What does it take to lead through one of the most defining battles in CRNA history? In this Courage to Lead conversation, Larry Hornsby, CRNA, BSN reflects on his presidency during a pivotal and tumultuous era for the AANA at the turn of the century. Facing national policy shifts, physician supervision debates, and an all-out fight with the ASA, Larry shares the behind-the-scenes stories of late-night strategy sessions, fax campaigns to Congress, and standing on the rope line with President Clinton. This episode is more than history—it’s a powerful look at leadership under pressure, the sacrifices required, and the resilience that shaped the future of nurse anesthesia. Here’s some of what you’ll hear in this episode: ⚖️ Policy at the crossroads – How supervision became the central fight for CRNAs. 📨 Fax campaigns & hidden emails – The creative tactics used to get Washington’s attention. 🧑‍⚕️ Courage under fire – Standing firm while facing threats, opposition, and burnout. 💪 Leadership lessons – Listening to your board, your members, and never asking more than you’re willing to give. 🌟 Legacy and inspiration – Why today’s CRNAs stand on the shoulders of giants.   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate