The health argument has deeper roots in the voluntary sector organization of society, where the start of the health advocates were calling for a more typical case, not an individual. These health advocates preceded hospital-based and patient advocates are part of a long history of American involvement in social organizations.  They were activists in social movements and voluntary associations including civic organizations, women’s associations and labor organizations, and early in the disease-specific non-profits like the American Cancer Society (founded as the American Society for the Control of Cancer in 1913 ) or the March of Dimes (founded as the National Foundation for Infantile Paralysis in 1938).

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