Funding the war in America: A look in the mirror.

Autor:	Hynes AM; From the Department of Emergency Medicine (A.M.H.), Department of Surgery (A.M.H.), University of New Mexico School of Medicine, Albuquerque, New Mexico; Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, Department of Surgery (J.L.W.), UC San Diego, San Diego, California; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery (J.S.H., M.J.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Division of Trauma and Surgery, Department of Surgery (J.L.S.), University of Pittsburgh, Pittsburgh, Pennsylvania; Division of Trauma and Acute Care Surgery (S.E.S., D.R.S.), The Boston University School of Medicine, Boston, Massachusetts; and Department of Surgery (T.K.), Brown University Warren Alpert Medical School, Providence, Rhode Island., Weaver JL, Hatchimonji JS, Sperry JL, Sanchez SE, Seamon MJ, Kheirbek T, Scantling DR
Jazyk:	angličtina
Zdroj:	The journal of trauma and acute care surgery [J Trauma Acute Care Surg] 2023 Nov 01; Vol. 95 (5), pp. 621-627. Date of Electronic Publication: 2023 Apr 04.
DOI:	10.1097/TA.0000000000003982
Abstrakt:	Background: Health care political action committees (HPACs) historically contribute more to candidates opposing firearm restrictions (FRs), clashing with their affiliated medical societies. These societies have increasingly emphasized the prevention of firearm violence and it is not known if recent contributions by their HPACs have aligned with their stated goals. We hypothesized that such HPACs still contribute similar amounts toward legislators up for reelection opposing FR. Methods: We identified HPACs of medical societies endorsing one or both calls-to-action against firearm violence published in the Annals of Internal Medicine (2015, 2019). House of Representatives (HOR) votes on H.R.8, a background checks bill, were characterized from GovTrack. We compiled HPAC contributions between the H.R.8 vote and election to HOR members up for re-election from the National Institute on Money in Politics. Our primary outcome was total campaign contributions by H.R.8 stance. Secondary outcomes included percentage of politicians funded and total contributions. Results: Nineteen societies endorsed one or both call-to-action articles. Three hundred eighty-five of 430 HOR members ran for reelection in 2020. Those endorsing H.R.8 (n = 226, 59%) received $2.8 M for $4,750 (interquartile range [IQR], $1000-$15,500) per candidate. Those opposing (n = 159, 41%) received $1.5 M for $2,500 (IQR, $0-$11,000) per candidate ( p = 0.0057). Health care political action committees donated toward a median of 20% (IQR, 7-28) of candidates endorsing H.R.8 and 9% (IQR, 4-22) of candidates opposing H.R.8 ( p = 0.0014). Those endorsing H.R.8 received 1,585 total contributions for a median of 3 (IQR, 1-10) contributions per candidate, while those opposing received 834 total contributions for a median of 2 (IQR, 0-7) contributions per candidate ( p = 0.0029). Conclusion: Politicians voting against background checks received substantial contributions toward reelection from the HPACs of societies advocating for firearm restrictions. However, this is the first study to suggest that HPAC's contributions have become more congruent with their respective societies. Further alignment of medical society goals and their HPAC political contributions could have a profound impact on firearm violence. Level of Evidence: Prognostic and Epidemiological; Level III. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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