Grounded and Unbounded, SLHI’s “unconference” focused on community development and communities of practice, just concluded on December 11. We’re still in the feedback process, but we know what we’re after. Guest Bob Stilger of the Berkana Institute and World Cafe practitioners refer to them as “minimum elegant next steps.” As the health reform process continues to produce 1,000-page bills, there’s a reminder here to open our eyes to practicable and effective changes borne from proximity, reflection and insight that are within our reach now.