Doctors are a very heterogeneous lot. I think the AMA tries, but whom should it represent? Years ago when the E&M codes were being developed, I got simultaneous e-mails from the ACP urging I support them (which would have much improved reimbursement for cognitive skills), and from the American Society for GI Endoscopy urging me to work against them (since they threatened to decrease reimbursement for procedures). Everyone said "fine idea to increase fees for cognitive skills, but it can't be in a budget neutral environment." The times in which doctors had a common goal are long past.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands