The most common and most likely answer to this crossword clue is the 8 plus 5 letter word BENJAMIN SPOCK
I've seen this crossword clue in The Guardian
B
E
N
J
A
M
I
N
S
P
O
C
K
Buddy explains!
The straight part
We know that "American concerned with issue" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case american concerned with issue = benjamin spock.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.