When Politics Threaten Healthcare: Will You Stand Up?

Posted by on

If you work in healthcare, you understand the importance of public health, disease prevention, and research. Even if you don’t work in healthcare, you and your family use a range of health services and count on having access to some of the most advanced healthcare in the world.

But the new administration in DC may be causing you concerns as a healthcare professional and/or consumer of healthcare. Maybe you are concerned that the new Secretary of Health and Human Services (HHS) is anti-vaccine and anti-science. On the other hand, you may be optimistic about potentially positive changes around processed foods as he says he will “Make America Healthy Again”. The irony of those two points is not lost on me.

Maybe you are worried about cuts to Medicaid and Medicare. But you hear leaders in Washington say that will never happen. Or maybe you are a veteran concerned that your health benefits and services will be reduced. Maybe you or a family member care about cancer or Alzheimer research. All of these are legitimate concerns shared by millions of Americans.

I shared a post on LinkedIn a week ago that included a link to the 42-page list of grants that the National Institute of Health (NIH) had cut. As Dr. Michael Wagner, President and CEO of Care New England said in the original post, “most of the grants targeted for termination focused on:

    • LGBTQ+ health and gender-affirming care
    • Racial and ethnic disparities in health outcomes
    • Mental health and trauma among marginalized populations
    • Social determinants of health and health equity
    • Vaccine access, behavior, and hesitancy research”

He went on to write, “This appears to be less about performance and more about realigning federal policy priorities—away from equity-focused, community-based, and prevention-oriented work.”

But maybe none of those grant cuts impacted you directly.

This week there were significant HHS cuts, and many programs were gutted. I’d be surprised if one of them didn’t directly impact you. Continue reading →

Women’s History is Now: Why We Must Keep Pushing Forward

Posted by on

It’s the last week of Women’s History Month. I’ve been pondering what to write over the past week given the ongoing assault and threats to diversity, equity and inclusion efforts nationwide. Last year I wrote about the diversity initiatives in our health IT industry and was optimistic about what I saw happening.

If I’d written this year’s post a week ago, I would have been upbeat and inspiring having just heard our minister, the Reverend Susan Milnor, deliver a sermon titled “Trust Women”. She opened with these words:

“Lived experience is history in the making, and we know this about history.  As much as we would like for it to be linear progress toward justice and equity, it isn’t. Dominance and greed circle around again, and we have to challenge what’s asserted and enacted and propagandized.  The point of studying history isn’t just to be proud of the giants of the past; it is to be inspired for the work that still needs to be done, or done again.  Sadly, the struggles of our own time are beginning to sound way too much like those of the past. The good news is that there is so much inspiration, so much strength, in the lives of the women who came before.”

After talking about women who dedicated their lives to ensuring reproductive rights and the right to vote, she closed with these words:

“I hope we will learn the lessons of history that submission and compromise don’t get us very far, but courage does.  And I hope we won’t be in the fight alone.  It’s so important that men and nonbinary people join with women in solidarity.  

Perhaps in that advocacy, it’s time to leave aside complicated arguments and just insist on deep, spirit filled confidence.  Say it whenever you can. 

I trust women to make decisions about life. 

I trust women to use as much reason as others when they go into a voting booth. 

I trust women to serve on the Supreme Court, where they have largely outperformed a lot of men.  

I trust women in professions even if encouraged by a diversity effort because they are some of the most ethical professionals and most reliable workers.

I trust women to know what their last names are. (A reference to the proposed SAVE Act, introduced into Congress in February, which would create a federal voting requirement in which one’s birth certificate and current ID must be in the name.)

I trust that women are people, and their consent to being governed is needed. (A reference to one of the creators of Project 2025 saying we should return to women not having the right to vote.)

The work of seeking freedom and agency is holy work because it is the work of realizing a fuller humanity.  We can trust women never to give up. We have been here from the beginning, and we will rise, if necessary, again and again and again.”

If your weeks are anything like mine, I go up and down depending on what I read in the news and realize the many backward steps happening on so many fronts. Continue reading →

Guardrails Matter: Protecting Ethics, Trust, and Stability in Health IT

Posted by on

I don’t know about you, but my head is spinning these days. So much happening at such an incredible speed. While it may sound like I’m talking about the typical workday for health IT leaders in fast paced organizations, I’m referring to the bigger picture of our federal government under the new administration. I’ve not written a blog in several weeks – in part for loss of words and in part because I’ve had a partial work break spending time in warmer climates.

In the spirit of amplifying important messages from others, my re-entry to blogging is to share an important blog written recently by my StarBridge Advisors colleague, David Muntz – “Protecting Trusted Guardrails: The Perils of Removing Essential Protections”. David has firsthand experience working in the federal government. He left his CIO role at Baylor Health in 2012 to accept a White House appointment to serve as the first Principal Deputy National Coordinator and CIO at ONC (Health and Human Services’ Office of the National Coordinator) through the following year. He was a member of HHS’ Chief of Staff Council and Chair of the Federal Health Architecture and mHealth Councils.

The message in his blog is a strong one that health IT leaders can relate to.

Guardrails, whether physical, organizational, or ethical exist for a reason. They safeguard patient safety, data privacy, free expression, and public trust while ensuring that critical institutions operate with integrity and accountability. When these safeguards are dismantled or weakened, the risks to individuals, organizations, and society become profound.

David explores the vital role of independent oversight, regulatory protections, and ethical leadership, drawing on his decades of experience in healthcare, government service, and executive leadership. Recent mass firings and policy shifts raise urgent concerns about transparency, security, and long-term stability.

Key questions that apply to our work as health IT leaders:

  • What happens when critical oversight is removed?
  • How do we ensure ethical governance in a rapidly evolving world?
  • What are the long-term consequences of dismantling trusted institutions?

Now more than ever, we must stand for principled leadership, responsible governance, and a commitment to the greater good. We must uphold the values that sustain our institutions and protect our future.

I encourage you to read his blog and as always stay informed, vigilant and engaged.

Related Posts:

Finding truth post-election: staying informed, vigilant and engaged

From MLK to Today: Defending Democracy, Diversity, and Justice Together

 

From MLK to Today: Defending Democracy, Diversity, and Justice Together

Posted by on

The irony of Martin Luther King Day and this presidential inauguration falling on the same day is one that’s hard to wrap my head around. So, I was glad to see there were several local events over the MLK holiday weekend sponsored by the No Place for Hate committee in our town.

My husband and I attended a free showing of the 2018 documentary, “I Am MLK, Jr.” on Friday night. (You can find it on various streaming services at home). What a powerful story it told. In just 12 years and 4 months, the Reverend Dr. Martin Luther King, Jr. had a profound impact on our democracy and fight for social justice.

Seeing that movie made me wonder what Dr. King would say if he were alive and witnessing the inauguration today.

On Sunday afternoon, we attended a program that included a keynote from Reverend Rahsaan D. Hall, President and CEO of the Urban League of Eastern Massachusetts. At an earlier weekend rally in Boston, the Boston Globe quoted Reverend Hall as saying in response to the new administration, “We’ll double down on the three D’s of defending democracy, demanding diversity, and defeating poverty” as their north star. On Sunday, he delivered a passionate talk with a closing message that emphasized repeatedly that change takes total participation.

Yes, the fight for social justice continues and it does take total participation. Some of Dr. King’s most famous quotes are especially poignant as we prepare for this next administration:

“Injustice anywhere is a threat to justice everywhere.”

“Life’s most persistent and urgent question is, ‘What are you doing for others?”

“Our lives begin to end the day we become silent about things that matter.”

“The time is always right to do what is right.”

Shortly after the election I bought two of Timothy Snyder’s books, “On Tyranny – Twenty Lessons from the Twentieth Century” and “On Freedom”. But I’ve hesitated to jump in. As this new administration becomes reality and we see more clearly what lies ahead, I decided it was time to read “On Tyranny”. I read it in a little over an hour on Saturday and I highly recommend it. Some of the key lessons: don’t obey in advance, support institutions, believe in truth, and contribute to good causes.

On Sunday night, we watched a virtual event sponsored by Red Wine & Blue – “Keep Calm and Listen to Heather Cox Richardson: Inauguration Eve”. It was just what we needed. Richardson writes a daily newsletter called, Letters from an American, which is also available as a podcast. For well over a year, I have made reading her letter my first “to do” with a cup of coffee each morning. As a history professor, last night she put things into perspective and reminded us that small groups of people can change history.

Red Wine & Blue sounds like they are trying to do just that – their website describes them as, “A national community of over half a million diverse suburban women working together to defeat extremism, one friend at a time. We train and connect women from across the country of all political backgrounds – including many who have never been political before – to get sh*t done and have fun along the way.” In what they call TroubleNation, they already have over 500 chapters for grassroots community organizing in 49 states.

As I’ve closed some of my past blog posts, now more than ever we need to stay informed, engaged and vigilant.

Related Posts:

Finding truth post-election: staying informed, vigilant and engaged

Martin Luther King Day and why it matters – 2020

Martin Luther King, Jr. Day – why it matters

Hate has no place

Staying Positive, Telling the Truth, and Defending Care: Timely Advice for Health Leaders

Posted by on

In the weeks following the November 5th election, I significantly reduced my news intake, but I continue to read and stay informed as I encourage everyone to do. Objective perspective and advice on how to navigate the changes we are going through as a country is always welcome. I was struck last week by an insightful article that one of our best healthcare leaders wrote. I’ve highlighted his articles in the past in this blog. His latest is one of the best things I’ve read in recent weeks. You guessed it – I’m talking about Michael Dowling, President and CEO at Northwell Health.

On this 4th anniversary of what has become known as “January 6” or simply “J6” on social media, and as we watch the way a peaceful transition of power is supposed to be, Dowling’s advice to healthcare leaders is timely. In the article, “Michael Dowling: 6 priorities for health leaders in a new era of change and disruption”, published in Becker’s Hospital Review on January 2nd, he discusses 6 key areas to consider:

  1. Maintain a positive attitude.
  2. Tell our positive story.
  3. Be a conveyor of truth.
  4. Be supportive of new opportunities.
  5. Defend access to care.
  6. Values matter.

While they all resonate with me, #3 really strikes a chord as we consider some of the potential new faces who will be leading and influencing healthcare in the new administration. As Dowling says: “We must never waver from our responsibility to preserve credibility and trust in evidence-based science. Scientific discoveries and their resulting treatments have had profound, positive benefits in increasing the lifespan of people worldwide. We must not be afraid to denounce skeptics who promote misinformation and stoke public fears.”

The last point is also a powerful one for me, yes, values do matter. As Dowling says: “Now more than ever, we as healthcare leaders need to promote the values of decency, respect, integrity, honesty and trust. We must be positive role models who embrace a sense of unity, togetherness and community — not anger and resentment.”

Leadership is hard. Staying true to your values is hard. But we owe it to those we serve.

Related Posts:

Towards a more civil society

The healing power of humanity

Season of Gratitude: Balancing Joy, Grief, and Stress

Posted by on

I started writing this last week on a windy, rainy day from my home in southern New England. It was 61 degrees. We won’t see that temperature probably again for a few months.

Our artificial tree with lights that comes in three parts is assembled and plugged in. I’ll get to the ornaments in the next few days. Our little funky display of holiday figures in our entryway is done. Our decorations are nothing compared to what I see friends post on Facebook or what you can find on Pinterest. That’s OK. It’s ours. And when I get to doing the tree ornaments, hanging the few handcrafted ones my adult daughters made when they were little kids will bring a smile to my face!

I put together my gift list for shopping and have one more present to buy. I mailed the out-of-town gifts to arrive in time.

My husband and I are practicing four choir pieces for our Christmas Eve church service. As part of the glee club in our community, we did three performances of the holiday concert a week ago. My favorite pieces from that program were Prayer for Shalom and Peace, Peace. Music truly is good for the spirit!

This season should be a time of joy yet for many it is a difficult time of grieving, especially when it’s the “first” holiday without a loved one. And for people who shop for a lot of gifts and people hosting family or friends, it can become a very stressful time.

I’ve written a few blogs over the years during the holidays that are worth revisiting. Here are excerpts from a few of them:

Holidays aren’t fa-la-la for everyone

As you celebrate the joy and wonder of this holiday season, make room for those who are grieving. Find kindness in your heart for all around you but give special support and love to those who may need it the most at this time of the year. If you have experienced loss, let those close to you surround you with their love. Continue reading →

Finding truth post-election: staying informed, vigilant and engaged

Posted by on

It has been over a week since the election. For some of us, an incredibly long week of processing our reactions and considering how we go forward. My first response was disbelief and dread. Then came the sadness. As the days go by, I am thinking more and more about how to continue to have a voice and make a difference. I won’t just sit by and watch. I want to help make a better future for our Nation and for the World.

Misinformation played a big part in our elections. As I said in 2016, we must stay informed, be vigilant and engaged. Separating the facts from fiction is more important now than in the past.

If you share my concern about the level of misinformation, I offer a few resources to consider adding to your reading or listening list.

Heather Cox Richardson writes a daily newsletter called, Letters from an American, which is also available as a podcast. For well over a year, I have made reading her letter my first “to do” with a cup of coffee each morning. As a history professor, she is a master at framing the events of the day in a historical context. The November 12th letter was a master class in “careful what you ask for”. It was downright chilling to read.

Joyce Vance writes a daily newsletter called, Civil Discourse. She is a former United States Attorney, currently a law professor and a legal analyst for MSNBC and NBC. She also co-hosts two podcasts, #SistersInLaw and Cafe’s Insider. As she says, “I believe that being a citizen is the most important work any of us can do. As citizens, a key part of our role is to educate ourselves and stay informed”. She focuses a lot on the legal issues, so I don’t always get through her newsletter but the one dated November 9th, “The Importance of Information” is well worth reading to understand the level and impact of disinformation in 2024.

Yes, you may consider these two sources liberal and want more centrist or both-sided sources, but I am looking for big picture context from fact-based, credible resources to inform and inspire me. If you have other recommendations, I’m open.

A friend and former colleague during my Michigan days recently shared on Facebook that she regularly reads Tangle. They self-describe as a “non-partisan politics newsletter giving a 360-degree view on the news – opinions from the left, right and center so you can decide”. As they say, “unbiased news for busy people”. I just subscribed to check it out.

And as social media platforms are evolving, I’m ready to make my move from X to Bluesky. It’s well past time for that given what X has become.

The future is what we make it. To stand idly by and watch is not in my nature. That’s why I use a wide range of sources, treating each with a bit of skepticism, working to develop a Truth that will help benefit the Greater Good based on facts and evidence supported by optimism. We can always be better – individually and collectively. I will continue to support organizations and political leaders who share my values and sense of purpose.

Your Voice is Your Power: Standing Up for Democracy in a Divisive Election Season

Posted by on

As we go about our daily work and home life, who can forget that there is an election going on? Even if you are not watching or reading the news you can’t escape it. Nor should you. This is probably the most consequential presidential election of our lifetime. We all must ask ourselves what kind of world we want for our children and grandchildren. Who speaks to our values? Who can we trust with our future and our democracy?

If you know me or are a regular reader of my blog, you know my answer. Yes, I have a button that says, “We are not going back”. And I have my “I voted early” sticker. With this consequential election a week away, I can’t be silent.

I proudly display my RBG art in my home workspace where she is visible over my shoulder on all my zoom calls and podcast interviews. It is often a conversation starter with both men and women when they see it for the first time.

While we may want to shy away from speaking out and openly supporting the candidate of our choice, I have great respect for people who are willing to publicly state their support for Vice President Kamala Harris and Governor Tim Walz as our next President and Vice President. This includes a growing list of business leaders. And not to be ignored, many long-standing Republican leaders and former Trump administration officials are warning us based on their first-hand knowledge and experience that he is unfit to lead and a danger to our democracy.

I am encouraged to see healthcare leaders willing to post their very insightful support for the Harris/Walz ticket on LinkedIn which is supposed to be a professional network and not political. Continue reading →

Embracing life’s fragility: personal connections and enduring friendships

Posted by on

It’s been several weeks since I last wrote. In my last post I talked about cultivating your professional network and the give and take of relationships. In this post, personal connections and friendships are top of mind.

Shortly after my last blog post, I had a lovely 2-week vacation with my sister and my husband traveling the varied beauty of California from the ocean to the giant sequoias to the canyons and mountains. My sister’s husband passed away two years ago, and we have become her favorite travel buddies. This is the second year that the three of us have taken a trip together. Any time we spend together is a treasure.

But my West Coast vacation ended on a sad note. I added a few extra days to my trip so I could attend a memorial service in the Northwest for a good friend who had died unexpectedly a month earlier. She was a friend we didn’t see or talk to often but when we did, our close friendship with her and her husband picked up easily where it had last left off.

There is nothing like a memorial service and talking with a grieving family to cause deep reflection and introspection about one’s own mortality and to remind us what really matters in life.

My drive from the airport to the town they live in was a 2-hour drive through a beautiful part of Washington state. I had plenty of time each way in the car alone to reflect on life. While my husband and I have joked about making sure I know all the passwords if something happens to him, the sudden and unexpected loss of a loved one is anything but a joke. It rips your heart out and leaves you and your family devastated. But time heals. And you carry on. And that’s what my friend and his family are doing, hard as it is. They have lost a spouse, a mother, a grandmother, a daughter and a sister. They have lost one of their “big rocks”.

I’ve written about “big rocks” a few times in the past. We need to know who they are and put them ahead of all the little rocks and distractions that take our time and energy. We need to live life to the fullest and love deeply those who matter most to us. And we need to be kind to all who cross our path. As the family eulogies at the memorial service pointed out, we will be remembered not for what we did or accomplished but for the kind of person we were and how we made others feel.

Related Posts:

Do you know your big rocks?

Take time to reboot

Time to stop and smell the roses

Time to stop and smell the roses – part 2

Cultivating a network that works for you and others

Posted by on

My adult daughters have called me the “network queen” at times. They appreciate that I’m willing to introduce them to people who might be helpful to them and their careers in some way. It’s no secret that I do that for anyone who asks.

The value of having a broad network of people you can call on for different situations is priceless. And if you have nurtured your relationships over the years and given graciously of your time, when you ask, you can count on people responding quickly and with a sincere willingness to be helpful.

I had a couple examples of this in the past month.

As part of due diligence on a new business relationship, I reached out to a former colleague and friend who worked with them. She was quick to reply, gave me her input and suggested someone else I should talk to who we both knew. She made the re-introduction for me, and I was able to connect with that person a few days later for additional insight.

My StarBridge Advisors partner and I needed some business advice in an area we were unfamiliar with. We both knew who our “go to” person would be given our past experience with him. I reached out and we were able to do a very valuable 3-way call later that same day.

Someone I knew from my board service with a non-profit organization several years ago reached out to me for advice on a new opportunity she was considering. After catching up on family and life since we last talked a few years ago, I was able to provide useful insight on the organization and opportunity plus offered to serve as a reference in her continued job search.

As I worked on a proposal for services to a new client, I reached out to someone I worked with almost 30 years ago to see if she was still working in the same field that I needed help with. We reconnected and I learned about her new consulting services which I have already referred to someone.

Relationships involve give and take. Maintaining positive mutually beneficial relationships means being available to others when they ask. They are much more than a “connection” on LinkedIn.

As we go into the Fall conference season and have the opportunity to see colleagues in person and make new connections, keep in mind the value of your network to not only you but how your connections might help others. After all, you can probably name many people who have helped you along the way. Be generous with your time and willing to help others. It will pay off many times over.

Related Posts:

Networking and navigating a tight job market

The power of your network and learning from others

Networking, learning and giving back