Gary Culp, SVP of Government Markets at Blue Shield of California, joins Rex Wallace to explore what human-centered leadership looks like in real healthcare environments. Gary shares how he assesses culture before joining an organization, builds trust without leaning on hierarchy, and removes barriers so teams can deliver better experiences. They discuss leading in hybrid and virtual settings, forming true partnerships with vendors, and celebrating wins. The takeaway for healthcare leaders: improving patient and member experience (and the outcomes tied to it) starts with how you lead people.

In this episode of The HumanUp Imperative, host Rex Wallace sits down with Gary Jacobs, longtime healthcare lobbyist, proud dad and grandpa, and author of The Zen Lobbyist, to unpack why presence, compassion, and silence can be as persuasive as any talking point on Capitol Hill.
From Gary’s early days shaping Medicare policy and navigating the intensity of Washington, to the health scares that forced him to confront stress head-on, we explore how a “hyper-executive” life can pull you out of yourself and how mindfulness practices can bring you back. Along the way, Gary makes the case that members of Congress and policy leaders are not just decision-makers. They are humans first. When advocacy becomes relationship-driven instead of transactional, influence changes shape.
We cover:
🧘 Mindfulness in the pressure cooker: why “silence is strategy, compassion is influence, and gratitude is renewal” reframes what effective advocacy looks like in DC.
🩺 Patient first, then mindful patient: panic attacks, anxiety, a blood clot, and a stroke scare that Gary did not recognize in real time, and how those moments rewired his priorities.
🌿 The pivot point: biofeedback, the Chopra Center, and how Gary embraced meditation and yoga as a holistic operating system, not just a wellness hobby.
📦 Box breathing as a real-world tool: the simple four-count method that helps you walk into high-stakes meetings calmer, clearer, and less reactive when life is happening at the same time.
🤝 Human connection beats transactions: why relationships built on authenticity outlast check-writing influence, and how being a trusted translator of “truth on the ground” shapes better policy.
🧭 The vision: a primary-care-led “dream team” model for every American that includes clinicians, behavioral health, navigators, home care, nutrition, and even yoga and meditation support, powered by analytics but anchored in dignity.
⚖️ Value-based care beyond the triple aim: how equity and workforce wellbeing fit into the future, why payment reform alone is not enough, and why slogans do not change incentives.
💥 Leading through loss: Gary’s most helpful failure, losing what he built and rebuilding with intention, courage, and authenticity.
📚 Rapid fire: the one book he returns to repeatedly, the belief that grounds execution, and the reminder that presence is not a tactic. It is a gift.
✨ One way to human up: stop rehearsing life, stop clinging to certainty, and practice being present so you can meet people as humans, not roles.

In the final episode of 2025, Rex looks back on a transformative year of The Human Up Imperative—revisiting each conversation, spotlighting standout moments, and sharing his favorite quotes and takeaways from every guest. He highlights the books and resources that shaped the year’s dialogue and unpacks the themes that surfaced repeatedly across episodes.

At the heart of this year-end reflection is the reminder that human connection is the throughline of every story told and every insight shared. Rex closes out 2025 with gratitude, inspiration, and a renewed commitment to helping leaders “human up” as they head into the year ahead.