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Board Representation, Consumer Alliance Program Hot Topics at NCSC
By Barbara Bein
Delegates Seek Special Constituency Seat on AAFP Board
- have attended at least one previous NCSC as an official chapter representative;
- are currently attending the NCSC as an official chapter delegate of the international medical graduate; minority; women; or gay, lesbian, bisexual, transgender constituency; or
- are serving as an NCSC co-convener or convener.
The measure included a $50,000 fiscal note to cover the new board member's expenses.
In testimony before the Reference Committee on Organization and Finance, Robyn Chatman, M.D., a minority representative from Cincinnati, spoke in favor of the resolution as a way to get a voice for special constituency needs and issues.
"The $50,000 is a lot of money, but this is our organization," she said. "If we want to continue to have a role in how we practice medicine, we need members on our Board who know what it's like (to practice). There are folks who pay their dues out of loyalty, but they don't sit on the Board. It's worth $50,000 to make sure our members have representation."
The resolution was referred to the AAFP Congress of Delegates.
Rescinding the TCCC Contract
Citing concerns about the link between obesity and the regular consumption of sodas and sweetened beverages, new physician member Jay Lee, M.D., M.P.H., of Long Beach, Calif., introduced a resolution he co-authored during the Reference Committee on Organization and Finance. The resolution asked the Academy to "rescind its contract with The Coca-Cola Company and refrain from affiliating with companies that offer products detrimental to patients' good health."
Lee said that the work of family physicians is spilling over into the public health arena, especially in California where chain restaurants, for example, have to label the nutritional content of their foods.
AAFP Board President Lori Heim, M.D., of Vass, N.C., clarified for delegates that after the AAFP Congress of Delegates asked the Academy to investigate other sources of revenue, an AAFP task force investigated such sources and recommended creating the Consumer Alliance Program. TCCC was the first company interested in a partnership with the Academy. And the beverage company agreed that the Academy would have total editorial control over information put on its consumer website, FamilyDoctor.org.
"Coca-Cola pushes consumers to FamilyDoctor.org, and we control the material," Heim said. "The impact in terms of advocacy and exposure to family doctors and to FamilyDoctor.org is immeasurable."
Patricia Witherspoon, M.D., a minority constituency representative from Columbia, S.C., said companies can do a lot of good, and it's important to negotiate with them. "Good health is also infrastructure and social empowerment," she noted. "We should be concerned about how the money is allocated. (But) if we're at the table with them, we can ask them to put food nutrients on the label."
Jesus Lizarzaburu, M.D., of Grafton, Va., a minority constituency representative and co-author of the resolution, testified before the Reference Committee on Practice Enhancement that dentists are allowed to balance bill, and it should be an option for individual physicians, as well. "If we really want to save family medicine, we need to find ways to pay for what we do," he said.
Other members testified that such a resolution might create conflict with the AAFP's push to ensure health care coverage for all, and would likely create a burden on patients.
In the committee report, Reference Committee on Practice Enhancement members noted that they were concerned that balance billing patients might add unnecessary financial burdens to those on a fixed income. They recommended that the resolution not be adopted, but delegates voted to send the resolution forward.
Other Resolutions Adopted
They also want the Academy to create a local database of state-sponsored student recruitment initiatives to serve as a resource for constituent chapters.
Other resolutions that were adopted asked the AAFP to
- investigate supporting an educational focus at the Scientific Assembly for best practices in lifestyle management and retention of women in practice and investigate new methods of electronic marketing of AAFP resources to women FPs, and
- encourage state chapters to create opportunities to involve IMG residents in family medicine and practicing family physicians in chapter affairs and leadership development.
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