Seth Kahan on Big Change

How Andrew Kutt Built a School That Teaches Children to Lead With Peace and Character

In this episode, I sit down with my longtime friend and collaborator Andrew Kutt, founder and Board Chair of Oneness-Family Montessori School in Chevy Chase, MD—a school that mattered deeply to my family during my kids’ early years. Andrew shares how his path from world literature and meditation to Montessori training led him to open […]

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Empowering Medicine Through Physics

This week, I am facilitating the American Association of Physicists in Medicine’s summit, Empowering Medicine through Physics. It is more than a convening. It is a signal. Medicine is at an inflection point. Artificial intelligence is accelerating discovery. Workforce strain is real. Regulatory pressures are mounting. Data is exploding. And yet the promise of precision,

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7 Lessons on Leading Change

Pictured: me at the World Bank, where I lived through two change initiatives in the mid-1990s, both called Knowledge Management. Same organization. Same label. Completely different outcomes. The first effort looked unstoppable. A small group of world-class thinkers. A dedicated budget. Closed meetings. Impressive technology demos. After a year, almost nothing had reached the organization.

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Hidden Costs of Treating Ecosystem Challenges as Organizational

When a challenge depends on actors you do not control, incentives you cannot align internally, and commitments that must be made across institutional boundaries, treating it as organizational work becomes counterproductive. An iceberg is a useful metaphor here. From the surface, an iceberg looks manageable. Its visible mass suggests scale, effort, and risk. But what

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Six Leadership Truths for Intentional Organization Design

Many organizations are still staffed for the world that made them successful, not the one they are navigating now. As technology, AI, and business models shift, leadership requires a different way of thinking about roles, risk, and growth. Here are six truths I see again and again in organizations that are getting this right. Hat

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When Strategy Is Not Enough: How Leaders Know It’s Time for an Ecosystem Solution

Most leadership teams respond to stubborn problems the same way. They sharpen the strategy, clarify accountabilities, add metrics, and launch another initiative. When that fails, they work harder. But some problems do not fail because strategy is weak. They fail because strategy is no longer sufficient. These challenges live between organizations, professions, incentives, and identities.

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Fighting Back: Joe Feldman on Covering Mental Health Care

In this episode, I sit down with Joe Feldman, founder and CEO of Cover My Mental Health. His website, CoverMyMentalHealth.org, is filled with free resources—including helpful instructions and templates—designed to empower families and clinicians. Joe’s journey began when his child was denied essential mental health care—sparking a federal lawsuit and igniting his passion for advocacy.

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