About the Campaign
The Campaign for Patient Access was launched by the American College of Cardiology in December 2009 as a national effort to reverse Medicare physician fee schedule cuts that threatened cardiovascular care. The site provided background on the issue, the ACC's legislative and legal response, resources for patients and practices, a newsroom tracking coverage across the country, and ways for supporters to share their stories and support the campaign.
From the Newsroom
Medicare Meltdown: Access to Health Care in "Critical Condition"
A press release warning that cardiology access was in critical condition due to Medicare payment cuts.
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Cardiology Takes Legal Action Against Medicare
The ACC filed suit against HHS Secretary Kathleen Sebelius over the 2010 Physician Fee Schedule.
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ACC Statement on Health Care Reform
The ACC used the State of the Union address to highlight the need to reverse the Medicare cuts.
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Medicare Patients and Physicians Join Petition Drive
Patients and physicians in Washington, DC joined a petition drive calling on Congress for Medicare reform.
Read moreHow to create shareable infographics about payment cuts
Payment cuts can sound abstract in a policy release, yet their effect is often felt through something very ordinary: a longer wait, a costlier consultation or fewer appointments. To create shareable infographics about the real-world impact of payment cuts, connect one policy figure to one patient consequence. Each panel should answer what changed, who is affected and what the reader can do.
In Australia, the starting point is usually the Medicare Benefits Schedule and the Medicare rebate for a consultation or procedure. Many GPs bulk-bill, while many cardiologists charge a fee difference, so the effect of a lower rebate depends on the service, insurer and practice. Public hospital clinics, private cardiology and telehealth can all belong to the same patient story.
The visual should be adapted, not imported. The American College of Cardiology’s Campaign for Patient Access illustrates a U.S. policy fight, but Australian readers need local terms, journeys and measures. A message written for Washington may need different imagery to resonate with people in Dubbo, Cairns or inner-city Melbourne, where access begins through a GP referral rather than a specialist appointment arranged directly.
Shareability depends on trust as much as visual punch. Sourced figures, careful language and a visible publication date determine whether patients, clinicians and decision-makers keep the graphic, question it or act on it. The best advocacy asset is simple enough to absorb in a queue, yet complete enough to withstand a fact-check and motivate a conversation with a health official.
Turn a policy change into a human story
Begin with one access journey rather than a list of complaints. Follow a patient from a GP referral in Bendigo to a cardiology consultation in Melbourne, then show what changes if the relevant MBS rebate falls. The chain could include fewer appointments, a larger fee, a longer trip or a switch to telehealth, but it must reflect the actual policy rather than imply every cut causes every outcome.
| Story element | Evidence to show | Best visual | Plain-English takeaway |
|---|---|---|---|
| Access | Waiting time for a non-urgent appointment | Before-and-after timeline | A funding change can become a longer wait |
| Travel | Distance and time to the nearest service | Simple route map | Distance can become a substantial burden |
| Affordability | Typical patient contribution | Paired fee examples | A lower rebate may be felt at the point of care |
| Equity | The same measure across regions | Side-by-side bars | Access problems are not experienced equally |
Select one row as the main story and treat the others as supporting evidence. A vertical path works well: policy change, practice response, patient effect and possible action. Add a baseline year and a location so viewers can compare like with like, rather than placing a national percentage beside an isolated local anecdote.
Before opening a design tool, write the takeaway in one sentence. If it cannot be expressed without jargon, the story is not yet clear enough for a public-facing visual. Use a plain-language caption to explain any clinical term that matters to the claim.
Ground the graphic in Australian evidence
Use evidence and language your Australian audience recognises. “Medicare rebate,” “MBS item,” “my script,” “the gap” and “out-of-pocket cost” are familiar parts of a health conversation, while “provider margin” may not be. Public-facing wording should connect the policy mechanism to what a person may actually encounter without pretending that a rebate change is identical in every setting.
The policy context still needs precision. The campaign’s formal campaign response shows how the American College of Cardiology framed its objections, including the link between reduced reimbursement and access. Use that as a model for connecting professional evidence with patient consequences, not as a source of Australian claims. Australian figures must come from Australian data and current policy settings.
Useful sources include Medicare claims data, Australian Institute of Health and Welfare releases, Services Australia reporting and state health department information. Record the extraction date and dataset because figures can be revised. Where local numbers are unavailable, say that clearly and use a national figure only with a labelled limitation rather than inventing a suburb-level estimate.
Design for scanning on a small screen
Design for the phone first. Advocacy graphics often move through email, Facebook groups, messaging chats and waiting-room screens before appearing on a large monitor. A portrait image around 1080 by 1350 pixels leaves room for a headline, four visual stages and source notes without shrinking a desktop slide into unreadable text.
Keep the hierarchy strict: one headline, one focal image, short labels and a final action. Aim for a small number of colours, large sans-serif type and generous spacing. On a map, highlight the route relevant to the patient rather than every road; on a chart, label the baseline and change directly. The visual should still make sense when viewed without narration.
Accessibility is part of shareability. Supply alt text, include captions for any embedded video, maintain strong contrast and never rely on colour alone. Check the export on several phones and with enlarged text. If photos carry the argument, obtain appropriate consent and avoid altering them in a way that changes what the patient experienced.
Make the consequences easy to measure
Real-world impact becomes credible when the graphic measures a change that a patient, practice or service can notice. Useful measures include waiting time, travel burden, appointment availability, telehealth use and out-of-pocket costs. Choose the measure that directly follows from the proposed change; a policy dispute is not strengthened by unrelated hospital statistics.
Show the pathway from input to outcome. Reduced reimbursement may affect staffing, equipment purchases, administrative capacity or the number of open sessions before it reaches the patient. Where the causal link is not established, use careful wording such as “may reduce” or “is associated with” rather than presenting a connection as proof. Label modelled scenarios as scenarios.
Geographic examples make the issue concrete without overgeneralising. A person near Dubbo may rely on a regional service or travel to a larger city, while a patient in a city may have several nearby options but still face a fee. Compare the same measure across places or time periods, and explain whether a distance reflects geography, workforce distribution or service design.
Protect accuracy while building shareability
Separate fact, interpretation and advocacy in the design process. Label sources directly on the graphic, use rounded figures only when that does not distort the point, and identify whether a percentage is relative or percentage-point change. A short methodology note can live on the landing page, but the image itself should never imply greater certainty than the evidence supports.
Original political material can offer design cues, but verify it before borrowing anything. When reviewing outside campaign examples, check the date and jurisdiction of each claim, the source behind every number, and whether an image is licensed for reuse. A polished layout cannot make an unverified claim credible, and another country’s policy cannot be presented as Australia’s.
Health information needs special care under the Privacy Act 1988 and the Australian Privacy Principles. Do not publish names, dates of birth, rare conditions or distinctive journeys that could identify a patient, even when a story feels anonymised. Use informed consent for identifiable material, explain how it will be used, and consider a composite clearly labelled as such when one experience must represent a common pattern.
Recommendations for publishing an access-focused infographic
Use the following checks before publication. They turn a persuasive visual into a reusable public-affairs asset that patients, practices and policymakers can understand and challenge.
- Choose one patient-access outcome, one audience and one Australian jurisdiction.
- Translate the policy change into a four-stage path from funding to patient experience.
- Put the date, denominator and primary source beside every important number.
- Test the graphic at actual phone size with a patient, GP and policy colleague.
- Complete privacy, consent, accessibility and clinical review before release.
- End with one realistic action and place it in the final panel.
Make the requested action specific. “Ask your federal MP or state health minister to support stable, predictable specialist rebates” is stronger than “share this graphic,” because it gives the reader both a destination and a policy position. Keep the wording factual, acknowledge any trade-off, and direct people to verified contact information rather than an informal or unmonitored inbox.
Distribution should be planned with the graphic. Send the accessible file to local cardiac patient groups, rural health networks, GP practice managers and relevant professional newsletters, then post it where patients already gather. Track views separately from actions such as emails to representatives or referrals to verified information.
Now create the final version, verify every source, publish it with alt text and a visible action, and circulate it to the people who can use it. Clear evidence earns attention; a clear ask gives that attention a purpose.
Campaign for Patient Access