Distrust

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• In recent decades, public trust in the US healthcare system has eroded, driven largely by perceptions about profiteering and high costs.
• A recent national survey NPHI commissioned for the blueprint found that only 18% of Americans trust the healthcare system to put their well-being ahead of profits – this widespread distrust is particularly problematic in the context of declining health.
• The report notes that marginalized communities have historically registered the highest degrees of distrust and often delay care as a result.
• Such cases further diminish public trust in healthcare and highlight the system's shortcomings in addressing the issues facing America's elderly and seriously ill populations.

• Presidential power is hard to give up, and time goes by very quickly amid the unfathomable demands placed on the office.
• What’s more interesting is the reason why Biden — despite concerns about his age — continues to be the Democratic Party’s standard bearer.

The anti-Trump

• In 2020, Biden was considered an adequate anti-Trump figure.
• Despite running a relatively lacklustre campaign, Biden’s unobtrusive nature allowed him to emerge as the consensus candidate of a divided Democratic party that was nonetheless united in its intent on removing Trump.
• The normalcy and state of national unity that Biden has pursued seem no longer attainable.
• Since the Democrats’ underwhelming performance in the 2022 mid-term elections, his intention to return the United States to normalcy has stalled.

Biden’s strength now his weakness

• For Biden, this approach remains unchanged.
• Instead, the Republican and Democratic parties are embracing distinct and mutually exclusive visions with no possibility for common ground.
• The country has increasingly split into two distinctive and geographically confined camps.
• As a result, the sort of personal, non-partisan Senate politics that Biden excelled at is no longer attainable as a model for federal policymaking.

No one really wins

• But can the traditional institutional structures of the American republic survive this tumultuous period?
• Biden’s political approach isn’t going to fulfil the aspirations of either Democrats or Republicans, which could pave the way to the manipulation of both judicial and electoral institutions.
• He is a political disruptor who is able to attack what he’s against but struggles to offer positive and enduring replacements.
• Biden makes this clear in his own campaign announcement, effectively framing his appeal around the argument that there are no alternatives.

Common disdain

• Within the Democratic Party, Biden has been effective as a coalition-builder of the party’s factions, suggesting a common disdain for Trump may be enough to keep the party united with him at the helm.
• But Biden may also stay in power because the Republicans have yet to work out their ongoing relationship with Trump.

• It offers us a chance to highlight and discuss safety, health and harm prevention in the workplace.
• Occupational health and safety is no longer simply about hardhats and steel-toed work boots — it’s also about psychological safety.

Psychological safety

• A psychologically safe workplace is where employees feel comfortable taking risks and being themselves without fear of judgment, lateral violence (for example exclusion, bullying) or negative consequences.
• A research initiative undertaken by Google called Project Aristotle identified psychological safety as the single most important factor for effective teams.
• The researchers looked at a range of factors, including team size, member diversity, communication styles and leadership, among others.

Benefits of psychological safety

• Choosing psychological safety is choosing to move away from shame and blame and move towards a culture of inclusion, openness and learning.
• Several recent surveys on disability claims exemplify why employers should invest in employee psychological health and safety.
• In a challenging labour market, fostering psychological health and safety is key to attracting and keeping talent.

Psychological safety in ACTion

• While it’s clear psychological safety benefits employees and employers, fostering it requires a commitment to learning, unlearning and collaboratively facilitating change over time.
• Creating psychological safety also requires a specific set of skills that many workplaces are ill-equipped to foster in leaders and in employees.
• The ACT Matrix can increase psychological safety, collaboration, communication and psychological flexibility and reduce stress and emotional distress.

Strategies rooted in ACTion

• The ACT Matrix provides us with several practical strategies for building psychological safety: 1) Notice your internal thoughts, feelings, and sensations.
• Notice how they impact your behaviour in the upper quadrant (for example, do they shut you down?
• This is different than setting goals or creating action plans.
• There is no finish line for psychological safety, we just keep trying to make moves “toward” or contributing to psychological safety.
• The ACT Matrix allows us to bring up such sensitive topics in the framework of “towards” and “away” moves.