Warm-toned photograph of a stethoscope resting on a wooden desk beside medical charts, conveying a serious healthcare setting

A national public affairs campaign launched by the American College of Cardiology in December 2009 to oppose Medicare physician fee schedule cuts affecting cardiology patients and practices.

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

Capitol building dome against a pale sky, conveying federal policy and legislative action
April 30, 2010

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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Gavel on a dark wooden bench in a courtroom setting, suggesting legal proceedings
December 29, 2009

Cardiology Takes Legal Action Against Medicare

The ACC filed suit against HHS Secretary Kathleen Sebelius over the 2010 Physician Fee Schedule.

Read more
A stack of newspapers with a muted gray and off-white palette, suggesting breaking health policy news
January 12, 2010

ACC Statement on Health Care Reform

The ACC used the State of the Union address to highlight the need to reverse the Medicare cuts.

Read more
A wide shot of a diverse group of healthcare professionals and advocates gathered around a conference table, deep in discussion
April 12, 2010

Medicare Patients and Physicians Join Petition Drive

Patients and physicians in Washington, DC joined a petition drive calling on Congress for Medicare reform.

Read more

Host a Virtual Advocacy Day for Cardiology Access

Hosting a virtual advocacy day for patient access to cardiology services gives patients, clinicians and supporters a shared platform for speaking about timely care. Because everyone joins online, the event can include people in regional and remote Australia, carers and supporters who cannot attend a capital-city meeting.

The Campaign for Patient Access, launched by the American College of Cardiology, provides useful background. Created to oppose Medicare physician fee schedule cuts in the United States, it shows how policy information and patient testimony can work together. Its reporting and advocacy material can be reviewed in the campaign newsroom.

Australian events must fit the local system. Medicare and the Medicare Benefits Schedule are federal, while public hospitals are funded and operated by states and territories. Many patients move from a GP referral to a public outpatient clinic or private cardiology practice, and access can also depend on transport, waiting lists, rebates and telehealth rules.

A strong event connects those realities to one achievable request. It should show what is happening, identify the decision-maker with power to respond and give participants a practical way to act. Patient experiences, workforce evidence and current policy information should reinforce one another.

Set one clear Australian advocacy goal

Start with one request, such as reversing a proposed Medicare change, improving public cardiology waiting times or supporting rural telehealth. Tie it to a named decision-maker and a defined date. Avoid combining several causes in a broad appeal that no participant can explain clearly.

Map the people responsible for the issue. A federal MP or health minister may lead a response involving Medicare or the MBS, while state health departments influence public hospital appointments and specialist services. Local members and patient advocates can also raise awareness within their communities.

Before promoting the event, confirm whether the policy is proposed, enacted or under review and distinguish legal, legislative and administrative responses. Collect reliable figures on referral pathways, waiting times, travel distances, out-of-pocket costs and cancelled appointments. These facts will give patient stories a credible policy context.

Build the message around access

Use language familiar to Australian participants. People may describe a cardiologist as “cardio”, refer to a routine appointment as a “heart check”, or discuss whether a GP is “bulk-billing”. Phrases such as “getting seen sooner” and “a fair go to timely cardiac care” can open a discussion, provided the final message remains precise about the requested action.

Frame each patient account around a simple sequence: the initial symptoms, the referral, the delay or barrier, the effect on daily life and the policy change needed. A patient does not need to disclose every medical detail. With consent, a trained host can read the account while another speaker explains the broader issue.

Reflect the diversity of access barriers without exaggerating them. A regional patient might rely on Medicare telehealth after travelling a long distance to a hospital. An urban patient may wait months for a public clinic, pay a private consultation fee or receive specialist care sooner through private insurance. Clinicians and patients should check examples against local data before presenting them as representative.

Design a practical virtual program

Choose a platform that supports screen sharing, live captions, moderated questions and a telephone option. Schedule the event around Australian Eastern Standard Time, and publish the corresponding local time for each capital city and regional centre. A simple registration page should collect only the information needed to send joining details.

Build a focused 60- to 90-minute program. Begin with a welcome from the host and a short explanation of the advocacy goal. Follow it with a patient story, evidence from a cardiologist or practice manager, an explanation of the policy response and an audience discussion. Close with specific actions and the name of the organisation responsible for following up.

Make participation possible across different locations and circumstances. Offer a dial-in number, provide captions, keep slides readable on small screens and allow questions through text rather than audio alone. Regional participants may have limited bandwidth or share a household connection, so a telephone route can prevent them from being excluded.

Compare the available event formats

The right format depends on the campaign’s reach, budget and advocacy objective.

Format Best fit Main requirements Main limitation
Virtual Broad national participation Platform, host, moderator and technical rehearsal Interaction may weaken without active facilitation
Hybrid Strong local presence plus remote access Venue, audiovisual support and an on-site moderator Higher cost and more technical coordination
In person Intensive discussion with a local group Suitable venue, equipment and catering Limits attendance and increases travel
Recorded Time zones and ongoing campaign use Speaker preparation, editing and accessible materials Less opportunity for immediate discussion

A live virtual program is usually the most practical way to connect patients, clinicians and decision-makers across Australia. It also creates recorded material for later use, provided participants consent to publication.

A hybrid event can work well when an established local organisation convenes patients in a community centre while specialists join online. Assign one moderator to each setting and test every connection beforehand. Avoid allowing the venue and remote platform to compete for speaking time.

Prepare speakers and patient stories

Give every speaker a short briefing covering the objective, the agreed policy message, the schedule and the privacy requirements. Patient contributors should understand whether their names, images and recordings can be used. Offer the option to participate without appearing on camera, and never pressure someone to disclose a diagnosis or personal experience.

Help cardiologists and practice staff translate specialist concerns into plain language. A presentation might explain that a lower MBS rebate can affect practice sustainability, that public outpatient waiting lists require state investment, or that limited telehealth options create additional barriers for rural patients. The claim should be accurate, sourced and connected directly to the campaign’s request.

Rehearse transitions, microphone use and time limits. Prepare answers for predictable questions, but allow experts to decline requests for individual medical advice. Keep a moderator available to redirect inappropriate questions and respond sensitively when a speaker becomes distressed. Local patient representatives should also help identify which examples feel respectful and relevant.

Coordinate outreach and follow-through

A virtual advocacy event depends on deliberate recruitment before the broadcast and organised follow-up afterwards.

Build informed participation:

  • Confirm the policy goal and spokesperson before sending invitations.
  • Share registration details through patient, cardiology and primary-care networks.
  • Invite federal, state and local representatives with relevant portfolios.
  • Contact community media and local Heart Foundation representatives.
  • Send a reminder with the agenda, time zone and telephone option.

Turn participation into action:

  • Provide a ready-to-send message for elected representatives.
  • Invite patients to share a story using a secure consent process.
  • Offer a public petition, email template or meeting request.
  • Direct attendees to verified campaign resources and contacts.
  • Ask participants to share the event with trusted community networks.

Track registrations, attendance, questions, stories submitted and advocacy actions completed. Separate numbers that describe the event from numbers that demonstrate access to care. A short debrief after the session can reveal which messages resonated, which questions remained unanswered and where further local evidence is needed.

Invite support and keep the campaign moving

Thank participants while the issue is still current. Publish a recording, transcript, fact sheet and clear summary of the campaign’s request, subject to each speaker’s consent. Give supporters one link to the most useful action and explain what the organisation will do with stories, questions and messages sent to decision-makers.

Build relationships beyond the broadcast. State and territory health departments, public hospital consumer liaison teams, rural health networks, Heart Foundation contacts and professional cardiology associations can each support a different part of the campaign. Schedule a 30-day update to share responses from decision-makers, announce the next action and recognise patient contributions.

Host the next virtual advocacy session with a clear ask, credible Australian evidence and accessible participation options. Mobilise patients, clinicians, practice teams and community organisations to protect access to cardiology services, then turn that shared concern into coordinated advocacy for timely care.

A close-up of a handwritten letter on paper beside a pen, warm natural light, soft cream and muted gray tones

Share Your Story

Tell us how Medicare cuts affected access to cardiovascular care. Stories could be reviewed and submitted to local news outlets as part of the campaign's outreach.