

     

    No other group has such power to send a message by showing up at protests, calling their elected officials and declaring their priorities publicly. Without their core constituency, Republicans will be doomed in 2018.

     

    Hot topic: Why do women physicians experience burnout more than men?

     

    But now, many who voted Republican in the presidential election are regretting that decision, because, as the Washington Post reported, they simply did not take the campaign promise to gut the ACA seriously.

    Yes, white women voted for Trump in large numbers as well, but, across the country, the Republican leadership primarily relies on the votes of white men. For now, this is the group that is most powerful when it steps up. 

    If white men raise their voices, it will be to support their wives, mothers and daughters receiving free breast cancer screenings. It will be to support an aunt who works at a clinic supported by the Medicaid expansion and who is one of the three million people who stand to be unemployed if the ACA is repealed.

     It will be to ensure protection from bankruptcy for that friend from high school who got diagnosed with MS. It will be to protect African-Americans and Hispanic people from being denied insurance at higher rates because they have higher incidences of chronic disease.

    Those people are their contractors, colleagues, patients and friends. They will be making it known that they do not approve of a house in their neighborhood going into foreclosure because the primary breadwinner has cancer. They will be speaking out against their children’s nanny running out of her blood pressure pills and having a heart attack because she no longer has Medicaid.

     

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    In the years of the ACA as we know it, urgent care centers proliferated, doctors discovered life-threatening diseases in patients who hadn’t been seen in 10 years and primary care salaries went up. All of these things have some inherent good to them. Some doctors complained about the ACA insurance plans’ payment rates, but the reality was that no individual physician was forced to accept ACA insurance. Rallying for the protection of health care benefits, the physician stands to protect not only his patients, but his colleagues in primary care.

    True, no one is expecting that men will change all their behaviors overnight. Some express cynicism about whether white men really want to engage at all.

    Not every white Republican constituent will send Paul Ryan and Tom Price a printout of a changed party affiliation. But white men who believe in a healthier country, one where people do not die needlessly from lack of access to medical care, have a chance to make a difference. The women who marched have already done their part.

     

    Monya De, MD MPH
    Monya De, MD MPH (Twitter: @medjournalist) practices internal medicine and integrative medicine in the Los Angeles Area. She graduated ...

    16 Comments

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    • Anonymous
      I am a white male physician this article is correct. My vote means much more to the Republican leadership then the vote of a person of color or a woman or a disabled person. Those people don't even exist to the Republicans. Meanwhile I can pay my housekeeper less because she has free healthcare through Medicaid, but not care anywhere as good as what I get. I certainly don't want my teenage daughter to end up pregnant because she decided to buy cocktails at a bar instead of pay for birth control. White men benefit tremendously from the Affordable Care Act and its various protections.
    • Anonymous
      I am a white male physician this article is correct. My vote means much more to the Republican leadership then the vote of a person of color or a woman or a disabled person. Those people don't even exist to the Republicans. Meanwhile I can pay my housekeeper less because she has free healthcare through Medicaid, but not care anywhere as good as what I get. I certainly don't want my teenage daughter to end up pregnant because she decided to buy cocktails at a bar instead of pay for birth control. White men benefit tremendously from the Affordable Care Act and its various protections.
    • Anonymous
      I am a white male physician this article is correct. My vote means much more to the Republican leadership then the vote of a person of color or a woman or a disabled person. Those people don't even exist to the Republicans. Meanwhile I can pay my housekeeper less because she has free healthcare through Medicaid, but not care anywhere as good as what I get. I certainly don't want my teenage daughter to end up pregnant because she decided to buy cocktails at a bar instead of pay for birth control. White men benefit tremendously from the Affordable Care Act and its various protections.
    • UBM User
      The fact that Medical Economics would publish this article, by this author says a lot. Monya De has been allowed a platform in this publication in the past. I wonder if Medical Economics would allow an author to write about "brown women"? If you want to do a Google search regarding Monya De, MD and her behavior as a resident at Catholic Heathcare West as an Internal Medicine resident, that will tell you all you need to know about what type of person she is. She and her opinions are one of many reasons why Donald Trump won the election.
    • Anonymous
      This article reflects the liberal media had contaminated the Medical Economics publication. How bad is it to say " unwanted hungry babies" .This is double discrimination --- discrimating by at ( babies) and attacking white men. I am An Asian woman physician who's a Catholic. Who's looking out for me? My insurance premium went sky high and so did my deductible. I don't mind legalizing abortion --- but paying for it too? Where is personal responsibility here? And did you say the US is also supporting abortion from other countries? Why should the US be responsible for all developing countries, Syrian seeking asylum? There are other C developed countries besides US, I can tell Dr De must not be working as a solo practice in a small community. If she did she will see where her tax dollars go. To people who migrate without going through legalities that I had to do through the years. Yes it's better to be undocumented, get all of government handouts get free college food stamps and Medicaid. The legal ones have to pay taxes, borrow money for college and work their butts off to pay for self and millions of pretend unemployed people. Where's the justice in that? I invite Dr De to work for me in my office.
    • Anonymous
      This article reflects the liberal media had contaminated the Medical Economics publication. How bad is it to say " unwanted hungry babies" .This is double discrimination --- discrimating by at ( babies) and attacking white men. I am An Asian woman physician who's a Catholic. Who's looking out for me? My insurance premium went sky high and so did my deductible. I don't mind legalizing abortion --- but paying for it too? Where is personal responsibility here? And did you say the US is also supporting abortion from other countries? Why should the US be responsible for all developing countries, Syrian seeking asylum? There are other C developed countries besides US, I can tell Dr De must not be working as a solo practice in a small community. If she did she will see where her tax dollars go. To people who migrate without going through legalities that I had to do through the years. Yes it's better to be undocumented, get all of government handouts get free college food stamps and Medicaid. The legal ones have to pay taxes, borrow money for college and work their butts off to pay for self and millions of pretend unemployed people. Where's the justice in that? I invite Dr De to work for me in my office.
    • [email protected]
      This is insulting garbage. Racism and bigotry is not the problem with the Trump presidency or administration. It is the problem of idiots like this author and her journalist buddies, who have nearly regressed into childlike demeanor since the election. Obamacare is a disaster. We cannot control costs with no pre-exiting conditions and a personal mandate. The economics do not work. When we can finally have a rational conversation between both sides, we can make a difference.
    • [email protected]
      Although I'm not surprised to see the editorial staff trying to advance a political agenda, I am surprised they couldn't find someone who could write an article consistent with the intelligence level and occupations of the majority of their readers. But then again, maybe its difficult to find someone who could make a rational argument for the ACA. Even those who constructed this bill, knew it wouldn't work. There may be good arguments for expansion of Medicaid, and there may be good arguments for government subsidizing the premiums of those with pre-existing illness. But please don't confuse those arguments with legislation so flawed that even those who crafted this monstrosity knew it wouldn't work. (For the record, I have been a strong proponent for national healthcare for the past 15 years, as I see no other way to contain the costs of a system with ever expanding legal and regulatory burdens) I would however be interested in Dr. Monya De, providing a reference to the studies showing how many lives have been saved by the ACA, and perhaps explaining the relationship of funding foreign abortions, and Syrian refugees to the lives she claims will be lost if the ACA is repealed. Then again, if Dr. Monya De and editors were simply using this publication to exhort those male readers sharing their particular agenda of causes, do your readers a favor and simply identify future article as political messages.
    • [email protected]
      Monya De is a typical establishment wonk using her medical degree and a healthy weight of implied racism to club people into supporting collective solutions to individual problems. “But white men who believe in a healthier country, one where people do not die needlessly from lack of access to medical care, have a chance to make a difference. The women who marched have already done their part.” So I can atone for my white guilt by supporting your nationalized health care? Monya De’s comments are racist and sexist, and her prescriptions of categorical guilt won’t cure a damn thing. It is curious to see Medical Economics' increasingly leftward slant.
    • Anonymous
      What Racist offensive liberal propaganda of alleged facts . My facts: Obamacare triple increased my insurance premiums and deductible for services I will never use. If you are really a practicing physician and take insurance you would have heard the same from the majority of your patients. Why would we support and pay for abortions in foreign countries? Ludicrous! Why should we support your liberal agenda? Incredible! I am surprised this magazine published this article. PS I am Hispanic
    • UBM User
      As a Italian/American Female I am appauld by this article and the amount of reversed racisim it spews! You take pride in a womens march that doesnt include all women! The marches excluded women who are Pro-life! Your whole group doesnt speak for all women, nor should your opinion stereotype all white men! My son is a white male who is gay and a Registered Republican and a conservative. I grew up in the 70s and 80s and the womens movement was not what these women stsnd for, we fought for equality! This group wants equality only for certain things and when a man treats them as he would any other man that man is called sexist! Figure what you want then protest! ACA isnt the best law and why should there be mandates for white men that cant afford it, if you want to also do the research on how those of us with private insurance with pre-existing conditions were thrown under the financial bus because of ACA. I am one of them, i have lost more than 50% of my already depleted monthly income when i went on disability and now due do ACA i no longer qualify for copay assistance and I have to pay for one medication out of pocket of 3800.00 US dollars; i dont make that much so now i have to consider food or medicine! The female actresses used their fame to bully the president and while at it his daughter. So the support of the hatred and bullying of others have done nothing but make them look like fools. The left shouldn't count their eggs before they hatch while their leaders are making even bigger fools. Like Schumer who has sponsored a child molestation athlete in NY! As for the abortion issue listen to what the conservatives are saying versus what the liberals (and quote Clinton if i need to) there needs to be some type of cut off on when well i tried to fix where i left off and i lost all of it... will try again to compose my thoughts.
    • UBM User
      i have tried several times to fix the response above, it has wiped out everything I write. So I will try it a different way.
    • Anonymous
      Racist. Medical Economics has reached a new low. I'm Hispanic and even I find this racist and offensive! BTW, BHO is half white; but I guess that's never mentioned since it's not politically expedient - doesn't serve the liberal agenda.
    • UBM User
      As one who has been around the block and a long time provider through decades of change, I find this to be racist, sexist, and offensive press. Why not add ageism ("Old White Men need...") to your neo-socialist blogger's identity politic bullets? Keep it on social media where the naïve believe each others' opinions are more important than others, with consideration of any opposing or potential promise for positive change.
    • [email protected]
      As a long time conservative and supporter of Trump, I find the title of your article disconcerting based on the assumption that all Trump supporters are white, and in the general media we are also characterized as being uneducated. You are right that many women marched after the inauguration but these marches were not about the ACA but did have many speakers that spewed vile hate rhetoric. It appears that being female and of foreign descent does not exempt you from racist views. I would suggest that you should focus on the needs of physicians such as tort reform and the repeal of unfunded mandates such as MACRA that interfere with time needed to care for patients and have no bearing on quality care.

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