Medical technology and advocacy in Washington

A historical perspective on advocacy groups that influence US government actions is presented. The targets of these groups in the executive branch, legislative branch, and outside agencies and advisory groups are discussed. These targets include the Department of Health and Human Services, which includes the Health Care Financing Administration and the Public Health Service; the Office of the Secretary, which encompasses the Secretary´s immediate staff, the General Counsel, and the Assistant Secretary for Planning and Evaluation; and the Office of Technology Assessment, which assists the Congress by providing it with objective analysis of major policy issues related to scientific and technological change. Six major keys to achieving effective advocacy are listed.<>