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Non-Partisan Policy-Based Health Advocacy In Partisan Political Times. Kris Calvin CEO, American Academy of Pediatrics, California President, American Academy of Pediatrics, Foundation. Outline/Learning Objectives. Advocacy — Defined & connections with evidence/policy
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Non-Partisan Policy-Based Health Advocacy In Partisan Political Times Kris Calvin CEO, American Academy of Pediatrics, California President, American Academy of Pediatrics, Foundation
Outline/Learning Objectives • Advocacy— Defined & connections with evidence/policy • Child Health Advocacy: Scope • Example 1: Nondiscriminatory Marriage • Your advocacy plan (boundaries) • Advocacy skills: Compelling advocacy argument Political Activism : Playing on the field • Exercise: CA Legislation: Advocate Now
The process of urging a person or entity that has the power to make or influence a decision to do so the way you wish. Advocacy
Policy Underpinning = evidence/science Review, analyze, share Create/Research
Scope / Range of Policy/Evidence Needed The mission of the American Academy of Pediatrics, CA is to promote the physical, mental, and social health and well-being for all infants, children, adolescents and young adults living in California.
Federal Policy: DEFENSE OF MARRIAGE ACT (DOMA) SIGNED INTO FEDERAL LAW 1996 Marriage = only between 1 man & 1 woman; spouse = only of opposite sex.
Advocacy within the profession 2004 AAP Members (pediatricians) advocatedwithin AAP for support of same sex adoption and same sex marriage/civil unions. (Implications for health coverage, for emotional & physical health of children; for adoption rights)
Evidence Response: AAP Board: Review & analysis of relevant research/evidence “...25 years of research show children raised by same gender parents do as well as those raised by heterosexual parents… there is no relationship between parents’ sexual orientation & a child’s emotional, psychosocial and behavioral adjustment.” AAP 2004
External Advocacy AAP became a lead “amicus” submitting briefs in court cases at various levels, up to and including the Supreme Court, arguing the need for equal protection under the law for all families. (Citing research/evidence.)
Policies evolvedat state level Prior to 2004, same sex marriage was not performed in any US jurisdiction. Between 2004-2015 various state legislation, referendums and court rulings legalized same sex marriage in 38 out of 50 states.
New Federal Rules 2013 U.S. Supreme Court overturns key provisions of the Defense of Marriage Act, forcing recognition of same sex marriage and associated benefits. 2015 U.S. Supreme Court declares same sex couples have the constitutional right to marry and be recognized as such. Obergefell
Making a policy/advocacy argument? Next slide is most important
Compelling Advocacy Argument 1. Shared Problem 2.“Intellect” 1- 2 data points 3.“Heart” Storytelling 3. Larger Group Credibility 4. Solution
Based on polls of “registered voters” 26% Republicans25% Democrats 44% Independent/DTS BUT “Independents” nearly all strongly lean 48% Democrats + Lean D 42% R + Lean R (About 12 million more Dem/Dem leaning voters in U.S.)
TRUMP: Partisan approval ratings Republicans approve? 88% Democratsapproval of president 6%
The Young The Diverse What does the future hold?
Over time, country appears to be trending blue Party preference by age, nationwide (including “leaners”): o 71-88: 52% R vs 43% D o Baby Boomers 50-70: 48% Dvs 46% R o Gen X 35-50 : 48% D vs 43% R o Millennials 18-35: 59% D vs 32% R
Policy can yield compelling advocacy, but you need to have “your team on the field” to implement.
“Post-Partisan Advocacy”: Modeling the Advocacy Behavior We Wish To See In Others -Angry vs. Calm -Personal/”name-calling” vs. Focused on policies - “Rough” language (profanity & slang) vs. Respectful word choice -Reactionary vs. thoughtful/informed
REMINDER COMPONENTS OF A COMPELLING ADVOCACY ARGUMENT • Shared problem • 1-2 data points • A story • Credible group • Solution
AB-0067 (Luz Rivas): Individuals or families who are homeless or at risk of homelessness: definition Staff recommends Support Requires the Department of Housing and Community Development to create a statewide homeless integrated data warehouse in coordination with the Homeless Coordinating and Financing Council. Several other states, including Michigan, Connecticut, and New York, have built statewide data warehouses to integrate local homeless data with state information to better inform policies to address homelessness.
AB-1759: (Salas) Health care workers: rural and underserved areas Would appropriate the sum of $50,000,000 from the General Fund to the Office of Statewide Health Planning and Development for the purpose of increasing the health care workforce in rural and underserved areas. The bill would require the office to allocate those funds for the support of programs that effect that purpose, including programs to recruit and train students from areas with a large disparity in patient-to-doctor ratios and to expand and strengthen programs to recruit and prepare students from underrepresented and low-income backgrounds for health careers.
SB-61: (Portantino) Firearms: transfers Staff recommends Support The purpose of this bill is to extend the prohibition on purchasing more than one handgun a month to include all firearms.
AB-1578: (Luz Rivas) School Pavement to Parks Grant Program Would establish the School Pavement to Parks Grant Program under the administration of the State Department of Education for purposes of providing grants to applicant school districts maintaining schools in disadvantaged communities, as defined, to convert portions of existing pavement at those schools to parks. The bill would require the department to establish processes and procedures for administering the grant program, as specified.
AB 392 (Weber) Police use of deadly force standard raised from when “reasonable” to “when necessary” The officer use-of-force bill updates the current “reasonable” deadly force standard to “necessary.” “Necessary” means that, given the totality of the circumstances, an objectively reasonable peace officer in the same situation would conclude that there was no reasonable alternative to the use of deadly force that would prevent death or serious bodily injury to the peace officer or to another person.
AB 392 (2) Per author: In 2017 officers killed 172 people in California only half of whom had guns. Police kill more people in California than in any other state – and at a rate 37% higher than the national average per capita. These tragedies disproportionately impact communities of color as California police kill unarmed young black and Latino men at significantly higher rates than they do white men. It is estimated that individuals with disabilities are involved in between one-third and one-half of all fatal encounters with law enforcement.
AB-0362 (Eggman): Controlled substances: overdose prevention program Staff recommends Support, contingent upon approval by Ch1 Leadership Would extend harm reduction strategies by enabling SF to permit programs to provide people who use drugs with a safe hygienic space to use pre-obtained drugs under the supervision of trained staff, in order to save lives, connect individuals with vital services like detoxification, treatment, medical care, and housing and reduce public nuisance and safety concerns such as improperly disposed syringes. Approximately 100 such programs are currently operating in 10 countries around the world. For over 18 ( to include under 21/young adults) .
SB-538: (Rubio) Electronic cigarettes This bill enables adults to easily determine when children possess electronic cigarettes. It would require DPH to publicly display information regarding electronic cigarettes on their website and promote awareness of this information to school districts, charter schools, and parent organizations. The awareness campaign’s reasonable costs would be covered by fees on the manufacturers of electronic cigarettes.
