Many of us in the APA are very upset that the organization takes social and political positions -- regardless of what the position may be -- that have very little directly to do with patients or psychiatrists. We consider it divisive and a poor use of resources which should focus on patients & psychiatrists. The ethical position of supporting access to care would not be one of those, though, since it speaks directly to patient care. However, I'd be surprized if the APA officially said something like "it's unethical to vote against nationalized health care" (though the leadership of APA is very liberal right now, and has been for years). Many of us (including I) would quit APA over such a position.