The AMA is one of the most morally bankrupt organizations in America. I'm a member of my local and state medical associations but I will NEVER pay AMA dues again. The AMA has been on both sides of cigarette smoking, chewing tobacco, HMOs, universal health coverage, AND partial birth abortion (intact D & X).
Would you ask an electrical engineer to build a bridge? How about a tax attorney to handle your death penalty appeal? Can you imagine a neurosurgeon or orthopedic surgeon giving recommendations on the best approach for evacuating a fungus ball from a lower lung lobe?
Well why on Earth would you favor the AMA over ACOG?
C. Everett Koop was a pediatric surgeon . . . the equivalent of a general surgeon for kids. He likely performed the same number of abortions as me . . . ZERO. Which makes neither of us qualified as an EXPERT on judging the medical necessity of an intact D & X. The experts say . . . it's infrequently used but may be the best procedure for particular cases.
Let's say you've got some serious nausea and vomiting going on . . . probably too much O'Reilly Report or Drudge. Anyway, I've got five choices . . . amongst many other options:
Phenergan PO by mouth (of course you are vomiting so you might not keep it down and relief may be an hour away), Phenergan PR per rectum (of course you might have diarrhea, absorption is variable, and relief may take up to an hour), Phenergan IV (rapid action but requires starting an IV), or Phenergan IM (onset in less than 20min but painful).
None are a medical necessity b/c I can always use other drugs . . . or do nothing but tell you to go home, drink plenty of fluids and eat some crackers or jello.
But since Congress is so filled with homophobes it would be perfectly reasonable for them to ban PR (per rectum) b/c that's naughty and it's not a necessity. I guess we should ban digital rectal exams (DRE), colonoscopy, sigmoidoscopy, enemas, and hemorrhoid treatment b/c those procedures also expose someone to rectal probing.