Physicians in the United States Congress

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 nadir 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 increasing health care spending, increased health care reform debate in the United States, leading up to the Healthcare Reform Act.

In public opinion research by the American Medical Association (AMA) from 2013, voters rated "understanding of the problems facing our healthcare industry, including the bureaucratic red tape that is strangling health care providers and driving up the cost of health care for most Americans" as the most convincing statement of a physician candidate for Congress. Physicians in Congress have received large campaign contributions from health care trade associations and from peers through physician associations such as the AMA.

History

In 1776, 11 percent of signers of the Declaration of Independence were physicians.[1] Likewise, two (5 percent) of the 39 individuals crafting the US 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

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 nadir of 2 in 1990 up to 10 (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 increasing health care spending,[6] increased health care reform debate in the United States, leading up to the Healthcare Reform Act.[7]

Motivations

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

In 2013, three quarters of physicians in Congress were Republican,[4] and 80% as of 2017.[5] As a possible reason Jim 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 AMA political 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

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]

Public opinion

In 2013, the AMA funded 3 focus groups of voters across the country and an online survey to research public opinion on physicians as Congressional candidates. The top scoring potential message for a physician was to link back to health care expertise "Because physicians work in health care daily, they bring a clear understanding of the problems facing our healthcare industry, including the bureaucratic red tape that is strangling health care providers and driving up the cost of health care for most Americans."[6]

Candidates, 2014

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

113th Congress (2013–2015)

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

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

† 2009/2012 cycle ††2013–2014 cycle

114th Congress (2015–2017)

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[31]
SenateJohn Barrasso(R-WY)2007Orthopedic Surgery$7,045,286[32]
HouseDan Benishek(R-MI-01)2010General surgery, retired$2,152,648[33]
HouseAmi Bera(D-CA-07)2012Internal Medicine$4,410,225[34]
HouseCharles Boustany(R-LA-03)2004Cardiothoracic surgery, retired$2,711,231[35]
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery$608,721[15]
HouseMichael C. Burgess(R-TX-26)2010OB/GYN$613,280[16]
SenateBill Cassidy(R-LA)2014Gastroenterology$15,548,343[17]
HouseScott DesJarlais(R-TN-04)2010General Practice$283,549[19]
HouseJohn Fleming(R-LA-04)2008Family Medicine$698,596[20]
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology$1,422,625[36]
HouseJoe Heck(R-NV-03)2010Emergency Medicine$1,117,768[23]
HouseJim McDermott(D-WA-07)1988Psychiatry$223,469[24]
HouseTom Price(R-GA-06)2004Orthopedic Surgery$2,784,268[37]
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN$933,431[38]
HouseRaul Ruiz(D-CA-36)2012Emergency Medicine$3,439,977[39]
SenateRand Paul(R-KY)2010Ophthalmology$19,613,645[40]

† 2009/2014 cycle

115th Congress (2017–2019)

From 2017 to 2019 there were 16 physicians in U.S. Congress, all were male and 14 were members of the Republican party. There was 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[41]
SenateJohn Barrasso(R-WY)2007Orthopedic Surgery$6,677,705[42]
HouseAmi Bera(D-CA-07)2012General practice$4,128,996[43]
HouseLarry Bucshon(R-IN-08)2010Thoracic surgery$1,045,223[44]
HouseMichael C. Burgess(R-TX-26)2002OB/GYN$1,857,590[45]
SenateBill Cassidy(R-LA)2014Gastroenterology$17,269,420[46]
HouseScott DesJarlais(R-TN-04)2010General Practice$637,783[47]
HouseNeal Dunn(R-FL-02)2016Urology$1,968,334[48]
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology$1,402,664[49]
HouseRoger Marshall(R-KS-01)2016Obstetrician$1,506,821[50]
HouseTom Price(R-GA-06)2004Orthopedic Surgery$2,769,758[51]
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN$952,677[52]
HouseRaul Ruiz(D-CA-36)2012Emergency Medicine$3,225,291[53]
SenateRand Paul(R-KY)2010Ophthalmology$12,105,270[54]

116th Congress (2019–2021)

LegislatureNameParty-State-DistrictYear electedMedical specialty
HouseRalph Abraham(R-LA-05)2014Family Medicine, Veterinarian
SenateJohn Barrasso(R-WY)2007Orthopedic 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
House Mark Green (R-TN-07) 2018 Emergency Medicine
HouseAndrew P. Harris(R-MD-01)2010Anesthesiology
House John Joyce (R-PA-09) 2018 Dermatology
HouseRoger Marshall(R-KS-01)2016OB/GYN
House Greg Murphy (R-NC-03) 2019 Urology
HouseDavid "Phil" Roe(R-TN-01)2008OB/GYN
HouseRaul Ruiz(D-CA-36)2012Emergency Medicine
HouseKim Schrier(D-WA-08)2018Pediatrics
SenateRand Paul(R-KY)2010Ophthalmology

117th Congress (2021–2023)

There were 17 physicians in the 117th Congress, of which 13 serve in the House and 4 serve in the Senate.[55]

LegislatureNameParty-state-districtYear electedMedical specialty
HouseRonny Jackson(R-TX-13)2020Emergency medicine
SenateJohn Barrasso(R-WY)2007Orthopedic surgery
HouseAmi Bera(D-CA-07)2012Internal 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
HouseJohn Joyce(R-PA-13)2018Dermatology
SenateRoger Marshall(R-KS)2020Obstetrics and gynaecology
HouseGreg Murphy(R-NC-03)2019Urology
HouseRaul Ruiz(D-CA-36)2012Emergency medicine
HouseKim Schrier(D-WA-08)2018Pediatrics
SenateRand Paul(R-KY)2010Ophthalmology
HouseMariannette Miller-Meeks(R-IA-02)2020Ophthalmology

118th Congress (2023-present)

There are 19 physicians in the 118th Congress, of which 15 serve in the House and 4 serve in the Senate.[56]

Legislature Name Party-state-district Year elected Medical specialty
House Ami Bera (D-CA-06) 2012[note 1] General practice
House Larry Bucshon (R-IN-08) 2010 Thoracic surgery
House Michael Burgess (R-TX-26) 2002 Obstetrics and gynaecology
House Yadira Caraveo (D-CO-08) 2022 Pediatrics
House Scott DesJarlais (R-TN-04) 2010 Family medicine
House Neal Dunn (R-FL-02) 2016 Urology
House Mark Green (R-TN-07) 2018 Emergency medicine
House Andy Harris (R-MD-01) 2010 Anesthesiology
House Ronny Jackson (R-TX-13) 2020 Emergency medicine
House John Joyce (R-PA-13) 2018 Dermatology
House Rich McCormick (R-GA-06) 2022 Emergency medicine
House Mariannette Miller-Meeks (R-IA-01) 2020 Ophthalmology
House Greg Murphy (R-NC-03) 2019 Urology
House Raul Ruiz (D-CA-35) 2012 Emergency medicine
House Kim Schrier (D-WA-08) 2018 Pediatrics
Senate John Barrasso (R-WY) 2008[note 2] Orthopedic surgery
Senate Bill Cassidy (R-LA) 2014 Gastroenterology
Senate Roger Marshall (R-KS) 2020 Obstetrics and gynaecology
Senate Rand Paul (R-KY) 2010 Ophthalmology

Physicians in political positions outside Congress

Civilian:

Uniformed service, United States Armed Forces:

Notes

  1. Prior to redistricting after the 2020 US Census, which took effect in the 118th Congress, Bera represented CA-07.
  2. The governor of Wyoming appointed Barrasso to his Senate seat following the death in office of Craig L. Thomas in 2007. Barrasso was subsequently elected to fill the remainder of Senator Thomas's term.

References

  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. Kraus, 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. "Physicians of the 113th Congress". Patient Action network. American Medical Association. January 8, 2013. Retrieved May 28, 2015.
  5. Laura Dyrda (January 9, 2017). "Meet the 15 physician members of the 115th US Congress(". Becker's Healthcare.
  6. "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. Jeremy W. Peters (March 7, 2013). "Is There a Doctor in the House? Yes, 17. And 3 in the Senate". The New York Times. Retrieved March 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. Retrieved April 15, 2015.
  9. "The 2016 Cycle AMPAC Election Report". n.d. Retrieved February 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.
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