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Physicians in the United States Congress

From Wikipedia, the free encyclopedia

Physicians in the United States Congress have been a small minority of the members of Congress, with fluctuating numbers over the years. The number of physicians serving and running for Congress has risen over the last 50 years from 5 in 1960, down to a low of 2 in 1990, to a maximum of 21 in 2013 and a decrease to 14 in 2017. Possible explanations for this development have been increasinghealth care spending and increasedhealth care reform debate in the United States, leading up to theHealthcare Reform Act.

In public opinion research by theAmerican Medical Association (AMA) from 2013, voters rated "understanding of the problems facing ourhealthcare industry, including the bureaucratic red tape that is stranglinghealth care providers and driving up thecost of health care for most Americans" as the most convincing statement of a physician candidate for Congress. Physicians in Congress have received largecampaign contributions from health caretrade associations and from peers through physician associations such as the AMA.

History

[edit]

In 1776, 11 percent of the signers of theDeclaration of Independence were physicians.[1] Likewise, two (5 percent) of the 39 individuals crafting theUS Constitution in 1787 were physicians.[2]

During the first 100 years of Congress (1789–1889), 252 (or 4.6 percent) of 5405 members were physicians.[3]

20th and 21st century

[edit]

The number of physicians serving and running for Congress has risen over the last 50 years from 5 in 1960, down to 3 in 1970 and a low of 2 in 1990 up to 10 (in 2000)[3] to a maximum of 21, including one female physician, in 2013,[4] as of 2015, there were 18, and as of 2017 a small decrease to 15 physicians.[5]

Possible explanations for the increase since the 1990s have been increasinghealth care spending[6] and increasedhealth care reform debate in the United States, leading up to theHealthcare Reform Act.[7]

Motivations

[edit]

Tom Coburn said, "physicians have watched the profession undergo tremendous realignments that are shifting doctors' responsibilities away from patient care, changes they attribute to the government's inefficacy".[7] Jim McDermott was quoted as saying "They want to have their hands right there on the handle so they can pull it one way or another."[7] Physicians "balked at the idea of lawmakers with no medical experience making decisions that could upend the profession", per Andy Harris.[7]

Kelley Paul, wife of Rand Paul, said in 2015 when he made his 2016 White House bid, "Being a physician gives Rand a unique perspective in Washington, simply because he's trained to diagnose a problem and find a solution."[8]

Party membership

[edit]

In 2013, three quarters of physicians in Congress were Republican,[4] and 80% as of 2017.[5] As a possible reasonJim McDermott offered, "politically conservative physicians were more likely to chafe at the direction of changes in health care, with greater oversight by the government and a more regulated role for the private sector. It's a fundamental debate about what is in the public good."[7]

During the 2016 cycle the AMApolitical action committee spent $2 million with "direct contributions to 348 physician-friendly [Congressional] candidates (58% Republican and 46% Democratic)".[9]

Gender, geography and medical specialty

[edit]

Of the 27 physicians in Congress since 2005, 93% have been men, which is in stark contrast to 70% male physicians in general. 63% were from the South (vs 35% of all Congressional members) and 26% were surgeons (vs 11% of all US physicians).[10][obsolete source]

Political participation

[edit]

According to a 2024 study using data of the US Census Bureau’sCurrent Population Survey being a physician was not associated withpolitical participation and was actually negatively associated with attending public meetings.[11]

Public opinion

[edit]

In 2013, the AMA funded three focus groups of voters across the country and an online survey to researchpublic opinion on physicians as Congressional candidates. The top scoring potential message for a physician was to link back to health careexpertise. "Because physicians work in health care daily, they bring a clear understanding of the problems facing ourhealthcare industry, including the bureaucratic red tape that is stranglinghealth care providers and driving up thecost of health care for most Americans."[6]

Candidates, 2014

[edit]

Senate candidates in 2014 included "an obstetrician in North Carolina,Milton R. Wolf, a radiologist in Kansas, a liver disease specialist in Louisiana, and RepresentativesPaul Broun andPhil Gingrey in Georgia, all of them Republicans. At least 26 more physicians were running for the House, some for re-election," per aNew York Times article from March 2014.[7]

113th Congress (2013–2015)

[edit]

From 2013 to 2015 there were 20 physicians in U.S.Congress, 19 of whom were male and 16 of whom were members of the Republican party.

LegislatureNameParty-state-districtYear electedMedical specialty2012 campaign money raised
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery$8,081,603[12]
HouseDan Benishek(R-MI-01)2010General surgery, retired$2,255,260[13]
HouseAmi Bera(D-CA-07)2012Internal medicine$1,373,106[14]
HouseCharles Boustany(R-LA-03)2004Cardiothoracic surgery, retired$4,879,644[15]
HousePaul Broun(R-GA-10)2007Family medicine$1,410,625[16]
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery$608,721[17]
HouseMichael C. Burgess(R-TX-26)2010OB/GYN$613,280[18]
HouseBill Cassidy(R-LA)2008Gastroenterology$5,121,030[19]
HouseDonna Christensen(D-Virgin Islands-AL)1996Emergency medicine$330,274[20]
SenateTom Coburn(R-OK)2004Family medicine$2,100,328 †[21]
HouseScott DesJarlais(R-TN-04)2010General practice$283,549[22]
HouseJohn Fleming(R-LA-04)2008Family medicine$698,596[23]
HousePhil Gingrey(R-GA-11)2002OB/GYN$1,530,373[24]
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology$1,689,833[25]
HouseJoe Heck(R-NV-03)2010Emergency medicine$1,117,768[26]
HouseJim McDermott(D-WA-07)1988Psychiatry$223,469[27]
SenateRand Paul(R-KY)2010Ophthalmology$9,942,744†[28]
HouseTom Price(R-GA-06)2004Orthopedic surgery$1,375,428[29]
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN$348,673[30]
HouseRaul Ruiz(D-CA-36)2012Emergency medicine$1,504,150[31]

† 2009/2012 cycle††2013–2014 cycle

114th Congress (2015–2017)

[edit]

From 2015 to 2017, there were 17 physicians in U.S. Congress. All were male and 14 were members of the Republican party.

LegislatureNameParty-state-districtYear electedMedical specialty2014 campaign money raised
HouseRalph Abraham(R-LA-05)2014Family medicine, veterinarian$824,819[32]
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery$7,045,286[33]
HouseDan Benishek(R-MI-01)2010General surgery, retired$2,152,648[34]
HouseAmi Bera(D-CA-07)2012Internal medicine$4,410,225[35]
HouseCharles Boustany(R-LA-03)2004Cardiothoracic surgery, retired$2,711,231[36]
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery$608,721[17]
HouseMichael C. Burgess(R-TX-26)2010OB/GYN$613,280[18]
SenateBill Cassidy(R-LA)2014Gastroenterology$15,548,343[19]
HouseScott DesJarlais(R-TN-04)2010General practice$283,549[22]
HouseJohn Fleming(R-LA-04)2008Family medicine$698,596[23]
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology$1,422,625[37]
HouseJoe Heck(R-NV-03)2010Emergency medicine$1,117,768[26]
HouseJim McDermott(D-WA-07)1988Psychiatry$223,469[27]
SenateRand Paul(R-KY)2010Ophthalmology$19,613,645[38]
HouseTom Price(R-GA-06)2004Orthopedic surgery$2,784,268[39]
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN$933,431[40]
HouseRaul Ruiz(D-CA-36)2012Emergency medicine$3,439,977[41]

† 2009/2014 cycle

115th Congress (2017–2019)

[edit]

From 2017 to 2019 there were 16 physicians in the U.S. Congress; all were male and 14 were members of the Republican party. There were also one podiatrist, one dentist, and one optometrist.[5]

LegislatureNameParty-state-districtYear electedMedical specialty2016 campaign money raised
HouseRalph Abraham(R-LA-05)2014Family medicine, veterinarian$577,493[42]
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery$6,677,705[43]
HouseAmi Bera(D-CA-07)2012General practice$4,128,996[44]
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery$1,045,223[45]
HouseMichael C. Burgess(R-TX-26)2002OB/GYN$1,857,590[46]
SenateBill Cassidy(R-LA)2014Gastroenterology$17,269,420[47]
HouseScott DesJarlais(R-TN-04)2010General practice$637,783[48]
HouseNeal Dunn(R-FL-02)2016Urology$1,968,334[49]
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology$1,402,664[50]
HouseRoger Marshall(R-KS-01)2016Obstetrician$1,506,821[51]
SenateRand Paul(R-KY)2010Ophthalmology$12,105,270[52]
HouseTom Price(R-GA-06)2004Orthopedic surgery$2,769,758[53]
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN$952,677[54]
HouseRaul Ruiz(D-CA-36)2012Emergency medicine$3,225,291[55]

116th Congress (2019–2021)

[edit]

From 2019 to 2021 there were 17 physicians in the U.S. Congress; all but one were male and 14 were members of the Republican party.

LegislatureNameParty-state-districtYear electedMedical specialty
HouseRalph Abraham(R-LA-05)2014Family medicine, veterinarian
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery
HouseAmi Bera(D-CA-07)2012Internal medicine
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery
HouseMichael C. Burgess(R-TX-26)2002OB/GYN
SenateBill Cassidy(R-LA)2014Gastroenterology
HouseScott DesJarlais(R-TN-04)2010Family medicine
HouseNeal Dunn(R-FL-02)2016Urology
HouseMark Green(R-TN-07)2018Emergency medicine
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology
HouseJohn Joyce(R-PA-09)2018Dermatology
HouseRoger Marshall(R-KS-01)2016OB/GYN
HouseGreg Murphy(R-NC-03)2019Urology
SenateRand Paul(R-KY)2010Ophthalmology
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN
HouseRaul Ruiz(D-CA-36)2012Emergency medicine
HouseKim Schrier(D-WA-08)2018Pediatrics
HouseBrad Wenstrup(R-OH-02)2013Podiatric medicine

117th Congress (2021–2023)

[edit]

There were 17 physicians in the 117th Congress, of whom 13 served in the House and 4 served in the Senate.[56]

LegislatureNameParty-state-districtYear electedMedical specialty
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery
HouseAmi Bera(D-CA-07)2012[note 2]Internal medicine
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery
HouseMichael C. Burgess(R-TX-26)2002Obstetrics and gynaecology
SenateBill Cassidy(R-LA)2014Gastroenterology
HouseScott DesJarlais(R-TN-04)2010Family medicine
HouseNeal Dunn(R-FL-02)2016Urology
HouseMark Green(R-TN-07)2018Emergency medicine
HouseAndy Harris(R-MD-01)2010Anesthesiology
HouseRonny Jackson(R-TX-13)2020Emergency medicine
HouseJohn Joyce(R-PA-13)2018Dermatology
SenateRoger Marshall(R-KS)2020Obstetrics and gynaecology
HouseMariannette Miller-Meeks(R-IA-02)2020Ophthalmology
HouseGreg Murphy(R-NC-03)2019Urology
SenateRand Paul(R-KY)2010Ophthalmology
HouseRaul Ruiz(D-CA-36)2012Emergency medicine
HouseKim Schrier(D-WA-08)2018Pediatrics
HouseBrad Wenstrup(R-OH-02)2013Podiatric medicine

118th Congress (2023–2025)

[edit]

There were 19 physicians in the 118th Congress, of whom 15 served in the House and 4 served in the Senate. Three were women.[57]

LegislatureNameParty-state-districtYear electedMedical specialty
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery
HouseAmi Bera(D-CA-06)2012[note 2]Internal medicine
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery
HouseMichael Burgess(R-TX-26)2002Obstetrics and gynaecology
HouseYadira Caraveo(D-CO-08)2022Pediatrics
SenateBill Cassidy(R-LA)2014Gastroenterology
HouseScott DesJarlais(R-TN-04)2010Family medicine
HouseNeal Dunn(R-FL-02)2016Urology
HouseMark Green(R-TN-07)2018Emergency medicine
HouseAndy Harris(R-MD-01)2010Anesthesiology
HouseRonny Jackson(R-TX-13)2020Emergency medicine
HouseJohn Joyce(R-PA-13)2018Dermatology
SenateRoger Marshall(R-KS)2020Obstetrics and gynaecology
HouseRich McCormick(R-GA-06)2022Emergency medicine
HouseMariannette Miller-Meeks(R-IA-01)2020Ophthalmology
HouseGreg Murphy(R-NC-03)2019Urology
SenateRand Paul(R-KY)2010Ophthalmology
HouseRaul Ruiz(D-CA-35)2012Emergency medicine
HouseMike Simpson(R-ID-02)1999Dentistry
HouseKim Schrier(D-WA-08)2018Pediatrics
HouseBrad Wenstrup(R-OH-02)2013Podiatric medicine

119th Congress (2025-present)

[edit]

There are 21 physicians in the 119th Congress, of whom 17 are serving in the House and four in the Senate.[58]

LegislatureNameParty-state-districtYear electedMedical specialty
SenateJohn Barrasso(R-WY)2008[note 1]Orthopedic surgery
HouseAmi Bera(D-CA-06)2012[note 2]Internal medicine
SenateJohn Boozman(R-AR)2010Optometry
SenateBill Cassidy(R-LA)2014Gastroenterology
HouseHerb Conoway(D-NJ-03)2024Internal medicine
HouseScott DesJarlais(R-TN-04)2010Family medicine
HouseMaxine Dexter(D-OR-03)2024Pulmonary and critical care
HouseNeal Dunn(R-FL-02)2016Urology
HouseMark Green(R-TN-07)2018Emergency medicine
HouseAndy Harris(R-MD-01)2010Anesthesiology
HouseRonny Jackson(R-TX-13)2020Emergency medicine
HouseJohn Joyce(R-PA-13)2018Dermatology
HouseMike Kennedy(R-UT-03)2024Family medicine
SenateRoger Marshall(R-KS)2020Obstetrics and gynaecology
HouseRich McCormick(R-GA-06)2022Emergency medicine
HouseMariannette Miller-Meeks(R-IA-01)2020Ophthalmology
HouseKelly Morrison(D-MN-03)2024Obstetrics and gynaecology
HouseGreg Murphy(R-NC-03)2019Urology
HouseBob Onder(R-MO-03)2024Allergy
SenateRand Paul(R-KY)2010Ophthalmology
HouseRaul Ruiz(D-CA-35)2012Emergency medicine
HouseKim Schrier(D-WA-08)2018Pediatrics

Notes

[edit]
  1. ^abcdefgThe governor of Wyoming appointed Barrasso to his Senate seat following the death in office ofCraig L. Thomas in 2007. Barrasso wassubsequently elected to fill the remainder of Senator Thomas's term.
  2. ^abcPrior to redistricting after the2020 US Census, which took effect in the118th Congress, Bera representedCA-07.

References

[edit]
  1. ^Gifford GE (1976).Physician Signers of the Declaration of Independence. New York: Science History Publications.
  2. ^Jameson, MG (1983). "Physicians and American political leadership".JAMA.249 (7):929–930.doi:10.1001/jama.249.7.929.PMID 6337277.
  3. ^abKraus, Chad K; Thomas A. Suarez (November 3, 2004)."Is There a Doctor in the House?... Or the Senate? Physicians in US Congress, 1960-2004".JAMA.292 (17):2125–2129.doi:10.1001/jama.292.17.2125.PMID 15523073.
  4. ^ab"Physicians of the 113th Congress".Patient Action network. American Medical Association. January 8, 2013. RetrievedMay 28, 2015.
  5. ^abcLaura Dyrda (January 9, 2017)."Meet the 15 physician members of the 115th US Congress(". Becker's Healthcare.
  6. ^ab"Physicians as Candidates Program- Key findings of research conducted in April & May 2013 on behalf of AMPAC's Physicians as Candidates Research Program"(PowerPoint).AMPAC. AMA. September 2014. page 27.
  7. ^abcdefJeremy W. Peters (March 7, 2013)."Is There a Doctor in the House? Yes, 17. And 3 in the Senate".The New York Times. RetrievedMarch 28, 2014.
  8. ^Jordyn Phelps (April 7, 2015)."Rand Paul Makes 2016 White House Bid Official: 'We Have Come To Take Our Country Back'".ABC news. RetrievedApril 15, 2015.
  9. ^"The 2016 Cycle AMPAC Election Report". n.d. RetrievedFebruary 21, 2017.
  10. ^Goldenberg, MN (November 2015). "House Calls: Physicians in the US Congress, 2005-2015".Southern Medical Journal.108 (11):657–61.doi:10.14423/SMJ.0000000000000366.PMID 26539942.S2CID 45583923.
  11. ^Zhong, Anthony; Jain, Bhav; Martin, Alister F.; Zhang, Cancan; Phillips, Russell S.; Amat, Maelys J. (April 4, 2024)."Reported Political Participation by Physicians vs Nonphysicians".JAMA.doi:10.1001/jama.2024.1996.ISSN 0098-7484.PMC 11040404.
  12. ^"John A. Barrasso Campaign Cmte and Leadership PAC Fundraising, 2007 - 2012".OpenSecrets. December 31, 2012.
  13. ^"Rep. Dan Benishek: Campaign Cmte and Leadership PAC Fundraising, 2011 - 2012".OpenSecrets. December 31, 2012.
  14. ^"Rep. Ami Bera: Summary Data".OpenSecrets. December 31, 2013.
  15. ^"Rep. Charles Boustany: Campaign Cmte and Leadership PAC Fundraising, 2011 - 2012".OpenSecrets. December 31, 2012.
  16. ^"Rep. Paul Broun: Campaign Cmte and Leadership PAC Fundraising, 2011 - 2012".OpenSecrets. December 31, 2012.
  17. ^ab"Rep. Larry Bucshon: Summary Data".OpenSecrets. December 31, 2013.
  18. ^ab"Rep.Michael Burgess: Summary Data".OpenSecrets. December 31, 2013.
  19. ^ab"Rep.Bill Cassidy: Summary Data".OpenSecrets. December 31, 2013.
  20. ^"Rep. Donna Christian-Christensen: Campaign Cmte Fundraising, 2011 - 2012, no Leadership PAC money for 2014 cycle".OpenSecrets. December 31, 2012.
  21. ^"Sen Tom Coburn: Summary Data".OpenSecrets. December 31, 2013.
  22. ^ab"Rep.Scott DesJarlais: Summary Data".OpenSecrets. December 31, 2013.
  23. ^ab"Rep.John Fleming: Summary Data".OpenSecrets. December 31, 2013.
  24. ^"Rep.Phil Gingrey : Summary Data".OpenSecrets. December 31, 2013.
  25. ^"Rep.Andy Harris:Campaign Cmte and Leadership PAC Fundraising, 2011 - 2012".OpenSecrets. December 31, 2012.
  26. ^ab"Rep.Joe Heck : Summary Data".OpenSecrets. December 31, 2013.
  27. ^ab"Rep.Jim McDermott : Summary Data".OpenSecrets. December 31, 2013.
  28. ^"Sen Rand Paul: Campaign Cmte and Leadership PAC Fundraising, 2009 - 2012".OpenSecrets. December 31, 2012.
  29. ^"Rep. Tom Price: Summary Data".OpenSecrets. December 31, 2013.
  30. ^"Rep. Phil Roe: Summary Data".OpenSecrets. December 31, 2013.
  31. ^"Rep. Raul Ruiz: Summary Data".OpenSecrets. December 31, 2013.
  32. ^"Rep.Ralph Abraham : Summary Data 2014 Race: Louisiana District 05".OpenSecrets. December 31, 2014.
  33. ^"John A. Barrasso Campaign Cmte and Leadership PAC Fundraising, 2009 - 2014".OpenSecrets. December 31, 2014.
  34. ^"Rep. Dan Benishek: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  35. ^"Rep. Ami Bera: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  36. ^"Rep. Charles Boustany: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2012.
  37. ^"Rep.Andy Harris: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  38. ^"Sen Rand Paul: Campaign Cmte and Leadership PAC Fundraising, 2009 - 2014".OpenSecrets. December 31, 2014.
  39. ^"Rep. Tom Price: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  40. ^"Rep. Phil Roe: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  41. ^"Rep. Raul Ruiz: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2014".OpenSecrets. December 31, 2014.
  42. ^"Rep.Ralph Abraham : Summary Data 2015-2016".OpenSecrets. December 31, 2016.
  43. ^"John A. Barrasso: Campaign Cmte and Leadership PAC Fundraising, 2011 - 2016".OpenSecrets. December 31, 2016.
  44. ^"Rep. Ami Bera: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  45. ^"Rep. Larry Bucshon: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  46. ^"Rep.Michael Burgess: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  47. ^"Rep.Bill Cassidy: Campaign Cmte and Leadership PAC Fundraising, 2013 - 2016".OpenSecrets. December 31, 2016.
  48. ^"Rep.Scott DesJarlais: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  49. ^"Neal Dunn Cycle Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  50. ^"Rep.Andy Harris: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  51. ^"Roger Marshall Cycle Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  52. ^"Sen Rand Paul: Campaign Cmte and Leadership PAC Fundraising, 2011 - 2016".OpenSecrets. December 31, 2016.
  53. ^"Rep. Tom Price: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  54. ^"Rep. Phil Roe:Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  55. ^"Rep. Raul Ruiz: Campaign Cmte and Leadership PAC Fundraising, 2015 - 2016".OpenSecrets. December 31, 2016.
  56. ^"Physicians of the 117th Congress".
  57. ^"Physicians of the 118th Congress".Patients Action Network. RetrievedJuly 5, 2023.
  58. ^"Physicians of the 119th Congress".patientsactionnetwork.com. January 3, 2025. RetrievedFebruary 11, 2025.

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