As a specialist, my wife receives letters and postcards (sometimes twice a week) from recruiters and health systems all over North America. They never explicitly state which hospital it is specifically but they all guarantee: top salaries, high quality of life, national sports teams, major universities and “…a wonderful place to raise children”.

My wife is working very hard with a practice covering seven hospitals in three states and feels as though her employers’ commitment to her is as not as significant as her commitment to them. She always says “Your first job is never your last…” So, after 5+ years of interest from Sanford Hospital in South Dakota, we’ve decided to take a look. Although we couldn’t imagine living in South Dakota... we did some research on Sanford Health and decided it was worth the visit. At the very least, it would be an opportunity for my wife to catch up with an old friend and former colleague for whom she has a tremendous amount of respect.

FAST FORWARD 7 WEEKS…

When we arrived in Sioux Falls South Dakota, we were simply blown away at this hospital’s whisper of a “Talk” and thunderous “Walk”. Thanks to Premier One Bankcard founder Denny Sanford (and his $700MM in gifts so far…), Sioux Valley Hospital has been renamed “Sanford Hospital” (surprisingly) and transformed into a region-shaping health care network with an infrastructure of physicians in leadership and an outreach spanning 126 communities throughout 8 states. They are implementing several initiatives including global children's clinics, multiple research centers and finding a cure for type 1 diabetes and breast cancer. With both domestic and overseas satellites opening at a record-pace, Denny Sanford is creating an unprecedented momentum of ensuring the highest caliber of healthcare both in the Midwest and in 18 countries throughout the world (now developing international clinics in Ireland, Ghana, Israel and Mexico). Organizational growth and development with cutting-edge medicine, sophisticated research and advanced education like this isn’t seen in cities ten times their size.

We arrived the weekend of Sanford Hospital’s Annual Gala ( benefiting the expansion of their cardiac division) and graciously accepted what we believed would simply be an opportunity to meet some folks on the team and have a nice dinner. I’ve been to a lot of these events and they always seem to follow the same syllabus: cocktails followed by a President’s greeting, a few words of promise by the CEO or COO then a video presentation of the good work being done by talented physicians and administration’s plans for the future. Then it’s back to dinner and some dancing afterwards.

The Sanford Healthcare gala we attended not only brought one of the better meals I’ve had this year to our table (a perfect medium rare filet, roasted brussel sprouts and truffled potato gratin), but also tears to my eyes…and handkerchief. Never before have I been so moved by the parents of children whose life-changing stories were shared …or by the teams of dedicated people working orchestrally, from top to bottom, who selflessly make such a monumental difference. But the Sanford story did not end when the lights came back on. This was not a benefit injected with a presentation of “good work being done”. This was simply a spotlight on life at Sanford whose message of “Improving the human condition through exceptional care, innovation and discovery” didn’t end with a video. Improving the lives of children, specifically, didn’t seem like “just a job” people are doing here…it seemed more like a calling. An ingrained way of living life. A belief system that is evident in everything from the conversations between fulfilled guests at every table and the LED-illuminated spinning magic wands handed out on the dance floor (that surely made many a baby-sat children at home delighted in the morning) to the child prodigy pianist who led the orchestra all evening long.

I guess it’s just an overall feeling of genuine commitment to care and to the community of people who provide it…and there doesn’t seem to be a sense of (or pre-occupation with) time clocks, budgets or superfluous layers of administration associated with it. The passion was palpable and contagious. It’s hard to be around people like that and not feel a moral imperative to join them. It’s hard to be a father and not want an amenity like them for your own child.

Now that some of our preconceived notions regarding the Midwest have been obliterated, we have a lot to talk about on the flight home.

"I don't know any other father that does what you do."

–My Mom

Shortly after the birth of our daughter my mother was utterly amazed that I cut the cord. When she (and most women of her generation) gave birth, men were not even permitted in the delivery room. Fathers-to-be paced the halls outside the waiting room until it was time to dole out cigars.

More and more women are sacrificing their social lives during their 20s and early 30s to continue their education and/or professional experience in lieu of settling down for a life like their mothers'. Today's ambitious women seem to be faced with a choice between the promise of a happy connected family or a powerful rewarding career. Positions of prestige once exclusive to young men who identify themselves and their worth by accomplishment and acquisition alone, are now within a woman’s reach as well...and the diving lines between the sexes are fading faster than a photo of Marty McFly before the Enchantment Under The Sea Dance.

Age-old gender roles, first popularized by our ancestral hunter-gatherers, are evolving. It is the Indian Summer of a modern era in which women not only bring unique skill-sets to the table but often higher EQs as well. With an aptitude for complex problem solving and technical ability equal to that of a man's; woman are collectively extending their reach for the golden rungs. The result? An increasing number of women today (40%) are earning larger salaries than their male counterparts and are more commonly finding their way into executive leadership roles.

Anne Marie Slaughter is a professor of Politics and International Affairs at Princeton University and formerly the Dean of the Woodrow Wilson School. She also served as Director of Policy & Planning for the State Department. I had never heard of her until coming across a piece she wrote in The Atlantic entitled: “Why Women Still Can’t Have it All”. The July/August issue of Princeton Alumni Weekly Magazine (AKA: PAW) featured her follow-up perspective which discusses the responses she received from fellow Princetonians entitled: ”You Can’t Have it All” Although the subject matter is regarding working women, a lot of it translates directly to stay-at-home dads whose life-altering decisions to be with their children is (contrary to what I’ve been reading) similarly dismissed both socially and professionally as a sign of weakness and lack of ambition.

The following excerpts are my favorites:

“…I have been consistently congratulated for making career choices that reflect great ambition, but often come at the expense of personal relationships…On the occasions that I do reveal the most important motivation behind my move, I am often met with subtle but noticeable eye rolls or worse, patronizing lectures…No more do I want to be unemployed than do I want to be the power woman who goes home after work to eat moo shu pork alone in her apartment. Why then should I be proud of investing in one goal, and be embarrassed of investing in the other?...Princeton taught me well how to succeed and how to value professional ambition. But after the cutthroat Ivy League environment, I am trying to teach myself to value relationships. Ironically, the only way I can do this is by looking at my relationships as a professional goal, the only thing I know how to attain.” -Cale Salih ‘10

“Few things rival the deep satisfaction of having a profession that you love and have mastered. But one of those few things is the joy of deep connection to those we love...so why should we look [only] to the professional as the principle yardstick of prestige?” -Nannerl Keohane: Former President of Duke and Wellesley

“As a society, as a university, we say we value family. But when women (or men) choose family over professional promotion, they very often are devalued…I certainly am not suggesting that we should devalue professional ambition. But people must have the option of pursuing a different but equally respected path where we see them as peers who are investing equally…” -Anne-Marie Slaughter ‘80