title: Political issues in emergency medicine: The United States.
abstract: The format of the paper is to allow three authors to discuss what they believe are the most significant political issues facing emergency medicine (EM) in their country or region. Each author writes independently and does not see any other contributing author's work, therefore potential overlap of subject matter is inevitable. However, we were soliciting their individual opinions about the serious issues confronting us today, rather than a consensus. An additional author, well familiar with the topics being discussed, wrote the Commentary from an overview perspective on the writings of the other authors. This supplemental opinion was offered as a method for enhanced cohesiveness in describing the political situations impacting the specialty of emergency medicine. The three authors for the United States are James Hoekstra, Professor and Chair, Wake Forest University Health Sciences; Robert McNamara, Professor and Chair, Temple University School of Medicine, and Robert Schafermeyer, Associate Chair, Department of Emergency Medicine, North Carolina School of Medicine. Between them, they represent more than 50 years experience in clinical and academic emergency medicine. They write from a personal perspective. Their views are their own, and do not represent any organization(s) with which they may have or had affiliations.
authors.affiliation: Health Sciences, Wake Forest University, Winston Salem, North Carolina, United States of America.
authors.forename: James
authors.initials: J
authors.lastname: Hoekstra
authors.forename: Robert
authors.initials: R
authors.lastname: McNamara
authors.forename: Robert W
authors.initials: RW
authors.lastname: Schafermeyer
authors.forename: Glenn C
authors.initials: GC
authors.lastname: Hamilton
mesh_terms: D004635:Emergency Medicine / Q000191:economics / Q000331:legislation & jurisprudence* / Q000639:trends*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D006801:Humans; D008318:Malpractice / Q000191:economics; D017057:Medically Uninsured / Q000331:legislation & jurisprudence; D010360:Patient Transfer / Q000331:legislation & jurisprudence; D010561:Personnel Staffing and Scheduling / Q000331:legislation & jurisprudence; D011057:Politics; D010818:Practice Patterns, Physicians' / Q000639:trends; D017009:Professional Autonomy; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence; D014481:United States