This episode we head to North Dakota, a place that is extremely flat, very windy, and filled with some of the kindest humans I’ve ever met, including Dr. Erik Heitkamp, a hospitalist in Fargo, and Courtney Koebele, the Executive Director of the North Dakota Medical Association. Together, we dig into what physician advocacy actually looks like at the state level, not the cable-news chaos, but the real work: drafting bills, educating legislators, protecting hospital workers, fighting bad vaccine legislation, improving prior authorization laws, and making sure evidence-based medicine still has a seat at the table. We talk about why doctors often feel hesitant to get involved, why advocacy doesn’t actually require that much time, and how telling one patient’s story can change policy faster than a stack of statistics. We also get into recording patients, AI charting consent, scope-of-practice battles, rural medicine realities, and why state medical associations might be one of the last places healthcare progress is still happening. If you’ve ever felt overwhelmed by the state of healthcare, this episode is your reminder that wins are still happening… just closer to home than you think. Takeaways: Advocacy Isn’t Politics: It’s education, storytelling, and showing up when legislation affects patient care. State-Level Wins Are Real: Prior authorization reform, hospital worker protection, and evidence-based vaccine policy actually passed. Stories Beat Statistics: One patient story can change a law faster than a spreadsheet. Modern Threats to Trust: Recording doctors, AI charting, and social media are reshaping clinical encounters. Getting Involved Is Easier Than You Think: Sometimes it’s just joining your state medical association and speaking up once. Want more Dr. Erik Heitkamp & Courtney Koebele? Facebook: https://www.facebook.com/NDMEDASSN Twitter: https://x.com/NDMedAssn LinkedIn: https://www.linkedin.com/company/north-dakota-medical-association Instagram: https://www.instagram.com/ndmedicalassn https://www.ndmed.org/ — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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