ADVOCATING FOR INCLUSION POLITICIANS AS PARTNERS IN HEALTH - - PowerPoint PPT Presentation

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ADVOCATING FOR INCLUSION POLITICIANS AS PARTNERS IN HEALTH - - PowerPoint PPT Presentation

Apr 04, 2023 349 likes •908 views

ADVOCATING FOR INCLUSION POLITICIANS AS PARTNERS IN HEALTH PROFESSIONS DIVERSITY WILLIAM GARNER, DrPH, FACHE Assistant Professor of Public Health Department of Life and Health Sciences Disclaimer The views and opinions expressed in this

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ADVOCATING FOR INCLUSION

POLITICIANS AS PARTNERS IN HEALTH PROFESSIONS DIVERSITY

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WILLIAM GARNER, DrPH, FACHE Assistant Professor of Public Health Department of Life and Health Sciences

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Disclaimer

The views and opinions expressed in this presentation are those of the author and do not necessarily represent the

  • fficial policy or position of the University of North Texas

System or its subsidiary universities.

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Overview

Advocacy is important to furthering the goals of health professions diversity. Political support is vital to gaining a place at the table and sustained support for health professions.

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Overview

Elected officials and their staffs need to hear from you but remember to be strategic in your communication. Do not underestimate the value of voting, giving, and writing as key parts of your advocacy strategy.

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Advocacy is communication.

INITI TIATOR RECI RECIPI PIENT ENT MESS MESSAGE E

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Advocacy is influence.

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Please do not scream!

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Please do not scream!

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Advocacy

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Advocacy

CLEAR CONCISE CONCRETE CORRECT COHERENT COMPLETE COURTEOUS

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Why Advocate?

Because the current policy environment warrants it. Because all perspectives have not been heard or some have been overlooked in the decision-making process. Because you can communicate a unique perspective in a clear, concise, concrete, correct, coherent, complete, and courteous manner.

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Advocacy is your right.

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If you’re not at the table you’re probably on the menu! -- US Senator Mike Enzi (R-WY)

Advocacy is your seat.

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Political Reality

“Elections have consequences.” – President Barack Obama

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Political Reality

The political landscape in Washington, D.C. is subject to change every two years.

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Political Reality

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Political Landscape

Trump is President. Trump is Republican. Republicans control Congress (e.g., House and Senate). Republicans tend to favor small government.

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Political Landscape

America First – The President’s FY18 Request

  • Trump signaled his intention to eliminate programs that

are “duplicative or have limited impact on public health and well-being.”

  • His FY2018 budget proposed $403 million in cuts that

would have discontinued funding for diversity training programs and other health professions and nursing training programs.

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Political Landscape

An American Budget – The President’s FY19 Request

  • Structural changes in GME funding.
  • Zero funding for 14 Title VII health professions and Title

VIII nursing workforce programs (-$451 million).

  • Flat funding for the National Center for Health Workforce

Analysis ($5 million) and the Nurse Corps Scholarship and Loan Repayment programs ($83 million).

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Budget Process

FEBRUARY President sends budget to Congress. FEBRUARY – APRIL Congress holds hearings and constituent meetings. SEPTEMBER Budget sent to President for signature. MAY – JUNE Congress prepares appropriations bills. JULY – AUGUST Congress passes spending bills. OCTOBER New fiscal year starts.

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Know your people!

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Key Players

House Committee on Energy and Commerce House Committee on Appropriations Senate Committee on Health, Education Labor and Pensions Senate Committee on Appropriations

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Congressional Partners

Congressional Black Caucus Congressional Black Caucus Health Braintrust Congressional Hispanic Caucus Congressional Asian Pacific American Caucus

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Congressional Partners

Congressional Academic Medicine Caucus Congressional Public Health Caucus Congressional Caucus on Primary Care Members of Congress with health professions degrees

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External Partners [ Disparities ]

American Diabetes Association American Lung Association Families USA Joint Center for Political and Economic Studies

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External Partners [ Disparities ]

National Association for the Advancement of Colored People (NAACP) National Council of La Raza (NCLR) National Medical Association National Urban League Policy Institute

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External Partners [ Professions ]

American Medical Association American Academy of Family Physicians American College of Radiology American Dental Association American College of Emergency Physicians

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External Partners [ Professions ]

American Academy of Orthopaedic Surgeons American Congress of Obstetricians & Gynecologists American College of Cardiology American Academy of Dermatology Association American Nurses Association

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Communication Strategy

Select advocacy targets. Decide if and how to partner. Agree on appropriate communication tactics. Translate your message into the language of your targets.

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Communication Tactics

Newsletter Constituent Letters Petitions Editorial Support Letters to the Editor Media Events Meetings Staff Support Posters Coalition Support Fact Sheets Campaign Contributions Rally or Bike Ride Social Media Phone Calls Town Hall Meeting Dear Colleague Letters Policy Study Sign-on Letters Newspaper Advertising Voting Policymaker

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Communication Tactics

Newsletter Constituent Letters Petitions Editorial Support Letters to the Editor Media Events Meetings Staff Support Posters Coalition Support Fact Sheets Campaign Contributions Rally or Bike Ride Social Media Phone Calls Town Hall Meeting Dear Colleague Letters Policy Study Sign-on Letters Newspaper Advertising Voting Policymaker

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Action Plan

PURPOSE PLAYER(S) MESSAGE METHOD RESULT RESPONSE

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Evaluation (Pre-term)

What challenges can we expect? How can we overcome them? When should we re-evaluate?

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Evaluation (Midterm)

What have we achieved so far? What needs to be adjusted?

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Evaluation (Post-term)

What went right? What went wrong? What do we need to do from now on?

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Example

America First – The President’s FY2018 Request

Program Million Training for Diversity

  • $83

Training in Primary Care Medicine

  • $39

Oral Health Training

  • $36

Area Health Education Centers

  • $30

Public Health and Preventive Medicine

  • $21
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Example

Consolidated Appropriations Act, FY2018

Program Million Training for Diversity +$5 Training in Primary Care Medicine +$10 Oral Health Training +$4 Area Health Education Centers +$8 Public Health and Preventive Medicine +$0

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Outline

What is advocacy? Why advocate? Understanding the politics. Identifying the key players. Working with partners. Communicating your policy goals. Evaluating the results. Measuring the progress.

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Example

An American Budget – The President’s FY2019 Request

Program Million Training for Diversity

  • $83

Training in Primary Care Medicine

  • $39

Oral Health Training

  • $36

Area Health Education Centers

  • $30

Public Health and Preventive Medicine

  • $21
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Example

Predications for FY2019 Appropriations

Program Million Training for Diversity +$0 Training in Primary Care Medicine +$0 Oral Health Training +$0 Area Health Education Centers +$0 Public Health and Preventive Medicine +$0

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FY2018 Budget

Trump and McCarthy look to cut billions from the FY2018 budget deal they just passed due pressure from conservative voters and groups. Under the 1974 Budget Act, a rescission resolution could pass the Congress, by a simple majority vote, within 45 days. It is unclear which programs will be cut or when the House would vote, although some are likely to come from the FY2019 budget request.

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Summary

Clarify your purpose. Know your people. Learn the process. Communicate your points. Measure your progress.

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Summary

Be clear. Be concise. Be concrete. Be correct.

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Summary

Be coherent. Be complete. Be courteous.

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Contact

Wil illi liam am Gar Garne ner, , Dr DrPH, PH, FACHE CHE Assistant Professor, Public Health Department of Life and Health Sciences University of North Texas at Dallas Office: 260 Founders Hall Phone: (972) 338-1541 E-mail: william.garner@untdallas.edu