Known for his candour and willingness to speak his mind, the 49-year-old has made his presence felt at the negotiating table as the Federal Government attempts to push through health reforms.
He successfully lobbied Health Minister Nicola Roxon to make amendments to home birth legislation, ensuring that midwives would be denied Medicare payments unless they could prove they were working collaboratively with doctors.
The home birth lobby claimed the changes curtail a woman's right to choose how she gives birth, but Dr Pesce cites it as his greatest achievement so far as AMA president.
Meet Mr 3am: the nation's dynamic top doctor
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