Risks and rewards of value-laden policy advocacy

Political action and policymaking are value-laden activities. Each involves a vision of a preferred world, a way to frame problems and a set of values that support the vision and the solutions. Texts and mentors, however, rarely discuss the potential consequences of making our values publicly known. What are the risks and rewards of engaging in controversial policy topics, especially outside of typical public health venues? How can you manage the potential fall-out and maximize the benefits of value-laden action? This information is especially needed as health professionals advocate in interdisciplinary arenas for healthy public policies. What lessons can be learned to encourage and mentor others into policy work that is deeply and authentically value-laden?

This case study chronicles several decades of national peace and social justice policy work with the Friends Committee on National Legislation (FCNL). FCNL provided an avenue for activism and leadership, public health nursing action, as well as an expression of values and spiritual beliefs. The set of values for this case study is derived from public health nursing, academe, Quaker faith, partisan preference and personal perspective. Consequences of this work include impact on professional identity, denied access, serendipitous opportunity, misunderstandings and deepened ties, integration, authenticity and the joy of pursuing our preferred world. Reflections have relevance for any public health worker engaged in policy work.