The American Public Health Association hosted its 2024 Policy Action Institute (PAI) on June 17 and 18 in Washington, D.C. For those unfamiliar with the PAI conference, it is an annual APHA event held in DC to focus on policy solutions and advocacy for today’s most pressing health threats at the local, state and federal levels. The event attracts a healthy mix of students, professionals, and advocates interested in learning from policy experts and hearing stories of policy successes and challenges from their peers around the country.
This year, I had the privilege to represent VtPHA on the main stage, sharing lessons learned from the Vermont Statehouse’s new Public Health Caucus. For those unfamiliar with the Caucus, this article in APHA’s The Nation’s Health April edition provides a solid overview. (If you’d like to dig deeper into the Caucus’ first legislative season, visit our YouTube channel where you will find a playlist of all caucus meeting recordings.)
Over the course of the conference, I met with APHA state-affiliate leaders from across the country. Most striking to me from these conversations was the difference between our policy realities. While we all share common challenges related to affordability and access to care, insufficient mental health services, the scourge of opioids and other substance misuse epidemics, and the ongoing challenge of reducing the number of our community members struggling with chronic diseases, Vermont is in a much better “state” than many.
Rather than legislating roadblocks to women’s access to care, we enshrine reproductive rights in our state constitution. Rather than choosing to let friends and family members die from preventable overdose deaths due to stigma, we are beginning to explore how safe injection sites can save lives and facilitate greater harm-reduction. Rather than throwing our hands in the air and giving up on a rapidly rising rate of suicide, we overcome obstacles to pass common-sense legislation that makes it more difficult for people in crisis to access firearms.
Public health professionals will continue to face significant challenges in the coming years, but we should also take solace in the fact that we live in a state that gives public health advocates an opening for proposing solutions to difficult problems. The work is hard and ongoing. The outcome of our advocacy efforts is never certain. But it is good to know that in Vermont, we have a fighting chance.
I hope you will join VtPHA and our advocacy efforts as we continue to work with legislators across the state to find solutions to seemingly intractable public health challenges. Together, we will continue to make a difference.
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