Hi Rachel, I agree with you, some times there are no “winners” in a situation. I always heard what my clients said and did my job: advocated on their behalf. Sometimes our wins were small – like getting a med reduced instead of tapered all the way off. Other times we had big wins – like the county agreeing to pay for day treatment via a senior center’s activities instead of in the contracted nursing home environment. And, some times we lost the battle but regrouped with a different plan. I say “we” because I always viewed my clients as equal partners. Every other social worker in my department did as well. Reading what KindredSpirit has written has hit me hard today. I think Daniel is correct in pointing out “black and white” thinking, among other things. If reform were as simple as bold walkouts things would be changed by now. I have never harmed anyone intentionally. I bristle reading some of the finger pointing here. It keeps us down. It perpetuates the problems. It splinters productivity. It reinforces misconception and reinforces “us versus them”. In case Kindred reads this, perhaps knowing I got in between a gun wielding, out-of-her-mind old woman client and the police officers who were called to her house for a disturbance will help Kindred understand MANY mental health workers take HUGE risks to help daily. I just don’t wear my risk taking as a bully pulpit badge of honor. I knew the woman. I knew how to defuse the situation. I knew the police did not have my training or relationship with the woman. She could have shot me. She didn’t. They could have shot her. They didn’t. This is one example of many, many times I risked my safety to help people. I’m not superhuman. Those risks on behalf of others impacted me negatively but I’d do it again. Thanks, Rachel, for your kind words. They helped me. Peace.