Political Strategy 101: How to Make Health Policy and Influence Political People

Abstract

Many health policy decisions that affect how health care professionals care for their patients are made by the federal government or state and local governments. For most health care professionals, the policy-making process is a mystery. Health policy decisions made by elected and appointed officials in various branches of government are influenced by political factors often unfamiliar to the decision-making process of health care professionals. With some guidance on how to think critically about politics, health care professionals can influence the development, passage, and implementation of government-sponsored health policies that affect their patients. Based on insights gleaned from experience, accounts of the policy-making process, and political science literature, this article describes a process of gathering and analyzing political information that can aid physicians in developing a strategy that will help them influence the political agenda and their patients' care. (J Child Neurol 2001;16:513-519).

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References

Vobejda B. : 'Moms and babies' prove to be irresistible force on Capitol Hill. The Washington Post September 20, 1996;A17.

Passel P. : Economic scene: When politicians seek to please on medical benefits. The New York Times October 10, 1996;D2.

Baumgartner FR , Jones BD , Leech BL : Media attention and congressional agendas, in Iyengar S , Reeves R (eds): Do the Media Govern? Politicians, Voters, and Reporters in America. Thousand Oaks, CA, Sage, 1997, 349-363.

Willman D. : Deaths climb since FDA got Rezulin warning. The Los Angeles Times December 15, 1999;A1.

The White House. The Clinton-Gore Administration: A Record of Progress (Health Care). Available at http://www.white-house.gov/WH/Accomplishments/health.html. Accessed September 7, 2000.

Downs A. : Up and down with ecology: The 'issue-attention' cycle. Public Interest 1972;28:38-50.

Martinez G. : Bush erodes Gore base. GOP contender draws 14% of Dems in Macomb district . The Detroit News May 9, 2000;1.

Blendon RJ , Benson JM , Brodie M. , et al: Health care in the upcoming 2000 election. Health Affairs 2000;19:210-221.

Mebane F. : Want to understand how Americans viewed long-term care in 1998? Start with media coverage. Gerontologist 2001;41:24-33.

10.

Cox GW , McCubbins MD : Legislative Leviathan: Party Government in the House. Berkeley, CA, University of California Press.

11.

Republican National Committee. Available at: http://www.rnc.org/newsroom/issues. Accessed September 7, 2000.

12.

National Journal. Available at http://nationaljournal.com/members/polltrack/2000/todays/hp000505.htm. Accessed September 26, 2000.

13.

Search performed on the Lexis-Nexis Academic Universe database for major newspapers. Accessed via the Harvard Library system on September 27, 2000.

14.

Jamieson KH , Campbell KK : The Interplay of Influence: News, Advertising, Politics, and the Mass Media , 3rd ed. Belmont, CA, Wadsworth, 1992.

15.

Blanton K. : The Medicare squeeze: Hit hard by cuts in subsidies, Mass. teaching hospitals fear for future of training, care. The Boston Globe August 10, 1997;E1.

16.

Moynihan DP : Must act quickly to save nation's teaching hospitals. The Houston Chronicle December 1, 1999;A45.

17.

519 P2d 981 (Wash. 1974) as described in Mello M. : Of swords and shields: the role of clinical practice guidelines in medical malpractice litigation . University of Pennsylvania Law Review 2001 ;149:645-710

18.

Goldstein A. , Dewar H. : Senate kills 'patients' rights' bill: Managed-care a victim of partisanship, Clinton scandal, lobbying. The Washington Post October 10, 1998;A1.

19.

Guide to Congress, 5th ed. Washington, DC, CQ Press, 1999.

20.

Guide to the Presidency, 2nd ed. Washington, DC, CQ Press, 1996.

21.

Johnson H. , Broder DS : The System: The American Way of Politics at the Breaking Point. Boston, Little, Brown and Company, 1996.

22.

Himelfarb R. : Catastrophic Politics: The Rise and Fall of the Medicare Catastrophic Coverage Act of 1988, University Park, PA, Pennsylvania State University Press, 1995.

23.

Bryner GC : Blue Skies, Green Politics: The Clean Air Act of 1990 and Its Implementation , 2nd ed, Washington, DC, CQ Press, 1995.

24.

Wallack L. , Woodruff K. , Dorfman L. , Diaz I. : News for a Change: An Advocates Guide to Working with the Media. Thousand Oaks, CA, Sage, 1999.