Are You the Chicken? or the Pig?

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If you consider a bacon-and-egg breakfast, what is the difference between the chicken and the pig?

It’s a question that determines commitment. While the chicken can produce many eggs over a lifetime, the pig can produce bacon only once. The chicken may be involved in the breakfast, but the pig is totally committed.

So what does that have to do with independent advocacy?

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Charging on a Sliding Scale Just Creates a Can of Worms

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Most advocates and care managers I know have huge hearts. They want to help everyone who needs help! They truly dislike having to charge money for their services (because many have done this work for free for friends and loved ones for a lifetime). Further, in many cases, they don’t give themselves credit for being as capable as they are.

So they struggle. They ask themselves how on earth they are going to ask for money from these (possibly desperate) people who contact them, especially when:

  • They are new, and haven’t worked in private practice for very long (if at all).
  • They are unsure of their pricing, having taken a wild guess as to what they should charge.
  • They have previously done care management only as a volunteer, never having charged for advocacy services before.
  • They don’t know how long their work will take, so can’t figure out what to charge anyway.
  • They hate asking for money.

All of the above or at least some of the above…. is that you?

So then they they declare – I know! I’ll just charge people on a sliding scale! That way they will only pay me what they can afford, but – they will pay me! And that’s a start.

Whew! What a relief. Right?

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Why Lifelong Advocates Can Fail at Independent Advocacy

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Many of you, despite the fact that you have developed outstanding patient advocacy skills, will not succeed as independent private advocates, because you don’t act on one important distinction.

Doesn’t seem right or fair, does it?

So what’s that distinction? Let’s try a metaphor:

Colleen has always loved houses, and has been the admin in a real estate company for almost 30 years. She has handled details upon details for others – from seller contracts to purchaser contracts, from hiring inspectors, to setting and retrieving signs on a property’s front yard. She knows her stuff, she’s done it all, she’s seen it all, and now she’s decided she wants to do real estate work on her own. So Colleen earns her sales and brokers licenses, quits her job, and goes into business for herself.

houseColleen does everything she thinks she’s supposed to do to be successful. She makes up business cards and some flyers. She builds a website. She lets everyone in her neighborhood and her church know that she’s got decades of real estate experience, and now she’s ready to help them list or buy a house. Her phone rings on occasion, but… The business just doesn’t come in to support her well enough. Eventually she is forced to take a part time job so she can pay some of her bills. But, of course, if people call her for help right away and she’s at her job, she misses the opportunity.

Six months later, Colleen is forced to give up her dream of being in business for herself, doing the real estate work she is passionate about. She can’t support herself. Not enough people call her. But she just doesn’t understand it – Colleen can’t figure out why she can’t build a business.

What Colleen missed, the reason she can’t succeed, is the same reason many of you who read this will go out of business, too. Until you recognize it and act on it, you are doomed to fail (unless, of course, you win the lottery and can be a patient advocate for free, with no worry about income….)

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You May Be a Criminal Without Even Knowing It

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You’re probably shaking your head… Criminal? Seriously? Of course you haven’t broken the law!  You’re a law-abiding citizen and would never consider doing such a thing!

And yet, there may be hundreds of you who have done just that.

Further, you would deny it – until you learn the facts.

The facts, described here, may help you get back in line with the law if it’s required.

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Political Controversy: We Are Being Tested Once Again

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I’m a political being and a news junkie. Can’t help it. It’s in my blood – literally – because both my father and grandfather (Dad’s father) were journalists, both avidly interested in politics. In fact, Grampa’s beat was Congress for Gannett Press in Washington, DC. (Reginald F. Torrey)

See? I come by it naturally.

Which is why the news of last week, the impeachment inquiry into Donald Trump’s actions, is painful to me.

Now – do NOT get me wrong.  It’s not painful because I do, or do not, disagree with it! That’s not it at all.

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