Advocacy

As future medical professionals, we see the real-life consequences of political decisions in emergency rooms, hospitals, and clinics. Despite a growing recognition that voting is directly linked to better health outcomes, however, health professionals are voting at lower rates than the national average. It’s time that we make a change this election.

We see patients denied essential services due to bureaucratic hurdles, such as insurance coverage gaps for life-saving medications or underfunded social and mental health service programs. As medical students and leaders of health in our communities, we have a responsibility to vote—not just for ourselves but for the people we serve.

The American Medical Association (AMA) recognizes voting as a social determinant of health. Communities with higher voter turnout often experience better health outcomes, yet many health care providers, including medical students, face challenges in turning out to vote. Busy schedules, unexpected emergencies, and the demands of our profession can create real barriers. We must break this cycle, and the remedy is early voting. By casting our ballots ahead of time, we can ensure that our voices are heard to better the health of our communities and patients.

Many of us have celebrated our family members finally gaining citizenship, only to see them struggle within a health care system full of obstacles. These are not isolated incidents; they reflect the broader experiences of disinvested communities whose voice at the ballot box can have a meaningful impact. The Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities face the brunt of harmful anti-immigrant narratives, echoing xenophobic sentiments that have long afflicted our communities that contribute to social isolation and negative health outcomes.

Yet, AANHPI advocacy has a rich history in the United States—from Japanese American activist Yuri Kochiyama, who fought for civil rights alongside Black leaders, to Native Hawaiian scholar Haunani-Kay Trask, who advocated for Indigenous sovereignty. In honoring their legacies, we recognize that voting is one of the most powerful tools we have to shape healthier communities and, in turn, a healthier democracy.

At the Asian Pacific American Medical Student Association (APAMSA), the largest student organization of AANHPI medical students and pre-medical students, we’ve made civic engagement a priority this year. Partnering with the non-partisan, non-profit organization Vot-ER we’ve implemented training among our over 4,000 members and participated in programs to help medical professionals get ready to vote and help their patients to vote. Today, we are calling on medical students and professionals, particularly within the AANHPI community and beyond, to close our voter turnout gap by voting early.

Health is always on the ballot, and this election provides a critical opportunity to create a health care system that works for everyone. By voting early, we take an essential first step toward realizing that vision of healthier and more equitable communities. Our role as future physicians extends beyond the clinic walls. During this election season, we must show up—not just for ourselves, but also for our patients and communities. Let’s ensure that our voices are heard by voting early in this and every election.

Make your early voting plan today.

Alexander Le, Annie Yao, and Victoria Shi are medical students.

Find the original posted OpEd here.

On Wednesday, September 4th, 2024, those at Apalachee High School in Winder, Georgia, witnessed a shooting that took the lives of four individuals and injured nine more. This is the 385th mass shooting and the 45th school shooting of the year in the country.

APAMSA remains staunchly opposed to gun violence (Resolution 40.006) and demands stricter gun control, and yet again emphatically states that there is a need for gun reform and control to prevent such acts from occurring. Underaged individuals, especially those with a history of threatening a mass shooting, should not be able to obtain assault weapons. We urge legislators to keep this pressing issue in mind as the 2024 election draws closer, to prioritize their commitment to such reform, and to listen to the voices of their grieving constituents. 

We mourn with the nation for the lives lost and interrupted by this tragedy. We offer our support to those affected and we encourage you to reach out if there are specific ways in which we can assist you.

For local support, please contact the Region 4 directors at region4@apamsa.org. 

On August 8th, 2024, Gov. Greg Abbott (R-TX) issued Executive Order No. GA-46, mandating Texas public hospitals to collect data on healthcare utilization by undocumented immigrants, including number of inpatient discharges, emergency services, and healthcare costs. Abbott justified the action by claiming that Texas has had to absorb increased healthcare costs associated with federal “open border” policies and seeks federal reimbursement for the expenditures. The action follows Abbott’s yearslong clashes with the Biden administration on immigration, with at least a dozen lawsuits fought between Texas and the federal government over the issue. 

The mandate does not impact legal access to care, which is protected under federal law regardless of one’s immigration status. However, a similar law enacted by Gov. Ron DeSantis (R-FL) earlier this year nevertheless impacted healthcare access negatively. Increased fear and apprehension among undocumented immigrants have led to a sharp decline in utilization of health care services in Florida, discouraging a population that already experiences disproportionate health disparities from receiving lifesaving preventive healthcare, emergency obstetric care, and more. Texas advocacy and community health groups fear a similar outcome. 

National APAMSA unequivocally supports immigrant health care access for undocumented immigrants, migrant health and safety, and protection of undocumented patients in our policy compendium (20.001, 20.002, 20.003). We strongly oppose Texas Executive Order No. GA-46 and the threat it poses to eliminating health disparities, achieving health equity, and increasing health care access—core values of our organization’s advocacy.

On April 18th, 2024, the New York Police Department (NYPD) arrested over 100 peaceful student protestors at Columbia University’s “Gaza Solidarity Encampment” in response to orders by university President Nemat Minouche Shafik. The arrests have ignited a nationwide movement of college students setting up similar encampments to protest US support for Israeli military action in Gaza and to call for divestment of school endowments from corporations that profit from war. 

Alarmingly, however, college administrators have continued to escalate against peaceful student protests with violent police suppression, disproportionate disciplinary action, and undue censorship. Administrator-ordered police intervention on several campuses has led to more than 800 arrests of students nationally, with many police officers using excessive force. At the University of Texas at Austin, Governor Greg Abbott called on state troopers clad in riot gear to stop peaceful student demonstrations, while at Emory University police officers and state troopers reportedly used pepper spray, rubber bullets and tear gas on students, tased attendees, and wrestled faculty to the ground. Since November 2023, administrators have employed multiple intimidation tactics to censor pro-Palestinian voices, including suspending students to facilitate police arrests, banning student chapters of Jewish Voice for Peace (JVP) and Students for Justice in Palestine (SJP), and even terminating physicians-in-training from residency programs.

National APAMSA condemns the brutal crackdown on academic freedom and free speech on college campuses across the country. We support statements made by organizations such as Asian Texans for Justice, Rise AAPI, Emgage Action, Stop AAPI Hate, the American Civil Liberties Union (ACLU), and Human Rights Watch (HRW). As a national medical student organization whose mission is rooted in principles of health advocacy, we stand in solidarity with all students exercising their constitutional right to free speech to advocate for human rights. As stated in a previous statement, National APAMSA unequivocally upholds the value of human life everywhere. We remain committed in our demand for a sustained humanitarian ceasefire in Gaza in light of the thousands of innocent lives lost, numerous attacks on healthcare workers and facilities, and restricted access to humanitarian aid.

We call on college administrators to resist political pressures to censor student voices and instead uphold academic freedom––encouraging students to engage in civil discourse on campuses without fear of punitive and disproportionate punishment. Removing peaceful protests using police violence under the guise of improving campus safety further endangers students and creates hostile learning environments. Reiterating previous statements, we likewise continue to condemn accounts of anti-Palestinian racism, antisemitism, and Islamophobia reported amid the protests. 

On March 19, 2024, Rep. Greg Murphy, MD (R-NC) introduced the Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act (H.R. 7725) to Congress. The bill would amend the Higher Education Act of 1965 (P.L. 89-329) to prohibit graduate medical schools from receiving federal funding, including student loans and federal research grants, if such schools adopt policies and requirements relating to diversity, equity, and inclusion (DEI). These policies include the maintenance of DEI offices and affinity groups, as well as the use of diversity statements. Rep. Murphy, the author of the bill and a practicing urologist, claims that DEI is a divisive and discriminatory philosophy that undermines medical education and results in a less qualified physician force. The bill comes amid an alarming nationwide political assault on DEI, as more than 80 bills restricting or regulating DEI in higher education have been introduced in 28 states and the US Congress since 2023. 

As an organization committed to addressing the unique health challenges of AANHPI communities, National APAMSA condemns the EDUCATE Act and will continue to support DEI policies in healthcare and health professions education alongside leading medical associations from across the country. APAMSA affirms that DEI neither exists in opposition to merit, nor does it jeopardize the quality of medical education––these are myths propagated to fuel a political agenda. While by no means perfect, campus DEI structures provide physicians in training the tools to address the health needs of an increasingly diverse population, providing learning environments that help students from various backgrounds overcome implicit biases that contribute to disparities in treatment and health outcomes. The evidence is abundantly clear: diversity in healthcare improves patient outcomes, and in effect creates a more qualified physician force.

National APAMSA unequivocally supports DEI initiatives in our policy compendium (Resolution 40.002) and in recent statements. Attacks on DEI in medical education clearly contradict a core tenet of our mission. We therefore reiterate our opposition to the EDUCATE Act and urge legislators to oppose HR 7725.