Showing posts with label advocacy. Show all posts
Showing posts with label advocacy. Show all posts

President's Message: Advocating for Naturopathic Medicine

By Carl Hangee-Bauer, ND, LAc
AANP President

American Medical Association headquarters in Chicago, IL. Photo by Steve Silverman via Flickr, used
under the Creative Commons License.
It’s been quite a busy time over the past few weeks, with trips to Washington, D.C., and Chicago to educate and advocate for the naturopathic profession.

2011 DC FLI

In late April, I flew to Washington to spend three days at DC FLI followed by our Spring Board meeting. This was my fourth DC FLI and I have to say it is one of the most fun and interesting events put on by the AANP. Most of us come together at our August conventions, but this gathering has its own flavor.

150+ people were in attendance this year, and at least 100 were students from the naturopathic colleges. There were a number of our more experienced doctors present, many of whom are active in either state licensing or federal legislative issues, as well as AANP Board members and some NDs local to the East Coast and D.C. area.

We started Saturday morning with a meeting of the State Alliance, where general trends and issues were discussed affecting state licensing efforts. There were some great conversations and sharing as we learned from each other’s gains and obstacles. For me, the most interesting part was when a representative from each state where licensing or scope expansion is being sought updated the group on their progress so far this year. It is very encouraging to hear the gains that have been made recently, and I am certain that, by following the lead of North Dakota, we could see as many as three to five states successfully gain licensure in the next year or so. The momentum is palpable and all of the due diligence that has been carried forward in different states by dedicated naturopathic doctors and their patients appears to be on the cusp of paying off.

Saturday afternoon began in earnest with presentations by representatives from the chiropractic profession, sharing with us their lessons learned in the legislative arena and overviews of the current political landscape in D.C. On Sunday, we spent the day reviewing our key messages and goals for this year’s federal political agenda, largely around two topics: offering a definition of “integrative health care practitioner” (described but not defined in numerous sections of the PPACA passed last year), and seeking sponsors or co-sponsors for a bill amending the Public Health Services Act to ensure equity for naturopathic physicians in federal loan programs, scholarships, and primary care residencies funded by the federal government. Of course, while these are our stated goals, our ongoing agenda is to inform and educate legislators and their staff members about naturopathic medicine and the role we play in our health-care system. It’s about building relationships.

On Monday, we fanned out across Capitol Hill, carrying our messages to congressional offices as well as other agencies including the Veteran’s Administration (the largest managed care system in the world) and the National Institutes of Health. From the feedback I’ve heard so far, we were well received and our messages were heard. And, as always, our reception In the Rayburn Foyer was a huge success with many staffers and a few U.S. Representatives present. One experience I can briefly relate was watching Rep. Dennis Kucinich arrive and make a beeline to Dr. Joseph Pizzorno’s table. I was told that Rep. Kucinich is a great admirer of Dr. Pizzorno’s books, keeping them in his living room at home.

The success of DC FLI is in large part due to the tremendous enthusiasm of our naturopathic medical students who take time away from their studies, fundraise, and make the long journey to D.C. to be a part of the change in the health-care system this profession promises. In many ways they are our strongest voices, and there is no doubt that the future leaders of our profession are cutting their teeth at DC FLI.

AMA Meeting

After a few days back in San Francisco seeing patients and getting a bit of rest, it was off to Chicago for our meeting with the American Medical Association (AMA). Karen Howard and I represented the AANP as part of the Coalition for Patient Rights (CPR), a group of 35+ health professions who came together in response to the AMA’s Scope of Practice Partnership (SOPP) campaign. This campaign is part of the AMA’s goal to educate their state constituencies and state legislators about scope of practice bills, largely opposing other health-care professions who seek either expanded scope or independent practices. One of the data series produced by the SOPP concerned naturopathic medicine and was filled with many inaccuracies about our training and practice.

Karen and I were joined by representatives from other groups including the American Nurses Association, American Association of Nurse Anesthetists, American Psychological Association, and American Physical Therapy Association. Our group met with some of the top brass at the AMA including the Chair of the Board of Trustees and CEO.

I’m happy to say it was a cordial and respectful meeting on all sides, and I believe it is a start to a productive dialogue with our medical colleagues. There was general consensus in the room that we all need to work better together in integrative and collaborative settings, and this starts with thoughtful communication and a willingness to engage in productive dialogue. Our coalition gave specific feedback that I believe was heard.

I left the meeting encouraged but realistic. These issues won’t change overnight and it will take a lot of further conversation and willingness on both sides to effect the change we are all working toward. This meeting felt to me a bit like a first date; getting to know one another and seeing where things can go. But the conversation was elevated from the usual and I’m optimistic that we can build on this start.

President's Message: Progress in State Licensure

By Carl Hangee-Bauer, ND, LAc
AANP President

Legislation to license NDs had passed the North Dakota Legislative Assembly
as work continues in other nearby states!
By now you’ve likely heard the good news that North Dakota will become the 16th state to license naturopathic doctors!

This is a great step forward for the profession and is largely the work of one person, Beth Allen, ND, who has the vision and foresight to take her inspiration and turn it into perspiration to accomplish this momentous task. It shows how the power of one dedicated person can change the world.

Hearing this news makes me think back to our licensing campaign in California nearly a decade ago, and ponder what’s in store in North Dakota. For the many of you reading this who have been involved in licensing campaigns, both successful and unsuccessful, I’m sure you share my observation of the depth of work and dedication it takes to pass a licensing bill. Creating educational pieces for legislators, dealing with misinformation campaigns around naturopathic education and safety, navigating the political landscape, and “touching” each legislator are all vital pieces to creating a successful outcome. It takes a tremendous amount of work and sacrifice to achieve this goal.

I am personally of the mind that state licensing is driven by those in the states seeking licensure. They know the local terrain and issues, have the personal connections with the legislature, and have the will and passion to see that they are able to practice openly and bring the choice of seeing a naturopathic doctor to all citizens of their state. The role of the AANP is to be actively supportive. By providing training, support for educating legislators and the public, knowledge of trends in other licensed states, support at legislative hearings, and a sounding board as issues arise, the AANP is there to help those NDs in states with legislative campaigns be as successful as possible. I can tell you that even though California NDs led the campaign for licensing, we would not have been able to accomplish that if it were not for the AANP being there with us every step of the way. Every state has different conditions and influences that affect what may fly in the legislature and what may not. They say “politics is the art of compromise,” and we certainly see that in the different bills that are submitted and pass or fail. Knowing what to compromise on and what not to is one of the arts of successful passage.

Now the real work begins in North Dakota. Rules and regulations need to be written, a board formed, and a million other details that take a passed bill into law on to regulatory oversight. The North Dakota Association of Naturopathic Doctors, I’m sure, will rise to meet these challenges with the leadership that Dr. Allen has already clearly demonstrated.

Meanwhile, there are active licensing campaigns ongoing in a number of other states and I believe that the passage of the law in North Dakota will inspire and encourage those hardworking people that this can be accomplished and we will see more states licensed in the near future.

Please join me in thanking Dr. Allen and all of those who worked to achieve this significant victory. This is a significant step forward in the history of the naturopathic profession and opens the door for many more people to benefit from naturopathic medicine.

Doing the DC FLI

By Susan DeLaney, ND, RN

Susan DeLaney, ND, and Trevor Holly Cates, ND, feed body and mind at the
2010 DC FLI reception on Capitol Hill.
Washington in the spring is a lovely place to visit, especially when you get to do it with a mini-convention of naturopaths and naturopathic students from around the country. The first weekend in May each year, we gather at the Capitol to learn from each other, about the basics of politics in Washington and what we can do to move our message of naturopathic health care forward. This year's event is planned for April 30 - May 2!

Each year I go I learn something new, meet new people, and reconnect with old friends. For two days, we are listening to valuable speakers, sharing ideas, and practicing how to talk to legislators about our issues. The third day, we put into practice what we have learned. Traveling in groups, we visit our respective state Senate and House members in their offices. Locating their offices in the maze of the Capitol Buildings is a bit like a scavenger hunt. Most of the discussions are with their health-care staffers, who do listen and convey the information to the representative. Meeting face-to-face in their offices with legislators and staffers provides us an opportunity to have in-depth discussions about who we are and what we do.

At first I was not sure that what we did mattered until one staffer recalled that she remembered our visit from last year! It is truly the presence of so many doctors visiting Washington that makes such a difference. Before our first annual fly-in event, no one really knew who we were. Now they know faces and stories that connect them to naturopathic medicine.

And then there is the famous, late afternoon naturopathic reception where we have earned our reputation in D.C. as the best place to hang out with healthy food and wine. Smoked salmon, fresh fruits, nuts and a fabulous kale salad have really made us the toast of the Hill! They come early and stay late to enjoy the delicious food, and socialize with their constituent NDs and naturopathic students.

When the work is all done in the evening, we walk the city, enjoy fabulous meals with friends, stand before majestic monuments that are so beautifully illuminated every evening, and find ourselves filled with awe that we have the freedom to be there. We have the freedom to do this work, and by letting our voices be heard in the halls of Washington, we help grow naturopathic medicine.

Wishing you can all be there with me this year! Registration is FREE for all members, and closes April 15!  Click here for more information and to register today!

2012: Be here now.


By Michael Cronin, ND
AANP President 
I invite you to ‘take a deep breath’ and appreciate our Naturopathic profession for a moment with me. We are a relatively small profession with strong institutions and deep roots, we have: nearly 4,000 ND licenses in the U.S., five U.S. colleges, legal recognition in 16 states (plus D.C., Puerto Rico and The U.S. Virgin Islands) and full scope in eight of those states. Meanwhile, the profession in Canada includes another nearly 2,000 NDs and an international Naturopathic community is taking form in India, England, Australia and New Zealand. Our community in America is growing and we have a distinct professional identity.
As people recognize that they must take more personal responsibility for their health, they will come to understand the advantages of our medicine. Our patients appreciate our expertise and clinical work: our doctors are in demand with successful practices and innovative approaches. There is a growing body of work that supports the methods we use and we are working to increase the amount of evidence of ND effectiveness.
It is essential to build a stronger and more effective professional community in 2012 in order to license new states, expand laws to full scope, improve how we educate the public, manage our media affairs and recruit patients for our members.
In the area of government affairs, an urgent and immediate opportunity for the AANP is the Affordable Care Act (ACA), which was signed into law last year. The inclusion of the term “licensed CAM (Complementary and Alternative Medicine) provider and integrative health practitioner” could be a game-changer for our profession as well as our patients, if NDs are included in the pending rulemaking process. Short of having NDs specifically mentioned, we believe there may be opportunity to ensure against insurance caps on CAM services. It is my belief that the Obama Administration, despite this being an election year, is working to determine the rules and regulations surrounding the implementation of the ACA.
I note, however, there is a legal challenge to the ACA by 26 states that will be heard by the United States Supreme Court. This suitchallenges the mandate that every person not covered by a government or corporate policy must purchase private health insurance. Once the Justices make a ruling on whether the mandate is constitutional, the issue of severability remains a question. However, it is possible the other sections and definitions of the ACA will stand.
The most important component of the ACA may be section 2706 on non-discrimination, which is planned to go into effect January 1, 2014:
Providers - A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law.
There are other sections of law that recognize “licensed complementary and alternative practitioners and integrative health providers” and their involvement in (1) community health teams (2) national prevention, health promotion and public health council (3) the national health care workforce commission, (4) patient centered outcomes research, and (5) demonstration projects concerning individualized wellness plans. For a summary of the components of the Affordable Care Act, take a look at this guide at theintegratorblog.com
Outside the ACA, the AANP’s Government Affairs strategy includes seeking ND eligibility for tuition forgiveness in rural health care and recognition of NDs within the Veterans Administration or Department of Defense.
2012 brings challenges we plan to use as opportunities. I encourage all NDs to be involved with your state associations and the AANP. I invite you all to join our DC Federal Legislative Initiative (DC FLI) on May 5-7, 2012 to engage with the Federal legislative process so we as a community shape our future.


President's Message: Running for Naturopathic Medicine

By Carl Hangee-Bauer, ND, LAc
AANP President

Some people walk their talk; others run with it.

On July 17, 2011, Dennis Godby, ND, of Sacramento, California, with his two sons and his nephew, will begin The Run across the USA to increase awareness of naturopathic medicine. The Run will start in San Francisco, and 123 days and 3,250 miles later, will arrive in Bridgeport, Connecticut (to the University of Bridgeport, the only east coast naturopathic medical school). The Run will expose thousands of Americans to naturopathic medicine and raise awareness of natural medicine options for creating a healthier America. Dr. Godby believes that The Run, through participation of NDs across the country and through grassroots efforts, can dramatically increase national naturopathic awareness.

I had lunch with Dr. Godby a few weeks ago and we talked about what motivated him 16 months ago to plan this run and to set out on this arduous journey. Dennis recalled how he came to naturopathic medicine relatively late in life compared to other students; he graduated from the National College of Natural Medicine in 2004 at 48 years old (he turns 55 during his run). Though he has practiced for only 6 years, Dr. Godby related how many “miracles” he’s seen using naturopathic medicine to help his patients in addressing their health problems and improving their health and vitality. Seeing so many of his patients’ improved health has only increased his passion to deliver the message to all of America that naturopathic medicine exists and may help them meet their health goals.

His run is an example of how one person can act to make a real change in his profession and in the health of this country, as well as a tremendous opportunity for the naturopathic profession to raise its visibility. Along the course of his run, Dr. Godby and his team will pass through both licensed and unlicensed states, 30 cities of over 100,000 people, past 25+ naturopathic clinics and ≈300 naturopathic doctors. All told, over 65 million people live in cities and towns along his route.

Of course, Dr. Godby is not planning this alone. NDs Rebecca Asmar, Holly Lucille, and Jaime Schehr are also on The Run leadership team, along with many others. Organizers are already planning local events, connecting with local media outlets and planning the public relations arm of this event. Over 260 events and press conferences are in the works. This will not only raise the public’s general awareness of our profession, but also serve as an invaluable opportunity for NDs along the route and those in states seeking licensure to gain significant local media exposure for their practices and legislative goals.

Dr. Godby is out there running and networking with NDs across the country for our profession and to improve the health of all Americans. I urge you to support him, The Run, and our profession. Get involved where you can to further these goals. There are many ways you can participate:
  • Go to The Run website and endorse The Run.
  • Make a financial contribution. A penny a mile for each of the four runners for 3,250 miles is $130 to help pay for motor home, food, insurance, marketing, running shoes, etc.
  • If The Run is passing through your area, or even if it is not, get involved on the local level planning media and PR events, sponsoring a segment of The Run, and linking your practice to this event. Wisconsin NDs are driving down to Illinois to host an event.
  • Come to the April 16th FUNraiser Dinner in Sacramento for an evening of celebration and fun!
  • Be the support person on the motor home with the running team.
Following Dr. Godby’s lead, we can all make this one of the most successful events in modern times for raising the public’s awareness of naturopathic medicine and the choices it offers to health-care consumers.

Find Your Voice and Use It at the 2011 DC FLI

By Christine Girard, ND
2010 AANP Physician of the Year

The AANP will train you to become an advocate for naturopathic medicine.
This year, I’ve had the honor of testifying before the Arizona Senate Health Committee, regarding expanding the ND scope of practice, and the Iowa Senate State Government subcommittee on regarding ND licensure in that state. If you’re like me, speaking before legislators feels daunting - important, but daunting. It has taken me years to feel anything close to comfortable and I owe that to the DC FLI.

For those who aren’t familiar with the DC FLI, it is the Federal Legislative Initiative, that the AANP hosts in Washington, D.C., each May. The event is free for all members and serves as a great opportunity for students and physicians alike to connect with their legislators in Washington. If you’re new to the game, want to learn the ropes, and feel safer doing so with friends and colleagues, this is the way to go. The three-day event is well-organized and offers two days of interactive and comprehensive preparation for your day on the Hill.

In addition to the training, the AANP schedules your meeting with legislators and makes sure you are part of a small group so you don't feel out on a limb. Additionally, the will provide you with packets that include fact sheets about the issues, biographies of your legislators, and leave-behind materials. Your day on the Hill will culminate with a reception featuring organic food, wine and chocolate, an even that legislators and their staffers have come to know and love.

There’s an amazing energy about the FLI. Part of the it is generated by NDs coming together with purpose. The other part is the amazing experience of finding one’s voice – and using it!

Every year I attend the FLI, I am reminded of how important it is that we become or remain connected to our legislators. If we don’t state who we are as a profession or voice what is important to us, who will? No one or, worse yet, our opponents.

Join me this year. Raise your voice and feel the energy of purpose.

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.

The Future of the AANP

By Carl Hangee-Bauer, ND, LAc
AANP President

Fall has been a busy time for the AANP Board. After the dust settled from the convention and things relaxed for a bit, attention turned to identifying goals and priorities for the 2011-2012 work plan and budget.

Sounds exciting, huh? Actually, it’s some of the most important work that the AANP Board does. It requires that Board members think strategically, surveying the landscape for political and social trends, considering the future of healthcare reform, understanding readiness in states close to licensure, listening to feedback and the experience of our naturopathic physician members, and bringing that back to the table as we discuss and deliberate.

While the Board discusses these topics throughout the year, the formal start to our planning began at the August Board meeting. We examined programs that are currently underway and ranked programs such as marketing and public relations, state and federal affairs, fundraising, and others in order of importance to the ends and the goals of the AANP. The staff, led by Karen Howard, took this preliminary feedback and constructed the first draft of our next 2-year work plan and budget, getting further feedback from a Board survey that took a closer look at these initial ranking and programs.

This past weekend the Board held its Fall meeting on the beautiful campus of Bastyr University. Most of our time was spent discussing and debating the various details of the proposed 2011-2012 work plan. All of this, by the way, is done with keen attention to how to best serve our membership.

Let me give you some insights of the Board approved work plan.

Far and away the biggest priority is directed toward membership issues such as member benefits and professional success, programs such as the convention and membership services, and tools and resources for membership support including the AANP website.

State and Federal Affairs are a very big piece of the work plan. Facilitation of licensing in more states, inclusion in federal programs for the naturopathic profession under healthcare reform, engaging in strategic partnerships with like-minded organizations to effect change, and training our physicians and naturopathic students at the DC FLI – all are pieces in this very complex work.

Next, our Executive Director will take the work plan and assign budget categories to each area of emphasis for Board review and approval. This will be a very challenging step. While the AANP has weathered the economic downturn quite well compared with other associations, the economy has nonetheless impacted us. The budget will be very tight, and it will be a challenge to meet all of our goals. It is likely that choices will have to be made based on the key goals, priorities and programs we’ve identified.

I tell you all of this so you can understand some of the work that goes on behind the scenes and see why it is so important to be a member of your national association. The AANP is a member-driven organization that represents you in the halls of Congress and to the American people. It supports state licensing efforts and facilitates communication amongst various organizations within the naturopathic profession. It supports research and data collection to better inform others of our work. It provides top-notch continuing education with many of the thought leaders of our profession. It brings unity to our community of doctors and students in every state in the US and other countries.

Please join us as we move into the future by joining or renewing your AANP membership and letting your voice be heard.

The Run Hits Capitol Hill

By Dennis Godby, ND, MA

The Run: Moving Natural Medicine Forward has just left Washington, D.C., seven days from the first end of The Run in New York City 11-11-11 (Veteran's Day), and just 15 days from the end in Bridgeport, CT (11/17/11)!

We left Capitol Hill at 5 pm on Wednesday after a full day of meetings and photo opportunities with ten Members of Congress (Sen. Rob Portman (R-OH), Rep. Chaka Fattah (D-PA), Rep. Gary Ackerman (D-NY), Rep. Mike Fitzpatrick (R-PA), Sen. Barbara Boxer (D-CA), Rep. Edolphus Towns (D-NY), Rep. Larry Bucshon, MD (R-IN), Rep. Lacy Clay (D-MO), Sen. Mike Lee (R-UT), Rep. Tim Johnson (R-IL), and their staffs, exhausted, but extremely grateful for a wonderful, action-packed day! The staff and Members of Congress were extremely enthusiastic about The Run and our message!

1,000 thank yous to Matthew Santoro of the AANP, who made the meetings possible by setting up the appointments and doing the follow-ups for us. Also, many thanks to AANP Executive Director Karen Howard for her support of The Run. On Thursday, we talked to an additional nine Members of Congress!

Without Matthew contacting the Members of Congress in the districts and states that we ran through, the meetings would have never taken place. Also, Matthew stayed with us both days, helping us to navigate the various Congressional buildings, dealing with necessary changes in schedules, etc.

Thank you Matthew, Karen and AANP for their fantastic support of The Run!