Thank you for your response, Ursula, Costco is different than health care.  In healthcare, it is essential for employees to be heard, yet I am not sure how treating them as entrepreneurs would work in healthcare.  I am glad to hear your principle is supportive.  I think in a big organization such as Fraser health and school boards, etc.  there are always many different voices to be heard.  Perhaps this is the reason my voice has not been heard, but I hope in the future I have the opportunity.