Tag Archives: health care

There is a lot that is pretty cool about my new, full-time position at the university.

I mean, I get a parking pass. For real.

I love my students and my colleagues, and I love the magnolia tree outside my window.

I love that tree A LOT.

But the very best thing, hands down?

The review copies of books.

It’s like Christmas every time I have a new text to select for a class, and those catalogs are like treasure maps.

It’s hard to keep up with all of the good publications coming out, and my students would cry foul quickly if I tried to assign everything that I think is worth their time to read, but it’s still pretty incredible.

One of the books that I previewed for this semester’s Advanced Advocacy Practice course is The DeMarco Factor, a sort of case study of a particularly effective advocate for health investments and equity in Maryland. It’s so hard for my students to conceptualize what advocacy really looks like, and to think through how they can apply their social work skills to its practice, and so I think there’s great value in humanizing the whole endeavor.

It’s very readable and quite well-received, but here are some of the highlights, as you’re weighing whether it makes it on your summer reading list.

• Another point for social work relationship skills, in the advocacy context: There’s so much here about the importance of personal connections in moving policy, especially in the face of political and social odds. I feel vindicated, really, in my continual exhortations to my students that they were born for this. One observer calls DeMarco a ‘mythmaker’, capable of connecting with people so that they believe that they are capable of even the grandest political wins. If that’s not empowerment practice, I don’t know what is.
• It takes campaigns: What I appreciated most about this book is the demystification of the advocacy process, without ‘simplifying’ it. If anything, there’s an increased understanding of the sophistication needed to develop and execute an advocacy campaign, including the process of running a public awareness component to galvanize support and the development of an electoral strategy to influence who’s sitting in the decision maker seat. But it’s not smarmy or murky or opaque at all. It’s an intervention, not that dissimilar from the interventions that we implement all the time, to induce change. Again, we can do this.
• In building power (and you must), intensity matters: If we want to build enough power to induce policymakers to follow our prescriptions, we need far more than just public opinion on our side. We’ve really already met that threshold on a lot of our issues, and yet we’re clearly not winning many of them. What we need is fervent support, support that will convince elected officials that there will be a price to pay for failing to deliver. Policymakers will only listen when we make them. That is power.
• You can work your model, on issue after issue: That’s the core takeaway from this book, I think, given that the central figure–Vinny DeMarco–has successfully executed advocacy campaigns on a variety of progressive issues in Maryland. Using the same modus operandi, more or less, he distributes resolutions to get organizations on board, shops policy models that can test the political waters, demonstrates economic impact, works his relationships to build powerful alliances, and uses a combination of polling, grassroots agitation, and insider politics to get to the victory. It worked on gun control, tobacco control, health care reform…we can win on anything, with the right approach.
• We can be players: We may not all want to be power brokers the way DeMarco became. We shouldn’t. But there is more than one path to power. My favorite passage in the book, which I find really inspiring, is this: “It’s intimidating because you know that, no matter where you go in your district, or in your church, or in your world, you’re going to hear about his campaigns on behalf of the children and families of Maryland” (p. 45). To this, we should all aspire.

There’s no great utility in lionizing a particular advocate, and I don’t think that was the author’s intention with the book. What it says to me is that public interest advocacy is a noble profession and an art form, but one that can be studied and learned, to our own advantage as advocates and in service of the causes we care about.

I’m glad that there is a Vinny DeMarco, for the people of Maryland, and I’m glad to know about him, so that I can be the most skillful, powerful advocate I can, here in my own backyard.