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In the aftermath of the Obama presidential election, healthcare reform became an intensely debated political issue, and the American Medical Association (AMA) had a difficult time deciding their position on the Affordable Care Act (ACA, Obamacare).

The AMA's problems have deepened because they are not what they purport themselves to be-the spokesman for the community of physicians. How can they be when only approximately 10% of the practicing physicians in the US are members? In contrast to the 1960's when over 75% of doctors belonged to the AMA, their influence in the medical community has waned considerably, in part because they are out of touch with the views of practicing physicians. Obamacare is a perfect example.

The ACA will have a devastating impact on physicians and the AMA has failed to protect them, leaving physicians without an advocate. The AMA cannot serve 2 masters. They must choose who they represent. Perhaps it is time for the AMA to step aside and make way for another organization more interested in protecting the needs of doctors; one that is not conflicted.