Abstract

The year 2020 was been a year of protest in the United States the likes of which we have not seen in decades. In many ways, America’s history is a history of protest, but its history also shows the power and potential of demonstrations and dialogue to lead to broad coalitions for policy and public health action. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is one example that illustrates the collective power of demonstration and dialogue. To achieve the level of public support needed for meaningful and sustainable responses to major public health challenges, integrative policy negotiation should become a core public health competency. We have developed a series of hypothetical case-based role plays to practice integrative policy negotiation in the context of public health policy advocacy in a hypothetical country called Countryland. These tools are included as appendices and are free to use and adapt. If every public health professional becomes fluent in integrative policy negotiation, maybe we can look back on 2020 as the year that started a new era of pragmatic protest that finally achieves the enduring public health policy changes that we desperately need.

Highlights

  • The year 2020 was been a year of protest in the United States the likes of which we have not seen in decades

  • The U.S President’s Emergency Plan for AIDS Relief (PEPFAR) is one example that illustrates the collective power of demonstration and dialogue

  • In the United States, some organizations made the strategic choice to include in their protest strategy efforts to build a broad coalition of politically liberal and conservative members of Congress

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Summary

Annals of Global Health

America is a protest nation, but America’s history shows the power and potential of demonstration and dialogue to lead to broad coalitions for policy and public health action-the kind of action we need now. In the United States, some organizations made the strategic choice to include in their protest strategy efforts to build a broad coalition of politically liberal and conservative members of Congress This coalition building is perhaps best illustrated by the efforts of U2 rock star Bono’s advocacy to Sen. Jesse Helms (Republican Senator from North Carolina) using Bible verses to frame engaging in the fight against the HIV/AIDS epidemic as an issue of Christian morality [6].

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