(remember to respect all five elements of human life : five dimensions of health include :
JAMA 2004: 94-98.
Physician citizens - public roles and professional obligations
"the physicain is the natural advocate for the poor" Virchow
Some people's choices are limited, and we cannot blame them for aspects of life and health that people cannot control. Instead, we should advocate for them.
We need to have a more complete biopsychosocial view of patients who fall into this category.
Advoacy needs to begin with identification of socio-ecomic risk factors
It is important to
There is often a welfare supplemental form that can garner patients more money based on specific needs, ie diabetes, hypertension, celiac disease.
Other assistance programs can be very helpful
Pharmaceutical samples can be a mixed blessing;
We really need to help patients navigate the system.
Many of the issues that affect patients are rooted in societal influences.
Our responsibility to our patients? our communities? our societies? our world?
POWER to change the world (coined by Lee McKay)
Participate in one or some of the many excellent groups working to address injustice, or in their grant proposals
Organize together: this gets noticed by media and government
Write: advocating from our professional position can be extremely helpful; can circulate
Educate: physicians, residents, students, patients and the public
Respond: take steps to address what you see
Lanz et al 1998