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.

Aug 2

Congratulations to Dr. Neil Shah for writing an excellent article titled Minnesota’s price transparency law in the July issue of Minnesota Physician magazine. See:

Health care price transparency is a good and necessary first step to empowering Minnesota consumers. And in 2018 most Minnesota legislators on a bi-partisan basis agreed. But, as Dr. Shah correctly concludes in his article, “Unfortunately, what’s good for patients and health care purchasers may not be good for some insurers or large health care systems.” That can change.

So, here are three “next steps” to improve Minnesota health care:
1. Voters in 2018 need to support and elect politicians who’ll expand consumer health care choices in Minnesota.
2. Minnesota “insurers” should offer consumers (employers and patients) a wide range of health care coverage options.
3. When health care “providers” as a normal business practice can tell patients what their care costs, this will improve and sharpen the quality of health care decisions as well as be a business opportunity for “providers.”

Jul 19


Minnesota physicians do not want to be our vaccination police

A July 19 letter from the Minnesota Medical Association and MN Academy of Pediatrics urges our legislators to act to “tighten Minnesota’s law by closing the current loophole that allows parents to express a conscientious objection to administering vaccines.” In our view there is no reasonable disagreement that scientific information readily available to parents and vulnerable communities about vaccinations is a laudable goal and worthy public expense. For example, the Somali community is combating false claims that measles vaccines cause autism in their children Moreover, today children who are not immunized for diphtheria, tetanus, and pertussis (DTP) in Minnesota are denied admission to schools or day care programs unless their parents formally object (the conscientious objection). This is how it should be. Our Minnesota public health goal ought to be reduce parental objections. However, requiring Minnesota’s licensed physicians (and other professionals) to administer vaccines is counterproductive. Making a medical license contingent on administering vaccines smacks of George Orwell’s dystopia. Such public policy only sows patients’ distrust for doctors and discontent among clinicians.