Physician Advocacy

Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has. – Margaret Mead, cultural anthropologist

The medical perspective is often left out of policymaking conversations, partly because of health care professionals’ busy schedules. But it doesn’t have to stay this way. Permanente physicians have a unique opportunity to share expertise, advocate for patients, and educate lawmakers. As a physician, you are well-positioned to identify areas for health system change and to recommend improvements.

Health care professionals remain one of the most trusted groups by the public, and are often looked at as credible sources by lawmakers. It’s important to share your insights as a practicing physician because you can effectively convey the real-world effects of laws and regulations on patients and care delivery.

Your stories are powerful. You are encouraged to share your voice regarding the issues and legislation that impact Permanente Medicine and the care we provide. Here are a few tips if you are new to advocacy:

  • Address one issue at a time
  • Prepare your points in advance and practice them so they are clear and concise
  • Keep the patient at the center of your stories and arguments
  • Use evidence to persuade others
  • Make sure you know your audience
  • Be prepared to address counter-arguments
  • Be flexible, understanding what can be achieved now and what must be addressed later
  • Cultivate relationships with legislators and their staff
  • Where appropriate, utilize in-person visits to discuss concerns and priorities

From time to time, government relations leaders at different Permanente Medical Groups (PMGs) arrange group trips to visit with legislators. If you’re interested in participating in an in-person meeting, contact your PMG Government Relations leader for more information.

  • From time to time, government relations leaders at different Permanente Medical Groups (PMGs) arrange group trips to visit with legislators. If you’re interested in participating in an in-person meeting, contact your PMG Government Relations leader for more information.

PMG Government Relations Leaders

Each Permanente Medical Group has a physician leader involved in government relations (GR). Their responsibilities can include representing Permanente Medicine to policymakers, monitoring legislation that affects their medical group, and directing regional physician GR leaders.

Meet your local GR lead:

Colorado Permanente Medical Group

Kim Warner, MD, Chair, CPMG Government Relations 

Kim Warner, MD, has served as Chair of Government Relations at Colorado Permanente Medical Group since 2014. She is active in her regional and state medical societies, including her roles in the Colorado section of the American College of OBGYN (President, 2007-2008, 2012-2015) and Denver Medical Society (Board of Directors, 2008-2011).


Hawaii Permanente Medical Group

Daryl Kurozawa, MD, Director, Sales & Marketing, Service Delivery Planning, and Community Benefit

Daryl H. Kurozawa, MD, FACS, is a general surgeon and serves as executive vice president of Products, and Sales & Marketing, for The Permanente Federation. Dr. Kurozawa is also associate medical director of Sales & Marketing, Service Delivery Planning, and Community Benefit with the Hawaii Permanente Medical Group (HPMG) – the state’s largest multi-specialty group practice. As a member of the Pacific Coast Surgical Association and the American Society of Breast Surgeons, he is also the co-director of the West Hawaii Cancer Symposium.


Kaiser Permanente Washington

David Grossman, MD, Senior Associate Medical Director for Market Strategy and Public Policy

As a member of the executive leadership and health plan leadership teams, David C. Grossman, MD, MPH, assists other KPWA leaders in the delivery system and health plan to provide assistance in managing population health and product needs of key purchaser-clients of KPWA. Dr. Grossman also works closely with KPWA’s public policy and community health teams to ensure that these initiatives are closely tied to both delivery system and health plan goals.


Mid-Atlantic Permanente Medical Group

Bruce Wollman, MD, Government Relations Lead

Bruce Wollman, MD, is a third-generation physician, and the son of a career Kaiser Permanente neurologist. In 2009 he joined the Mid-Atlantic Permanente Medical Group, where he values the role he plays in helping make Kaiser Permanente the best example for American medicine in this region and beyond. Dr. Wollman’s role and responsibilities include overseeing the region’s Government Relations, healthcare internalization and pharmacy and pathology/laboratory services.


Northwest Permanente

Colin Cave, MD, Director, Government Relations and Community Benefits

Colin Cave, MD, is currently NWP’s Director of Government Relations and Community Benefits, and previously served on the board of the medical group, three years as a member-at-large and three as chairman of the board. Dr. Cave has been chief petitioner of a major ballot measure and chief spokesperson for two ballot measures in Oregon.


Southern California Permanente Medical Group

Diana Shiba, MD, Director, Government Relations

Diana Shiba, MD, is the Director of Government Relations for the Southern California Permanente Medical Group. She has been advocating for the House of Medicine for the last 12 years, and has been active at the local county, state, and national levels, as well as in her own specialty. Dr. Shiba currently serves on the Board of Trustees of the California Medical Association, the Executive Committee of the Los Angeles County Medical Association, the Executive Committee of CAPG, and the Board of Directors of the California Academy of Eye Physicians and Surgeons.


The Permanente Medical Group

Kristin Chambers, General Counsel and Vice President, Legal and Government Affairs

Kristin Chambers leads TPMG’s Legal Department, which analyzes pending California legislation that affects the medical group and ensures that the Kaiser Permanente government Relations staff are well prepared to represent our view points.


The Southeast Permanente Medical Group

Michael Doherty, MD, Chief of Staff 

Michael Doherty, MD, is currently the Chief of Staff for the Southeast Permanente Medical Group and is involved in government relations, compensation, benefits, pay-for-performance, recruiting, sales and marketing, product development, wellness programs, and strategic planning.