Stop the Insanity! Instead Try These Baby Steps: Learning to Ask for Money

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Long-time readers of this blog know my frustration over newly-minted private, independent advocates volunteering their time as a way to prepare to be professional advocates.

Newbie advocates cite two major reasons for doing their advocacy work for free:

  1. They are afraid / reluctant / don’t have enough confidence to talk about money and ask for payment.
  2. They feel sorry for the prospective client, and figure it won’t take too much time to help them.
  3. … both of the above.

The problem is, doing volunteer advocacy as a way to start an independent practice is the very best way to put yourself out of business. Growing a business is all about making sure your income is more than your outgo. You can start your business – no problem!  But if you can’t ask for money, and you don’t learn how to, then it won’t be long before you lose your business.

(Can you imagine a lawyer not expecting to be paid?  Or your tax guy?  Or even your hairdresser?)

The consequences are dire for both you and others:  if you only ever do the work for free, then not only have you lost all that time, effort, and money you invested in getting your practice started, but you also fail all those (hundreds? thousands of?) people you might have helped in the future if you had been successful.

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Have You Crossed the Line?

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Yes – it’s entirely possible you’ve crossed the line and had no idea you did so. In fact, you may be crossing it every day and be totally unaware. Further, except that I’m going to illustrate some line crossing, you might never realize it until you are sued, or arrested, or a client loses out on something important, or you lose your license for crossing the line, regardless of the fact that you had no idea that’s what you were doing.

What line? you might ask…

Actually, there are several – and you may be crossing more than one.

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What Gator Head Windchimes Can Teach Us About a Healthy Advocacy Practice

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My husband and I moved 14 months ago to Florida. Since then, each time I’ve been on the highway, I’ve seen billboards which have fascinated me. They advertise the Florida Citrus Centers which are roadside tourist stops where you can buy (yes, you guessed it) – oranges, grapefruit, limes and other fruit, plus other Florida-related souvenirs.

But until last week, I had never stopped at one of the Citrus Centers, despite a 14 month curiosity…

The curiosity is right there on that billboard photo above: Gator Head Wind Chimes. What on earth would an alligator head wind chime look like? Would it be one alligator head with wind chimes hanging off it? Or would it be a big circle with alligator heads hanging from it, knocking against each other to create the “chime”? (clunk, clunk, clunk)

Then, of course, because my family members are all a little whacky, with great senses of humor, I pictured my brother-in-law opening one of these monstrosities for Christmas… Just thinking about it made me laugh out loud! I had to get one!

Last week my husband and I left for our vacation, driving north to visit family and friends. As soon as we hit the highway, we saw the first of those billboards….

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Part IV: The Dirty Dozen Skills, Abilities, and Attributes of Successful Health and Patient Advocates and Care Managers

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And, finally, the fourth and last in our series of skills, abilities and attributes that all successful advocates and care managers must.

We’re wrapping up with 3 additional concepts that are important to the success all private advocacy and care management practices.  Yes – I know the total will be 16 (and we promised only a dirty dozen!) – see Part I about my inability to count 🙂 )

Which of these describe you and your abilities?  Which of them do not?  Where do you go from here?

Do your own assessment! 

 

14.  Never forget  your Allegiance. Allegiance is the foundation of a private, independent advocate’s or care manager’s work; that is – because the patient or caregiver (or someone else whose sole allegiance is to the patient) hires you, your entire focus is on what’s best for him or her.

That is the one major distinction between private, independent professionals and those who work for an organization that profits from the healthcare system. Hospital advocates, insurance advocates – their allegiance is to the companies and systems they work for. While their hearts may be in the right place, and patients may THINK they are being helped, these system-paid advocates are too often, even frustrating to them, unable to offer the best help.

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The Birdcage: How to Ruin a First Impression

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Many readers know that my husband and I moved last year to Florida from Upstate NY, where – yes, thank you! – we have truly enjoyed this winter. No shoveling, mostly mild temperatures, lots of sun, and golf! – a big change from the past many winters.

So here in our new home in Florida we’ve decided to bring some of the outdoors in. Or maybe we’re going to take some of our indoors out. Whichever way you look at it, we’re getting ready to build a “birdcage,” a screened room which will be attached to the back of our house.

We began by soliciting estimates from four different birdcage builders, inviting them over to discuss our project.

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