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December 15, 2025 39 mins

What does it really take to build services that last—not just through the next budget cycle, but for the next decade?

In this conversation, host Nate Beers sits down with Tim Sohosky from RCPA to talk about the long game in disability services: how change actually happens, why efficiency alone isn’t enough, and what leaders need to pay attention to now if they want their organizations—and their people—to thrive long-term. This is Part 2 of their conversation.

They explore:

  • How advocacy moves from frustration to real system change
  • Why outcomes matter more than ever (and what we’re measuring wrong)
  • The hidden strain leaders feel when innovation collides with regulation
  • What sustainable leadership looks like five to ten years out
  • How building a bench of future leaders protects everything you’re working toward

This episode isn’t about quick fixes. It’s about perspective, patience, and making decisions today that future leaders—and the people you support—will thank you for.

TIMESTAMPS
00:00 – Why leadership isolation is a real challenge in this field
01:03 – Why hearing what other providers face actually matters
02:36 – How RCPA collaborates with other associations
06:34 – How a single provider concern becomes an advocacy priority
09:32 – Why advocacy takes time—and why it still matters
10:23 – The constant tension between efficiency and regulation
14:59 – Why outcomes matter more than incident-free care
20:32 – Innovations that are actually helping providers right now
26:07 – Building future leaders before you need them
32:24 – Looking 5–10 years ahead: risks, opportunities, and the long game
36:34 – Final reflections on leadership and sustainability

Learn more about RCPA:
👉 https://www.rcpa.org

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