There are quite a few professional lobbyists out there who actually come to medical freedom out of a personal regard for it. A few have been known to have begun in the grass roots and, by increasing involvement, eventually found themselves with a new profession. But, even mercenaries can be used successfully if activist types stay in charge of the substantive issues. Lobbyists specialize in government relations. They keep track of who rises to and falls from power.
Good lobbyists study the law, and the political climate, and note legislative trends.
They really do pound the halls, meeting with lawmakers, introducing and pressing the issue. They make sure that the meetings are held, the agreements made and the amendments filed, and that the votes are counted before a bill goes to the floor. When push comes to shove in the corridors of the capital, it's the lobbyist who must bring your weight to bear. Each member of the triad is essential. With good humor and some luck they will work in harmony with each other.