As for the law’s controversial individual insurance mandate, Lazarus noted that the lack of uniform personal coverage costs the average insured person up to $1,000 a year and that to be affordable, health insurance needed to cover the largest possible population in the United States. He explained as well the AMA’s efforts to repeal the Medicare Independent Payment Advisory Board, Congress’s failure to permanently address Medicare’s flawed sustainable growth rate formula, and the lack of medical malpractice reform as areas of ongoing AMA advocacy. Lazarus also spoke about the AMA’s successful efforts to ensure that the majority of accountable care organizations are physician led.