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 working with legislators and government officials. 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 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 Americans.

The OAC encourages you to become an advocate for change.

Accessing Weight-Loss Surgery in Connecticut

In the past several months, most healthcare insurers covering citizens of the state of Connecticut have begun a disturbing trend of eliminating insurance coverage for bariatric surgery (weight-loss surgery). The OAC believes that this decision negatively impacts the quality of health and life of the citizens of Connecticut by denying them access to needed medical care. Morbid obesity is a complex disease that requires treatment. The surgical treatment of morbid obesity 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 Connecticut that endangers the long-term health of many of the citizens of Connecticut.

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. This issue is very important. Everyday, we read about the impact that 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 Connecticut.

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 who get 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 or you may download an electronic version to send via e-mail by visiting the OAC Web site at www.obesityaction.org.

• Write, e-mail, visit or call your legislators and the 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 Connecticut officials and legislators. In addition, we encourage you to contact your district’s representatives. To find your representatives, visit the "Educate Legislators" page on the OAC Web site.

Governor M. Jodi Rell
Office of the Governor
210 Capitol Avenue
Hartford, CT  06106
governor.rell@po.state.ct.us
Telephone:  (860) 566-4840

Commissioner Susan Cogswell
State of Connecticut Insurance Department
P.O. Box 816
Hartford , CT 06142-0816
susan.cogswell@po.state.ct.us
Telephone:  (860) 297-3801

Commissioner J. Robert Galvin, MD, MPH
Department of Public Health
410 Capitol Avenue
Hartford , CT 06106
robert.galvin@po.state.ct.us
Telephone:  (860) 509-7101

Senator Joe Crisco
Chair of Senate Insurance Committee
Legislative Office Building Room 2800
Hartford, CT 06106-1591
crisco@senatedms.ct.gov
Telephone:  (860) 240-8600

Senator Mary Ann Handley
Chair of Senate Public Health Committee
Legislative Office Building Room 3000
Hartford, CT 06106-1591
Handley@senatedems.ct.gov
Telephone:  (860) 240-0567

Representative Brian O’Connor
Chair of House Insurance Committee
Legislative Office Building Room 2802
Hartford, CT 06106
brian.occonor@cga.ct.gov
Telephone:  (860) 240-8500

Representative Peggy Sayers
Chair of House Public Health Committee
Legislative Office Building Room 3004
Hartford, CT 06106-1591
peggy.sayers@cga.ct.gov
Telephone:  (860) 240-8500

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

• If you are a post-bariatric surgery patient, please share in your letter the difference bariatric surgery 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 seeking weight-loss surgery, detail why you are interested in surgery, what health complications you are currently experiencing and how they affect your quality of life.

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

• Publicly question why many Connecticut insurers terminated access to weight-loss surgery.

• More than 680,000 residents of Connecticut are considered obese.

• Approximately 170,000 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.

• 19.7 percent of the Connecticut population (who are obese) accounted for $856 million in medical costs related to their obesity.

• 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.

• 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 in Connecticut.

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

• 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 for 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.

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 (Senator, Representative, Commissioner, etc..), In your first paragraph, mention the following points: 1. You are writing to request their assistance in restoring access to bariatric (weight-loss) surgery in the state of Connecticut. 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