Families Before Systems

Here’s what I’ve learned; Medicaid reforms rarely happen when families need them most. When change does come, it’s usually because institutional priorities take center stage, leaving families still carrying the weight of a system that doesn’t connect the pieces.

This week reminded me how much systems matter. A class I was scheduled to teach had to be called off because the pieces failed to connect — and I still showed up, to make sure the bones were there. Families deserve that same care in Medicaid, where the structure supports them instead of leaving them to hold it up alone. Real reform means putting families at the center, not on the sidelines.