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Going on Offense: Who Deserves an Advocate’s Help?

image - empty pockets

“Only rich people can afford an advocate.” Or: “Doesn’t providing private patient advocacy services only to those who can afford them, just create one more division between the “haves” and the “have nots?” Or: “Not everyone can afford an independent patient advocate. It’s unfair some people can’t be helped.” Anyone who has worked in advocacy or care management has heard one or more of these statements, or at least one from the same playbook. It’s an objection meant to put us on the defensive, as if, since private advocacy can’t be provided to everyone, then we shouldn’t provide it to …

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Coloring Outside the Lines

When people ask you what you do for a living, what do you – as an independent health / patient advocate, or care manager — reply to them? It would be simple to say “I am an advocate” which, then, may require further explanation. That further explanation would likely include examples of the kinds of work you do (I attend doctor appointments with seniors. Or, I manage medical bills and negotiate them when they are too high. Or I help people figure out what their own choices are for treatments… or…. ) That further explanation is always valuable, especially if …

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Raise Your Dues So We Can Turn the Titanic?

The Titanic - from wikipedia

Heard on the street (and on the phone, and during an in-person conversation, and by text….) IFs and THENs: If [the healthcare system] was just ______, then ______ ! You’ll have your own variations to fill in there, like: If healthcare was less expensive, then more people could get care! If doctors would spend more time with me, then I could get my questions answered! If insurance would just cover it, then my client could get the treatment she needs! If there were more specialists to cover my ailment, then I wouldn’t have to wait so long for an appointment! …

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What Biases Don’t YOU Recognize?

As advocates, we all quickly become familiar with, and embrace, and share with clients, our Code of Ethics.* Of course, there are many tenets to the code, but primary among them is the very specific statement and belief that while acting as a professional patient advocate, we will never make decisions for our clients. We work to help them make their own decisions, we respect the decisions they make, and we assist them to be sure they are carried out. I’m sure, as you read that statement, you are nodding your head in agreement. YOU would never violate that tenet, …

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Less Becomes More: Where Subtraction Has Positive Results

I spent the weekend gardening. It’s spring, after all. Since my last assault on my garden last Fall, many plants got leggy, or died, or just needed rehab of some sort. Unlike many of my neighbors (and maybe you, too!) what I love most about gardening is finishing it. It feels so good when it stops! 🙂 What was unique about my weekend gardening is an observation I made; a good metaphor to share with you, in hopes of providing some inspiration on a service you can provide to your clients. (Yes, this is what happens when I’m pulling weeds. …

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Starting Out? Why a Non-Profit Practice Is NOT the Right Answer for You

This is a question – or a statement – I hear frequently from those who wish to be independent health or patient advocates who are considering which business formation they need to set up to be independent.* After considerations of LLCs, or S-Corps or others, they tell me they want to establish a non-profit, then ask me if we offer resources to help them. Fay is one such advocate wannabe. She asked, “Do you have any advice for establishing a non-profit or not-for-profit agency to help patients?” Unfortunately, her question was being asked for the wrong reasons. Why?

The Momma Test

Portrait of an old woman with her adult daughter.

Over the years, one of my favorite things to do has been to work with / speak to / address college students. They are young, aren’t yet set in their ways, still hope to save the world, are naive to the “follow the money” aspects of healthcare and, honestly, it’s just plain fun. Last week I had the privilege of participating in an ethics debate for a well-known and respected university in a course called Controversies in Healthcare (medical, legal, and bio ethics), to a combination group of law students and medical students, on the topic of independent advocacy – …

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