Dr. Jeanette Benigas and Megan Berg speak with MaryTherese Sabatino, an SLP currently completing her SLPD and pursuing a track in academia who has decided to drop ASHA membership. The episode touches on the history of the membership association, how it has grown in the last 20 years, and opinions around lack of transparency and accountability. Grassroots change at the level of state associations is discussed, along with competency-based training and evaluation.