Judith K. Leavitt and Mary W. Chaffee “Ask not what your country can do for you. Ask what you can do for your country.” —John F. Kennedy The wheels of the United States government, as well as state governments, are powered by three groups of employees: those who are elected to office, those who are career employees, and those who are appointed to serve. Each offers an opportunity to influence public policy, but the path to an appointment differs from the others. To attain a political appointment, nurses should be familiar with how the appointment process works, what is needed to be a viable candidate for an appointment, and how to prepare for the process. Richard Nathan (2009), an authority on political appointments states: The politics of getting appointed and then being in the public service are intense. One appeal of appointive office is that, unlike elective offices, most people in these jobs are not constantly caught up in political fundraising and campaigning. Still, one cannot succeed in government without being political. A thick skin, the courage to take a stand, and the quickness of wit to defend it are essential qualities for appointive public service. It is exhilarating at the top, but it can also be nerve-racking too. Successful appointed leaders need a keen intuitive feel for the constant bargaining that the American political process requires. Most appointees are qualified and willing to serve when asked. (p. 11) Then why seek a political appointment and the resulting political pressures? Nathan (2009) identified the following reasons why individuals seek political appointments: 1. Public service can produce a gratifying sense of accomplishment. 2. Public service can lead to recognition and prestige. There is a large demand for appointees. Nathan (2009) estimates that 400,000 individuals serve in appointed positions in the federal, state, and local governments. In addition to recognizing their extensive numbers, Nathan tips his hat to their influence: These (appointed) officials … “do the heavy lifting of policymaking and management inside America’s governments and play a significant role as change agents in the nation’s political system. Yet books about American government tend to ignore them and focus instead on elected office holders” (p. 10). David Lewis, a political scientist at Vanderbilt University, examined 600 government programs and the 234 managers that ran them (Lewis, 2008). He found that the political appointees were better educated and had excellent records before their appointments. It was the career employees who were better at getting the work done through strategic planning, program design, and financial oversight (Vedantam, 2008). Yet the political appointees may bring fresh ideas, enthusiasm, and a closer connection with the public to the government workplace. Once you decide you are interested in a political appointment, how do you get started? Determine where your interests and experience lie. Is there something you wish to change or a service you desire in your community or state? Do you have the expertise to be competitive for a federal appointment? Is your ultimate goal to seek political office? Will serving in a political or public role enhance future advancement in your career? See Boxes 70-1 and 70-2 for some useful resources. How does a nurse determine where the opportunities are? The types of political appointments run the gamut. For instance, a position on a state board of health affords an opportunity to develop policy, whereas an appointment to an election commission is a mechanism for carrying out state law. Most state nurses associations, specialty organizations, and other professional organizations offer appointment information. At the state level, the state nurses’ association should be able to assist in finding positions as well as guide nominees through the process. Organizations such as the ANA and the American Organization of Nurse Executives (AONE) offer help at the federal level. Other sources include nonpartisan organizations such as the League of Women Voters. State and federal health-related coalitions may support nurses for particular positions, and political parties may offer support in some cases. For example, MassGAP is a bipartisan coalition of Massachusetts women’s groups that works to increase the number of women appointed by the governor to senior-level cabinet positions, as agency heads and to state selected authorities and commissions (MassGAP, 2010). Nurses can seek appointment at many levels, and the appointment doesn’t necessarily have to be focused on health or health care. At the community level, nurses could serve on county health boards, task forces on redevelopment, or a local recreation committee to address policies that expand walking paths and bike trails. Community and county appointments could include the zoning commission, planning commission, hospital boards, boards of education, or councils on aging or economic development. State appointments could be as a public university trustee, a department head, or to a state board or commission. Federal opportunities exist in all federal agencies—both in Washington D.C. as well as in regional offices around the nation (Box 70-3).
Political Appointments
What Does It Take to Be A Political Appointee?
Getting Ready
Identify Opportunities