Showing posts with label integrative health care practitioner. Show all posts
Showing posts with label integrative health care practitioner. 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.

AANP's DC FLI Sets New Records

By Karen Howard
AANP Executive Director


This year's annual Federal Legislative Initiative (DC FLI) topped all records.
  • Over 170 visits to Congressional offices representing 38 states and the District of Columbia.
  • 171 attendees of whom 100 were naturopathic medical students.
  • 1,500 emails were sent in one day from 'virtual' lobbyist across the country using our electronic CapWiz program to write to their Members of Congress.

A special recognition goes to the students of the University of Bridgeport for winning the "Bring a Founder to the FLI" contest and receiving the AANP's first traveling trophy for school spirit.

This year we focused on how Congress can address the critical shortage of primary care physicians by accessing naturopathic medicine. Our specific requests included inclusion in all federal loan repayment programs and defining the term "integrative health care practitioner."

The term, "integrative health care practitioner" is used throughout the health care reform law and is not defined in the statute. Our objective is to encourage Congress to ensure Americans have access to the best, most qualified providers - many, if not all, of whom are underutilized in federal programs. As you may recall, the Coalition for Patients Rights, of which the AANP is a member, represents 3.3 million such practitioners. Our proposal uses language from the original H.Con.Res 406 and H.Con.Res. 58 (introduced by Congressman Langevin) and reads as follows:

"An Integrative Health Care Practitioner, acting within the scope of that provider's license or certification under applicable State law, addresses the underlying causal factors associated with chronic disease; improves individual health and increases individual capacity to engage in activities of daily living through lifestyle change, including strategies relating to diet, exercise, smoking cessation, and stress reduction; and provides patient-centered care that:
  1. addresses personal health needs;
  2. uses a multidimensional approach to encourage patients to improve their own wellness through lifestyle changes and the use of scientifically based therapies and outcomes based treatments that facilitate the inherent ability of the human body to maintain and restore optimal health; and
  3. utilizes clearly defined standards to determine when the implementation of wellness and health promotion activities will be useful for each patient based on the diet, exercise habits, individual health history, and family health history of the patient."
What happens now? Staff is working to mine the reams of data from these very valuable visits on Capitol Hill and will work directly with several of our state contingencies of NDs to create a successful strategy for our efforts. Capitol Hill is a tad weary on the topic of "health," in general, but preliminary work is beginning on what will constitute a technical amendment bill - and the appropriations process is also available as a possible vehicle for these changes. Our relationships continue to grow and deepen on Capitol Hill and our presence is clearly having an impact.