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Emergency Medicine Docs Should Get Involved in Health Reform, ACEP President Says Congress may still be debating what to do about healthcare, but the American College of Emergency Physicians (ACEP) has a very clear vision of what it wants health reform to look like. In January, the organization published a list of principles it says must be included in any legislation that would replace the Patient Protection and Affordable Care Act (ACA). We recently asked ACEP President Rebecca Parker, MD, to explain these legislative priorities and what emergency medicine should do about them. Medscape: ACEP recently published a survey reporting that 95% of Americans say that insurance companies should cover emergency services. Why did the society choose to do this survey? Rebecca Parker, MD Dr Parker: We looked at what we thought the Republicans and President Trump may do. We reviewed the GOP proposals—in particular, A Better Way for Healthcare, which is the document House Speaker Paul Ryan produced over the summer with the House Republicans. We thought that it was important to look at how emergency medicine fits into the essential benefits package. The point of the survey was to get the opinion of the voting population because we thought that Congress and the White House would find that valuable. Medscape: Was there anything surprising about the survey results? Dr Parker: I was very pleased that 95% wanted health insurance companies to cover emergency care, but I was surprised that even 5% don't seem to care. It should have been 100%. I think, in general, we understand as a population that emergencies happen. No matter what happens with our primary care, there are always going to be heart attacks, car accidents, strokes, fractures. Emergency medicine should always be an essential service. Medscape: What changes do you see ahead for healthcare now that the effort to repeal the ACA failed? Dr Parker: We are focusing on the regulatory phase right now and the role of Secretary Pri

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