Political Processaka 12 ways to Kill Bill 1. Bill doesn’t get voted out of committee(s) of jurisdiction in the House 2. Killed in House committee 3. Doesn’t come up for a floor vote in House 4. Voted down on the floor of the House 5. Same steps as 1-4 in the Senate (filibuster) 6. Doesn’t make it out of conference committee 7. Presidential veto 8. Courts declare unconstitutional 9. Referendum overturns law (state- level)
Why would anyone want to Kill Bill? http://www.schoolhouserock.t v
Legislative Barriers to Change• What are the barriers to achieving meaningful change in health care? • Interest groups • American ethos • The political system • Errors in strategy
Legislative Barriers to Change Interest Groups• Between 1960s and 1990s, six-fold increase in special interest groups lobbying for or against health and social policies• $$$ = influence
Legislative Barriers to Change American Ethos• Capitalism versus socialism• Individual liberty versus equity• Trust in markets; lack of trust in government
Legislative Barriers to Change The Political System• The political system • Political power in lawmaking process diffuse among institutions • Separation and balance of power • Bicameral legislature • President • Supreme Court • Two-party system • Federalism • Who has jurisdiction over health policy? • Ways and Means? • Finance? • Energy and Commerce?
Legislative Barriers to Change Errors in Strategy• Competing legislative priorities• Wrong leader• Wrong allies• No window of opportunity• Wrong plan• No “buy-in”
“If you’re not at the table, you’re on the menu” www.zmescience.com www.roundtablepizza.com
The RULES of #FMREVOLUTION FIGHT CLUB1st RULE: You must talk, tweet, and FB post about #FMREVOLUTION FIGHT CLUB.2nd RULE: You must TALK, TWEET, and FB POST about #FMREVOLUTION FIGHT CLUB.3rd RULE: If they say "stop", tell them we are an unstoppable force for change in the U.S. healthcare system. If they go limp, tap out and start ACLS.4th RULE: At least 105,900 family docs and medical students in our fight to transform the U.S. healthcare system.5th RULE: One fight at a time: the fight to continue giving a damn and being there for our patients.6th RULE: Shirts and shoes please (unless your family doc needs to examine you in which case wear one of those gowns).7th RULE: Our fight to transform the U.S. healthcare system will go on as long as it has to.8th RULE: If this is your first time at #FMREVOLUTION FIGHT CLUB, you HAVE to join our fight (yes, that includes you MedStuds; become the doctor that you wrote about in your personal statement).
WELCOMEThe future of family medicine is in your hands
Family Medicine Revolution = MASS X ACCELERATION FORCE zebu.uoregon.edu
Family Medicine Revolution MASS ACCELERATION• The American Academy of • Future of Family Medicine Family Physicians is one of project the largest national medical • Increasing health policy organizations, representing more than 105,900 family awareness, i.e. RUC physicians, family medicine • Growing applications for residents and medical family medicine residency students nationwide. programs • Social media as advocacy tool • FamMed PAC • Specialty leaders at the table
Forceful Advocacy• AAFP at the March 5 , 2009 White House health care summit.• AAFP’s then- President Ted Epperly MD (left, standing) was called on by the President to speak on behalf of physicians. His response: coverage does not equal access - we need to focus on the healthcare workforce and increase the number of primary care physicians. Photo courtesy of AAFP News Now
Social Media:Turn Emotion Into Action Storytelling And Community
Turn Emotion Into Action: My Leadership Story AAFP Leadership Development Program
Become a Family Medicine Hero What is your origin story? Share it.
Super Hero Origin Stories1. Give us a reason to care2. Dont make your hero a Chosen One - give em a chance to prove themselves3. It may be useful to tie your characters origin story to the villains plot4. Dont make the characters background too exceptional5. Give us a chance of a happy ending
Family Medicine Superheroes1. Let’s give the American public a reason to care.2. None of us is a Chosen One; we must be given a chance to prove ourselves.3. Family Medicine’s origins are tied to the fragmented, volume-based fee-for-service model of health care delivery in the US (and historically, we have been great at playing in the sandbox with that broken system but our time is now to fight for us and fight for our patients).4. None of us is too exceptional on our own (ok, maybe some of us) but together, we are exceptional (100,000+ strong!)5. And finally, with family physicians and #FMRevolution leading change/transformation in US health care, we will have a chance for
Become a Family Medicine Hero1. Become a "Significant Constituent”2. Become Active in the Family Medicine Political Action Committee3. Be a Resource to Policy Leaders4. Become an Expert5. Understand and Participate6. Go Public, Locally7. Get Public Policy on Your Side
Contact Jay W. Lee, MD, MPH Assistant Program Director Director of Health Policy Long Beach Memorial Family Medicine Residency Program 450 E. Spring St., Suite #1 Long Beach, CA 90806 Direct (562)933-0012 Mobile (323)533-2503 Email email@example.com Twitter @familydocwonk Facebook/jaywon