When Abbott was promoted to the Cabinet in 1998, Prime Minister Howard described him as an effective performer with an endearing style, whereas the Opposition described him as a "bomb thrower." Howard appointed Abbott to replace Kay Patterson as Minister for Health in 2003, during a period of contentious Medicare reform and a crisis in Medical indemnity Insurance, in which the price of insurance was forcing doctors out of practice. The Australian Medical Association was threatening to pull out all Australian doctors. Abbott worked with the states to address the crisis and keep the system running.