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 . . .

You Like Me, You Really Like Me

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

Dr. Benda accepts the Naturopathic Champion Award at the 2011 AANP Convention Gala.

I received an award at August’s AANP annual convention at the Biltmore, a brand new one entitled the Champion Award, which from this time onward will be given to a non-naturopathic individual recognized for his or her contributions to the field. It was a bit of a bittersweet moment, for a number of reasons, which, in my semi-shocked and semi-intoxicated state, I revealed to the gathered audience of several hundred.

You see, since the end of my second term on the AANP Board this past January, I have been contemplating my interprofessional affair with naturopathic medicine. I’ve come to realize that this relationship has followed the course of most of the intimate personal romances I’ve wandered through during my adult life: the shy, hesitant initial contact; the heady discovery of mutual interests; flirtations via email; commitment to a two-year trial, followed by another. The inevitable red flags, mixed messages, minor jealousies, extraorganizational dalliances, threats of abandonment. And finally, that inevitable choice to be made as we separate: Can we still be friends? If only for the children?

But more on this in a minute.

Back to the award presentation. After Sally LaMont came to my table and explained that I really had to step up on the stage and say a few words, I made my way to the microphone and, given that I had no clue and therefore no opportunity to prepare, had no other option than to blurt out what I had been thinking just minutes before.

I revealed that I had spent that particular day in my hotel room on the bed watching bad television and figuring out how to extricate myself from the evening gala without too much notice. How to weather the emotions that arrive whenever a relationship changes. I actually revealed to the audience that whenever I’ve thought of naturopathic physicians over the past decade I’ve felt a combination of a “deep love and a desire to kill you.” Really, I said that. It came from years of appreciation of brilliance and commitment, as well as exasperation with avoidance of dealing with internal issues. The irony of helping a profession with such beautiful and pure principals while constantly hearing about the evils of my own chosen vocation. The puzzled looks when I brought up my frustrations to my fellow Board members, as in “What are you talking about?”

Ah, well. The good news is that we will still be friends, especially for the children, as I get to continue working with Naturopathic Medical Student Association leadership knowing that they will be college deans and presidents and AANP officers and Board members in just a few years. And that I can still maintain some sort of contribution to our health-care system outside of the daily grind.

And there is something else I said on that stage that I know to be true, and will always believe to be true. Something I’ve preached and written and lectured about and sort of made my own personal integrative crusade. And that is that, when we get down to it, there are no MDs, or NDs, or RNs, or DOs in this world. No titles, no social standing, no one-upmanship. There are simply people who have chosen a particular path in their desire to help their fellow human. It is, I believe, how some of us choose to manifest love—not something we feel, or express through song, or poetry, or touch. Love is simply what we are, and it is made manifest in all of its beauty by what we do when another needs us to act on their behalf. It is this—not the money, or prestige, or social conscience—that makes the insanity of working in such a dysfunctional system tolerable. And makes living such a complex and, at times, such a painful life end up being worthwhile.

So thank you, everybody. I like you, too.

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 . . .

Reflections from the Board of Directors

By Sara Thyr, ND

Bastyr University. Copyright © 2010. All Rights Reserved.

I was in Seattle in November for my last meeting with the Board of Directors of the AANP. It was an unusual mix of emotion for me. I have felt ready to be free of the substantial time commitment for some time now, but felt the melancholy creep in well before the end of the meeting.

The largest change in the years that I have been on the Board is moving from a reactionary board to a visioning board. Rather than putting out fires and throwing money at the crisis du jour, we are looking into the future and planning in a way that can only benefit the growth of our profession.

All of the governance documents are available for your perusal on the AANP website (you must be logged-in to view). If you haven’t already seen what we’ve been up to for the last few years, it will be worth your time to take a look. Your voice and involvement in your national association makes it all work. It should be evident from the ends and measures that we have set forth that we do this work for everyone in the profession (actually, everyone in need of healthcare in our country).

Looking at the future and where the Board sees the profession down the road is quite exciting. Everyone in the United States will know what a naturopathic physician is and have the opportunity to utilize naturopathic medicine for their healthcare. Can you see it?

I went to school at Bastyr University and graduated over 10 years ago. Being back on campus and seeing how it has grown in the years I have been gone was incredible. We stayed in the “village” – the LEED-platinum certified dorms on campus. They are beautifully designed and a much-needed advancement over previous dorm life. The herb garden has emerged to be a fixture on campus that is quite a bit more than the little circle of plants that was started when I was there. The students have more tools to study anatomy and other topics. Even though we were just there on a weekend, it was evident that much has improved. And with that growth and change will come great leaders in the profession. Not only do we have a student Board member, but we also had the President of the NMSA (Naturopathic Medical Students Association) present. With their input we can move towards better tools for graduates and our profession. The AANP Board will continue to grow, visioning and leading the profession with the best, most adapted tools that we and our staff can conjure.

The level of reporting on processes, the work plan, the budget and how well we are meeting our goals has substantially improved with changes and additions to the AANP staff over the years. The involvement in state licensing has increased and the connections for all legislative efforts have improved since my earliest days on the Board, largely thanks to the work of Executive Director Karen Howard, lobbyist Jan Lipson, outgoing Board member Michelle Clark, and now, our new legislative liaison, Gene McGill. Let’s not forget the countless volunteers in every state who work exceptionally long hours in order to make it all happen and improve our profession.

What will I miss the most about the being on the AANP Board? Well, I have had the great pleasure of serving with some truly remarkable people in our profession. In my experience from working at the state level from New Hampshire to California, I know of no other profession who has so many brilliant, caring and committed leaders. So I will miss being around these great minds, working arm-in-arm with them, and seeing that powerful impact we can have on the future of naturopathic medicine when we roll our sleeves up and move towards our goals.

I know that I leave the Board in capable hands. It is an exciting time to be involved and to see our profession expand its reach, just as the Bastyr’s herb garden expanded its reach. But as the last minutes of the meeting rolled by, I found myself just a little bit glum that it will be my last one for some time.