Preserving Funding for Graduate Medical Education
America has the world’s best doctors and nurses because we have the best teaching hospitals. However, cuts to graduate medical education (GME) would jeopardize the ability of medical schools and teaching hospitals to train physicians, nurses, and other health care providers, as well as limit critical services to the community. Cutting the deficit is important, but cutting physician training at a time when our nation faces a critical shortage of doctors would threaten the health of all Americans.
GME Funding in the News
Find out the impact of GME funding across the nation by reviewing these highlights of local and national news coverage.
About GME Funding
Cuts to graduate medical education (GME) would jeopardize the ability of medical schools and teaching hospitals to train physicians, nurses, and other health care providers, as well as limit critical services to the community.
The nation’s major teaching hospitals only account for 24.3% of Medicare inpatient spending and 21.4% of Medicare outpatient spending, but provide over one-third of all hospital charity care, train over two-thirds of all physicians, and maintain the vast majority of the country’s critical standby units. Yet, these institutions are disproportionately targeted by the proposed and recently enacted Medicare cuts.
Medicare’s support of graduate medical education includes paying its share of the costs of training but also support for the higher costs of patient care that communities rely on when they need care the most. Without adequate support, teaching hospitals’ ability to provide that care would be threatened.
America has the world’s best doctors and nurses because we have the world’s best teaching hospitals. These institutions train almost every new doctor and nurse in our nation. Teaching hospitals also discover the cures and provide the critical services that save American lives every day. These hospitals provide care to all Americans, insured or uninsured.
The passage of health care reform, while setting in motion long-overdue efforts to insure an additional 32 million Americans, increases the need for doctors and exacerbate a physician shortage driven by the rapid expansion of the number of Americans over age 65. Increasing graduate medical education by eliminating the 13-year freeze in Medicare’s support for training positions is essential to address the projected shortfall.
Senators Bill Nelson (D-Fla.), Charles Schumer (D-N.Y.), and Senate Majority Leader Harry Reid (D-Nev.) introduced March 14 the Resident Physician Shortage Reduction Act of 2013, S. 577.
Reps. Aaron Schock (R-Il.) and Allyson Schwartz (D-Pa.) March 14 introduced the Training Tomorrow’s Doctors Today Act, H.R. 1201.
Reps. Joe Crowley (D-N.Y.) and Michael Grimm (R-N.Y.) March 14 introduced the Resident Physician Shortage Reduction Act of 2013, H.R. 1180.
Sens. Jack Reed (D-R.I.) and Jon Kyl (R-Ariz.) May 17 introduced the Graduate Medical Education Reform Act of 2012 (S.3201), bipartisan legislation to strengthen accountability and transparency in Medicare’s support of graduate medical education (GME).
October 3, the AAMC joined 39 hospital and physician groups in signing and sending the attached letter to the Joint Select Committee on Deficit Reduction. The joint letter urges the Super Committee to protect Medicare beneficiary access to care by preserving support for GME.
AAMC President and CEO Darrell G. Kirch, M.D., issued a statement Sept. 19 on President Obama’s plan for economic growth and deficit reduction.
A Sept. 14 letter to the Joint Select Committee on Deficit Reduction from AAMC president, Dr. Darrell Kirch concerning cuts to medical schools and teaching hospitals
Proposed Reductions in Medicare IME Payments to AAMC Teaching Hospitals: National and State Economic Impacts
Tripp Umbach Report, released July 2011
Proposed cuts to federal support for major teaching hospitals would result in a loss of nearly 73,000 full-time jobs and $654 million in local and state revenue, according to a study commissioned by the AAMC.
Even Small Cuts Have Major Impacts: The National and State Economic Impacts of Proposed Reductions in Medicare IME Payments to AAMC Teaching Hospitals
Nearly 22,000 jobs and $200 million in state and local tax revenues would be lost if the nation’s largest teaching hospitals faced even a 20 percent cut to indirect medical education (IME) support.
On July 5, 2011, the AAMC sent a letter to the White House urging the President to preserve GME funding.
GME Champions Urge Increased Support for Funding and Expansion
Watch video highlights from a recent Senate Finance Committee hearing where Sens. Baucus, Nelson, and Schumer asked for continued support of graduate medical education (GME) funding.
View the print ad from December 2012
View the print ad from September 2011
Watch C-SPAN Coverage of the Physician Shortage
AAMC Chief Public Policy Officer Atul Grover, M.D., Ph.D., addresses the shortage, its impact on the health system, and solutions for solving the crisis on C-SPAN’s Washington Journal.