Health Care Lobbying, Political Action Committees, and Spine Surgery

Autor: Gerard Marciano, Jaclyn Bunch, Michael G. Vitale, Lawrence G. Lenke, Richard Menger, Austin Menger, Anthony Martino, James Barry, Thomas Shaw
Rok vydání: 2020
Předmět:
Zdroj: Spine. 45:1736-1742
ISSN: 1528-1159
0362-2436
DOI: 10.1097/brs.0000000000003693
Popis: STUDY DESIGN Retrospective review. OBJECTIVE The aim of this study was to analyze the political contributions and strategies of the Political Action Committee (PACs) lobbying for the political interests of spine surgeons. SUMMARY OF BACKGROUND DATA In 2016, a presidential election year, $514,224,628 was spent on health care lobbying. Only 16% ($85,061,148) was on behalf of health professionals providing care. Below we chronicle the overlapping contributions between the three different physician-based Political Action Committee (PAC) lobbying entities as it relates specifically to spine surgery. METHODS Data were abstracted for the PACs of the American Association of Neurological Surgeons (AANS), American Association of Orthopedic Surgeons (AAOS), and the North American Spine Society (NASS). These data were obtained using OpenSecrets (opensecrets.org), and the Federal Election Commission (fec.gov) website. All data points were collected biannually from 2006 to 2018 and statistically analyzed as appropriate. RESULTS In 2016, the AAOS PAC contributed $2,648,218, the AANS PAC $348,091, and the NASS PAC $183,612. After accounting for respective group size, the AAOS spent >2.34 times that of the AANS. Orthopedists were 3.84 times (95% confidence interval 3.42-4.3) more likely to donate to their PAC than neurosurgeons (P
Databáze: OpenAIRE