Transcript

Rapid Response: Turning tears to action, w/Planned Parenthood’s Alexis McGill Johnson

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I realize in that moment. That I still had a shred of hope left in me. It was like an ember that just didn't want to go out. That crushing feeling seeing the opinion, there were just tears. My job as a ліder is to

Think about how we fight and stay courageous. How about the loss of abortion access is gonna cost the economy$105 billion? How about the fact that it's gonna impact the pipeline for women leaders to get from their internship into the C suite? Every time a company stays neutral or tries to be a bystander, that's gonna be to their detriment because their consumers care about this issue, their workforce is standing there. It's really important for them to show leadership. In order to achieve many of their own values.

That's Alexis McGill Johnson, president and CEO of Plan Parenthood Federation of America and Plan Parenthood Action Fund. Alexis was on this show a few months ago in the midst of an initial wave of change, but when the US Supreme Court overturned Roe v Wade, she had to grab what she calls her go bag and kick her organization's response into another gear. I'm Bob Safian. Former editor of Fast Company, founder of the Flux Group, and host of Masters of Scale Rapid Response. I wanted to talk with Alexis because she's been forced to rethink everything about the way her organization operates.

Alexis is addressing near-tergencies, even as she works to put in place a revamped long-term strategy. She's doubling down on motivational priorities. Offering lessons on counteracting the malaise that can hit any effort that's experienced a worse that could happen moment. She also calls out business leaders as critical in shaping the national dialogue in this moment, pointing to cold hard business considerations. Businesses increasingly talk about their values, Alexis notes, around diversity and equity. Now she says it's time to support those investments and live up to those ideals.

I'm Bob Safian, and I'm here with Alexis McGill Johnson, the CEO of Planned Parenthood Federation of America. Alexis, thanks for joining us. Hey, Bob, good to see you again. So you were on the show early in twenty twenty two, as speculation was rising that the Supreme Court might overturn Roe v. Wade, and you talked about the need to be fearless.

But there was still a sense or a hope, maybe, that somehow a fifty year old precedent would be preserved. And now We know that that Landscape is radically altered.

Where were you when the decision that Dobbs case came out on June twenty fourth. W what did you do? How did you react? I was in my board meeting. the national boards were meeting in Washington, D C. It was our first time back in person. Together several years because of the pandemic.

And you know, I was meeting a lot of new board members for the first time. And We had a sense that they had added an extra decision day, which, you know, always puts everyone on edge, that we would need to pause our meeting at ten o'clock. to uh Doom Scroll, as the kids say, to see what was going to come. And of course, you know, a month and a half before we'd seen the leaked opinion that was still in draft form.

And I love that you use the word hope in the question because I felt like I had processed. the decision already if I hadn't processed it in September when the court declined to intervene in Texas. If I hadn't processed it in December.

During the oral arguments. I'd certainly hyp process it during the leaked opinion, right? When you realize that what we expected to come was gonna come. But I realize in that moment. That I

still had a shred of hope left in me. There was like an ember, right? That just didn't want to go out. And that crushing feeling, seeing the opinion that essentially was virtually the same as what we had seen during the leaked opinion. The horror, the cruelty in it. There were just tears, you know. I mean I immediately jumped up. We had our go bag, you know, our punch list to jump into all things media politics and

What have you. But it was just this like gnawing feeling. I've just watching that

That ember shrink ever so slightly, and that was really painful. And sometimes I guess when you're with other people you sort of see it on other people's faces. And That Opens you up a little bit more to what's really happening.

Yeah. Well, you know, you ask yourself these questions, right? And you can't stop the flood of emotion for the last year in particular, particularly around Texas, I had been traveling a lot. I've been hearing the stories, talking to providers about the very dire impact that these bans were happening pre The Dobbs decision and pre the overturning of Roe. And I realize like every story I hear sits a little bit just behind my eyes. And every time I access them, I can feel the emotion coming. And I think it was in that moment just the the flood of

conversations of understanding what the reality is of understanding the impact to the providers, my CEO colleagues, you could see it on their faces, and as much as you want to I don't know, not necessarily be strong'cause you're not crying, but just like Give people hope. You have to have the moment.

So the ember goes out. You grab your go bag. And now you're like In intense demand. I mean, you've been traveling all over, I know from New York Louisiana, Michigan, North Carolina, South Carolina.

There are these Nier term needs and actions. And then there's sort of longer term Planning And strategy.

How do you reflect on What your role is as a leader in this moment. My first role is actually to be a hope dealer, you know, I talked about the ember going out, but only just to like the barest coal where you can still see the color in it. My job is to fan it back. In a world where The onslaught

In just the last three weeks, right? We've seen twelve states ban access to abortion. And we know that we're going to twenty six within the next few months to a year. And that in itself is overwhelming. And so I think that my job as a leader is to Think about how to not let

Вот із Форус Овермас. how to Keep a long term Contagion going. This is how we fight and stay courageous and maintain ourselves. And also

Show up everywhere. to let people know that If a fight is in the states, we're gonna stand in the states with you. And so that's a lot of what I have been doing. I was on the ground with Governor Cooper and our North Carolina CEO when he signed the executive order protecting And directing his agencies, you know, on specific access to abortion issues. I was in South Carolina when the bill the committee to start to think about what their next version of cruelty will look like in South Carolina, rallying folks as they were going in to testify.

And then I flew to Michigan to Talk with Governor Whitmer. But also to be with the folks who have filed the ballot initiative in Michigan. They just turned in the signatures earlier this week, and it was like an incredible shot of energy. And what they needed for a constitutional amendment in Michigan was something like four hundred thousand signatures. The fact that they were able to turn in seven hundred plus thousand signatures is so powerful to me because it just says that. We are right about where

The public stands on this issue. And so if we are right, then what we need to do is actually fix democracy in order to make that a reality. Hm.

I mean it it took Fifty years for your opponents to dismantle Roe and the rights It created. And there was a whole architecture built

On top of that foundation and now You face your own maybe decades long journey. You know, which is a different climate and a different task. Even as you're

Inundated with trying to sort of plug the dike in as many places as you can at the same time, right? How do you Internalize that? How do you internalize it for your team or Do you just stay focused on like this is what we can do right now?

And let's worry about the long term when we get to the next phase. Oh, you can't delay worrying about the long term, right? I mean the long term has to be a part of every decision that you are Making probably what takes up more of our space is where to allocate resources immediately, how to support the operations in SERD states, how to fight some of these Unforeseen legal battles around whether or not you can actually travel outside of state to get access to abortion care and the other kind of crazy things that they're throwing up to block access to care. But I think that long term fight.

Right. That long term fight of what it really means when the court tells you you are no longer considered equal in the constitution. You were no longer considered free in many states. That has to inform the fight and the strategy, I think at every turn. And I think it's a mistake that leaders make when

You don't resource the time. for that kind of thinking. So even just this week we had a leadership team meeting That actually was much more future forward. That was asking questions around The direction.

of health care of телемедисин of kind of gaming out what we thought would happen with medication, abortion, what's happening in the metaverse. You know, all of these things that are gonna be really important for us to consider as we make our day to day decisions. So Our listeners many are business owners and business leaders.

And I wonder how you look at the role of business in this moment and in your longer term efforts. We hear more and more about the imperative for businesses to take positions on social and political issues, but their risk for them Whatever they do. How much do you hear from business leaders? Do you counsel them, do you advise them? So I have been hearing from a lot of CEOs and C suite leaders for some time now. And you know, as you remember, I've had a practice consulting with many CEOs around issues of race and gender bias for a decade.

So I had been in touch and particularly even before the leak to say hey this is coming, are you getting Prepared and I think business leaders, not unlike many other Americans, were like, Oh, the court is never gonna do anything. They're not gonna be so drastic. But as soon as the opinion was leaked. I started hearing from a lot of people. There are

Strong efforts first and foremost to protect Their workforce. companies who are in states where their employees no longer have access to care and they have made Clear. full throated decisions that they will continue to support the right to travel as well as hover on insurance their care. And I think that's a good step.

There are other companies who put their name and brand. In the line, they've signed our don't ban equality pledge. They have been more vocal. I've seen a number of executives tell their own personal abortion stories in ways that again normalize the experience of one in four women in this country. And I think they could be doing more. It's hard to stay neutral on this issue. I think when you say There could be consequences, you know, I have to push back.

In some ways it's like we're perpetuating this false equivalence. around support for abortion rights by saying there could be consequences, or there are both sides to this issue. The majority of Americans believe that rose should have been the law of the land. They believe that Politicians should not be making these decisions. They're private decisions to be held between the patient and the provider. And no lawmaker should be in that exam room with them. And I think by and large, every time a company stays neutral or tries to be a bystander, in effect, they're siding and acting like a bystander instead of standing with where the majority of people are. And I think that's gonna be to their detriment because they're consumers. care about this issue. They're much more conscious in many ways, as we've seen over the decade.

There are workforce standing there. And I think it's really important for them to show leadership. In order to achieve many of their own values. Many leaders have expressly said diversity in the C suite on the boards. Is a critical value for them. They have said that they recognize the impact that many of these decisions are gonna have on their frontline workers.

So if they believe that, then they should stand and put more of theirselves on record in doing so. Yeah. I mean Even if A majority of Americans Agree with you. There's still a sizable proportion that might be among

A businesses Customers of businesses. work force That support Dobbs, right? And I guess before this, as a business leader, you could look to the law of the land and say, Well, I'm following the law, so you know, therefore like it does create a new kind of

I don't wanna say hurdle, but they need to have a rationale beyond just saying, Well, I'm just aligning with the current state of federal law. Okay, how about the loss of abortion access is gonna cost the economy a hundred and five billion dollars? That's a good argument, right? How about the fact that it's gonna impact the ability for the pipeline that they have so deeply been investing in For women leaders to get from their internship into the C suite. I've talked to countless executives who said if they did not have the opportunity to control when and if they became pregnant during their career, they never would have been able to sustain. They never would have been able to achieve some of these goals. I talked to a cardiologist and she's like, I didn't even get out of medical school and all of my residencies until I was like basically perimenopause. There's no way that I could have ever

Achieved what I have done right now, and I'm the only black person in my department. We have invested so much trying to close the gender gap and the equality gap and the wage gap to essentially codify inequality and to have a business not weigh in on that. It feels not just counterproductive, it feels actually incredibly harmful. to the values that most businesses state they espouse. When you build substantial wealth through your business, it's often tied up in a single equity position.

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Lear more at creative plating dot com slash masters of scale. Humans will never be more intelligent than AI. There's gonna be two types of companies. Those were great at AI and those that went out of business because they weren't. How do we build a future? That is human centered. I'm Rana El Calyubi.

And on my podcast Pioneers of AI, we answer that question and so many more. As an AI scientist, entrepreneur, and investor, I know what it takes to build AI that works for everyone. Every week, I sit down with the pioneers shaping our future. And we take you behind the scenes of the AI that's transforming our lives. Find pioneers of AI wherever you tune in. Hey listeners, Bob here. If you listen to Rapid Response on Masters of Scale, you may be missing half the show. Because every Friday we release a second rapid response exclusively in the rapid response feed. The guests and topics are just as compelling and timely from Ford's CEO to NASA's administrator to the lessons from The Devil Wears Prada.

It takes about 10 seconds to find, just search rapid response wherever you listen to podcasts and hit follow to make sure you never miss an episode. I hope to see you there. Before the break, we heard Alexis McGill Johnson of Planned Parenthood talk about the interplay between near term urgency and long term strategy in the wake of Roe v. Wade being overturned. Now she talks about learning from the competition and why she believes emphasizing more local engagement will help soothe national divisiveness. She also shares her personal lessons on how to make hope an everyday ongoing practice.

So If you look at the other side in this societal That like those who oppose abortion, your competition, they're like celebrating, they're optimistic, they're even emboldened, right? I know I sometimes

watch news outlets and read social media that I disagree with to try to Better. Understand Alternate perspectives. I know you were a commentator on Fox News back in the day. How much do you engage with and look at the other side at your competition?

I learned a ton of things being on and off air for almost a decade, and I think a lot of what I learned was how much of a job it is. to propagate a lot of misinformation. The candid conversations I had backstage were not always the ones that I had on air. And I think we do have to talk about the role that misinformation has played even on this issue and many others. There's so much overreach that's happened. There's so much extremes. It's not just that.

row has been overturned. It is the fact that there are now introductions of laws To ban the right to travel. across state line to get the care that you need. That will also implicate companies, laws that found information that may quote aid and abet someone getting access to abortion, criminalizing birth control. Contraception. Emergency plan B IV.

These laws are so extreme and the rhetoric is so extreme, it make you realize it was never about abortion anyway, right? It's about power and control. And I I can't see a world, particularly as a business leader, where you you want your workforce to live in a state. That is willing to hold you hostage. Like that to me should cause an incredible about alarm.

Just for everyday average citizens. I keep reflecting back a century ago to prohibition. And the model that that might give for this era in some ways. Like will we have the equivalent of a speakeasy, like what kind of black market is there? For drugs and services to meet this marketplace. Of course, there is a, you know, alternative economy that is gonna emerge in this moment. Uh you already see it. Obviously, you can go on the internet and find anything. At this point, the concern is ensuring that people who are pursuing access to let's say medication abortion online are getting

what is being purported to be sent. I've heard from providers in our network of patients who've received placebos. You know, so you can't guarantee The quality When the economy shifts in such a way. And I also think what the Biden administration is doing is really important, right, around medication abortion. You know, recognizing the fact that the FDA has approved medication abortion as safe and has to some restrictions on our ability to mail.

particularly M for Pristone and that Thinking about the ways in which the model of delivery is gonna change significantly and how it's gonna bump up against many of these laws and restrictions is the work. I mean, you know, the Biden administration has taken the first step, but we also need to do incredible awareness campaign around the safety around self-managed care. education around how to test your medication, ensure that you're getting what you know. Венпів а вulnerable, when people are in a situation that is desperate, that is when they are most likely to be preyed upon. And I think that's what we have to be concerned about with respect to the kind of alternative economies of rising up.

And I guess the support from the Biden administration, if this really is a fifty year battle that you might be in to turn the tide the other way, like you can't expect that support to stay in the White House. For all of that time, right? And then You know, whenever that shift At some point whatever's being put in place now might be taken away. You gave an analogy about Sisyphus when we talked last time and it it feels more pertinent than ever.

Yeah, definitely. And it's really about that hour of him walking down the hill, right? From Camus, knowing that one must imagine him happy. I'm definitely not happy knowing what the fate is and that we're doing this for the next fifty years. And it doesn't give me a great deal of hope just to have. A partner in the White House and the administration because to your point. That can change. Congress can change. That is why we held so much hope out for the court, because it was actually a constitutional protection that endured shifts in federal and congressional, even state house. So I don't have a tremendous amount of hope no longer in the court. You know, I have concerns about ensuring that our democratic process remains healthy, but I do have a tremendous amount of hope in the people. And I know that what we saw pre-nete three and what we will see, you know, post twenty twenty two is the fact that people seeking access to abortion will find a way to get access to abortion.

And just because these laws are In effect does not mean that people will not still try to get the access to the care that they need. And I think it it will be in their stories. It will be in their mobilization. It will be in the fights that they take directly to their state houses that we are gonna start to see a dramatic amount of change. Why I started with that story with Michigan, because Michigan, you know, has a nineteen thirty one law in the books. And never thought it would ever be reenacted. You know, it come back into being relevant. It's like almost like ninety years ago, right? So the idea that as they were filling out the petitions, they literally couldn't keep petition boxes and forms on their front porches because everybody

wanted to have those conversations. And I think we're gonna go back to that way of being where our politics and our civic life become so much more personal and local. In a way that I actually think is gonna be much healthier for us as a country. That there may be some silver linings in this. Not that you necessarily want to be in this spot, but Yeah. I mean, the thing that I have wrestled with in this role is what it will mean

to be the leader of Planned Parenthood at the end of row. And now has happened. So now the question that I have asked is who are we gonna be now that we're no longer defending Roe? Right? What is the opportunity to reimagine to reconstruct the right? What is the opportunity for us to actually create more stakeholders in the conversation. We have not ever had a really robust conversation with men in the way that we should. We've not had a really robust conversation with corporations in the way we should, or universities. There are so many institutions that are going to be affected by this decision, and they all have to figure out how to support people who need care. We're having different conversations, and I think that in itself is going to be really healthy.

I mean, every organization, every business faces their existential moment, maybe not quite like this, but your ideas or your hopes they're not working out and you're losing ground instead of Building momentum. As I'm listening to you like how much organizationally do you think about sort of almost starting from scratch But like you have to start over or

How hard is that when you've got a movement and an organization that's decades old to really start from scratch? So we're over a century old. Which is actually. I think a really important point here, right? We have been through many ups and downs over many decades. And as I said, I have faith in the people. I have faith in my affiliate colleagues who every day show up with their colleagues and open up health center doors. They have transformed through COVID. They went from a 10 year plan to

Introduce telehealth to rolling it out in ten days. They are fearless frontline providers. who are working in real time to adjust to the shifts. In the changing landscape. There are folks who are thinking about how to shift their care delivery model so that if they are not allowed to provide abortion care.

what are they doing to double down on maternal health care? What are they doing to double down on birth control? Plan parenthood has always been, since its inception, a critical part of the public health infrastructure. And we will continue to do that and to evolve the business and the mission to meet that moment. So I'm not worried about Planned parenthood per se, but I am worried about The millions of people who are going to be waking up over the next few years and finding themselves in a circumstance. that will impact their lives, a decision that they want to make that they can no longer make in their state.

And the real impact that will have when the future Of abortion access means they've got to drive hundreds of miles, get on a plane, find child care. All the things that should be accessible down the street. Thank you again for coming back and having this conversation with me again. I feel a little bit like I'm torturing you. Not at all. Making you go through

All of the things that are hard and all of the pain in this Your role is to keep everybody else hopeful. How do you keep Your self hopeful. And recharge when you've

Gotta Go out and Get everybody else moving. I think hope is a practice. It really comes from doing. I like to daydream. I like to think about what the possibilities are and climb up the mountain and kinda see where we're going and offer that.

From a leadership standpoint. I think you gotta come down from the mountain and you gotta plant the seeds and you gotta actually do the work. And I find so much joy And Putting all the pieces together.

I started off my college career as a math major, and so I tend to think about all of these things in terms of equations. What is the movement equation right now? What is the healthcare equation? Like what are we solving for? And I think that gives me hope because it makes it digestible, however big or small the problem is, it means that we can get laser focused on what the immediate needs are and how they ladder up. I'm recharged because even though it's been three weeks, I can't believe it's been three weeks from day two, there was already hope spreading around the country. There was courage. A friend of mine gave me a a little coffee tumbler and it says courage is contagious. And I think about that all the time. I have it sitting on my desk and as I'm watching people just take courageous actions, whether they are a member of their

employee resource group and they're sending a letter into the head of their company asking them what they are going to do about this, whether they are a student on campus who's asking a recruiter a hard question about what will happen if they come to work for them. I see people challenging and raising questions that are so important. And really become the daily practice, not just around securing abortion rights and access, but really what it means to be a citizen. what it means to be a corporate citizen, what it means to engage in a regular way. And so I am I'm hopeful. I'm really honestly restored by so much of what I'm seeing. And I I just like to be an observer of that. That really does give me a lot of joy. Well, thanks for bringing your hope. To us and your insights, and I hope you'll be back again.

Indeed. Thank you so much for having me back. Masters of Scale Rapid Response is a Wait What original. It's hosted by me, Bob Safian, Masters of Scales editor at large. Masters of Scale host is Reed Hoffman. Our executive producers are June Cohen, Darren Triff, and Jordan McCloud.

Our head of content and production is Lori Hoffman. Our producer is Marie McCoy Thompson. Scripts by Alex Morris and Tucker Legers. Our music director is Ryan Holiday, original music and sound design by Eduardo Rivera, audio editing by Keith J. Nelson, Steven Davies, Andrew Nolp, and Mike Gallagher. Mixing and Mastering by Aaron Bastonelli.

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