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Expand chart
Data: Urban Institute; Chart: Naema Ahmed/Axios

Emergency doctors — which are at the center of the surprise billing debate — saw their compensation go up more than any other physician specialty between 2013 and 2017.

Why it matters: This translates into higher health care costs, which we all pay for through our taxes, premiums and out-of-pocket spending.

By the numbers: Overall, doctors saw a 16.1% pay raise in this period — with a handful of specialties leading the way.

The big picture: Surprise medical bills obviously hit their recipients hardest, but economists argue that they also improve doctors' leverage over insurers.

  • A recent study in Health Affairs found that four specialties that are often out-of-network — anesthesiologists, pathologists, radiologists and assistant surgeons — raise employer insurance spending by 3.4%.

Yes, but: Other specialties that don't frequently surprise bill are also seeing higher compensation, meaning there are plenty of other factors involved.

The bottom line: "Obviously we all want clinicians to be well-compensated, for what is a challenging job requiring a great deal of training and skill, but if physician income constantly rises relative to the [average] patient, physician services become unaffordable," said Dan O'Neill, a fellow at the National Academy of Medicine.

Go deeper: Surprise medical bills inflate everyone's health insurance premiums

Go deeper

California governor declares drought emergency in most counties

A sign in April on the outskirts of Buttonwillow in California's Kern County, one of the top agriculture producing counties in the San Joaquin Valley, after historically low winter rainfall. Photo: Frederic J. Brown/AFP via Getty Images

California Gov. Gavin Newsom (D) extended a drought emergency declaration to cover 41 of the state's 58 counties on Monday.

Why it matters: Most of California and the American West are experiencing an "extreme" or "exceptional" drought, per the U.S. Drought Monitor. Newsom and other officials are concerned California could experience a repeat of the catastrophic 2020 wildfire season.

Pelosi's Republican playbook

Illustration: Aïda Amer/Axios

As Republicans fight among themselves, House Speaker Nancy Pelosi (D-Calif.) is showing the myriad ways she deals with the GOP herself.

Between the lines: We've seen Pelosi cut opponents off at the knees, like she did with President Trump, or pretend to forget their names, as she did to Sen. Ron Johnson (R-Wis.). Now she's feeding oppo research against her House counterpart, Minority Leader Kevin McCarthy (R-Calif.), so others can use the same harsh rhetoric to frame the Republicans as the party of dysfunction.

Exclusive: Houston mayor to lead Black mayors group

Houston Mayor Sylvester Turner speaks during a private funeral for George Floyd. Photo: Godofredo A. Vásquez/Pool/Getty Images

The mayor of the city where George Floyd was raised is taking over a group that represents 500 Black mayors in the U.S. amid national pressure to revamp police departments.

Why it matters: Houston Mayor Sylvester Turner will become the new president of the African American Mayors Association as municipalities across the country examine police reforms and deal with the economic fallout from the pandemic.