High Impact Physician

"A Fireside Chat with the President of the Mosaic Foundation"

Sandy Scott, FACHE

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0:00 | 31:28

Most parents try to do everything “right.” Sandy discovered that real growth began only when she stopped performing strength—and started telling the truth.

  • Sandy shares how raising Zach, her son with profound disabilities, dismantled her identity as a high achiever and forced her to build an inner world grounded in honesty, imagination, and meaning.
  • She reflects on entering coaching from desperation, not ambition—and the moment she realized there might be a way forward when she learned that people are whole, capable, and resourceful.
  • Early resistance to the disability system wasn’t denial, but a lack of imagination; what she saw felt bureaucratic and limiting, not life-giving.
  • Finding Mosaic marked a turning point—leaders willing to be honest, creative, and experimental, and partners to co-create with rather than comply for.
  • Through trial, proximity, and chemistry, Zach’s world expanded into friendships, woodworking, yoga, card games, and everyday joy.
  • Sandy names the deeper barriers—poverty, burnout, outdated beliefs—and why caregiver growth is non-negotiable for true belonging.

This conversation isn’t about disability—it’s about courage, reciprocity, and how ordinary moments become extraordinary when imagination and partnership replace control.