Description

Many SLPs experience ASHA membership as essential to survival even when, structurally, it is designed to be optional. This episode examines why that tension exists, and what it reveals about how professions stay healthy as they grow.

Rather than framing optional membership as a threat, we look at how it functions as a stabilizing feature in mature professional systems and why the fear of “splintering” often signals growth, not collapse.

We explore:

• The rootbound analogy: How a structure built for a smaller profession can start to constrain adaptation.
• Exit and voice: Why meaningful participation depends on the possibility of choice.
• The 96% signal: What ASHA’s own internal report reveals about shared concern and institutional inertia.

Sources:

• Hirschman, A. O. (1972). Exit, voice, and loyalty: Responses to decline in firms, organizations, and states. Harvard university press.
• Final Report, Ad Hoc Committee on Graduate Education for Speech-Language Pathologists, March 2020
• Final Report of the Ad Hoc Commiftee to Plan Next Steps to Redesign Entry-Level Educafion for Speech-Language Pathologists December 2023

Connect:

• Contact Megan: therapyinsights.com/insideslp
• PACT Survey: pactsurvey.com