Otolaryngologists, like most physicians, tend to avoid local, state, a
nd national politics for a variety of reasons. Although physicians and
their patients are frequently affected by policies made in these poli
tical arenas, physicians tend to avoid active participation because of
inexperience, lack of time, lack of knowledge about ways to influence
policy development, rind a general distaste for the political process
. Otolaryngologists need to participate in the process to ensure that
their particular perspectives and concerns are heard. However, otolary
ngologists also need to look beyond their personal or specialty intere
sts to influence the broader health care debate. Before we are special
ists, we are first physicians who have a fiduciary responsibility to m
ankind tour patients) to improve the health care system for all Americ
ans, We have a moral and ethical obligation to address, influence, and
support health care beyond the specialty level. Health policy develop
ed in an absence of physician input is missing the insight of expertis
e and experience.