You probably know the dream where you need to run and your legs won't obey. Carrie names that dream halfway through her conversation with Tanir Ami this week, and from there it's hard to let the idea go. What Tanir describes, and what the whole nonprofit and foundation sector seems to be describing right now, is the waking version of it.

In 2020, leadership looked like a million-dollar check hand-walked to a closed UPS office. Decisiveness was the whole job. The uncertainty was acute but legible: a virus, a curve, a set of immediate needs. You moved, or people died. Today's uncertainty is different. Tanir calls it "quieter." The threats are diffuse, the timelines unclear, the systems shifting in ways that might not surface for months or years. The instinct to charge forward survives. The sense of which way to charge does not.

Tanir, in the middle of all this, did the opposite of what the field expected. She narrowed. While other leaders were being told that strategic planning had become too hard to attempt, she and her team spent the year writing one. Not a sprawling, hedge-everything plan. The CARESTAR Foundation's new strategic plan turns on a single sentence: eliminate racial disparities in emergency medical services care across California.

The 2026 Insights on Purpose research that anchors this season found that most leaders are making major changes to grantmaking or fundraising, and most are doing it without a strategic plan at all. The reasoning is easy to follow: when the ground keeps moving, why commit to a destination? Tanir's answer runs the other way. When the ground keeps moving, the destination is the only stable thing on the horizon. The path will change. The collaborators will undoubtedly change. The question of what you are trying to alter about the world only gets sharper under increasing pressure.

When Tanir shared this new, tighter focus publicly, nobody backed away. They moved toward her. Committing publicly to one specific thing made her easier to find, and the plan turned into an invitation. 

In this week’s Research Brief, Matt Price points the same direction: health-focused nonprofits report the lowest optimism of any subsector in the study, and they are the ones who most need a funder willing to cover work that is, as he puts it, "sometimes under attack."

Carrie's dream, the one where you run and stay in place, marks one texture of leadership in 2026. This conversation points to another. Choose one thing, say it out loud, and build the plan around it. The legs start moving again. The dream hasn't ended. You've just stopped trying to outrun it.

• (00:00) - Welcome to Mission Forward
• (01:18) - Introducing Tanir Ami
• (04:42) - Why is Racial Justice so important to Pre-Hospital Care?
• (05:54) - Reflections on Leadership Today... versus 2020
• (13:35) - Reimagining Creativity and Collaboration
• (16:22) - The Strategic Plan
• (23:05) - The Ten-Year Retrospective
• (27:55) - Research Briefs with Matt Price