The American Medical Association has resisted a move by vocal doctors to reverse the group's support for mandatory insurance coverage.
After more than an hour of civil debate Monday, AMA delegates voted to reaffirm existing policy that says individuals have a responsibility to be insured. About two-thirds of almost 500 delegates voted to support the AMA's policy.
The nation's largest doctors' group believes a mandate is the best way to get coverage for many of the nation's uninsured. The AMA says those who can't afford insurance should get help in the form of tax credits.
Opposing doctors think mandates are an unreasonable government intrusion.
The vote took place during the group's annual policy-setting meeting in Chicago.