Many physicians are understandably pessimistic about finding solutions to these complicated issues, and others seem resigned to the fact that they are helpless to change things for the better. A favorable outcome for physicians is not assured, even if we fight the fight. However, the outcome if we chose to be complacent and let others fight our fight is assured!
Physicians must educate themselves regarding these and other issues that are threatening their livelihood. We can enlist lobbyists and work in a concerted effort through our state and national societies, the ACR, the Coalition of State Rheumatology Organizations, and even lay organizations to effect change. States without societies should be encouraged and assisted to adopt one. At the local level, physicians should identify local politicians that are sympathetic to our cause, and not be bashful when asking for their assistance with important issues.
Remember that politicians respond to input from their constituents—and particularly issues related to impediments to access to care that affect voters. Politicians are most interested in two things—getting elected and staying in office. Physicians come into contact with hundreds of voters each week—our patients! Many current issues we are facing today directly impact our patients, and their future access to care. We are in a position to educate them regarding these important issues, and they, in turn, can raise their voice to their local congressmen and senators.
Dr. Saxe is president of the Florida Society of Rheumatology; senior partner in Arthritis Associates of South Florida; and medical director of Delray Research Associates in Delray Beach, Fla.
