Bariatric Times

NOV 2017

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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23 Ask the Leadership Bariatric Times • November 2017 requirement in Illinois and in other s tates is one example. But healthcare coverage decisions are made by each individual state, and we must identify and focus our efforts on those states where b arriers to healthcare are most prevalent. The long story is, it's not a single battle; it's an ongoing war that requires vigilance, dedication, and resources. We all know that medicine is now a government enterprise in many ways. It's regulated by the government, and the government pays for about 70 percent of medical care via Medicare, Medicaid, Veterans Affairs, as well as for federal and state employees. So, it is important that we are heard by federal and state governments. The best way to do this in the United States is through advocacy, and we must have the resources to effectively advocate for our patients, not only on Capitol Hill, but also on the state level. PAC is a critical component of o btaining the resources necessary for effective advocacy, and I'm very grateful for all the support and donations the members of ASMBS have given to PAC. It sounds like you're encouraged by the progress PAC has made since its launch in 2015. Dr. Morton: Yes, and it continues to gain momentum. We formed PAC because meetings and letters weren't getting us anywhere. We asked ourselves, "What else is there for us to do?" And the answer was PAC. Through PAC, we have been able to create interesting initiatives on the state level. For example, as mentioned before, in Florida, Dr. Chelbi introduced a bill for the inclusion of bariatric surgery in diabetes and obesity treatment plans, and that bill is currently working its way through the l egislature. And in Texas, Dr. Segar was able to introduce a bill for coverage of bariatric surgery (the bill, unfortunately was voted down, but it got very far in the legislative p rocess, which encourages us to keep fighting for its implementation). Drs. Chelbi and Segar were able to get these bills on the table because through the cooperation of their state representatives, who were able to offer their support because of donations from PAC. What do you see in the future for PAC? Dr. Morton: We're hoping to partner with PACs from other associations around the country, including the American College of Surgeons and industry PACs. By having a common mission and working together, we will all be stronger and more effective in a chieving positive changes in healthcare. There's a heck of a lot more for us to do in bariatric medicine. I think the field of bariatric surgery can teach the o ther disciplines of medicine many lessons regarding healthcare, such as the benefits of medical professionals working as a team and providing quality care at a low cost. If the other disciplines of medicine start applying the lessons we've learned to their practice, everybody will be better off. FUNDING: No funding was provided in the preparation of this manuscript. FINANCIAL DISCLOSURES: The author reports no conflicts of interest relevant to the content of this article. ADDRESS FOR CORRESPONDENCE: John M. Morton, MD, MPH, FACS, FASMBS; Email: morton@stanford.edu I think the field of bariatric surgery can teach the other disciplines of medicine many lessons regarding healthcare, such as medical professionals working together as a team and providing quality care at a low cost. If the other disciplines of medicine start applying our lessons learned to their practice, everybody will be better off. C a l l f o r Case Reports! D o y o u h a v e a c a s e t h a t i l l u s t r a t e s a n e w , uniqu e , o r i n n o v a t i v e treatm e n t m e t h o d ? Baria t r i c T i m e s i s seeki n g s u b m i s s i o n s ! Case reports are short presentations of cases that stimulate research and the exchange of information, and illustrate new, unique, and/or innovative treatment methods or perspectives on the signs and symptoms, diagnosis, and treatment of a disorder. Specifications: • At least 15 current references are recommended • Illustrative material is preferred • Must include abstract and detailed discussion • Recommended length 1,000 to 3,000 words, not including references To submit a case report, contact: Angela Saba, Managing Editor, Matrix Medical Communications, Email: asaba@matrixmedcom.com, Phone: (484) 266-0702; Toll-free: (866) 325-9907 ALSO ACCEPTING VIDEO CLIPS WITH SUBMISSIONS. If accepted, your video clip could be included in the Bariatric Times digital edition with your case report.

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