National Medical Association - History, 1900-1950

History, 1900-1950

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. Indeed, given the prominent racist practices of the Jim Crow South as well as segregated medical facilities across the U.S., it was extremely difficult for African American physicians to find gainful employment and practice medicine.

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 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.