 In the early 1990s Healthcare Advocates, Inc. determined that lobbyists (advocates) were helping the masses, but there were no organizations helping patients, one patient at a time.They developed a new model of advocacy that allowed patients to access services directly  thereby resolving the issues associated with access to care and reimbursement through their employers.By 2007, it was recognized that outreach to most patients who would need personal assistance from health advocates would have to come from the private sector.