Their Generation

By Bill Benda, MD

I’ve experienced an epiphany in the past few weeks, keeping in mind of course that one man’s epiphany is another man’s delusion. As I reach the end of a decade attempting to build bridges between various integrative/holistic/CAM vocations, I’m beginning to think that a true inter-professional coalescence of energies and efforts to change the foundations of our healthcare system may happen in my lifetime, but not via my generation. There are tremendous efforts, don’t get me wrong – ACCAHC and CAHCIM and IHPC and a veritable alphabet soup of organizations and individuals meeting and conferencing and symposiuming. But it seems like such a slog at times, with no cohesive voice yet to be heard above the “we need better insurance coverage” cacophony from today’s political parties.

Then I walk into a gathering of students, whether of the Naturopathic Medical Student Association (NMSA) or the American Medical Student Association (AMSA), or the chiropractic or the nursing schools, and all of a sudden issues such as competition and licensure and who gets the biggest piece of the pie are not even whispered, much less argued. Those coming after us are apparently fairly free of the baggage we tend to drag along behind us – baggage gathered over years of battle with the status quo or as the status quo. These young (and often not so young) people see the students of another healthcare profession as actual people, not adversaries - as fellow travelers on an academic sea with whom to commiserate rather than compete. For years AMSA has housed a Humanistic Medicine section, and three years ago established a Naturopathic Medicine Interest Group with an ND student from NCNM as chair. NMSA itself sits at the table with the grownups of AANP and ACCAHC and in the Naturopathic Coordinating Council. And when these scholars speak to us it is about how we are all alike, not disparate.

And another consequential point – among these student bodies are, by default if nothing else, our next AANP officers and board members, and medical school presidents and faculty, and industry leaders and lobbyists. What an amazing one-two punch – energetic youth without prejudice against traditional healthcare enemies already making inroads that their parent organizations can only long for. A virtual dream team in the healthcare game.

So this leaves us with both and opportunity and a challenge. An opportunity to move our campaign forward by giving our moral and financial support to the student cause, as it is our cause, only in a more pure state. A challenge to step back and consider that perhaps we in our later years are as blind in some ways as we are wise in others. That perhaps we should call in a less sophisticated perspective from a less “experienced” source.

I’m talking ‘bout their generation . . .

The Kids Are Alright

By Bill Benda, MD, FACEP, FAAEM
2011 Naturopathic Champion Award Winner

I’m at the Houston airport, after three days at the American Medical Student Association’s (AMSA) annual gathering of allopathic and osteopathic students from the United States and abroad. AMSA is the planet’s largest student organization at well over 50,000 strong and is quite influential in health care policy in this country. Previously the Students of the American Medical Association, they split from the AMA in the early 60s over disagreements with the AMA’s positions on the Vietnam war, tobacco and other social issues of the times. Today AMSA holds philosophical ideals quite analogous to our most liberal institutions, including global health, service to the underserved, women’s health and commitment to being “Pharm Free” (accepting no gifts or meals from the pharmaceutical industry).

So why was I here? To witness and assist with the third attempt by the Naturopathic Medical Student Association (NMSA) in appealing to the AMSA House of Delegates for admission as full AMSA members. Naturopathic students already hold several leadership positions within AMSA, secured through empassioned petitioning at the last four conventions. You can imagine that each naturopathic knock on AMSA’s door resulted in quite spirited public and private debate as to their qualifications. This time was no exception.

When the political dust had settled, full membership had again been denied, although a resolution to create a naturopathic advisory board of NMSA’s choosing within AMSA was passed, the only other advisory board being the osteopathic advisory board formed years ago at the request of the DO students. Surprisingly, the most strident objection to the passing of this resolution came from the DO student themselves, whose own profession was in a quite similar position only a half-century ago. Sort of a “not in my back yard” syndrome, one afflicting every professional guild at one time or another.

For those of you having an apoplectic fit over your students pushing to join an allopathic medical student association, I wish I could be there to watch. The reason I have pulled back from naturopathic politics over the past year and devoted my energies to helping your students is because they hold a vision many have lost: putting aside historical grievances and ideologies to do what is best for those we have committed to serve. A glance at the mission statements of both AMSA and NMSA reveal that their respective students hold identical beliefs and desires – the belief in healthcare as a birth right and a desire for social justice for all – things that we held once upon a time, before money and position blurred our once-clear insight. Yes, the resolution for full membership was defeated and there were those AMSA HOD members who objected zealously, citing inequalities of education and lack of evidence to support unconventional therapies. But these protestations were based upon lack of knowledge and a fear of loss of power – doctrines that have brought down professions (and nations) in the past and are a remnants of a Flexnor report published nearly a century ago. The new naturopathic advisory board will take care of these misunderstandings over the next 12 months.

(A quick note to any naturopathic medical school president, dean, or faculty who may be reading this – I understand NMSA leaders are sometimes dinged for missing class time to carry out this work. You should be honoring them!)

So, for us old farts, it doesn’t matter how firmly we hold to our animosities towards each other. Naturopathic and allopathic medical students are twin children of different mothers, separated at birth and raised in contrastive households and once they rediscover each other, genetics will overcome family disagreements and disparate cultural recognition.

The idealism and purity of intention that enveloped me over the past three days made me young again, wishing I still had the time and energy to change the world. Given my age, I will have to settle for helping our progeny do so. And my advice to those who object to their efforts? Better leave it behind, cause the kids are alright . . .