Physician Patient


Minnesota Physician-Patient Alliance, Inc. ("MPPA") is a not-for-profit organization committed to improving our health care system. We do this by communicating information to the public and within the industry about important health care issues.

MPPA believes that efficient, quality health care depends on strong doctor-patient relationships. Interference in the doctor-patient relationship by third parties such as health plans and the government, is widespread in today's health care system and often limits what doctors or patients are allowed to do, altering market-based reimbursement, and undermining the traditional ethics of the medical professions. While the intentions of the third parties in interfering with the relationship may be honorable (for example, to control costs or improve quality), ironically the cumulative effect of this interference is unnecessarily high costs and reduced quality. Efforts to reform health care, therefore, must first and foremost address the issue of strong doctor-patient relationships.

The MPPA board consists of physicians, health care consumers, and others who share these concerns and values. We seek to communicate our message by collaborating on research and publication, sharing information about market developments, and individually being active in a variety of health care and community organizations.

To see who belongs to MPPA, please visit our Who We Are page by clicking on the link to the right. To see some of our communications, click on one of the Publications links to the right. If you would like to learn more about MPPA or our positions, click on the Contact Us link to the right.

MPPA was established in 1997 as a Minnesota 501(c)3 charitable nonprofit organization. If you would like to be added to the MPPA listserv, the respected MPPA online discussion group, send us your contact information and we will add you.

Jun 14
The “Death Phobic Culture” is central to his thesis. The “fix is in” and is supported by the “Death Trade,” says Stephen Jenkinson. In his view, we are on the receiving end of a “conditional compassion” that does not allow us to die. I agree that Death Phobia needs to be acknowledged and embraced.
At what point is one’s life not worth living? Jenkinson asks. And who decides when “enough is enough”? How many “grief teachers” will the culture tolerate? Embracing grief is learned, and can be taught, he argues.
I do not support physician-assisted suicide or “medical aid in dying.”  This practice to me is an overkill response to what Jenkinson describes as death phobia.
 From the moment of our conception we are all “terminal.”  Our deaths are part of life. And compassionate hospice is life affirming rather than a consequence of “death phobia culture.”
Click on these videos:
May 1

In this Jan. 2020 talk, US Surgeon General Jerome M. Adams, MD, MPH outlines proven life-saving measures to reverse death and disability in the current US opioid epidemic. Training and equipping first responders (police, firefighters) as well as addicts themselves to use naloxone (Narcan) as an antidote to reverse respiratory depression which often kills in heroin, fentanyl overdoses, Dr. Adams also emphasizes the positive results of sterile needle exchanges as public policy. In drug using communities such as the US homeless population, needle exchanges do not reinforce addiction behavior. Rather, providing easy access to sterile (safe) needles permits personal contact by outreach helpers which can result in needed shelter and access to effective addiction treatment for homeless people. Sterile needles avoid transmitting HIV and other blood born infections (such as hepatitis) which are readily transferred from person to person by dirty needles. Furthermore, opioid addicts may benefit from taking the medication buprenorphine (Suboxone) under medical supervision when prescribed on an ongoing basis to reduce opioid cravings to reduce the liklihood of  inadvertent overdoses from street heroin which is often laced with lethal fentanyl.