Blog

The past twenty-four hours have brought snow, hail, rain, bright blue sky and tremendous winds. It must be getting close to spring, right?  

We held the first in-person partner convening in three years in January, and it was a mix of emotions – joy, passion, camaraderie, frustration, and challenge to do better and take more actions. New relationships were made, and I’ve already heard of small groups that are continuing to meet since their ‘open space’ discussions. We have almost twenty project submissions that have been submitted so far, and the Regional Projects Investments Support Committee (formerly called the Review Committee) is eager to start reviewing and approving them to move forward. 

For the past six years, one of the largest responsibilities that North Sound ACH has undertaken is a partnership with the Washington Health Care Authority (HCA) to carry out its Medicaid Transformation Project – a federal waiver that allowed initiatives to flourish and grow to advance the health and well-being of people on Medicaid. It was an incentive-based agreement, and there were things that each region had to demonstrate in order to earn dollars for the region. And oddly, while the work is completed and there are no more deliverables, we will not receive the last of North Sound’s earnings until mid/late 2024.

That leaves us with unprecedented opportunities to imagine how we can invest dollars to advance equitable well-being across the region. That’s what we have been seeking from you in reporting, surveys, zoom discussions, and the partner convenings. Who could have envisioned that we’d be hearing demands to acknowledge historic and current oppression and harm, and learning a salsa dance in the hallway? Laughing at the joy of seeing people in real life, and feeling the discomfort of painful truths that must be learned and recognized. I have lived my life ‘in-between’ – visible and invisible, marginalized and in seats of privilege, access to leaders with power and had my voice muted. What we are asking members of the network to take part in will not happen in any single meeting. Movements rarely do. But I believe it will continue to grow, as we find space for those who are impatient and those who are so new they don’t know what the impatience is about. We can have joy and lean into discomfort in the same day, the same hour, the same meetings. We must. And, as we build trust and relationship it will become more clear just how far we can move this work forward. 

Another thing that the end of the (first) Medicaid waiver does for us, is provide a period of transition. Internally things are changing at North Sound ACH, and we will announce some of those changes in the upcoming newsletter. New and emerging leaders are stepping into roles that have been crafted because of your input. In the second quarter, we will be hosting a convening of DEI leads from across the Network (if interested, please fill out this survey), and planning for a region-wide Community Health Worker convening. 

I appreciate each and every person who shares their ideas with me and our team, even when you think we don’t want to hear what you’re saying – we do; and we incorporate what we learn into our upcoming planning. Throughout my career I’ve often said “I don’t need another someone just like me; I need someone who brings other perspectives, other experiences, other purviews – how else can I learn what I haven’t seen?” That’s what our team does, what you add to us and to each other, and I hope you will continue on this journey as we continue to make this region one where all feel they belong. 

Be well, 

We build on the strengths of all in the community and amplify their voices, stepping back so that nothing is in the way of communities making the best decisions they can within their own networks.”

“We have intentionally sunsetted structures that do not meet the needs of the next generation, and have invested resources to build what will meet their future needs.” 

“The concept of ‘eligibility’ disappears from our lexicon.

That’s what I wrote on my radical re-imagination post-its – I want that world for my grandson and whatever his future brings. Maybe it isn’t radical enough, but our dreams morph and stretch depending on the mind’s work that day. 

As we internally debrief about the convening, the notion of exhaling has been stuck in my mind. I learned it while preparing for the birth of my oldest, but didn’t understand it until I was in the process of delivery. And for 41 years (yes, the age of my oldest), I come back to that time and time again. It is during an exhale that we can navigate when we’re in pain, when we’ve pulled a muscle, or experiencing a spasm. Inhaling provides oxygen and blood flow, and exhaling provides a period of ease.  

Our team decided to re-enter the universe of in-person meetings, believing that creative brainstorming is better when we’re in rooms together. We have optimized the heck out of Zoom, and we haven’t seen the last zoom call, but there’s a different feeling of having a call with someone you’ve just met versus a handshake or a hug in person. We’re just so glad to not be as reliant on technology. There is something magical, for lack of a better word, that occurs when I can turn to a person next to me, or while walking the hall, or grabbing food, with curiosity, asking questions to learn more.  

We talked about trust over those two days but in reality, it is harder to trust when we don’t have relationships with each other. The intention of both two days was to connect us, introduce us, and ignite/re-ignite relationships with each other. 

We had some times that felt tense. Issues were raised about radical imagining, challenging us to go deeper and further. Tension that caused some in the room to hold their breath, anxious about what would happen next. What we didn’t do well was to collectively exhale, allow the tension to sit, learn from it, and figure out how to navigate the next steps. We can get better at that.

Organizations are used to having deliverables, outcomes; an agenda, a syllabus, and tools that they can take home at the end of a conference, ready to file away or share with others. Our hope – is that the tools you took home were a name, contact information, and an idea for a future collaborative project or partnership(s). 

Because the richness of North Sound ACH is you, our team, board, partner organizations, and further extensions into communities. We have built a strong team, ready to help you amplify and grow your work and impact. Our board sets the organization’s direction by stating a purpose for our existence – to create a just and inclusive culture and the necessary conditions for all community members to thrive.  

We’re looking for ways to directly connect where you see needs and how the ACH leverages available resources, and how we look for additional resources to bring to the table. 

I was reflecting on Van Kuno’s comment about how people see her as always being very “calm and zen.” Many people see me in a similar way – this gentle, calm elder. You don’t often get to see the idealist, impatient, and tenacious Liz. I have spent my career at the intersections of policy and practice, between traditional decision-makers and people who are most impacted, between formal and academic language, and plain language. I’ve spent many a day as an activist and advocate, and these days as a bridge builder.

We won’t think ‘outside the box’ unless we recognize how easy it is to accept current structures and paradigms as givens and immovable, without realizing that we’re assuming they must stay in place (perpetuating their existence). It is always good to get those reminders and not seize up but to also exhale.

I was very grateful to be in space with you all, I picked up a lot of ideas in small discussions with those I haven’t seen in a long while, and from others who I met for the first time. 

I hope you all took the time to complete our post-convening survey. Being the first time in-person in three years, we want to hear from you before we plan subsequent sessions. We look forward to sharing future space with you to dream, heal, and brainstorm solutions that build new constructs and legacies. 

Glad to be on this journey with you –

I’ve been reflecting on steps forward and setbacks, the ebb and flow of actions and impact. We are impatient when we see injustice, and at the same time steadfast and tenacious about social justice issues. I understand both sides and experience both sets of emotions within myself.

Watching the news this week as the President signed the Respect for Marriage Act was a bit surreal to be honest. Not because it wasn’t important to me as a member of the LGBTQIA+ community, but because as a woman of color, and a child of an interracial marriage, seeing this bill also protect interracial marriage impacted me emotionally. Fifty-five years after the Supreme Court decision prohibited states from banning interracial marriage (Loving v Virginia), our Congress has passed a law to protect people like me, my parents, and my children. Fifty-five years. How could I not realize that there was no law on the books protecting interracial marriage?

We are on a long journey, and I hear Martin Luther King Jr.’s voice say, “The arc of the moral universe is long but it bends toward justice.” I believe it, and some days are harder than others to be patient.

At the 1993 march, being in the nation’s capital with a million people from the LGBTQIA+ community was indescribable. It wasn’t just the march – it was being in restaurants, on the metro, in museums and parks; we were everywhere and it was the norm, not the exception. We saw each other and saw ourselves in each other’s eyes. It has been 29 years since that march, yet I still feel the memories as part of one million people seeking one thing – to be seen and have the same legal rights as others. The Respect for Marriage Act is profound, yet, I’m uneasy that interracial marriage was included in the bill so quietly – not talked about by the media during the congressional debate or during the signing ceremony. 

On April 25, 1993 I joined the “March on Washington for Lesbian, Gay and Bi Equal Rights and Liberation” and the bracelet I wore still sits on a table. The National Park Service estimated that more than one million marchers were present. This has been on my mind because of our recent trip to Phoenix with colleagues for Facing Race, a conference held for the first time since 2018 by Race Forward. Being in community with thousands of people who share something in common is really powerful, and several people (staff and partners) have commented on it to me since our return to the Northwest – it was amazing to be surrounded by people of color. 

So many of us are at intersections in our lives; I hope you can spend some time thinking on that for yourselves, and the next time we meet in person. I am a descendent of two amazing and loving families who put me where I am today – originally from Africa, France, Panama and more. My family lived in poverty, but I didn’t realize it until I got my first job after college, when I earned more than my father did when he retired after 33 years working for the federal government. There is no single word or affinity group that would encompass the whole of who I am. I imagine that is true for so many of us.

As North Sound ACH sees its future, we are having conversations that range from radical imagination to radical love. Without acknowledging past harm we cannot get to ways of healing, and we believe we can get there if belonging (radical love) is included in our framework. I imagine it sounds kind of out there, but if we believe we are connected and interdependent on each other, what else could bind us but love?

That is the magic in the approach we’re taking, and yet it isn’t radical or magical at all. We will create new structures, ready to take the place of current structures that keep community members from thriving. One of our recent panelists asked, “What will be in place the day after we dismantle structures that perpetuate systemic racism?” As I think about the work of 2023 and beyond, I can’t think of a better question to kick us off in the new year. I am grateful to the amazing team I’m honored to work with, a fantastic board that leaves room for our work, and partners who serve and care for community members every day. Thank you for all you do.

Our communications team will tell you that writing the ‘newsletter update’ is the hardest task they ever assign to me, mostly because writing something brief is so much harder than writing something long.

From now through the end of the year is often when we gather, feeling gratitude for those we love. In his blog, Kareem Abdul Jabbar described it this way: “Thanksgiving is the start of a month-long celebration of gratitude for those we love and those who love us. And for the whole glorious, improbable idea of selfless love. We always hope that if we cherish this month enough, it will last longer into the year.” We wish that for all of you. 

As November 2022 comes to a close, here are a couple of things that are top of mind for me. 

• Even though it is from a few years ago, please take a minute to read this piece from Candice Wilson which was in a past newsletter. We had been chatting about what the holidays mean to Indigenous community members, where traditional Thanksgiving is based on a false narrative about turkey and pilgrims and Native people. 
• So excited that 29 people from the North Sound region spent time in Phoenix to attend Race Forward’s first conference since 2018! Being in space with 3,000 people, predominately leaders of color, was powerful, inspiring, and also tough. Listening to leaders, especially young and emerging leaders, trans youth, high school students, artists, and others share the ways that they are fighting racist policies and structures filled me with many strategies that we could support here in the region, and having partners together with our team in Phoenix deepened important relationships.
• We just passed the one-year anniversary of flooding that left more than 2,000 families displaced in Whatcom and Skagit counties. Households, where English was not the primary or first language, became our focus for support last fall, and it has continued throughout the year. Resources were accessible to those who could navigate the complexities of EOCs (Emergency Operations Centers), FEMA (Federal Emergency Management Agency), LTRGs (Long Term Recovery Groups), online website applications, and reporting sites. Our team and community-based partners (who used these same resources during COVID testing and vaccine response), brought people and resources together in Spanish, Mixteco, and other Indigenous languages. We were able to expand our team to include going door-to-door to check on community members in flood-impacted areas. As the weather heads toward wet and cold, those families are definitely top of mind still.

As our team and our partners raise expectations that we will learn ways to become anti-racist, and incorporate that into our actions alongside themes of equity, belonging, and targeted universalism, we must also remember to be kind to each other. To quote one of our partners “there is no blueprint for the work we’re undertaking.” Working across five counties, it’s easy to let our frustration outweigh the power of partnership, and sometimes harder to accept that we need space for learning at all steps along the continuum. We can make this region a space where all feel they belong – and this means focusing in on those who don’t feel that today. That is the heart of our work, intentionally leaning in to support those who are most often left out. 

We’re grateful for all you do, and as this year starts to wind down, we appreciate that we are on this journey together. To quote the curriculum guide for Facing Race in Phoenix, “Justice requires action and the time for action is now. For equity. For everyone. Because we are all this together.”