A Patient’s Guide to Advocating for Improved Access to Weight-Loss Surgery and Obesity Management Services in Missouri
(Please click here for a PDF version)

The Importance of Advocacy

Advocacy is defined as the act of pleading or arguing in favor of something, such as a cause, idea or policy. Advocacy comes in many forms. This guide will specifically highlight how to effectively work with elected and appointed officials as well as other members of government. For more information on other types of advocacy, request the Obesity Action Coalition’s (OAC) publication, “Your Voice Makes A Difference. A Guide On How You Can Help Fellow Patients Affected By Obesity.”

Elected and appointed United States officials at the local, state and federal level play a significant role in our society and healthcare. Often, the laws they create or administer directly influence our day-to-day lives or regulate the medical treatments we receive. However, the majority of elected and appointed officials know little about obesity, its effects and treatments. The OAC seeks to increase awareness among our elected officials by encouraging those affected by obesity to become advocates.

As an American, it is your right to build relationships with your elected officials and to advocate for positive change. It is through the voice of patients, family members and medical professionals that legislators and other officials learn how current, pending and future laws and regulations impact obese Americans.

The OAC encourages you to become an advocate for change.

Accessing Weight-Loss Surgery and Other Obesity Management Services in Missouri

Some healthcare insurers, including the state employee plans (MCHCP), covering citizens of the state of Missouri exclude insurance coverage for bariatric surgery (weight-loss surgery) and obesity management services. The OAC believes that the exclusion of bariatric surgery and obesity management services negatively impacts the quality of health and life of the citizens of Missouri by denying them access to needed medical care. Morbid obesity is a complex disease that requires treatment. The medical treatment of morbid obesity (through surgery or medical weight management programs including physician-supervised weight-loss and medical nutrition therapy) decreases mortality, improves or resolves obesity-related illnesses and improves quality of life. Denying patients and their physicians proven options for treatment is an ill-advised, short-term economic decision by insurers in Missouri that endangers the long-term health of many of Missouri’s citizens.

Call to Action

The OAC requests that you educate your state legislators as well as the other key state officials, listed below, about the importance of insurance coverage for weight-loss surgery and obesity management services. Everyday, we read about the impact obesity has on our society, and now it is time for those affected by obesity to come together and demand improved access to treatment in Missouri.

Anyone can be an advocate. Here are a few suggestions on what you can do.

• Share this information with family, friends and support groups and encourage them to get involved.  The more individuals involved, the stronger our voice.  Feel free to make copies of this guide, call the OAC National Office at (800) 717-3117 for additional copies.

• Write, e-mail, visit or call your legislators and other key officials listed in this guide.

• Let your employer know about the need for bariatric surgery and obesity management coverage through your human resources department and/or union representation.

• Keep the OAC informed of your actions.  Did you write or e-mail your legislator?  Did you post a link to this guide on your Online support group?  Let us know by mailing or e-mailing us a copy of your letter or message. 

The OAC has targeted the following Missouri officials and legislators. In addition, we encourage you to contact your district representatives. To find your local representatives, visit www.obesityaction.org.

Governor Matt Blunt
Office of the Governor
Room 216, State Capitol Building
Jefferson City, MO 65101
Phone: 573-751-3222
mogov@mail.state.mo.us

Director Dale Finke
Missouri Department of Insurance
PO Box 690
Jefferson City , MO 65102-0690
Phone: 573-751-4126
Fax: 573-751-1165
askmdi@mail.state.mo.us

Director Julie M. Eckstein
Department of Health and Senior Services
PO Box 570
Jefferson City , MO 65102
Phone: 573-751-6400   
Fax: 573-751-6041
info@dhss.mo.gov

Representative Robert Wayne Cooper, MD
Chairman, Health Care Policy Committee
Member, Board of Trustees MCHCP
201 West Capitol Avenue Room 234
Jefferson City , MO 65101
Phone: 573-751-1119
Fax: 573-526-9803
Wayne.Cooper@house.mo.gov

Representative Brian David Yates
Chairman, Insurance Policy Committee
201 West Capitol Avenue Room 235
Jefferson City , MO 65101
Phone: 573-751-0907
Fax: 573-526-1776
Brian.Yates@house.mo.gov

Senator Norma Champion
Chair, Aging, Families, Mental and Public Health Committee
State Capitol Building
Room 219
Jefferson City, MO 65101
Phone: 573-751-2583
Fax: 573-526-1305
normachampion@senate.state.mo.us

Senator John Loudon
Chair, Small Business, Insurance & Industrial Relations Committee
State Capitol Building
Room 422
Jefferson City, MO 65101
Phone: 573-751-9763
Fax: 573-522-3379
www.senate.mo.gov/webmail/mail_form.aspx

Representative Sam Page
Member, Board of Trustees MCHCP
201 West Capitol Avenue Room 135BB
Jefferson City , MO 65101
Phone: 573-751-9762
Fax: 573-526-1987
Sam.Page@house.mo.gov

Senator Delbert Scott
Member, Board of Trustees MCHCP
State Capitol Building
Room 221
Jefferson City, MO 65101
Phone: 573-751-8793
Fax: 573-526-8793
www.senate.mo.gov/webmail/mail_form.aspx

Senator Charles Wheeler, MD, JD
Member, Board of Trustees MCHCP
State Capitol Building
Room 334
Jefferson City, MO 65101
Phone: 573-751-2788
Fax: 573-751-9776
www.senate.mo.gov/webmail/mail_form.aspx

Below, please find some suggested topics, facts, do’s, don’ts and a sample letter.

• If you are a post-bariatric surgery patient or have participated in an obesity management program, please share in your letter the difference your weight-loss has made in your life from both a quality of life and health standpoint. For instance, if you are no longer a diabetic, you now take a reduced number of medications and/or no longer suffer from sleep apnea. Your personal story is powerful.

• If you are a state of Missouri employee, please include this information.

• If you are seeking weight-loss surgery or obesity management, explain your personal preparation, what health complications you are currently experiencing, how they affect your quality of life and the burden placed on you by the exclusion of weight-loss surgery and obesity management services by Missouri insurers.

• If you are a family member or friend of a weight-loss surgery or obesity management patient, detail the difference weight-loss has made in your family member/friend’s life or how much they would benefit from receiving these services.

• Publicly question why many Missouri insurers deny access to weight-loss surgery and obesity management services.

• More than 1,432,900 residents of Missouri are considered obese.

• Approximately 300,000 are morbidly obese (more than 100 pounds overweight).

• Individuals who are obese have a 50-100 percent increased risk of premature death from all causes, compared to individuals with a healthy weight.

• More than $1.64 billion is spent annually on the medical expenses associated with obesity in Missouri.

• Extends the lives of patients.

• Causes significant weight-loss.

• Decreases the incidence and costs of obesity-related diseases, such as diabetes (completely resolved in 76.8 percent of patients), hypertension (resolved in 61.7 percent of patients) and sleep apnea (resolved in 85.7 percent of patients).

• Improves the quality of life of the recipients.

• Medicare recently reviewed coverage and after extensive review, expanded access to bariatric surgery.

• For more facts, see the OAC publication, “Fact Sheet: Why it makes sense to provide treatment for obesity through bariatric surgery.”

• Write legibly and be brief and to the point. Short letters (one-page) are the most effective.

• Mention the exclusion of bariatric (weight-loss) surgery and other obesity management services in Missouri.

• Give your reasons for opposing the exclusion of weight-loss surgery and other services.

• Be courteous and reasonable.

• Be sure to address the individual by the correct title.

• Include all of your contact information.

• Double check your information for accuracy.

• Use correct grammar and complete sentences.

• If typing your letter, remember to use a spell check feature.

• Include your personal story.

• Write a follow-up letter thanking the individual.

• Try not to be longwinded.

• Avoid a righteous tone.

• Avoid abbreviations.

• Refrain from apologizing for writing or taking valuable time.

• Do not threaten anyone.

• Try not to mention more than one issue per letter.

• Do not demand anything from the individual.

• Avoid form letters.

• Do not refer or allude to politics as sleazy or dishonorable.

Below, please find a sample letter that will help you get started.

Below, please find a sample letter that will help you get started: Your Full Name Your Full Address Your City, State and Zip Your Phone Number with Area Code Current Date The Honorable (Insert Legislator or Public Official Name Here) Legislator or Official’s Address Legislator or Official’s City, State, Zip Dear Title (Governor, Senator, Representative, Commissioner, etc.), In your first paragraph, mention the following points: 1. You are writing to request their assistance in improving access to bariatric (weight-loss) surgery and obesity management services in the state of Missouri. 2. Discuss how this specific issue affects you and your family. In your second and third paragraphs, mention the following items: 1. Further elaborate how the issue affects or has affected you. 2. Share your personal connection with the issue in question. (Remember to remain brief. A short letter can accomplish just as much as a long one.) In your last paragraph, discuss the following closing items: 1. Urge them to help restore access to obesity management services. 2. Request that the individual write you back, informing you on their position regarding the issue. 3. Thank the individual. Sincerely, Your Full Name