April 2007 • www.skinandallergynews.com Practice Trends 61 As Costs Rise, Employer Insurance Coverage Falls

BY JOEL B. FINKELSTEIN proportion of companies that provide Of the small companies that can still of- that can bring prices in line, when in fact, Contributing Writer health benefits dropped from 70% in 2000 fer health coverage, few can give their they don’t find much or they find choices to 60% in 2005. Small businesses, those workers a choice of health plans, and they that are even worse,” he said. WASHINGTON — Companies both with only a handful of employees, have are often not happy with the plans they When they come up empty, most com- large and small are finding it increasingly been especially hard hit by rising premi- can offer. In any given year, 60% of small panies have few options other than shift- difficult to afford the health insurance ums, said Todd McCracken, president of companies are shopping around for an- ing more of the cost of premiums to their coverage they have traditionally provided the National Small Business Association. other health plan, but only 24% make a workers or reducing benefits, a trend that to their workers, experts warned at a con- “We have reached a point in the past switch, according to data from the Kaiser will continue over the next 5 years, ac- ference sponsored by AcademyHealth. couple of years where for the first time Family Foundation. cording to projections by the Bureau of Employer-based insurance remains the in memory, most of these companies “Small businesses are constantly in the Labor Statistics. dominant source of coverage in the Amer- now do not provide health benefits to marketplace looking for a better deal, sure “The share that employees will be ican health care system. However, the their employees,” he said. that there’s something out there for them asked to bear simply outstrips any realis- tic ability they may have to pay,” Mr. Mc- Cracken said. 006 The development of young dermatologic researchers and educators is the gateway to enhanced patient care. The Board of Trustees Large companies also face rising health of the Dermatology Foundation proudly acknowledges members of the Leaders Society and Annenberg Circle who contributed insurance premiums and are passing $2.8 million in 2006 to shape the future of medical and surgical dermatology. Make your investment to secure dermatology’s them on to their employees, said Mary Kay Henry, who leads the health systems ty future today. Call 847/328-2256 to join your colleagues in leadership giving. division of the Service Employees Inter-

D. Richard A. Johnson, M.D. Patrick J. Lillis, M.D. Eliot N. Mostow, M.D., M.P.H. Ronald P. Rapini, M.D. Norma H. Schmitz, M.D. John S. Strauss, M.D. Robert R. Walther, M.D. national Union. M.D. Timothy M. Johnson, M.D. Henry W. Lim, M.D. Ronald L. Moy, M.D. Desiree Ratner, M.D. Bryan C. Schultz, M.D. X Hiram M. Sturm, M.D. Bill V. Way, D.O. The union represents 700,000 workers M.D. William D. Ju, M.D. Marketa Limova, M.D. Peter J. Muelleman, M.D. Marilyn C. Ray, M.D. Joseph J. Shaffer, M.D. Richard L. Sturm, M.D. Wallace N. Weber, M.D. John B. Kalis, M.D. Peter C. Lombardo, M.D. M. Gayle Mullanax, M.D. Barbara R. Reed, M.D. Alan R. Shalita, M.D. X Arthur J. Sumrall, M.D. Stephen B. Webster, M.D. worldwide. About half of them have no Ralph M. Kamell, M.D. Mary P. Lupo, M.D. Howard Murad, M.D. X Colleen M. Reisz, M.D. Steven K. Shama, M.D., Neil A. Swanson, M.D. Susan H. Weinkle, M.D. Robert Katz, M.D. James D. Maberry, M.D. Diya F. Mutasim, M.D. Kathleen A. Remlinger, M.D. M.P.H. X Robert A. Swerlick, M.D. Jonathan S. Weiss, M.D. health coverage and the other half are be- Jr., M.D. Valda N. Kaye, M.D. Frederick D. Malkinson, M.D., D.M.D. Douglas N. Naversen, M.D. Lisa J. Renfro, M.D. Ava T. Shamban, M.D. Mark B. Taylor, M.D. Robert A. Weiss, M.D. M.D. Matthew R. Kelleher, M.D. Michael G. Mancuso, M.D. Lee T. Nesbitt, Jr., M.D. Jack S. Resneck, M.D. Albert Shapiro, M.D. X R. Stan Taylor, M.D. Howard G. Welgus, M.D. ing asked to David N. Kingsley, M.D. Eugene Mandrea, M.D. Marcy Neuburg, M.D. Arthur R. Rhodes, M.D., M.P.H. Robert S. Shapiro, M.D. Nia K. Terezakis, M.D. Kathleen M. Welsh, M.D. .D. Arnold W. Klein, M.D. Stephanie F. Marschall, M.D. Jackie L. Nixon-Fulton, M.D. Phoebe Rich, M.D. Christopher R. Shea, M.D. Michael D. Tharp, M.D. W. Phillip Werschler, M.D. Of the small share more of M.D. Jeffrey A. Klein, M.D. Mary C. Martini, M.D. David A. Norris, M.D. Julee K. Richards, M.D. Laurence A. Sibrack, M.D. Maurice A. Thew, M.D. Patricia S. Wexler, M.D. D. Jay C. Klemme, M.D. Barbara M. Mathes, M.D. Peter B. Odland, M.D. Barry J. Richter, M.D. Daniel M. Siegel, M.D. Diane M. Thiboutot, M.D. Thomas G. Wiggans the cost of their M.D. Albert M. Kligman, M.D., Ph.D. X Robert T. Matheson, M.D. Marianne N. O’Donoghue, M.D. Jennifer M. Ridge, M.D. Marvin D. Siegel, M.D. Julian M. Thomas, M.D. Barbara Dahl Wilson, M.D. companies that Thomas Kupper, M.D. Elizabeth I. McBurney, M.D. Seth J. Orlow, M.D., Ph.D. Mitchell A. Rinek, M.D. David N. Silvers, M.D. Stephen T. Thomson, M.D. George B. Winton, M.D. health insur- M.D. Marilyn S. Kwolek, M.D. Robert E. McCallister, M.D. Robert L. Orme, M.D., PC Wendy E. Roberts, M.D. Kristin W. Smallwood, M.D. Robert E. Tigelaar, M.D. Allan S. Wirtzer, M.D. M.D. Walter G. Larsen, M.D. Camilla S. McCalmont, M.D. Richard E. Otoski, M.D. Katie Rodan, M.D. Stephen N. Snow, M.D. Marcia G. Tonnesen, M.D. David T. Woodley, M.D. still offer ance. Over the Thomas J. Lawley, M.D. Timothy H. McCalmont, M.D. Gerald G. Overly, M.D. X Roy S. Rogers III, M.D. Mary C. Spellman, M.D. Helen M. Torok, M.D. Kim B. Yancey, M.D. .D. Ira Lawrence, M.D. Robert A. McDonald, M.D. Lafayette G. Owen, M.D. Alain H. Rook, M.D. Richard L. Spielvogel, M.D. Wayne Traub Daniel B. Yarosh, Ph.D. past few years, M.P.H. Gerald S. Lazarus, M.D. Robert J. McNamara, M.D. Amy S. Paller, M.D. Jill R. Rosenthal, M.D. David A. Spott, M.D. Ben M. Treen, M.D. X Ruth A. Yates, M.D. coverage, few D. Phil LeBoit, M.D. Jennifer M. McNiff, M.D. David M. Pariser, M.D. Carl B. Rountree, M.D. John R. Stanley, M.D. James L. Troy, M.D. James A. Yeckley, M.D. SEIU has in- D. Stanton S. Lebouitz, M.D. Thomas L. Mehl, Sr. John A. Parrish, M.D. Louis Rubin, M.D. Thomas Stasko, M.D. James E. Turner, M.D., Ph.D. Herschel S. Zackheim, M.D. can give their M.D. Mark Lebwohl, M.D. Alan Menter, M.D. X William T. Parsons, M.D. X Earl J. Rudner, M.D. Marek A. Stawiski, M.D. W. Harrison Turner III, M.D. Scott Zahner, M.D. creasingly M.D. Francis C. Lee, M.D. Andrew L. Messenger, M.D. Barry S. Paul, M.D. Richard N. Rudnicki, D.O. Cloyce L. Stetson, M.D., M.S. Stephen K. Tyring, M.D., Ph.D. Nardo Zaias, M.D. found itself in D., Ph.D. Robert G. Lee, M.D. Donald J. Miech, M.D. Nicholas V. Perricone, M.D. Leslie F. Safer, M.D. Roger H. Stewart, M.D. Jouni J. Uitto, M.D., Ph.D. X Robert H. Zax, M.D. workers a choice, David J. Leffell, M.D. Martin C. Mihm, Jr., M.D. Marta J. Petersen, M.D. Harry W. Saperstein, M.D. Mitchell C. Stickler, M.D. Sheryll L. Vanderhooft, M.D. Douglas K. Zirker, M.D. difficult negoti- M.D. Barry Leshin, M.D. D. Scott Miller, M.D. Sheldon R. Pinnell, M.D. William S. Sawchuk, M.D. Werner K. Stiefel d John J. Voorhees, M.D. John J. Zone, M.D. Stuart R. Lessin, M.D. Stanley J. Miller, M.D. Frank J. Pinto, M.D. Richard K. Scher, M.D. X Donna L. Stockton, M.D. David Wacker, M.D. and they are ations with em- .D. X Stephen B. Levitt, M.D. John C. Moad, M.D. R. Todd Plott, M.D. Jimmy D. Schmidt, M.D. X Stephen P. Stone, M.D. Donald S. Waldorf, M.D. X X Founder d Deceased M.D., Ph.D. Gary D. Lichten, M.D. Angela Yen Moore, M.D. Rhonda Rand, M.D. John J. Schmidt, M.D. Paul A. Storrs, M.D. Patrick Walsh, M.D. often not happy ployers over health benefits . Hazle S. Konerding, M.D. J. Michael Maloney, M.D. Phyllis K. Murphy, M.D. David S. Pomerantz, M.D. Lilly H. Schaffer, M.D. Adrienne E. Stewart, M.D. Gary Wagner, M.D. Mark D. Koone, M.D. Joseph M. Malters, M.D. John C. Murray, M.D. Jerome R. Pomeranz, M.D. Brian Schapiro, M.D. Allison J. Stocker, M.D. Jill S. Waibel, M.D. with the plans at both the lev- D. Robert A. Koppel, M.D. Steven M. Manders, M.D. Michael A. Myers, M.D. Donald I. Posner, M.D. Donald R. Schermer, M.D. William V. Stoecker, M.D. Thomas P. Waldinger, M.D. .D. Neil J. Korman, M.D., Ph.D. Stephen H. Mandy, M.D. Rhoda S. Narins, M.D. William Posten, M.D. Lawrence C. Scherrer, M.D., Ph.D. Kathleen S. Stokes, M.D. Heidi A. Waldorf, M.D. el of collective D. Bruce W. Kornfeld, M.D. Claire P. Mansur, M.D. Richard B. Narins, M.D. Jerome R. Potozkin, M.D. Robert J. Schoenfeld, M.D. Sharon Stokes, M.D. Judith J. Walker, M.D. they can offer. Stephen O. Kovacs, M.D. Lisa A. Manz-Dulac, M.D. Vic A. Narurkar, M.D. Bette C. Potter, M.D. Kimberly K. Schulz, M.D. Harry C. Stone II, M.D. Kent D. Walker, M.D. bargaining and Alexander P. Kowalczyk, M.D. Gary L. Marder, D.O. Adnan Nasir, M.D., Ph.D. Douglas L. Powell, M.D. Stanley V. Schwartz, M.D. John G. Stoner, M.D. Susan D. Wall, M.D. Ph.D. James V. Kowalski, M.D. Kenneth A. Mark, M.D. Susan T. Nedorost, M.D. Mark A. Price, M.D. Kathryn Schwarzenberger, M.D. Bradley T. Straka, M.D. Mark S. Wallis, M.D. that of individual workers. M.D. Nomate Kpea, D.O. James G. Marks, Jr., M.D. Kishwer S. Nehal, M.D. Sandra L. Price, M.D. Lycia A. Scott, M.D. John Strasswimmer, M.D., Ph.D. Janice M. Warner, M.D. . E. Michael Kramer, M.D. Victor J. Marks, M.D. Kenneth H. Neldner, M.D. Vera H. Price, M.D. Megin C. Scully, M.D. Erik J. Stratman, M.D. T. Lynn Warthan, M.D. “Beyond the bargaining problem, we D. James M. Krell, M.D. Daniel A. Marshall, Jr., M.D. Christopher G. Nelson, M.D. Philip G. Prioleau, M.D. Joel K. Sears, M.D. John H. Strickler, Jr., M.D. Janice C. Washburn, M.D. Douglas W. Kress, M.D. Robert E. Marsico, Jr., M.D. Fern P. Nelson, M.D. Ronald B. Prussick, M.D. Joseph F. Seber, M.D. George P. Stricklin, M.D., Ph.D. Kalman L. Watsky, M.D. also had a crisis happening for individual Lincoln Krochmal, M.D. Robert E. Marsico, Sr., M.D. Paula Nelson, M.D. Michael M. Pugliese, M.D. Keeter D. Sechrist, M.D. Barbara R. Sturm, M.D. David J. Watts, M.D. Alfons Krol, M.D. Gayle D. Masri-Fridling, M.D. Albert J. Nemeth, M.D. Stephen M. Purcell, D.O. Larry E. Seitz, M.D. Michael J. Suah, M.D. Peter K. Webb, M.D. workers, which was [that] they were, by D. Paul A. Krusinski, M.D. Laurie G. Rendleman Massa, M.D. Mark S. Nestor, M.D., Ph.D. L. Terry Pynes, M.D. Luette S. Semmes, M.D. Thomas J. Sultenfuss, M.D. Guy F. Webster, M.D., Ph.D. George H. Kuffner, M.D. Mary C. Massa, M.D. Isaac Neuhaus, M.D. Mark J. Quarterman, M.D. Roberta D. Sengelmann, M.D. Bradley K. Summers, M.D. Jeffrey M. Weinberg, M.D. virtue of no coverage, having to face not bson, M.D. Kevin B. Kulick, M.D. William T. Massengale, M.D. Paul Nghiem, M.D., Ph.D. Daniel C. Rabb, M.D. Mark P. Seraly, M.D. Sandra K. Surbrugg, M.D. Mark B. Weinstein, M.D. getting the medical care they needed in or- .D. Carol L. Kulp-Shorten, M.D. Seth L. Matarasso, M.D. Anh V. Nguyen, M.D. Erika J. Rabeni, M.D. John T. Seykora, M.D., Ph.D. James W. Swan, M.D. John W. Weiss, M.D. Amal K. Kurban, M.D. Brett K. Matheson, M.D. Tri H. Nguyen, M.D. Michael S. Rabkin, M.D. Matthew P. Shaffer, M.D. Athanasia Syrengelas, M.D., Ph.D. Margaret A. Weiss, M.D. der to live,” she said. Dennis Kurgansky, M.D. Renee J. Mathur, M.D. Thomas Nicotri, Jr., M.D. Lon F. Raby, Jr., M.D. Kerry M. Shafran, M.D. Maxine C. Tabas, M.D. Mark L. Welch, M.D. D. Joseph C. Kvedar, M.D. Stella S. Matsuda, M.D. Gregory A. Nikolaidis, M.D. H. Patrick Ragland, M.D. Philip E. Shapiro, M.D. Stuart Tafeen, M.D. Michael J. Wells, M.D. Every physician has a horror story about Ph.D. Pui-Yan Kwok, M.D., Ph.D. Neeraja C. Mattay, M.D. Layne D. Nisenbaum, D.O. William M. Ramsdell, M.D. Steven D. Shapiro, M.D. Elizabeth Tanzi, M.D. Stephen G. Werth, M.D. D. James Lahti, M.D. Damon Van Mauldin, M.D. Stella B. Noel, M.D. Babar K. Rao, M.D. Donald A. Sharp, M.D. Amy F. Taub, M.D. Victoria P. Werth, M.D. some uninsured patient who should have D. Stanford I. Lamberg, M.D. Theodora M. Mauro, M.D. F. Richard Noodleman, M.D. Michael J. Redmond, M.D. Douglas L. Sheldon, M.D. Bert G. Tavelli, M.D. Tina B. West, M.D. W. Clark Lambert, M.D., Ph.D. Shannon McAllister, M.D. Robert A. Norman, D.O. Ronald E. Reece, M.D. Richard N. Sherman, M.D. Charles R. Taylor, M.D. Patricia P. Westmoreland, M.D. come in sooner, said Dr. Eduardo Sanchez, Robert J. Lamberts, M.D. Barbara E. McAlpine, M.D. Antoinette P. Notaro, M.D. Matthew C. Reeck, M.D. Joseph P. Shrum, M.D. James S. Taylor, M.D. William F. Weston, M.D. M.D. Shoshana M. Landow, M.D. Sean L. McCagh, M.D. Keyvan Nouri, M.D. Oliver M. Reed, M.D. Steven Shumer, M.D. Craig F. Teller, M.D. David A. Whiting, M.D. director of the Institute for Health Policy D. Alfred T. Lane, M.D. Michael W. McCall, M.D. Fred M. Novice, M.D. Hilary L. Reich, M.D. Jerome L. Shupack, M.D. Stephen F. Templeton, M.D. Michael B. Whitlow, M.D., Ph.D. Nikolajs A. Lapins, M.D. Daniel P. McCauliffe, M.D. Janna Nunez-Gussman, M.D. Mark S. Reisman, M.D. Guillermo R. Sicard, M.D. Jon C. Ter Poorten, M.D. Joel M. Wilentz, M.D. at the University of Texas Health Science Alan E. Lasser, M.D. Gary A. McCracken, M.D. Suzan Obagi, M.D. Marta I. Rendon, M.D. Navjeet K. Sidhu-Malik, M.D. Carol K. Tharp, M.D. Caroline S. Wilkel, M.D. Dana L. Latour, M.D. Charles J. McDonald, M.D. Robert L. Ochs, M.D. Francis S. Renna, M.D. Michael T. Siegel, M.D. Mark D. Thieberg, M.D. Marlene D. Willen, M.D. Center in Houston. Anne E. Laumann, M.B.Ch.B., MRCP Michel A. McDonald, M.D. Suzanne Olbricht, M.D. Jack S. Resneck, Jr., M.D. Brent C. Sigler, M.D. Curtis T. Thompson, M.D. Carmen M. Williams, M.D. M.D. Sancy A. Leachman, M.D., Ph.D. Sharon G. McDonald, M.D. John E. Olerud, M.D. Barbara E. Resnick, M.D. Burton E. Silver, M.D. Gregory W. Thompson, M.D. Isabelle Ponge Wilson, M.D. “My horror story involves a gentleman, D. Susana M. Leal-Khouri, M.D. Patrick McElgunn, M.D. Elise Olsen, M.D. Ronald J. Ressmann, M.D. Alan R. Silverman, M.D. Carl R. Thornfeldt, M.D. Patricia Wilson, M.D. D. Leslie S. Ledbetter, M.D. Gary W. McEwen, M.D. Margretta A. O’Reilly, M.D. Carla R. Retief, M.D. Robert Silverman, M.D. Charles S. Thurston, M.D. Daniel D. Witheiler, M.D. a laborer who came in to see me for a ‘blis- Hopkins, M.D. Glenn N. Ledesma, M.D. Thomas W. McGovern, M.D. Diane Orlinsky, M.D. Jeffrey B. Richardson, M.D. Lynn Silverstein, M.D. Donald K. Tillman, Jr., D.O. Joseph A. Witkowski, M.D. Patricia A. Ledwig, M.D. Regis W. McHugh, M.D. Steven K. Orman, M.D. M. Joyce Rico, M.D. Eva F. Simmons-O’Brien, M.D. George G. Tisdale, M.D. John E. Wolf, Jr., M.D. ter.’ When we got his shoe off, he actual- Delphine J. Lee, M.D., Ph.D. Lynn J. McKinley-Grant, M.D. Richard J. Ort, M.D. Franziska Ringpfeil, M.D. Karen R. Simpson, M.D. James R. Tombros Jonathan T. Wolfe, M.D. Jason B. Lee, M.D. Thomas O. McMeekin, M.D. Allan R. Oseroff, M.D., Ph.D. Michelle A. Rivera, M.D. Laura E. Skellchock, M.D. Mary B. Toporcer, M.D. Jeffrey M. Wolff, M.D. ly had a through-and-through diabetic ul- D., Ph.D. Ken K. Lee, M.D. Alexandria Meccia, M.D. Kerri Otto, PA-C Kenrick H. Roberts, M.D. George B. Skipworth, M.D. Abel Torres, M.D. John H. Wollner, M.D. cer on one of this toes. He went straight .D. Wei-Li S. Lee, Ph.D. Jeffrey J. Meffert, M.D. Ryan S. Owsley, M.D. Robin A. Roberts, M.D. Jerald L. Sklar, M.D. Bryan L. Townsend, M.D. William K. Wong, M.D. Won K. Lee, M.D. Anthony L. Mehle, M.D. Grace H. Pak, M.D. Douglas N. Robins, M.D. Thorsteinn Skulason, M.D. Nhu-Linh T. Tran, M.D. Gary S. Wood, M.D. to a hospital and had a couple of toes am- D. Mark D. Lehman, M.D. Darius R. Mehregan, M.D. Jennifer A. Palmer, M.D. June K. Robinson, M.D. David P. Smack, M.D. Katherine A. Treherne, M.D. Richard D. Wortzel, M.D., Ph.D. Nancy A. Leitch, M.D. David A. Mehregan, M.D. Peter B. Panzer, M.D. Leslie Robinson-Bostom, M.D. Judith A. Small, M.D. Ruth K. Treiber, M.D. E. David Wright, M.D. putated. Do the math and you can figure Craig L. Leonardi, M.D. John L. Meisenheimer, Jr., M.D. Scott M. Panzer, M.D. Henry H. Roenigk, Jr., M.D. Daniel F. Smith, M.D. Julian J. Trevino, M.D. Keith D. Wright, M.D. Julie A. Letsinger, M.D. Brian P. Mekelburg, M.D. Diamondis Papadopoulos, M.D. Natalie S. Roholt, M.D. Jennifer L. Smith, M.D. Dwight R. Tribelhorn, M.D. Sylvia W. Wright, M.D. out that had this gentleman been diag- D. Donald L. Levin, M.D. Robert M. Melnikoff, M.D. Stephen C. Papenfuss, M.D. Thomas E. Rohrer, M.D. Stacy R. Smith, M.D. Payam Tristani-Firouzi, M.D. Patricia P. Wyhinny, M.D. M.D. Jay A. Levin, M.D. Deborah S. Mendelson, M.D. Lawrence C. Parish, M.D. Susan S. Roper, M.D. Wayne E. Smith, M.D. Janet M. Trowbridge, M.D., Ph.D. Yuelin Xu, M.D. nosed with diabetes 5 years earlier, it David J. Levine, M.D. Denise W. Metry, M.D. Ray K. Parker, M.D. Diane Loria Rose, M.D. Michael J. Smullen, M.D. Artis P. Truett, III, M.D. John M. Yarborough, M.D. D. Stuart R. Levine, D.O. Scott W. Meyers, M.D. Richard W. Parkinson, M.D. Marjorie M. Rosenbaum, M.D. Robert Snyder, M.D. Hensin Tsao, M.D., Ph.D. Regina M. Yavel, M.D. would have cost a whole lot less money Vicki J. Levine, M.D. Beno Michel, M.D. Herbert M. Parnes, M.D. Marla Ross, M.D. Jeffrey M. Sobell, M.D. Erwin Tschachler, M.D. An Yen, M.D. . Tehming Liang, M.D., Ph.D. Oswald L. Mikell, M.D. Steven R. Partilo, M.D. Elizabeth Faircloth Rostan, M.D. Milton D. Soderberg, M.D. Jaime A. Tschen, M.D. Jeffrey P. Young, M.D. with a whole lot less trauma,” he said. .D. Lester F. Libow, M.D. Jami L. Miller, M.D. Dipa S. Patel, M.D. Rudolf R. Roth, M.D. Robert M. Soderstrom, M.D. Denny L. Tuffanelli, M.D. Christopher B. Zachary, M.D. Nancy C. Lichon, M.D. O. Fred Miller III, M.D. James B. Patterson, M.D. William J. Roth, M.D., Ph.D. Jon S. Solis, M.D. Mark C. Udey, M.D., Ph.D. Melanie Zahner, M.D. The uninsured end up with a greater Lawrence M. Lieblich, M.D. Richard A. Miller, D.O. Charles F. Payne, Jr., M.D. Steven M. Rotter, M.D. Robert B. Sollitto, M.D. Walter P. Unger, M.D. Sandra L. Zahradka, M.D. D. Susan Liebovitz, M.D. Larry E. Millikan, M.D. David E. Payne, M.D. Alan M. Ruben, M.D. Stephen C. Somach, M.D. Val Pierre Vallat, M.D. Alicia D. Zalka, M.D. level of need for care, which is often un- Mark A. Liska, M.D. John L. Millns, Jr., M.D. Nancy J. Pelc, M.D. Beth S. Ruben, M.D. Richard D. Sontheimer, M.D. Marta J. Van Beek, M.D. James A. Zalla, M.D. . Merrill G. Liteplo, M.D. Sharon A. Minami, M.D., Ph.D. Donna M. Pellowski, M.D. David S. Rubenstein, M.D., Ph.D. Vera Y. Soong, M.D. Jason Van Ittersum, M.D. Mark J. Zalla, M.D. compensated. That cost is passed on to .D. Debra C. Liu, M.D. John E. Miner, M.D. Julie M. Pena, M.D. Howard A. Rubin, M.D. Marc J. Sorkin, M.D. Panos Vasiloudes, M.D., Ph.D. Gaetano Zanelli, M.D. Fu-Tong Liu, M.D., Ph.D. Ginat W. Mirowski, D.M.D., M.D. David H. Peng, M.D., M.P.H. Donald Rudikoff, M.D. Nicholas A. Soter, M.D. David B. Vasily, M.D. Michael D. Zanolli, M.D. those who can pay, which in turn causes Jenifer R. Lloyd, D.O. Andrew J. Mitchell, M.D. Neal S. Penneys, M.D., Ph.D., M.B.A. Tara A. Rumbarger, M.D. John K. Sowell, M.D. Hazel J. Vernon, M.D. Eugene G. Zappi, M.D. D. Jason L. Lockridge, M.D. Robert L. Modlin, M.D. Alice P. Pentland, M.D. Paul J. Ruschak, M.D. Stephen A. Spencer, M.D. Jennifer L. Vesper, M.D. Jonathan R. Zirn, M.D. insurance premiums to rise. The result is , M.D. Thomas P. Long, M.D. Charlotte E. Modly, M.D. Isaac Perez, M.D. Paul S. Russell, M.D. Michael S. Spicer, M.D. Allison T. Vidimos, M.D. Charles Zugerman, M.D. that more employers drop coverage be- B. Jack Longley, M.D. Joan M. Mones, D.O. Rafael A. Perez-Figaredo, M.D. Thomas J. Russell, M.D. Elizabeth M. Spiers, M.D. Karen M. Vigeland, M.D. D., Ph.D. David A. Lorber, M.D. Gary D. Monheit, M.D. Clifford S. Perlis, M.D. Glenn G. Russo, M.D. Kurt S. Stenn, M.D. Premalatha Vindhya, M.D. d Deceased cause of high premiums and the cycle . Leon E. Luck, M.D. Eugene W. Monroe, M.D. Lindall A. Perry, M.D. Gabrielle M. Sabini, M.D. Thomas J. Stephens, Ph.D. Marion M. Vujevich, M.D. Founding & Continuous D. John R. Luckasen, M.D. Andrew D. Montemarano, D.O. Angela R. Peterman, M.D. Curt P. Samlaska, M.D. Gary L. Stevens, M.D. John R. Vydareny, M.D. Members of the Leaders Society starts all over again. That cycle needs to be Frederick A. Lupton III, M.D. Julie A. Moore, M.D. F. Charles Petr, Jr, M.D. Jorge L. Sanchez, M.D. Seth R. Stevens, M.D. Jane S. Wada, M.D. Jamie L. MacDougall, M.D. Robert F. Moreland, Jr., M.D. David B. Pharis, M.D. Hans M. Sander, M.D. broken, he said. Julian M. Mackay-Wiggan, M.D. Michael B. Morgan, M.D. Robert G. Phelps, M.D. James T. Sandwich, M.D. Stephanie A. Mackey, M.D. Alan N. Moshell, M.D. Daniel J. Piacquadio, M.D. Michael Saruk, M.D. “We’re not going to stand on the side- Kathi Madison, M.D. Jeffrey G. Moskowitz, M.D. Warren W. Piette, M.D. Kenzo Sato, M.D. D. Edgar Maeyens, Jr., M.D. Kevin J. Mott, M.D. Stephanie H. Pincus, M.D., M.B.A. Daniel N. Sauder, M.D. lines of a political debate; we’re going to . Randall R. Maharry, M.D. Jennie J. Muglia, M.D. Susana C. Poliak, M.D. Ronald C. Savin, M.D. Dermatology Foundation M.D. John C. Maize, Sr., M.D. Jan E. Muhlbauer, M.D. Laurie J. Polis, M.D. Kathleen Y. Sawada, M.D. engage the debate in our mutual interest D. Susan L. Malane, D.O. George J. Murakawa, M.D., Ph.D. Andrew K. Pollack, M.D. Lawrence A. Schachner, M.D. This announcement generously underwritten by OrthoNeutrogena and figure out a solution for everyone in this country,” said Ms. Henry. ■