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Why Ask Why?

By Mike Hess posted 01-05-2018 09:53

  
Originally published January 5, 2018 on LinkedIn.  Follow me there!

"There are no right answers to wrong questions."  - Ursula K. Le Guin

We respiratory therapists are a stubborn bunch. That often helps us provide excellent care, in the face of a system that doesn't always understand what we do or the value we provide. But almost as often, that same bull-headedness blindfolds us to answers that should be fairly obvious.

This week (as in most weeks), the question of professional membership arose in the respiratory Facebook world. The usual suspects came forth with the usual arguments for and the usual arguments against. If there was ever evidence that time is truly a flat circle, it exists in the endless threads of these types of posts.

But this time, I started to ask myself, "Why do we keep doing this?" While I agree that those of us involved in our various professional advocacy organizations must do a better job at outreach, transparency, and communication, the answers to the question of "why belong" has been answered and supported many times, in many ways. The evidence is out there, historical and current, but these answers still seem inadequate.

Then it hit me: The answers are inadequate, but not because they're inaccurate. It's the question that's wrong.

You see, the question of whether or not to belong to the AARC and/or your state affiliate posits a situation that does not exist. If you are a respiratory therapist, you ARE ALREADY a part of these associations. When the AARC succeeds, you as a therapist succeed. When it fails, you fail, too. These groups (along with the NBRC, and CoARC, and CoBGRTE) are our voice. For better or for worse, they represent your interests and needs at the state and federal level. They are your voice, and you are their responsibility. It then follows that individuals cannot consider themselves as being apart from these groups. There is no "us" and "them." The AARC is all of us.

Therefore, the question is not whether to belong or not. You do, whether you pay the fee or not. The question is how much input do you want? Do you think priorities are misaligned? Do you disagree with how things like lobbying or regulations are being handled? Do you want to have a say in changing those things? Or are you content to shout endlessly into the Facebook void, and complain when nothing changes?

The choice is still yours, but make sure you're considering the right set of options.

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08-26-2019 14:24

Hi, Jimmy! Thank you for your feedback. I think you raise some important and concerning points. First and foremost, if you're having difficulties with getting something you're supposed to get with your membership (like the magazine), I would encourage you to reach out to Amanda Feil, the AARC membership coordinator. I have found her to be an invaluable resource for tracking down things that have gone awry.

Your second point is, of course, a little more complicated. Being active in the COPD community, I wholeheartedly agree that rural health is wildly under-appreciated and under-prioritized throughout healthcare, including with AARC. However, we do have to be somewhat realistic; the vast majority of RTs currently work in the acute care setting, and so at the national level, it stands to reason that most offerings are going to appeal to the acute care audience in order to maximize value. I say that not as an excuse, but as a practical reason. Even with that, AARC does appear to be broadening their focus to include rural health topics; highlights in the last couple of years include promoting rural health webinars (http://www.aarc.org/nn19-webinar-rural-burden-of-copd/https://videocast.nih.gov/summary.asp?Live=27323&bhcp=1) and a write-up of rural health RT experiences (http://www.aarc.org/reaching-rural-patients/). And, of course, rural COPD patients stand to gain a great deal from the current telehealth initiative. Is it enough? I would argue no, but again I share your bias in favor of this topic. 

This might be an excellent opportunity to work with your state affiliate, as states with higher proportions of rural folks will likely be prioritizing these topics much higher than more urban areas. In addition, this is probably something the Post-Acute section should be taking a closer look at going forward; I would encourage you to reach out to the chair and make sure he's aware of your concerns. I would absolutely endorse more programming addressing the needs of rural communities, and I offer whatever I support I can provide in helping bring that about!

08-26-2019 11:56

​I feel this author is wrong on nearly every point he attempts to make. I have paid into the AARC for years, and I still cannot even get the magazine that comes with membership! I'm still waiting for any conference that has anything to do with my spectrum of care (rural health), but despite writing it on every survey I've done after a conference. Why not? That's why not.

06-08-2018 10:24

Thank you!  I encourage you to read (and hopefully share) a more fully-evolved version of this piece in this month's AARC Times: https://editions.mydigitalpublication.com/publication/?i=495915#{%22issue_id%22:495915,%22page%22:24}

06-07-2018 17:04

You caught my attention and I enjoyed this fresh perspective. I plan to share with students at our next graduate seminar. Thank you!