I did not perceive the systemic nature of these issues until after my reappointment. Had you asked me at the time, one year in, whether I thought there were these problems and issues, I would have said no. Many of these issues unfolded over time, and it was only over time that I saw a pattern.
A very specific pattern, which I found very distressing and continue to find distressing, is that I don't believe--it is my opinion--that there has been adequate engagement and respect shown towards the users of these technologies. I can say that I repeatedly, repeatedly asked that there be appropriate representation on various committees and subcommittees that were struck. I was even the first board member at the first board meeting to say that we don't have a patient representative as a member of the board and we need to correct this immediately. That suggestion met with resistance.
Subsequent suggestions that I made repeatedly, to include members of the infertility community on various committees, met with resistance. To my knowledge, to this day, those committees are clinician- and scientist-only committees.