They can ignore it...knowing of the voting weakness. Thats exactly what the latter part of my comment talked about. Flaunting the weakness doesn't help the real sitution.

Most likely those that don't vote are the ones that have the problems. Too bad for them. They'll pay their $58.00 and continue to complain now and then. There's room for improvement in any organization. Is asking the AMA to do it without having it forced through votes too much? I wouldn't waste the time to talk about it if I wasn't aware of those viewing this thread.

I may have misinterpreted your comment but it sounds like your saying that the AMA can continue to ignore what it knows is going on. As long as no direct pain is felt among its officers.
If that's how they want to operate, you're right. They can probably get away with it.