2011 RESOLVE Advocacy Day Address: Finding a Voice

I am honored to stand here before you for the third time chairing RESOLVE's Advocacy Day on Capitol Hill.  And I am thrilled to welcome all of you to DC and to thank you for breaking into your personal lives and obligations to make time for this effort.  As most of you who have attended previous Advocacy Days know, I look at all of you as my dear old friends and speak with you about the most personal issues that we all face.  This year will be no different.

As a child, I played with Barbie dolls, was a cheerleader, worshipped Gloria Steinem (even wearing my hair like her), read Cherry Ames books, planned to have a career as a lawyer and  live in a cool NYC apartment for a couple of years before getting married and having children (which, of course wouldn't interfere with my career trajectory). There was no part to any of that biography that seemed inconsistent.  My recurring childbirth fantasy was that my water was going to break on the steps of the Metropolitan Museum of Art and good Samaritans would help me into a cab that would hopefully get me to the hospital before I gave birth in the backseat.  Whether my husband would actually get there in time for the birth was never quite clear in those fantasies because I fancied myself as the independent wife who wouldn't drag my husband out of an important meeting for something as mundane as childbirth.

Lately, however, my thoughts have been circling around a line from a tv show that goes something like this: there comes a time in every man's life where he realizes that he is never going to be a professional baseball player.  Although I'm not a man, and never desired to become a professional baseball player, I am coming to the uncomfortable realization that I have reached that exact place in my life. 

Now, without a husband, and finding it about as likely to be giving birth as pitching for the Mets in the 2011 World Series (or for the Mets being in the 2011 World Series), I am trying to figure out who that face staring back at me from the mirror is.
  
This is the crossroads that I find myself in personally, and like Yogi Berra facing a fork in the road, I'm just trying to take it.

Infertility is an identity-stripping disease.  Having a baby was always part of your biography, I'm sure, from your earliest memories, right? But now, the very essence of how you picture yourself is drastically changed.  Now, instead of worrying about a bikini wax for that romantic Caribbean vacation where you intend to conceive your first born, you realize that your doctor (and the 12 interns staring between your legs) really couldn't care less what's growing where and you barely even bother to shave your legs.  A diagnosis of infertility forever redirects every romantic fantasy of conception you ever had to a new-found skill at stripping into a paper hospital gown in record time.

It also makes you confront motherhood in an entirely different way.  For many women, it just seems to happen.  For us, we never stop thinking about how badly we want it, how many financial resources to allocate to it, how many life choices we will defer or forego to do so, whether we're physically, financially and emotionally prepared to follow every path available and handle the risks associated with every decision.

Even success, I'm told, doesn't erase the scars that infertility brands you with.  The pain of cruel jokes or insensitive useless advice. The scolding that there are already too many children in the world and this is part of God's plan.  And the choking feeling you get when someone announces that all their husband has to do is look at them and they get pregnant.  But for those of you who have had success and still made time to be here: an extra special thank you for not abandoning this cause.

Wherever you are in this process, I know how hard it is for you to be here. How hard it is for you to identify with this disease that has stripped you of your identity. How hard it is to say "I am infertile". 

I don't need to tell you that although women make up more than 50% of the American population, women's voices are grossly under-represented in every agenda-defining political, business and community organization across the country.

We like to say that infertility is not a women's issue, but a family issue.  And that's true, the disease affects men and women equally.  But this is a disease that most guys are just not comfortable fighting for - although I am awed and inspired by the men who are here - please proudly tell your friends that we're not all hormonally charged crazies!  But ladies, it is mostly up to you.

So I want to talk to you today about finding your voice.

We like to think of the United States as a medically advanced country, but each of us is intimately familiar with myriad diseases that we either suffer from personally or in our families: we wear glasses and hearing aids, we have asthma and allergies, we have lived with cancer, diabetes and AIDS.

Most other diseases don't just have support groups for those with the disease, it is part of the social contract to contribute to the cure and treatment of  others with the disease.  Every day, I am asked to sponsor somebody participating in some "race for a cure".  How many of you get the same requests? Were any of you bold enough to ask for sponsors for your travel expenses on your Facebook page? Or ask any of your friends to even write a letter? Or even tell anyone where you are and what you're doing?  I never was.

As I said to all of you on the training phone calls, I have never told people in past years that this is the most important time ever for your participation - and in fact, I did not say that at past Advocacy Days. Hearing the same thing year after year from spokespeople from other charities and organizations I've been involved with has inoculated me from believing those words have any meaning.  But I'm saying those words this year: THIS IS THE MOST IMPORTANT ADVOCACY DAY THAT WE HAVE EVER HAD.

Let me explain why:  In the last few years, we had started to make some real progress.  With the introduction of the National Action Plan at the CDC, by which all of the stakeholders, including the patients, insurance companies, employers, researchers and the medical community would be brought to the table to address the disease of infertility, we thought that infertility was finally going to be addressed as the mainstream disease it is; that infertility patients would no longer be marginalized and ignored; that the shame of this disease was finally going to be lessened.

Furthermore, with health care reform on the table, we were finally beginning to get members of Congress to pay attention to infertility. Last year's Congressional briefing on infertility hosted by RESOLVE was well attended. Even the Washington Times wrote about it!

All of this progress has come to a screeching halt following the 2010 election.  There is a movement towards paring down health care coverage rather than expanding it.  Budget cuts make research dollars more scarce. And the CDC has "officially" stopped work on the National Action Plan.

Today, we plan to reverse this trend. Your voices, together with the voices of volunteers across the country who are meeting with their representatives in their local offices, are being raised to tell this new Congress what it is that WE NEED FROM THEM.

My politically incorrect Barbie dolls still litter my apartment and my parents' home.  I was saving them for my daughter. The daughter to be named after my grandmother and a very special aunt, the daughter that I will never have.  It is in honor of the memories that I don't get to have that I am here fighting for the chance for others to have access to affordable treatment for infertility.

I want you to think about all of the diseases you've experienced personally or through friends and family.  I want you to think about how you or others  have been affected by those diseases but how your infertility has redefined how you see yourself and how you relate to every one else in the whole universe.  How unfair the unwarranted shame and loneliness has been.  I want you to think about your own goals and dreams and self definition and for some of you, the retirement village in Florida that you will never join because you can't compete in the grandchildren wars.  I want you to think about all of the times you bought Girl Scout cookies to support your friends' children and all of the times you heard that children are our nation's future.  And I want you to believe that YOUR right to have YOUR disease treated so that YOU can have children whose cookies can be bought or whose health care should be provided for  are just as important as everyone else's.  And then, I want you to walk into Congressional offices today with the confidence that you are justified, no, righteously compelled and duty bound to demand that the treatment and cure of infertility be a priority in our national agenda of providing health care to the people of this country.

And on this Sunday, when everyone else is celebrating with flowers and chocolates, I want you to celebrate finding your voice and the steps you've taken for yourself and  mother wannabes across the nation.


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