Draft cards weren’t the only cards set on fire during the 1960s. Back then, at least one young medical student also burned their membership card in the powerful physicians’ organization that some had nicknamed the “American Murder Association.” While the Vietnam War ended long ago, people are still fighting for the physical and financial health of the US public — and the body count continues to rise.

Today, the American Medical Association (AMA) says it is the voice of American doctors. But it has long been a chief advocate of the country’s private health insurance system, which treats health care like a business and produces some of the worst health outcomes in the developed world.

Over the years, the AMA has lobbied against the passage of Medicare, obstructed civil rights campaigns to integrate hospitals and fight racism within the medical profession, and blocked or watered-down reforms that would limit the power of the health insurance industry.