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Successful Physician Advocacy J. Gary Wheeler, MD, MPS Little Rock, Arkansas.

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Presentation on theme: "Successful Physician Advocacy J. Gary Wheeler, MD, MPS Little Rock, Arkansas."— Presentation transcript:

1 Successful Physician Advocacy J. Gary Wheeler, MD, MPS Little Rock, Arkansas

2 Objectives Understand the different spheres of advocacy at the practice, community, and state levels. Identify at least two qualities physicians bring to strengthening advocacy campaigns and partnerships Identify tools for advocacy, especially stories

3 David Bourne, MD

4 Im going to help Public not private health

5 Individual behavior Trigger: Paper in Pediatrics re: magazines and tobacco promotion Action: Removing all magazines from your waiting room areas which promote tobacco use (e.g. Sports Illustrated)

6 Advocacy: Community Trigger: observation of increased numbers of patients in your practice using tobacco Action: Join the school district health committee to improve the curriculum about tobacco use and second hand smoke

7 Advocacy: state Trigger: death of non-smoking restaurant worker who is a parent of a child in your practice from Lung Cancer (squamous cell carcinoma) Phone your representative on the state legislature in support of a smoke free workplace regulation. Participate as a science expert on SHS for the legislative committee

8 Justifications for Advocacy Professional tradition –…it is not enough, however, to work at the individual bedside in the hospital.. In the near or dim future, the pediatrician is to sit in and control school boards, health departments, and legislatures. He is the legitimate advisor to the judge and the jury, and a seat for the physician in the councils of the republic is what the people have a right to demand. –Abraham Jacobi, 1904

9 Reasons not to advocate Dont know how to do No time Cant sell prevention Im not that kind of person Wont make a difference My medical school will fire me –Galer-Unti, RA.Health Prom Pract 2004:280

10 11:40: surfing web for best nicotine replacement therapy (NRT) prices. 11:43: Discover following link after description of a nicotine replacement patch: Additional Information CLICK HERE for Quit Assist website from Philip Morris USA 11:44: To self: Did PM [Philip Morris] actually pay for that? If so itll never get removedwhat the heck, its easy to click Contact Us and point out the incongruence. 11:45: Message sent: The last place people who are trying to quit smoking need to be clicking for assistance is a tobacco company website. There are multiple online assistance programs, (I listed some). Please consider replacing or at least eliminating the link to Philip Morris. 13:31: (Same day!) Message received: Having read your message, I instructed the sales department to change all of the listings to reflect a link to as I personally felt that this website was extremely well designed and geared to helping the smoker quit without linking them to any preferential, alternate websites. Please feel free to re-examine our website. I think it will help ensure our personal motto of Be Well not just in theory, but in practice. Thank you for your concern and we appreciate your input.www.becomeanex.com 13:33: Revisit siteevery smoking cessation product on the site has new link.

11 Need for Advocacy?? The tobacco industry spends more than $12.8 billion per year advertising and marketing its lethal products More than 5 million children alive today will die prematurely from smoking-related illnesses Nearly every adult who smokes (almost 90 percent) took his or her first puff at or before the age of 18 Increasing tobacco taxes is an effective way to prevent and reduce smoking, especially among kids More than 5 million children alive today will die prematurely from smoking-related illnesses? Nearly every adult who smokes (almost 90 percent) took his or her first puff at or before the age of 18? Or, that increasing tobacco taxes is an effective way to prevent and reduce smoking, especially among kids?

12 Advocacy: the political process Christopher Kush Write effective letter Send effective Phone call Persuade others to contact representatives

13 Advocacy: the political process Christopher Kush Get out the vote Contributions to candidates

14 Advocacy: the political process Christopher Kush Press clippings file Write a letter to the editor Write an op-ed Meet the editors TV interview

15 Advocacy: the political process Christopher Kush Meet your representative Testify at a public hearing Protest/march/activity Run for office

16 Health Advocacy Toolbox Always be polite Always say thank you Get your story straight Never, ever make up an answer Trust your champion Patience You are not the only fish in the pond

17 Advocacy success Preparation Persistence Opportunity

18 A CEO, a parent group, a chancellor, and a COPH dean ACH and a conversation about the hut Chancellor-Michigan Smoke free hospitals COPH data Public Health Rep Nov-Dec;122(6): Impact of a smoke-free hospital campus policy on employee and consumer behavior. Wheeler JG, Pulley L, Felix HC, Bursac Z, Siddiqui NJ, Stewart MK, Mays GP, Gauss CH.Wheeler JGPulley LFelix HCBursac ZSiddiqui NJStewart MKMays GPGauss CH

19 Arkansas Hosp Association The ledge The value of data Act 134 of 2005 Published –Making Hospital Grounds Smoke-Free: A Case Study of Arkansas Act 134 of 2005 :Journal of Public Health Management and Practice: March/April Volume 15 - Issue 2 - p E9-E15 doi: /01.PHH Felix, Holly C. PhD; Wheeler, J. Gary MD; Pulley, LeaVonne PhD; Stewart, M. Kathryn MD; Bursac, Zoran PhD; Mays, Glen P. PhD; Mackey, Diane S. JD

20 The Big Stage-the ledge Infighting/Outfighting-nuances of the bill The coalition/lobbyists/nationals Role of data- passive smoke and MIs- Helena, Montana and Colorado Try, try and try again-ACT 8 of 2006

21 Be prepared Act 13 of 2006

22 Some lessons learned Dream the Impossible, but work in the realm of the Possible Sometimes losing is better than winning Never negotiate with the tobacco industry Work with the pros for legislative goals Assume someone has tried what you are trying and can teach you something

23 More lessons Work hard/be nice (dont be righteous) Learn how to negotiate (dont view people with polarized lenses) Money is the root of most behavior Always say thanks

24 Role of the Physician Expert Make the theoretical palpable Own the data Be the face but rely on the pros for strategy until you are a pro Link to a coalition or non-profit Stay informed (ANR, CTFK, Richmond Center) Manage your time


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