i thank dr. vink for her impressive analysis of design and introducing me to another method in thinking about institutional organization. I also am deeply grateful for Dr. Vink’s engagement with my work on “Placental Ethics: Addressing Colonial Legacies and Imagining Culturally Safe Responses to Health Care in Hawaiʻi” and responding to the call to re-envision alternative design models in guiding institutional operations that seek community engagement. Responding to this paper helped me to think further about the work I began (...) in that article.Dr. Vink’s project carefully reflects on her experience working with communities in Canada on behalf of hospital administration. Seeking input from differently... (shrink)