April 2008

Organization Issue

Sue Lani Madsen, AIA, EMT

Sue Lani Madsen is an Edwall based architect, rancher, volunteer EMT, and Candidate for State Representative, 7th District.

Organizations And Associations Matter

Our organizations and associations do matter. The Washington Rural Health Association (WRHA) has had a profound impact on my life, drawing me into public health policy issues that I never imagined would burn with such passion. I want to thank the Washington Rural Health Association for the opportunity to serve on the Board and for the honor of serving as your President. WRHA provides a voluntary structure for all the voices of rural health to speak up, to disagree, and to work towards consensus for the good of our communities.

Voluntary philanthropic and charitable associations are a long established American phenomenon, first noted by Alexis de Tocqueville over 170 years ago. In the book “Who Really Cares?” by Arthur C. Brooks, Mr. Brooks states:

“When Alexis de Tocqueville visited the United States in 1835, he found a spirit of volunteerism and charity unlike anything he had encountered before. In his classic book Democracy in America Tocqueville marveled at America’s many civic associations, which were supported through voluntary gifts of time and money.”

Rural health care has always relied on both. Washington state in general and rural Washington in particular have an unusually high percentage of care delivered through public hospital districts and faith based non-profit health care institutions. These institutions are foundations of their communities. People have a sense of ownership through either locally adopted taxes or private donations. There is a great deal of pride and comfort in having local healthcare in the community.

Rural communities express this pride in tangible ways. Most local institutions have private non-profit foundations to help support their public missions. Volunteers provide hours of service to help maintain facilities and care for patients. Dinners, luncheons, health fairs and health outreach all rely on committed volunteers. Thank you to all those who unselfishly give of their time and talents to support strong rural healthcare institutions and a strong Washington Rural Health Association.

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