“Health Advocate” vs “Patient Advocate”: 7 Reasons the Debate Is a Waste of Time

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Although you may not realize it, there is a debate raging about titles in advocacy. 

I chose this topic today not because I have an opinion on THE right title; rather because I think the debate is a waste of time, and is a distraction from the more important work of helping people understand how advocates and care managers can help them.

The debate is this:  Should we be called Health Advocates?  Or should we be called Patient Advocates?

It might surprise you to know that some people not only have very definite opinions on the answer to that question, but that they argue the point for hours at a time. In my (not so) humble opinion, for every hour they argue, they could instead have promoted advocacy and the many benefits to working with an advocate – no matter what he or she is called.

Here are the reasons I think this argument is a waste of time:

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Sleep Deprivation Spells Opportunity – and Responsibility

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Saturday night (well, OK, in the wee hours of Sunday morning) across most of the US and Canada, we “sprung forward” our clocks, resulting in lost sleep, and at least a day of being totally thrown off because the day seemed… well…. just weird. Since most of us don’t work on a Sunday, the day of adjustment helped us acclimate, and then – life goes on with a longer day of sunshine through next Fall.

But what if you had to lose that sleep every few days, then re-acclimate every few days?  What if you spent your life in a constant battle with the time of day, and the loss of sleep? What if you had to put in 28 hour days of work and then, somehow, try to catch up on your sleep, returning just 8 hours later to do it all again?

And then what if your job was brand new and involved saving lives, because you were a first-year resident doctor (no, they don’t call them interns anymore)… and your patients, who were hospitalized so YOU could take care of THEM, were constantly at the mercy of your lack of sleep?

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A Career, a Profession, and a Calling with Responsibility, Too

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Most of us working as advocates apply the word “profession” to our work.  Those who have been advocates for a longer period of time might tell you it has turned into a career.

I often hear from new advocates, or those who wannabe advocates that they feel that this profession of advocacy (or what might evolve for them to a career of advocacy) is also a calling.  So let’s look at that word “calling” for a minute.

Merriam Webster tells us that a calling is:

a strong inner impulse toward a particular course of action especially when accompanied by conviction of divine influence

Amen.

So now let’s look at “divine influence” – because recognizing divine influence, then acting on it, becomes a huge turning point in one’s life.

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It’s That Time of the Year – Income Taxes! for You and Your Clients

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Nothing thought provoking or brain-straining in this week’s post. Instead you may want to bookmark it (favorite it) and come back to it when it’s time to do your taxes, or print it or send a link to clients and former clients to help them with theirs…

Yes – it’s time to look at preparing our income tax statements for Uncle Sam (or even Justin Trudeau!) How does our paid work affect our taxes or our clients’?

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Repeal of the ACA… So Now What Should We Do?

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Last week marked the inauguration of the 45th president of the United States. No matter your feelings about him or his politics, he’s here to stay, presumably for the next four years, alongside a Republican majority in Congress.

The first order of business?  Repealing the Affordable Care Act (ObamaCare), the legislation under which many of us are able to get, and afford, healthcare insurance, and access to the care we need. With the stroke of a pen, the icing on the repeal cake was completed within the first few hours of the new president taking office. Congress had already baked the cake’s layers just a few days before.

The predictions about the effect of this rollback are dire not just for those who depend on ACA insurance, but for all Americans. The non-political Congressional Budget Office estimates 18 million people may lose not just their health insurance, but their ability to get health insurance, too, amid new discussions about pre-existing conditions and high-risk pools.

We hear those politicians say they plan to improve the situation, that insurance will become more affordable, that they won’t take away the ability of Americans to access care. Lots of talk, but so far nothing that looks like a real, implementable plan. Just lots of speculation.

So what are we left with?

The status of healthcare delivery in America has never been in such a state of flux as it is today.

Whether or not you are insured through the ACA yourself, whether or not you have clients who are insured through the ACA, as health and patient advocates we have to ask ourselves, “So what should we do now? How do we help our clients? How does this change our services?”

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When Passion and Reality Collide

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Over the years, I have connected with thousands of people who intend to become independent health advocates and care managers, and 99.9% of them have one thing in common:  their choice of health advocacy as a career is a result of their passion for helping others.

They are caring individuals with skills for navigating some aspect of the healthcare system. They are empathetic, and those they will help recognize their empathy right away.They aren’t looking to make a fortune in business. Instead, their rewards will come from knowing they have helped to improve the quality of other people’s lives.

They probably don’t even realize that their passion can make a huge contribution to their success!  Research results released by Ernst and Young show that companies that operated with a clear and driving sense of purpose, beyond the goal of just making money, outperformed the S&P 500 by a factor of 10 between 1996 and 2011.

That’s the good news. That for those who establish health advocacy / care management practices, their focused passion may increase their chances of success and increased income.

But let’s dwell for a moment on that word “may.”

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The 2017 Advocates’ Challenges

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Since I started this blog, and as each new year begins, I try to think of ways to challenge advocate-readers (and advocate-wannabe-readers) with ways they can improve their work, their results for clients, and their businesses, too.

This year, that task is so very simple.  Unfortunately, that’s not the good news. Sadly, it’s more like the bad news.

Bad news – because this year’s challenges all come from complaints and problems I’ve been asked to respond to – or even fix – in just the past few months. Oh how I dislike this part of my work!  I hate dealing with complaints – hearing them from people who feel they have been wronged, attempting to be reassuring, defending some of the actions they think were wrong….  And I hate fixing problems, no matter whether I caused them myself, or they have to be fixed for someone else. I suspect you feel exactly the same way.

My biggest concern, which you’ll understand as you read this post, is that not attending to these problems may invite even bigger ones.

So today I’m going to address three of them, all of which YOU can pay attention to, and make sure you’re doing them right yourself. They set the stage for this year’s challenges, turning negatives into positives. There are lessons – and challenges – here for us all. Continue Reading →

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2017 State of Patient Advocacy and the Alliance of Professional Health Advocates

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As we kick off 2017, let’s look at the past year in review. What is the status of this profession of health and patient advocacy?  How well is APHA serving the needs of patient-clients and its members?

We began 2016 with a similar reality check.  The bottom line was that our profession is growing, but not nearly fast enough!  The need for our services is so very much larger than the number of people to fill it. That status has not improved; in fact, the need is bigger than ever before.

In that same vein, but without including the more “ancient” history that post included, here are some stats for you to peruse this year, in hopes you’ll see the need to launch your own advocacy practice (if you haven’t already done so) – or expand its scope (if you are already in practice) – in order to be there for the vast numbers of patient-clients and caregivers who need us. Continue Reading →

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