Creating and Delivering A Compelling Presentation on Single Payer

1. Creating and Delivering A Compelling Presentation on Single Payer • Know your audience • Build a story arc • Tips for speaking Ed Weisbart, MD Claudia Fegan, MD

2. Know Your Audience Before the Event “Your interest and understanding of the other person's point of view is far more important than your ability to provide a quick solution.” Gary Noesner Former FBI, Hostage Negotiator crisisnegotiator.blogspot.com/2014/12/in-this-corner-janus-theory-whats-old.html Accessed Oct. 24 2015

3. Know Your Audience Before the Event • Ask your host about the audience • Background (Clinicians? Business leaders? Lay?) • Perspective (Mostly conservative? Liberal? Mixed?) • Host’s goals of having you there (General? Specific?) Do not “wing it”. Do not go in cold. Do your homework. • Research the organization • Who else has been there? • Why were you invited? • Other chapters (potential venues)?

4. Respect: A Strategy, Not Just a Virtue “The toes you step on today might be connected to the butt you want to kiss tomorrow.” Jimmy Hoffa Brotherhood of Teamsters

5. We Inadvertently Disrespect Those Who Don’t Fully Agree With Us

6. Moral Foundations QuestionnaireJonathan Haidt • Online survey of 132,000 Americans • Identified five moral values • Compared individual scores with where people stood on the political spectrum Haidt, Jonathan. The Righteous Mind. 2013.

7. Five Moral Pillars Reciprocal altruism, justice, rights, autonomy Required for cooperation. Rejects cheating. Fairness Care Empathy, kindness, gentleness, nurturance Required for caring for children Loyalty Patriotism, self-sacrifice, “one for all, all for one” Required for coalitions. Authority Deference to leadership, respect for traditions Required for social hierarchies Sanctity Bodies are temples desecrated by immorality Required for omnivores Haidt, Jonathan. The Righteous Mind. 2013.

8. Our Moral Foundations Vary With Our Politics Strongly Endorse Fairness Both sides believe they hold the moral high ground. And they both do. Care “You heartless bastards don’t care.” “Your lack of morals will destroy our society.” Loyalty Authority Sanctity Strongly Reject Moderate Chart from Haidt, Jonathan. The Righteous Mind. 2013. (Commentary by Ed Weisbart)

9. Five Moral Pillars of “Cover Everybody” Do not expect these two arguments to persuade conservatives. Healthcare is a human right Fairness Care Protect the vulnerable Loyalty Temper data about poor outcomes with reasons for national pride Authority Collaborate with faith leaders who support universal access Sanctity Today’s system is a violation of our stewardship responsibilities

10. It’s All About Balance Fairness Care Loyalty Authority Sanctity

11. We Each Have Different Comfort Zones • Efficiency, financials, performance, measurements • Methods, regulation, quality, control, timing, policies Facts Forms Manny Elkind “Whole Brain Model” Don’t just dwell in your own comfort zone Futures Feelings • Concepts, vision, purpose, strategy, global • Relationships, culture, communication, values Manny Elkind, Mindtech Inc.

12. NHI From the Four Quadrants • Life expectancy • Uncontrolled costs • Pass HR 676 • Implement via Social Security Facts Forms Different lines of reasoning resonate with different people Futures Feelings • A proud nation, more globally competitive • Anecdotes • Photos, particularly faces Manny Elkind, Mindtech Inc.

13. National Health Insurance Focused on Loss Aversion Gain Centric Messages Loss Centric Messages • Stop wasting your money. • Why should insurers pick your doctor? • Don’t die younger than you need to. • Save money for the other things you want. • See any doctor you want. • Live longer and healthier.

14. “PowerPoint” Is Not “Word” • Three exceptions… • Legal • Legislative • Webinars 6 line maximum 20 point font minimum Paragraphs Books

15. Open and Close Strong Primacy Effect Recency Effect Don’t squander the opening; plan your 1st words Rotate through different “comfort zones” Push for a solid commitment to action Probability of Remembering Beginning Ending Position of the Item in the List 1st described in 19th Century Germany by Hermann Ebbinghaus

16. Design Your Story Arc Intro • Three things • to accomplish • Establish your credibility • Get permission to speak on the topic • Activate their “nurturing” frame

17. Design Your Story Arc Intro Predator Exposition Solutions, Strategies Call to Action Loss aversion “The more ferocious the predator, the higher the ratings.” Establish your credibility, get permission, activate nurturing Select up to three key messages evidence • Audience-specific • The sooner the better • Incremental vs robust • Line of sight

18. Design Your Story Arc Intro Predator Exposition Solutions, Strategies Call to Action “That’s what made me realize…” “Let’s look a little bit closer....” “Have some hope. We could...” “Get up, do something – start here!” Design “off-ramps” and “on-ramps” – Plan your transitions between sections.

19. Design Your Story Arc Intro Predator Exposition Solutions, Strategies Call to Action Don’toverplay this part Categorize each slide and balance your time appropriately

20. The Day Is Finally Here • Get yourself ready • No extra caffeine or cold remedies • Arrive 45 minutes early. Room and AV set-up. • Act as if you’re the host at a dinner party. Mingle and listen. • During the presentation • This isn’t your only rodeo. • Stay on message. Diversions have to relate to the core messages. • Watch your clock.

21. Room Arrangement Matters Maximizes interactions Torticollis de PowerPoint Minimizes interactions

22. Look Relaxed, But You Are On a Stage • It’s your job to • manage their expectations • You’re giving a performance • An agenda is not a workplan. • Get permission: “Here’s where we’ll be in 45 minutes; is that what you were expecting?” • Your audience should always track where you are in the talk • Don’t tune the piano on stage. Play the music. • Know your opening line • They can read

23. We’ve All Heard These Things “I’m sorry, but…” “I’m fighting a cold so…” “Too much material, so…” “I know this doesn’t show up on my slide...” “I’d rather be talking to you about…” “This is really Dr. X’s presentation, but…” “Somebody please watch the clock for me…”

24. Be Yourself, Sort Of Be Yourself Sort Of • Say what you believe • Stand or walk where you want • Dress for comfort • 1st person singular pronouns are powerful • 2nd person engage • 3rd person distance • Stay on message • No rocking or swaying • Avoid mannerisms and pause fillers. • Use your outdoor voice • Be remembered for your content, not your tie

25. Be Yourself, Sort Of Humor is a narrow target surrounded by a moat of not funny.

26. Track Your Own APMs “Actually, I actually find that this is actually an important point, actually.” -Actual speaker’s name protected If someone points this out to you, thank them. Actually. APM = “Actuallys” per Minute

27. How Do You Get to Carnegie Hall?

28. Lasers are for amusing cats.

29. Checklist • Double check address and time. If a campus, study the map. • Laptop, cords, adapters • Remote slide advancer • Projector • Screen (is one on site?) • Long extension cord • Cord that can plug in two devices • 3-prong adapters • Back-up plan (thumb drive and printed copy) • Clock / timer • No more than two pertinent leave-behinds (with contact info) • Email sign-up sheets • Business cards