Redefining Neutrality—Dignity Alliance: The Evolution of Honest Brokers in Healthcare Advocacy
Keywords:
brokers, healthcare, Procedural Neutrality , Dignity Alliance Massachusetts, value-based advocacyAbstract
In 2020, as COVID-19 ravaged nursing homes across Massachusetts, a group of advocates made a radical decision: they would stop pretending to be neutral. That choice would transform healthcare advocacy. The emergence of Dignity Alliance Massachusetts (DAM) https://nonprofitquarterly.org/dignity-in-action-from-institutional-failure-to-decentralized-empowerment represents a significant evolution in the concept of honest brokers within healthcare systems. The article ‘Honest Brokers, Technology, and Health Justice: What Are We Learning? https://nonprofitquarterly.org/honest-brokers-technology-and-health-justice-what-are-decentralized-autonomous-organizations/ laid out the process and mechanism for an alterative to mediated brokering. This approach arises from the evolution of this organization, committed to the betterment of the lives of marginalized persons, especially those who are older and disabled.
This article moves beyond the concept of honest broker into value-based advocacy. While traditional mediation strives for neutrality in mediating conflicts, DAM forges an alternative new approach that represents value-based mediation, challenging conventional assumptions about the role of honest brokers in healthcare reform.
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Copyright (c) 2025 James Lomastro (Author)

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