 Patience, consumers, communities, and other stakeholders should be included in decision-making processes related to healthcare delivery, research, and policymaking. However, this inclusion must not be limited to tokenism, it must also involve active representation of the interests of the people being represented. This requires that representatives stay connected to the real-world concerns of their constituents, as well as having the backing of many voices. This article was authored by Matthew DeKamp, Sarah E. Brewer, and Vadim Dukinen.