A leader takes people where they want to go. A great leader takes people where they don't want to go but ought to be. Where is the U.S. health and human service system headed? The picture from Washington is a bit unclear at this time. And, new technology and new competition makes that picture a little more uncertain. So, how to lead in these uncertain times? My experience over the past few years is that leadership is the most defining factor in the success of an organization in the field. Even the best strategy will . . .