
← Inside SLP19 Dec 2025 · 10 min
08: The Under-Built House
Are you failing, or is the system failing you? This episode explores the psychological and political costs of an under-built profession. Using the 2020 ASHA Ad Hoc Report, we look at how a lack of a unified competency framework leads to arbitrary power dynamics and gratitude compliance. We also discuss the looming generational shift in state associations and the danger of leaving a vacuum of power that insurance lobbyists and competing disciplines are eager to fill.
Subjective gatekeeping: Why competence feels like a personal judgment without objective rubrics.The certainty market: How structural gaps in grad school created an influencer economy that sells confidence as a product.The power vacuum: Why the decline in professional volunteering is a threat to our scope of practice.This is an invitation to stop personalizing the friction and start seeing the architecture.
Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources:
Final Report, Ad Hoc Committee on Graduate Education for Speech-Language Pathologists, March 2020