In this episode of PAC & Forth, we go inside the Capitol with John Latimer, founder and managing partner of Capital Advocacy — one of Sacramento’s most influential lobbying firms — for a no-nonsense look at how decisions really get made.This conversation pulls back the curtain on:Why health care policy is dominated by big institutions — and how smaller voices can still break throughThe real meaning of “affordability” in Sacramento (and why it’s more complicated than it sounds)How California’s budget deficit is already reshaping health care debatesWhat the next governor’s race could mean for single-payer, access, and qualityWhy grassroots physician voices matter more now than everA candid, insider’s view of power, politics, and persuasion and how independent physicians can stop being spectators and start being heard.If you’ve ever wondered why common-sense health care fixes are so hard to pass or how PAC turned a brand-new association into a legislative win, this episode is essential listening.