By Adriana Bonansea-Frances, MD
At the Miami-Dade County Medical Association (MDCMA), our mission has always been clear: to advocate for physicians and protect the health of our community. In times of stability, that mission guides progress. In times of uncertainty, like those we face, it becomes essential.
One of our meaningful accomplishments this season has been the publication of the 2026 Physician Guide for Patients Selecting Medicare Advantage Plans. This guide was developed to highlight realities patients must consider if they decide to forgo the protections offered by traditional Medicare and provide information that will help them navigate the increasingly complex landscape of Medicare Advantage options. By offering clear, physician-driven insight into plan networks, coverage, and access to care, we empower patients to make informed decisions about their healthcare. This initiative underscores our belief that informed patients lead to stronger physician-patient relationships and, ultimately, better outcomes.
During the last quarter of the year, we have faced a concerning reality: the federal government shutdown. Beyond its political implications, the shutdown directly impacted and had immediate consequences for the provision of healthcare. Interruptions in federal operations influenced reimbursement processes and the telehealth services that so many of our patients rely on.
In Miami-Dade County, the impact was particularly severe for those in underserved communities. Many families who depend on federal assistance programs such as SNAP were at risk of food insecurity. For them, this was not an abstract policy issue, it was a daily struggle to put food on the table.
To support the community, the MDCMA shared information about local food pantries and community food drives throughout the county. Working with our county partners and member physicians, we have sought to integrate resources for vulnerable populations, especially children, seniors, and those managing chronic illnesses, so they can access nutritional support during this period. This is healthcare at its most fundamental level: safeguarding physical health, dignity and hope.
Amid these challenges, we continue to look forward. On December 4, we will host an important educational event, “The One Big Beautiful Bill Act: Tax Planning and Year-End Considerations for Physicians.” This conversation will examine how recent legislative and financial developments affect the business side of medicine, topics that are vital for the sustainability of physician practices. Events like this reflect our commitment to equipping physicians as leaders, entrepreneurs, and advocates. Members of the MDMCA and the Miami Orthopedic Society members can register at no cost miamimed.com/events.
On December 8-11, MDCMA members will travel to Tallahassee for our annual Legislative Fly-In, joining colleagues from across Florida to meet directly with lawmakers. Advocacy is at the heart of what we do, it is how we ensure that the physician’s voice remains central in every healthcare decision that affects our profession and our patients.
As we get closer to the end of the year and prepare for what’s ahead, I encourage all physicians in Miami-Dade County to join us. Together, we can make our voices stronger, our community healthier, and our future brighter.
To learn more about membership, events, and advocacy initiatives, visit www.miamimed.com.
Dr. Adriana Bonansea-Frances is President, Miami-Dade County Medical Association.
