statue of liberty superimposed on the constitution and American flag

A Trauma-Informed Democracy: Restoring Leadership for the People

February 21, 20253 min read

“Government is instituted for the common good; not for profit, honor, or private interest of any one man, family, or class of men.” — John Adams

What if we approached leadership the same way we approach care for our most vulnerable? What if we recognized that, just as trauma leaves an imprint on individuals, our political system itself carries the marks of structural trauma—barriers, inequities, and stressors that shape who gets to lead and who is left behind?

As someone deeply committed to Trauma-Informed Developmental Care (TIDC), I often think about how its principles—safety, trust, empowerment, equity—could transform not just healthcare, but society at large. Nowhere is this more urgent than in our political system, where wealth remains a near-requirement for access to leadership.

The Founding Fathers’ Vision—And Today’s Reality

The U.S. was founded on the ideal that leadership should be rooted in civic duty, not personal fortune. Yet today, political office is largely reserved for those with financial privilege. The high cost of campaigns, the need for wealthy donors, and the unpaid apprenticeships that shape political careers create a system where only a select few can compete. The result? A government that often feels disconnected from the very people it’s meant to serve.

James Madison warned against economic elites seizing control of government, yet modern elections often favor those with the deepest pockets rather than the deepest commitment to service. Just as TIDC works to remove barriers to equitable healthcare, we need to remove barriers to political participation.

Applying Trauma-Informed Principles to Politics

A trauma-informed approach to governance would require structural changes that promote fairness, accessibility, and sustainability. Here’s what that could look like:

🇺🇸 Reducing the Influence of Wealth in Elections

  • Overturning Citizens United to limit corporate and PAC donations.

  • Expanding public campaign financing to support diverse candidates.

  • Implementing spending caps to ensure elections are about ideas, not dollars.

🇺🇸 Lowering Barriers for Working- and Middle-Class Candidates

  • Reducing filing fees and bureaucratic obstacles to ballot access.

  • Providing stipends for candidates without independent wealth.

  • Offering childcare and salary replacement for those running for office.

🇺🇸 Ensuring Fair and Equitable Media Access

  • Requiring broadcasters to provide equal airtime for all qualified candidates.

  • Reducing the role of paid advertising in election outcomes.

🇺🇸 Expanding Voting Rights and Civic Engagement

  • Making Election Day a federal holiday to allow more working-class participation.

  • Implementing automatic voter registration to reduce barriers to voting.

  • Adopting ranked-choice voting to give voters more power in elections.

🇺🇸 Reframing Leadership as Public Service, Not Careerism

  • Enforcing term limits to prevent career politicians from dominating the system.

  • Strengthening conflict-of-interest laws to ensure leaders serve the public, not their wallets.

  • Encouraging public service fellowships that allow non-traditional candidates to gain experience before running for office.

A Trauma-Informed Future: What’s at Stake

Trauma-Informed Developmental Care teaches us that early experiences shape lifelong outcomes. Similarly, the experiences we allow in our political system shape the long-term health of our democracy. If we continue to accept wealth as a prerequisite for leadership, we reinforce a system of political trauma—one that excludes voices, deepens inequities, and disconnects governance from those it serves.

TIDC isn’t just about babies in the NICU; it’s about creating systems of care, connection, and equity across all aspects of life. A trauma-informed democracy would do the same—ensuring leadership is accessible, inclusive, and deeply human-centered.

What steps do you think we need to take to make our political system more just, equitable, and accessible? Let’s start a conversation.

In service and solidarity,

Mary

P.S. If you believe in creating systems that foster equity, connection, and resilience—whether in healthcare, leadership, or beyond—consider becoming a Trauma-Informed Professional (TIP). Our TIP 2.0 program is designed to equip you with the knowledge and skills to be a transformational change-maker. Learn more and join the revolution!

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care.

Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction.

Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

Mary Coughlin

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care. Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction. Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

Back to Blog