National Medical Association

National health insurance

The NMA, dedicated to promoting the interests of those of "African Descent," contributed to the national health insurance dialogue from 1900-1950. Despite its rather marginal size, starting in the mid-1910s, the NMA advocated compulsory health insurance. Primarily, the association sought any means that provided medical care for African Americans. As an association, however, it also sought to promote the interests of the African American physician him/herself.

From the mid 1910s to the late 1940s, the American Medical Association (AMA) acted as the mainstream medical profession's voice. Yet numerous African American doctors were unable to join the AMA due to the lack of county medical societies and/or because of local bigoted practices, thereby limiting the number of African American AMA members. To exacerbate matters further, the NMA's leadership continued to support compulsory health insurance while AMA members largely distanced itself from such a scheme due to (a) the red scare, (b) the belief in U.S. health superiority to other nations with national health insurance schemes and (c) the argument that a national health insurance would potentially ruin the "sacred" practitioner-patient relationship. Struggling between providing medical care for African Americans as well as maintaining the voice of African American physicians, the NMA was internally divided on these issues from the late 1930s-early 1950s.

During this time period, the NMA leadership repeatedly stated their support for a national health insurance scheme through the Journal of the National Medical Association as well as newspapers like the Chicago Defender. At the same time, rank-and-file members, desirous to practice medicine, supported the AMA's proposals. Indeed, during the height of the health insurance debates from 1946–50, the AMA often sent guest speakers to the NMA's conferences. Such AMA officials promised the NMA membership in their ranks as well as the right to practice medicine. Yet the NMA's leadership largely resisted the AMA's efforts. NMA presidents like Drs. E. L. Robinson, C. Austin Whitter and J. G. Gathings opposed the AMA's proposals on the grounds that the AMA had previously excluded African American patients from their care as well as African American physicians from their ranks. Furthermore, the AMA's support of Abraham Flexner's Report of 1910 witnessed the closure of numerous African American and women's hospitals across the country. How could, the NMA leadership argued, African American doctors support the AMA when the AMA was in fact the origin of some of African American's most severe issues (indeed, NMA member Dr. Cobb compared the AMA's tactics to the KKK during 1946-50).

By the early 1950s, the NMA still did not possess a consensual platform concerning health insurance. Internally torn about the best methods to promote their own professional ambitions as well as the interests of African American patients, the health insurance topic remained a divisive one. Still, members of the NMA offered resistance to the AMA's promotion of voluntary health insurance when few medical practitioners dared to.

In the late 1950s, the NMA took a more active interest in civil rights under the leadership of its president, T. R. M. Howard, a surgeon from Mississippi. In the months after his election as president, Howard had played a key role in the search for evidence and witnesses in the Emmett Till murder case and led the largest civil rights organization in the state, the Regional Council of Negro Leadership. In 1957, under his leadership, the NMA organized the Imhotep National Conference on Hospital Integration which publicized and challenged continuing hospital segregation in both the North and South. ^[5]