``A Vision For Health Care'' Commencement Address By Senator Richard T. Moore
Madam Speaker, my friend, Senator Richard T. Moore was honored recently at the commencement of the New England College of Optometry. I wanted to share his remarks, as his address justly paid tribute to the school, its faculty, and…
Madam Speaker, my friend, Senator Richard T. Moore was honored recently at the commencement of the New England College of Optometry. I wanted to share his remarks, as his address justly paid tribute to the school, its faculty, and graduates for their commitment to public service.
A Vision for Health Care
President Chen, Chairman Manfredi, Vice Chairman Ferrucci
(my friend and personal Optometrist), Members of the Board of
Trustees, parents, alumni, friends, and most especially, my
fellow graduates of the Class of 2009 . . . I'm honored to
share in your celebration today and to receive a degree from
this prestigious institution with its well-deserved
reputation for improving access to care, enhancing the
quality of life by preventing blindness, and developing
innovative, economically viable models of eye care.
Visus per mentem, vision through the mind, has long been
the motto of this great College. It is a phrase that reflects
a sincere commitment to learn the skills and knowledge
necessary to serve others, as well as a deeply felt belief
that you can help people to see the world with more clarity
and purpose--to give in a way, the gift of sight--or at least
improved vision. Hopefully, your clinical experience working
at the New England Eye Institute and in community health
centers and school or elderly vision clinics, has kindled in
you to a desire to devote some portion of your time, treasure
and talent to bring quality eye care to the underserved of
our society.
Few, if any of you, in the Class of 2009 could have
attended New England College of Optometry for four or more
years without deriving from your studies, from your
outstanding instructors and most of all from your own inner
hearts some sense of inspiration and idealism as well as an
appreciation of your social responsibility as a newly-minted
health care professional.
Continue the Legacy of Community Service
Graduates of New England College of Optometry who preceded
you have blazed a trail of community service through vision
research and care that is almost legendary! They left an
inspiring legacy upon which you and your classmates can now
build. With your OD degree in hand, challenge yourselves to
follow in the footsteps of exemplary alumni such as Charlie
Mullen OD ``69 (who addressed you a few moments ago) and
Kenneth Myers OD ``74, who firmly established vision care as
a focus of the U.S. Veterans Administration. Their pioneering
work is, today, helping wounded veterans of the wars in Iraq
and Afghanistan to see beyond the trauma of war and return to
productive lives in our communities.
Then, there's Edward Goodnig OD ``76. He brought his
knowledge and skills to underserved regions expanding primary
care opportunities for Alaska's Native American settlements
and schools. You may also know of Frank Thorn OD ``79,
today's Commencement Marshal and an expert on the causes and
development of Myopia, who has shared his professional
knowledge and restless energy from this campus on the banks
of the Charles River to remote villages in the Amazon Rain
Forest and--in Marco Polo fashion--from Europe to China.
Their exciting and fulfilling careers, chronicled in the
College's 2008 Annual Report, offer a glimpse of the
potential that awaits you as today's graduates.
Such stories of successful graduates can teach, they can
offer hope, they can provide inspiration. But they cannot
supply the courage to follow your own path. For that each of
you must look into your own hearts. Accept your degrees today
with the same pride, enthusiasm, and commitment that launched
those pioneers of Optometry into rewarding lives of caring
service.
Continue to Learn and Share Knowledge
Never be too busy to keep from learning how to better serve
your patients. That includes sharing your real world
knowledge of your patients and the condition of their eyes
with those involved in academic research here at New England
College of Optometry and elsewhere. It also means staying
informed about the rapidly changing science of your
profession. Each of you, my fellow graduates, as our newest
health care professionals, have a responsibility to continue
your education by maintaining competency in vision care and
in the technology necessary to deliver the best quality of
care to all who seek better vision.
Whether your career takes you to remote regions of America
or the world, or takes you back to wherever you may call
``home,'' remember one of the basic concepts that you learned
here in the Back Bay, that eye care professionals are an
integral part of the team of primary care providers, and
deserve to be treated with the same degree of
professional respect as any other health care
professional! In this era of health care reform, each of
you will play an essential role in not only diagnosing and
treating conditions of the eye, but you will also serve as
part of the team of professional caregivers who assist and
support each other for the benefit of every patient.
Massachusetts as a Model for the Nation
For the past four years, as each of you have been immersed
in becoming competent, dedicated vision care professionals in
the classrooms at 424 Beacon Street, I've been learning the
lessons of health care reform about a mile away in the State
House meeting rooms at 24 Beacon Street. The grades are now
in, and the results are clearly informing the growing
national debate on health care. Massachusetts is leading the
way in health care reform! We are:
First in the nation in health care access.
First in electronic health records and e-prescribing.
In the forefront of patient safety, quality improvement,
and cost containment.
Leading the way in prescription drug ethics.
In just three years, 432,000 Massachusetts residents, who
were previously un-insured, have gained access to health care
and the many stories of lives saved or improved are truly
heart-warming.
Optometry's Contribution to Health Reform
One of the challenges facing Massachusetts and the Nation
in fully realizing the health improvement and cost savings
benefits of health care reform is the need to expand patient
access to primary care. It is just as important--and less
expensive--to keep people healthy, as well as to treat those
who are ill. We have made great progress in expanding access
to health insurance for the people of Massachusetts, but
there is still an unmet need for easy access to primary care
providers. I believe that optometrists, such as each of you,
are ready--even anxious--to help to fill some of that void.
To address this challenge, those who pay for health care
need to embrace new payment models that support wellness as
well as coordinating care for those who suffer from illness,
injury or less than good health. Any such wellness effort
needs to include regular screening--such as vision
screening--and be coordinated with health information
technology such as through a centralized vision care
registry.
Major stakeholders in health care reform obviously include
the physician community. The Massachusetts Medical Society,
the oldest, continuously operating state medical society in
the United States, is the primary voice of physicians in the
development of public policy. However, it sometimes seems to
me that the society's policy positions have evolved far more
slowly than the progress of science itself.
An old baseball player once said, ``I don't question the
integrity of an umpire, just his eyesight.'' Similarly, I
don't question the integrity of our state medical society,
just their vision! As fewer medical doctors enter the field
of primary care, the medical profession needs to embrace
other health professionals who, with appropriate training
such as that provided by the New England College of
Optometry, can do much to provide safe, cost-effective care
for patients needing attention.
It's high time for all Massachusetts physicians to rise
above the tradition-bound guild-mentality that confounds
health care progress, and respect the education and
experience of all health professions in treating the whole
person. It's time for Massachusetts to embrace treatment
regimens for optometrists that are already fully accepted in
49 other states, if we are to offer quality care that is
convenient and affordable for patients. You, the Class of
2009, must make your voices heard as that debate unfolds!
It was Robert Kennedy who once challenged an earlier
graduating class at another college--``to decide, as Goethe
put it, whether you will be a hammer--or an anvil. The
question is whether you are to be a hammer--whether you are
to give to the world in which you were reared and educated,
the broadest possible benefits of that education.'' So I
challenge you to get involved in writing the health care
policy of your generation--be a hammer!
A Vision for Health Care in America
You are graduating at a most exciting time in health care!
As you begin your professional careers in vision care, health
reform is about to take center stage in the national arena.
National health reform is likely to include minimum standards
for benefits, an individual insurance mandate, a guaranteed
issue requirement for health insurance, a prohibition on
excluding coverage of pre-existing conditions, the creation
of an insurance exchange where people can sign up for
coverage--all factors that are included in the Massachusetts
health reform effort.
If we view health reform through the lens of the ongoing
Massachusetts experiment, there are some fundamental
principles to anchor the national effort.
1. Each of us has an individual responsibility to take care
of our health--including screenings and check-ups, as well as
maintaining health insurance to help pay for our care and
that of our families.
2. Each of us has a collective responsibility, as citizens
of a caring society, to support public policies that
guarantee access to safe, high quality, affordable and
patient-centered health care for everyone in society.
3. Each of us, in the field of health care, has a
professional responsibility to strive for the highest level
of competency, to ensure that we, and our colleagues in the
patient care team, deliver the right care at the right time
and in the right place.
These principles can serve as a shining beacon for health
reform in the nation, much as this Commonwealth led the
nation in propagating the principles of democratic
government, social progress, and educational excellence
throughout its proud history.
Massachusetts'' first Governor, John Winthrop, wrote in
1630 about the social experiment being launched in this New
World. He called upon his Puritan brethren and all their
descendants to share their resources and gifts with others,
``rejoice together, mourn together, labor and suffer together
so that--``the world will say of succeeding plantations, may
the Lord make it like that of New England . . . we shall be
as a city upon a hill. The eyes of all people are upon us.''
Sharing our gifts with others is the cornerstone of health
care reform in Massachusetts and, I hope, it will be your
personal cornerstone in your health care careers as well.
Truly, the eyes of all people in America are focused on the
Massachusetts health reform experience as a framework for
bringing expanded access to quality care to all Americans.
But that's not all we're contributing to health care. This
morning, Massachusetts is sending forth from this city upon a
hill, a new class of highly skilled, and energized health
care professionals with their degree in optometry in hand!
While past experience may teach us to be skeptical of the
promises of any politician, to those of you who will dedicate
your health care careers to the betterment of your state and
all her people--I can promise a lifetime of challenge and
opportunity, sometimes exciting and rewarding, sometimes slow
and difficult, but always, always worthwhile.
And let me add one final bit of parting wisdom: No one ever
injured his or her eyesight by looking on the bright side of
things! The economy will improve! You'll earn a good living!
And those of us in government can't wait to share in your
success every April 15th!