Inside SLP

← Inside SLP19 dec 2025 · 10 min

08: The Under-Built House

08: The Under-Built House19 dec 202510 min

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.

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Final Report, Ad Hoc Committee on Graduate Education for Speech-Language Pathologists, March 2020