How to Be the Partner in Change, Not the Arbiter

Healthcare has never had more ways to reach people: calls, texts, emails, portal nudges, AI outreach. Yet health still isn't communicated in the most relevant way to the people who need it most.

Rex Wallace talks with Michelle Bellon, CEO of Rescue Agency, a behavior change company whose work covers vaping, substance use, healthy eating and mental health. Michelle explains why knowledge is rarely what's missing, why fear and facts make people tune out, and why anyone asking for change should take on some of the burden of it.

In this conversation:

• The "whoa moment": why up to 95% of behavior runs on autopilot, and how to create space for someone to reconsider
• The McDonald's drive-thru test: building healthy swaps that cost no more time or money
• Why people don't have to change for your reasons to make a real change
• Why communications designed for everybody reach nobody
• When nudges work, and when they go into the abyss

The apps in your pocket are built to keep you. A behavioral scientist explains how to tell when technology is caring for you and when it is quietly working you over.

Eden Brownell works at the intersection of behavioral science and AI. She started in theater, moved through the foster care system and public health, and now studies how the systems around us shape the choices we make. Rex Wallace sits down with her to pull apart one uncomfortable question: are the tools transforming our lives designed to help us, or to hold us in place?

They get into the difference between empathy and persuasion on a screen, why good design makes it easy to leave, the dark patterns hiding inside everyday apps, and what we lose when we hand off our ability to choose. Eden also shares something personal about connection, patience, and what AI can and cannot be for the people who use it.

If you lead a team, build a product, or care about the human on the other end of the technology, this one will stay with you.

In this episode:

• Why behavioral science has to lead AI, not follow it
• The difference between caring about members and caring about numbers
• Context beats character: designing for the person at their lowest
• The dark patterns we live with, from autoplay to the cancellation maze
• What we lose when we outsource our choices
• Connection, patience, and what a machine cannot be

Books mentioned: Four Thousand Weeks by Oliver Burkeman, Grit by Angela Duckworth

The HumanUp Imperative explores human connection, leadership, and the future of how we work. Subscribe so you never miss an episode.

Healthy relationships are mismatched 70% of the time. That's not a problem to fix. According to today's guest, it's the whole design.

Dr. Claudia Gold is a pediatrician and co-author of The Power of Discord with Dr. Ed Tronick, the researcher behind the famous Still Face experiment. Their work shows that the out-of-sync, messy, imperfect moments in any relationship are where trust actually gets built.

Rex and Claudia get into what that means at work: why curiosity beats certainty, what emotional absence looks like on a team, why "good enough" is essential and not just acceptable, and why "not knowing" might be the most underrated skill a leader can develop.

If you've ever felt a working relationship go sideways and didn't know how to fix it, this one's for you.

Find Claudia: ClaudiaMGoldMD.com | LinkedIn: ClaudiaMGold

What if the most underrated leadership skill isn't emotional intelligence, executive presence, or strategic thinking — it's a sense of humor?

Paul Osincup spent 15 years researching exactly that. He's a keynote speaker, author of The Humor Habit, and host of the Laugh or Death podcast — and his work with Google, Harvard, and hundreds of other organizations makes a case that humor isn't a soft skill. It's a survival skill.

In this episode, we dig into what it actually means to live and lead in a VUCA world — volatile, uncertain, complex, and ambiguous — and why humor might be the most direct path to resilience, connection, and psychological safety on your team.

What we cover:
Why laughter nosedives at age 23 and doesn't recover until nearly 80 — and what that costs us

Humorous reappraisal: the Stanford-backed technique for reframing setbacks (even grief)

The DOSE chemicals humor releases — and why shared laughter creates real trust

A Berkeley study that shows strangers who laugh together like each other more — immediately

The humor triangle: which types of humor build connection vs. which ones blow it up

Why self-deprecating humor is low-risk — unless you're a surgeon joking about being clumsy

The 4 P's: Permission + Participation = Psychological Safety
The "humor jar" — a dead-simple team ritual to double the ROI of funny moments

One 7-day habit that increased happiness and reduced depressive symptoms for up to six months

Paul also shares the story of losing his mom — and how finding humor in even that moment changed his relationship with resilience. It's the most honest thing in this episode.
The quote that started this conversation: "Don't live your life as an actor in a drama just to reach the end and find out you were the director — and it could have been a comedy."
Connect with Paul:
🌐 thehumorhabit.com
📚 The Humor Habit — available wherever books are sold
🎙️ Laugh or Death Podcast
Connect with Rex & The HumanUp Imperative:
🌐 [RWC Consulting website]
🎙️ Subscribe wherever you listen to podcasts

The HumanUp Imperative explores the human skills — connection, leadership, trust, and relationships — that technology can't replace.
#HumanUp #Leadership #HumorAtWork #PsychologicalSafety #TheHumorHabit #PaulOsincup #VUCA #Resilience #WorkplaceCulture #LeadershipDevelopment

In Season 2, Episode 3 of The HumanUp Imperative, Rex Wallace is joined by Dr. John Sviokla, co-founder of GAI Insights and Executive Fellow at Harvard Business School, for a grounded, forward-looking conversation on AI and its implications for healthcare leaders. Dr. Sviokla argues that by 2030, every competitive organization will operate as a hybrid of human and machine intelligence, and that healthcare is no exception. He walks through his RISE framework for AI adoption, explains why AI is a capability that must be grown rather than a technology you simply install, and makes the case that senior leaders, not just IT teams, need to be hands-on with these tools. The episode also explores the human stakes of AI deployment: organizational values, decision authority at the edge, and what it means to optimize not just for human audiences but for the AI models increasingly sitting between organizations and their customers.

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.