Are you waiting for the shoe to drop? The anvil to fall?  Don't.

or not we're hit with "reform," this won’t be over soon, and it will
affect you and your organization for years to come and in more
surprising ways than you might think. 

So what do you do now to prepare? It’s time to start thinking big and deep about what comes next.

how it affects you will depend on your sector, your market stance, and
your organization, but there is a lot we can say already about the
economics, the organizational and market challenges you’ll face.

If you’re waiting, don’t.  It is far from too early.

Some of the affects may be subtle, some may be surprising, but most will be big. 

For a talk customized to your sector, your industry, your organization, call me, or email me at joe @