advocacy ethics

Health Advocacy Ethics – Conflict of Interest? Or Important Service?

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A recent conversation with a handful of knowledgeable people, people I respect a great deal, yielded two different outcomes – either a loud “yes, of course!!” or a loud “no, no way!” So I want to know what YOU think. As a prelude to the story – the question I will ask you at the end is: Should Gwen become Mrs. Smith’s healthcare proxy? Can she ETHICALLY make that shift? (We are not asking a legal question here ? only a question of ethics.) Mrs. Smith is 90 years old and until recently was quite healthy. She is alone; her …

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Cruel to Be Kind and Kind to be Cruel

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I received an email from a woman named Irma. She wants to become a health advocate, to assist people in her community who have Alzheimers. (Bless her for that.) But she was laid off from her job, and doesn’t have any money. She asked me if I would let her join Alliance of Professional Health Advocates for free so she could “learn how to do it.” Irma’s request was not the first I’ve received over the years. I am also asked to give people free copies of my books, and even loan or donate money to help them get started …

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Chutzpah! Know When It Crosses the Line

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One of my favorite words: Chutzpah! Pronounced “hoots-pah.” A Yiddish word translated as “shameless audacity” or “supreme self-confidence,” as in (according to Merriam-Webster) “personal confidence or courage that allows someone to do or say things that may seem shocking to others.” …. and sometimes a trait required by the most effective of health and patient advocates. Do you have chutzpah? And more importantly, do you know how and when to use it? I ask this because I think there are appropriate times, and inappropriate times, when an advocate needs to showcase his or her chutzpah. Lately I have experienced both, …

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The Real Cost of Selling One’s Soul

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deal with the devil image

I heard from a friend that he recently sold his start-up business after years of building it to do just that. Wow! I was so impressed! “Take a break!” I replied. “I can only imagine how much work that was and how much money you must have made!” Yes, he told me. It was a LOT of work and he is exhausted. But, he confided, he really didn’t make much money in the sale. What? I was flabbergasted… Then I learned why. It seems that he and his partners, in order to raise the money they needed to make their …

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Hidden Agendas and Being Used

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Years ago, in my salad days, I took a new marketing job after being interviewed by a gentleman who seemed as nice as anyone I had ever met in a workplace. It didn’t take me long to learn my new boss’s friendly smile, and the words that came out of his mouth, only masked a hidden agenda that he hoped naive-me would help him fulfill. The first clue that things were not as they seemed came when I was asked to sign off on some media invoices, in effect, giving Accounts Payable my approval to pay the agency that had …

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Veterans, Soldiers, the VA – What They Represent to Private Patient Advocates

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dads grave marker

A Memorial Day Tribute My husband is retired from the Air Force* after serving for 20 years during the Vietnam era. My father served in the Army Air Corps during World War II. These two veterans, the men I have loved the most, and who represent millions of other American soldiers, men and women, deserve all the respect Americans can possibly muster not only Memorial Day, but every other day of the year as well. I raise this point because like you, I’ve been hearing and reading about the problems veterans have had getting the care they need from the …

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When Your Competition – Isn’t

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(Updated February 2017) Recently we relaunched one of our APHA networking benefits, Special Interest Groups (SIGs). They provide members with the opportunity to connect with like-minded professionals to discuss any topic relevant to their work. For example, all members who live in Idaho might want to connect with each other. Or those who offer mental health advocacy services can share ideas. Others with interest in working strictly with seniors, or all our physician members, or even a group of Stanford grads (yes we have a handful!) SIGs help us connect with those who share our interests and experiences. One group, …

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