Tim Porter-O'Grady is senior partner, Tim Porter-O'Grady Associates, and associate professor, Emory University, Atlanta, Georgia. He is an international health care consultant specializing in health systems conflict, crisis, and innovation. He is a registered mediator and arbitrator and a clinical nurse specialist in gerontology. He lectures internationally on preferred futuring and its implications for nursing and health care. He can be contacted at drtpog@aol.com