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Pharmacy Benefit Manager (PBM) Impact and Reform Summary: Research May 2025

Key Points

  • PBM Impact: Pharmacy Benefit Managers (PBMs) are criticized for practices like low reimbursement rates, spread pricing, and steering patients to their own pharmacies, which harm independent pharmacies.
  • Trump Administration Actions: The Trump administration has targeted PBMs through executive orders and legislation to increase transparency and competition, with notable actions in 2018, 2019, and 2025.
  • Major PBMs: The top three PBMs—CVS Caremark, Cigna Express Scripts, and Optum Rx—control about 80% of the market, with others like Humana, Prime Therapeutics, and MedImpact also significant.
  • Investigations and Blocks: Federal and state efforts, including FTC investigations and Arkansas’s 2025 ban on PBMs owning pharmacies, aim to curb anti-competitive practices.
  • Controversy: While PBMs argue they lower drug costs, critics, including bipartisan lawmakers, highlight their role in inflating prices and reducing pharmacy competition.

How PBMs Harm Pharmacies

PBMs act as middlemen in the prescription drug supply chain, managing benefits for health plans. However, their practices often disadvantage independent pharmacies. They set low reimbursement rates, sometimes below the cost of drugs, making it hard for pharmacies to stay profitable. Through “spread pricing,” PBMs charge insurers more than they pay pharmacies, keeping the difference. Their ownership of pharmacies (e.g., CVS owning Caremark) allows them to favor their own stores with better rates and steer patients away from competitors, reducing business for independent pharmacies. Past use of “gag clauses” also limited pharmacists’ ability to inform patients about cheaper options, though these are now banned.

Trump Administration’s Response

The Trump administration has taken steps to address PBM practices. In 2018, it passed laws banning gag clauses to improve price transparency. In 2019, it proposed removing legal protections for PBM rebates to reduce conflicts of interest. In 2025, an executive order aimed to enhance PBM transparency and competition, building on earlier efforts like the Most Favored Nation model (though previously blocked in court). These actions reflect a broader push to lower drug costs and protect pharmacies.

Major PBMs

The leading PBMs include CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, which dominate with an 80% market share. Other key players are Humana, Prime Therapeutics, and MedImpact Healthcare Systems, collectively controlling 95% of the market.

Investigations and Blocks

The Federal Trade Commission (FTC) is investigating PBMs for anti-competitive practices, with a 2024 report highlighting their role in inflating drug costs. Arkansas became the first state to ban PBMs from owning pharmacies in 2025, and 39 state attorneys general have urged Congress to follow suit. Proposed federal laws, like the PBM Act, aim to force PBMs to sell pharmacy assets to restore competition.


Detailed Report on PBMs and Their Impact on the Pharmacy Business

Pharmacy Benefit Managers (PBMs) are third-party administrators that manage prescription drug benefits for health plans, employers, and government programs like Medicare. While they were initially created in the 1960s to process claims, their role has expanded to include negotiating drug prices, managing formularies, setting co-pays, and controlling pharmacy networks. However, their practices have drawn significant criticism for harming the pharmacy business, particularly independent pharmacies, and driving up drug costs. This report explores how PBMs impact pharmacies, the actions taken by the Trump administration to address these issues, the major PBMs in the USA, and ongoing investigations and legislative efforts to curb their anti-competitive practices. It also includes a detailed artifact summarizing key findings in a structured format.

Impact of PBMs on the Pharmacy Business

PBMs have been accused of practices that undermine the viability of independent pharmacies and contribute to higher drug costs for consumers. The following are the primary ways PBMs are said to “destroy” the pharmacy business:

  • Unfair Reimbursement Rates and Spread Pricing: PBMs determine how much pharmacies are reimbursed for dispensing drugs. Often, these rates are set below the cost of acquiring the drugs, making it financially unsustainable for pharmacies, especially smaller independent ones. Additionally, PBMs engage in “spread pricing,” where they charge health plans a higher price for a drug than what they reimburse pharmacies, pocketing the difference. This practice reduces pharmacy revenue and contributes to their financial strain (Commonwealth Fund).
  • Vertical Integration and Steering: The largest PBMs are vertically integrated with health insurers and pharmacy chains, creating conflicts of interest. For example, CVS Caremark is owned by CVS Health, which also owns Aetna and operates thousands of pharmacies. Similarly, Cigna Express Scripts is part of Cigna, and Optum Rx is owned by UnitedHealth Group. This integration allows PBMs to favor their own pharmacies by offering higher reimbursement rates and designing formularies that steer patients to their affiliated pharmacies, reducing business for independent competitors (American Economic Liberties).
  • Gag Clauses: Historically, PBMs used “gag clauses” in contracts to prevent pharmacists from informing patients about lower cash prices for drugs, forcing patients to pay higher insurance co-pays. These clauses reduced transparency and harmed both patients and pharmacies. While gag clauses have been banned in several states since 2017, federally for private insurance since October 2018, and for Medicare since January 2020, their prior use contributed to financial and operational challenges for pharmacies (Wikipedia: Pharmacy benefit management).
  • Market Consolidation: The PBM market is highly concentrated, with the top three PBMs—CVS Caremark, Cigna Express Scripts, and Optum Rx—controlling approximately 80% of the market, covering about 270 million people in 2023. The top six PBMs control 95% of the market, with a market size of nearly $600 billion in 2024. This dominance allows PBMs to dictate terms to pharmacies, often forcing independent pharmacies to accept unfavorable contracts or risk exclusion from networks (Wikipedia: Pharmacy benefit management).

These practices have led to a significant decline in independent pharmacies, with many closing due to unsustainable financial conditions. The House Committee on Oversight and Accountability has noted that PBMs’ anti-competitive tactics jeopardize patient care and undermine local pharmacies (House Oversight Committee).

Trump Administration Actions

The Trump administration has taken several steps to address PBM practices, focusing on increasing transparency, promoting competition, and lowering prescription drug costs. These efforts span both the first term (2017–2021) and the second term (2025–present):

  • Legislation on Gag Clauses (2018): In October 2018, President Trump signed the Patient Right to Know Drug Prices Act and the Know the Lowest Price Act, which banned gag clauses nationwide for private insurance plans. These laws allowed pharmacists to inform patients about lower-cost drug options, improving transparency and potentially reducing costs for consumers (Wikipedia: Pharmacy benefit management).
  • Proposed Rule on Rebates (2019): On January 31, 2019, the Department of Health and Human Services (HHS) proposed a rule to remove safe harbor protections under the antikickback statute for PBM rebates from drug manufacturers. This aimed to address the lack of transparency in how PBMs negotiate and retain rebates, which can inflate drug prices (Wikipedia: Pharmacy benefit management).
  • Executive Order on Drug Pricing (2025): On April 15, 2025, President Trump issued an executive order directing federal agencies to implement drug pricing reforms. This order specifically targeted PBMs by:
  • Improving disclosure of fees paid by PBMs to brokers for steering employers to their services.
  • Promoting a more competitive, transparent, and efficient prescription drug value chain.
  • The order also aimed to enhance Medicare drug pricing and align payments with actual drug acquisition costs, potentially reducing the financial burden on pharmacies (White House).
  • Most Favored Nation (MFN) Model: During his first term, Trump introduced the MFN model to tie U.S. drug prices to those in other countries, aiming to reduce costs. Although this was blocked in court and rescinded by the Biden administration, it reflects the administration’s focus on addressing PBM-driven price inflation (Independent Voter News).
  • Continued Scrutiny: In 2025, the second Trump administration has signaled ongoing efforts to “cut out the middlemen,” with President Trump stating intentions to allow Americans to buy medications directly from drugmakers at lower prices. The administration’s appointments to the FTC suggest a continued focus on addressing PBM monopolistic practices (STAT News).

These actions indicate a bipartisan recognition of PBMs’ role in rising healthcare costs, with the Trump administration leveraging both regulatory and legislative tools to address these issues.

List of Major PBMs

The PBM market is highly concentrated, with a few key players dominating the industry. The major PBMs in the USA are:

PBMParent CompanyMarket Share (2023)Notes
CVS CaremarkCVS Health (owns Aetna)~27%Operates thousands of pharmacies and is vertically integrated with Aetna.
Cigna Express ScriptsCigna~26%Part of Cigna, with significant influence over formularies and pricing.
UnitedHealth Group’s Optum RxUnitedHealth Group~27%Integrated with Optum and UnitedHealth’s healthcare services and pharmacies.
HumanaHumana Inc.Part of 95% (top 6)Operates as part of Humana’s health insurance and pharmacy services.
Prime TherapeuticsOwned by Blue Cross Blue Shield plansPart of 95% (top 6)Serves multiple health plans, primarily Blue Cross affiliates.
MedImpact Healthcare SystemsPrivately heldPart of 95% (top 6)Independent PBM, less vertically integrated than the top three.
  • Market Share: The top three PBMs (CVS Caremark, Express Scripts, and Optum Rx) control approximately 80% of the market, covering about 270 million people. The top six PBMs collectively control 95% of the market, with a total market size of nearly $600 billion in 2024 (Wikipedia: Pharmacy benefit management).

Investigations and Blocks Against PBMs

PBMs are under significant scrutiny for their anti-competitive practices, particularly their ownership of pharmacies and control over the prescription drug supply chain. Federal and state efforts are addressing these issues:

  • Federal Investigations:
  • The Federal Trade Commission (FTC) has been actively investigating PBMs. In July 2024, the FTC released an Interim Staff Report titled “Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies.” The report highlighted how PBMs:
    • Steer patients to their own pharmacies, including for mail-order and specialty drugs.
    • Pay lower reimbursement rates to independent pharmacies compared to their own.
    • Engage in spread pricing, which inflates costs for insurers and patients.
  • The FTC withdrew prior advocacy statements supporting PBMs in 2023, signaling a shift toward greater regulatory oversight (FTC).
  • Congressional Oversight:
  • The House Committee on Oversight and Accountability released a report in July 2024 titled “The Role of Pharmacy Benefit Managers in Prescription Drug Markets.” The report detailed how the top three PBMs use their market power to enact anti-competitive policies, inflate drug costs, and undermine independent pharmacies. It called for legislative reforms to increase transparency and restore competition (House Oversight Committee).
  • A hearing in July 2024 saw bipartisan criticism of PBM executives for their role in rising drug costs and monopolistic practices (House Oversight Committee).
  • State-Level Actions:
  • On April 16, 2025, Arkansas Governor Sarah Huckabee Sanders signed HB1150, making Arkansas the first state to ban PBMs from owning pharmacies. This law aims to prevent PBMs from using their ownership to disadvantage independent pharmacies (Arkansas Governor).
  • A bipartisan coalition of 39 state and territory attorneys general sent a letter to Congress in April 2025, urging passage of legislation to prohibit PBMs from owning or operating pharmacies. They cited conflicts of interest and the negative impact on independent pharmacies and consumers (NAAG).
  • Proposed Legislation:
  • The Lower Costs, More Transparency Act (H.R. 5378), passed by the House in December 2023, addresses spread pricing in Medicaid and requires PBMs to participate in drug cost surveys and report negotiated rates (Committee for a Responsible Federal Budget).
  • The PBM Act, introduced in December 2024, would require companies owning health insurers or PBMs to sell their pharmacy assets, aiming to level the playing field for independent pharmacies (Healthcare Dive).

These efforts reflect a growing consensus that PBMs’ practices, particularly their vertical integration and market dominance, harm competition and increase costs. While PBMs argue they help lower drug prices through negotiations, critics, including bipartisan lawmakers and regulators, assert that their practices prioritize profits over patients and pharmacies.

Summary of PBM Impact and Reform Efforts

Impact on Pharmacy Business

  • Reimbursement Rates: PBMs set low reimbursement rates, often below drug acquisition costs, making it unprofitable for independent pharmacies.
  • Spread Pricing: PBMs charge insurers more than they pay pharmacies, keeping the difference, which reduces pharmacy revenue.
  • Vertical Integration: Ownership of pharmacies by PBMs (e.g., CVS Caremark, Express Scripts, Optum Rx) allows them to favor their own stores with higher rates and steer patients away from competitors.
  • Gag Clauses: Past use of gag clauses prevented pharmacists from disclosing lower cash prices, though banned federally since 2018–2020.
  • Market Dominance: Top three PBMs control 80% of the market, dictating terms that disadvantage independent pharmacies.

Major PBMs

  • Top Three (80% market share, 2023):
  • CVS Caremark (CVS Health)
  • Cigna Express Scripts (Cigna)
  • UnitedHealth Group’s Optum Rx (UnitedHealth Group)
  • Other Key Players (95% market share with top three, 2022):
  • Humana
  • Prime Therapeutics
  • MedImpact Healthcare Systems
  • Market Size: Nearly $600 billion in 2024, covering ~270 million people.

Trump Administration Actions

  • 2018: Signed Patient Right to Know Drug Prices Act and Know the Lowest Price Act, banning gag clauses for private insurance.
  • 2019: Proposed rule to remove antikickback safe harbor protections for PBM rebates.
  • 2025: Executive order (April 15) to improve PBM fee disclosure and promote competition in the drug supply chain.
  • Ongoing: Commitment to “cut out the middlemen” and explore direct drug purchasing from manufacturers.

Investigations and Blocks

  • FTC Investigations: 2024 Interim Report highlighted PBMs’ role in inflating costs and squeezing pharmacies; prior PBM advocacy withdrawn in 2023.
  • Congressional Oversight: 2024 House report called for reforms to address PBM anti-competitive practices.
  • State Actions: Arkansas banned PBMs from owning pharmacies (HB1150, 2025); 39 attorneys general urged Congress for a federal ban.
  • Proposed Legislation: PBM Act (2024) to force divestiture of pharmacy assets; Lower Costs, More Transparency Act to address spread pricing.

Conclusion

PBMs significantly impact the pharmacy business through practices like low reimbursement rates, spread pricing, and vertical integration, which disadvantage independent pharmacies and contribute to higher drug costs. The Trump administration has addressed these issues through legislative and regulatory actions, including banning gag clauses, proposing rebate reforms, and issuing a 2025 executive order to enhance PBM transparency and competition. The major PBMs—CVS Caremark, Cigna Express Scripts, Optum Rx, Humana, Prime Therapeutics, and MedImpact—dominate the market, controlling 95% of prescription drug benefits. Ongoing investigations by the FTC, congressional oversight, and state-level bans (e.g., Arkansas’s HB1150) aim to curb PBMs’ anti-competitive practices, particularly their ownership of pharmacies. Proposed federal legislation, such as the PBM Act, seeks to further restore competition by forcing divestiture of pharmacy assets. These efforts reflect a bipartisan push to reform the PBM industry and protect pharmacies and consumers.

Key Citations

https://kypharmacy.net

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Two Generations, One Purpose: AAPI Heritage Month Brings Susan Lieu and Vy Truong Together in Louisville

By Viet Bao Louisville KY | May 2025

In a deeply moving moment of cultural pride and community unity, Louisville hosted a powerful event on May 7, 2025, celebrating Asian American and Pacific Islander Heritage Month—featuring two extraordinary Vietnamese-American women whose lives, stories, and leadership inspire across generations.

The public event, held at Americana World Community Center, took place right next door to Saint John Vianney, the only Vietnamese Catholic church in the state of Kentucky. Together, these two community landmarks served as the heart of a gathering filled with conversation, connection, and celebration.

Vy Truong: A Pillar of Care, Leadership, and Service in Louisville

At the center of this event was Dr. Vy Truong, a respected pharmacist, entrepreneur, and community leader who embodies the spirit of service in all she does. As the CEO of Kentucky Pharmacy and COO of Louisville Beauty Academy, Vy’s mission has always been to elevate the underserved through access to healthcare, education, and compassionate support.

Born in Vietnam and educated through 12th grade before immigrating to the U.S., Vy represents the “1.5 generation”—bringing deep cultural roots while rising as a leader in the American professional landscape. She completed her Doctor of Pharmacy degree in Boston, Massachusetts and is currently licensed to practice pharmacy in Massachusetts, Kentucky, and Indiana. Her work has been recognized through multiple honors, including the 2025 MOSAIC Award, the Family Business Award, and her growing presence as a leading woman in healthcare equity.

What sets Vy apart is not only her resume, but her heart. She constantly steps up—volunteering her time, offering her leadership freely, and lifting others without hesitation. Moderating this high-profile conversation with author Susan Lieu, Vy once again led with grace, humility, and a genuine commitment to elevate her community.

Susan Lieu: A Story Rare Even Among Vietnamese-Americans

On the other side of the stage stood Susan Lieu, a Harvard and Yale business graduate, whose story captivated the audience. Born in the U.S. to refugee parents, Susan’s memoir, The Manicurist’s Daughter, explores the loss of her mother to a botched cosmetic surgery and the intergenerational trauma that followed.

What makes her story so rare—both in the Vietnamese and broader American context—is how she channels that trauma into healing, through bold storytelling, art, and activism. Despite her Ivy League education, Susan’s roots lie in the same nail salon world so many Vietnamese families know—making her both relatable and revolutionary. Her book has been named a Best Book of 2024 by NPR, Smithsonian Magazine, and ELLE, and her voice is quickly becoming one of the most important among the Vietnamese diaspora in America.

Where Culture Meets Faith, Healing, and Hope

This unforgettable event didn’t just happen in isolation—it was shaped by the spirit of Louisville itself. At Americana, families, youth, and elders gathered to hear stories that reflected their own struggles and strength. Immediately after, many walked next door to Saint John Vianney Church, where community members mingled with Susan Lieu, discussed the topics raised, and shared in a sacred moment of cultural reflection.

Featured by WHAS11 News, this moment served as a perfect tribute to AAPI Heritage Month, shining a light on the Vietnamese-American experience in Kentucky—a story of resilience, service, sacrifice, and rising together.

In a city like Louisville, where immigrant roots grow into leadership, and where Vietnamese voices are rising stronger every year, this was more than an event. It was a testament to the beauty of cross-generational Vietnamese-American impact—where one woman (Vy Truong) uplifts through healthcare and direct service, and another (Susan Lieu) heals through words, performance, and truth.

This is the beauty of Louisville.
This is the power of Vietnamese women.
This is America at its best.

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A Heartfelt Letter to My Sons: Jayden, Skylar, Dylan – From the Book Be a DICK, Son: Nail Down Responsibility, Fail Forward, and Protect What Matters by Di Tran

INTRODUCTION: A Letter to My Sons: Jayden, Skylar, and Dylan

My dear sons,

As I sit down to write this letter, I am overwhelmed with gratitude for the blessing of being your father. Jayden, you are 10. Skylar, you are 9. Dylan, you are 7. You are still young, but I already see glimpses of the strong, purposeful men you will become. This letter is not just for the three of you, but for all sons, young and old, who are navigating their journey to manhood.

You are growing up in a time of extraordinary convenience, where technology brings the world to your fingertips. With a click, you can connect to your family, learn about the world, and have your needs delivered almost instantly. Yet, I want you to remember this: being a man is not about convenience. It is about character. It is about responsibility. It is about stepping into your purpose and living with strength, integrity, and kindness.

Email DiTranLLC@gmail.com for the Vietnamese translated PDF copy of this book

Be Present, Be Strong

The world you are growing up in moves at an incredible pace. Everyone is chasing something—scrolling through screens, rushing through moments, searching for what’s next. But, my sons, to be a man is to stand firm and be grounded in who you are. True strength lies in knowing how to stay still within yourself, even when the world pulls you in a thousand directions.

No matter what life throws at you, rise to the occasion. Tell yourself: “I am stronger than this.”

Every morning and every night, we pray together:
“Thank you, God, for I am alive, I am strong, I am confident, I am a winner. I give 100% in all situations, in all conditions, in all environments, and in everything I do. I commit to adding value to myself, to others, and to the world.”

This prayer is more than words—it is a declaration of who we are. Remember, sons, your only competition is yourself from yesterday. Compare yourself to who you were, not to others. Strive to grow stronger, wiser, and more compassionate every day.


Actions Over Words

Let me share one of life’s most important lessons: It is always about actions, not opinions. It is always about creation, not description. Talking about what you will do means nothing unless you take steps to make it happen.

Invest in yourself—your mind, your body, and your soul. When you do this, you become an asset to your family, your community, and the world. Only when you have strengthened yourself can you truly add value to others.

Your mother and I work tirelessly every day—not because we must, but because we love to create, build, and grow. We start new businesses, solve problems, and interact with countless people daily. But it’s not just about work. It’s about purpose. And you, too, must live with purpose.

At your age, your “business” is your homework, your chores, your relationships, and your personal growth. Every time you make your bed, wash your dishes, help someone, or learn something new, you are laying the foundation for the man you will become. Every action matters, no matter how small.


Rise Through Responsibility

To “man up” does not mean pretending to be tough or invulnerable. It means taking ownership of your responsibilities. When life hands you challenges, don’t avoid them. Face them and say: “Let’s get to work.” Start small. Tackle one thing at a time. The best way to rise is to begin.

Every small act of responsibility—whether it’s doing your chores, showing gratitude, or saying “I’ll handle it”—builds a stronger version of yourself. And remember, sons, you are not competing with anyone else. You are only competing with who you were yesterday.


Love Imperfection and Fail Fast

Sons, imperfection is a gift. Failure is not something to fear—it is something to embrace. Your mother and I have failed more times than we can count. But each failure brought us closer to success.

Fail fast, and fail forward. Each failure teaches you something new. Each stumble is a step toward growth. The only true failure is to stop trying.


Be Grateful and Give Your All

Gratitude is one of the most powerful forces in the world. Every morning when you wake up and every night before you sleep, look up and say: “Thank you, God.” Thank Him for the day, for your family, for your health, and for the chance to give your all.

When you live with gratitude, you approach every moment, task, and challenge with your best attitude. And that is all anyone can ask of you: to give your all, every single time.


Protect What Matters

As men, we take risks. We step into the unknown. But in doing so, we must also protect what matters most—our core.

Your core is your spirit, health, and purpose:

  • Your spirit is your connection to God, your faith, and your values. Protect it by surrounding yourself with positivity and rejecting negativity.
  • Your health is your body and mind. Treat them with respect. Eat well, stay active, and keep your thoughts focused.
  • Your purpose is your “why.” It is the reason you wake up every day. Protect it fiercely and let it guide your decisions.

Take risks for the right reasons, but never compromise your core.


Simply Be

Being a man is not about doing more. It’s about being. Be present. Be strong. Be grateful. Be grounded in your purpose and values. In your hardest moments, when the world feels like it’s falling apart, your presence and positivity will be the greatest gift you can offer.


Our Prayer and Promise

Sons, as we pray together, we ask God to guide us, to strengthen us, and to remind us of who we are:
“Thank you, God, for I am alive, I am strong, I am confident, I am a winner. I give 100% in all situations, in all conditions, in all environments, and in everything I do.”

This prayer is not just words. It is our promise. To live fully. To work hard. To love deeply. To rise every day and strive to be better than the day before.


Rise, Sons

Jayden, Skylar, Dylan—rise to every occasion. Rise above every challenge. Rise to become the men God created you to be. Accept imperfection. Embrace failure. Keep moving forward. Be strong, but be kind. Be courageous, but be humble. Be everything you already are—and more.

You are my sons, and I am endlessly proud of you—not for what you’ve done, but for who you are and who you are becoming. You don’t need to compare yourself to anyone else. You are enough. You are loved. You are capable of greatness.

Rise. Act. Thank God for every moment. And always protect your core.

With love beyond words,
Your Dad,
Di Tran

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Giá Trị Thật Sự Của Bánh Chưng: Lao Động, Tình Yêu, và Truyền Thống

Trong văn hóa Việt Nam, bánh chưng không chỉ là một món ăn đơn thuần. Đây là biểu tượng của tình yêu, truyền thống, và cộng đồng—một phần không thể thiếu của di sản văn hóa Việt Nam được truyền từ thế hệ này sang thế hệ khác. Quy trình làm bánh chưng đòi hỏi sự tỉ mỉ, công sức, và thời gian, nhưng thường được bán với giá chỉ 20-25 USD, một mức giá không thể hiện được giá trị thực sự của chiếc bánh, vốn lên đến 50-60 USD. Bài viết này sẽ khám phá ý nghĩa sâu sắc của bánh chưng, những công sức đằng sau nó, và lý do giá trị thực của nó vượt xa giá bán.

Quy Trình Làm Bánh Chưng: Sự Kết Tinh Của Truyền Thống

Làm bánh chưng không chỉ đơn thuần là một công việc nấu nướng. Nó đòi hỏi sự chuẩn bị kỹ lưỡng, tinh thần làm việc nhóm, và sự tôn trọng truyền thống. Mỗi bước trong quy trình làm bánh là một sự lao động đầy tình yêu thương, thường được thực hiện bởi cả gia đình hoặc cộng đồng trong hơn 24 giờ.

1. Chuẩn Bị Nguyên Liệu

Các nguyên liệu chất lượng cao là yếu tố cốt lõi của bánh chưng:

Gạo nếp được vo sạch, ngâm nước đến khi đạt độ dẻo vừa đủ.

Đậu xanh được làm sạch và nêm nếm để tạo lớp nhân béo ngậy.

Thịt ba chỉ được chọn kỹ càng, ướp gia vị như muối, tiêu để tăng hương vị.

Lá dong hoặc lá chuối, dùng để gói bánh, phải được rửa sạch, ngâm mềm, và cắt gọn.

Quy trình này mất nhiều giờ và đòi hỏi sự tỉ mỉ để đảm bảo nguyên liệu đạt tiêu chuẩn tốt nhất.

2. Gói Bánh

Gói bánh chưng là một nghệ thuật đòi hỏi kỹ năng và sự kiên nhẫn. Mỗi lớp nguyên liệu—gạo, đậu xanh, thịt—được sắp xếp cẩn thận trong lá. Sau đó, bánh được gói chặt và buộc dây lạt chắc chắn để giữ nguyên hình dáng trong quá trình luộc.

3. Luộc Bánh

Những chiếc bánh đã được gói được xếp vào nồi lớn và luộc trong khoảng 10-12 giờ ở nhiệt độ vừa. Thời gian nấu dài này giúp gạo nếp chín mềm và hấp thụ hương vị của nhân thịt, đậu xanh.

Trong các gia đình truyền thống, bánh thường được luộc trên bếp củi, đòi hỏi người trông bếp phải canh chừng lửa và nước để giữ nhiệt độ ổn định.

4. Chăm Sóc Sau Khi Nấu

Khi bánh đã chín, chúng được lấy ra khỏi nồi và làm nguội. Quy trình không dừng lại ở đây:

Ép bánh: Một số gia đình dùng vật nặng để ép bánh, loại bỏ nước thừa và giúp bánh chặt hơn.

Lau khô và làm sạch: Bánh được lau sạch và để ráo để tránh ẩm mốc.

Đóng gói: Bánh được bọc nhựa hoặc giấy bạc và dán nhãn để bảo quản hoặc làm quà tặng.

Bước cuối cùng này thêm nhiều giờ vào tổng thời gian sản xuất, đưa thời gian làm bánh chưng vượt quá 24 giờ.

Giá Trị Thật Sự Của Bánh Chưng

Công sức và nguyên liệu cần thiết để làm bánh chưng vượt xa giá bán thông thường.

Chi Phí Nguyên Liệu

• Chi phí gạo nếp, đậu xanh, thịt, gia vị, và lá có thể lên đến 15-20 USD cho một chiếc bánh.

Chi Phí Lao Động

• Quy trình làm bánh cần sự tham gia của 10-20 người, mỗi người đóng góp thời gian và kỹ năng. Nếu tính tiền công lao động, giá bánh sẽ cao hơn rất nhiều.

Giá Thị Trường và Giá Trị Thực

• Mặc dù giá trị thực của bánh chưng là 50-60 USD, nhưng bánh thường được bán với giá chỉ 20-25 USD, phản ánh tinh thần hy sinh của người làm bánh, những người coi trọng truyền thống và cộng đồng hơn lợi nhuận.

Hơn Cả Một Món Ăn: Biểu Tượng Của Tình Yêu và Di Sản

Bánh chưng không chỉ là thực phẩm—it là biểu tượng của tình yêu, lao động, và di sản văn hóa Việt Nam.

Một Món Quà Thiết Thực và Bổ Dưỡng

3 kg dưỡng chất: Một chiếc bánh chưng nặng khoảng 3 kg có thể đủ cho 4-5 bữa ăn.

Cân bằng dinh dưỡng: Bánh cung cấp năng lượng từ gạo nếp, chất xơ và protein từ đậu xanh, cùng chất béo từ thịt.

Đa Dạng Cách Dùng

• Bánh chưng có thể được hấp, rán, hoặc ăn kèm với dưa món, nước mắm để tăng hương vị.

Tại Sao Các Tổ Chức Phi Lợi Nhuận Giữ Gìn Truyền Thống Này?

Hầu hết bánh chưng được sản xuất bởi gia đình, cộng đồng, hoặc tổ chức phi lợi nhuận, không phải doanh nghiệp. Lý do là:

Quy trình tốn nhiều công sức: Số lượng lao động và thời gian cần thiết khiến việc sản xuất bánh chưng để kinh doanh không có lãi.

Nỗ lực văn hóa và từ thiện: Làm bánh chưng là cách bảo tồn truyền thống và đóng góp cho cộng đồng, đặc biệt trong dịp Tết.

Tính tiếp cận: Việc giữ giá thấp giúp bánh chưng đến được với mọi người, giữ gìn giá trị văn hóa.

Gắn Kết Với Đức Tin và Lãnh Đạo

Truyền thống làm và chia sẻ bánh chưng gắn liền với giá trị đức tin và lòng vị tha. Những nhân vật như Thánh Gioan Vianney, biểu tượng của sự cống hiến và yêu thương, là nguồn cảm hứng cho tinh thần này. Cũng như các bậc cha mẹ và lãnh đạo cộng đồng làm việc không ngừng nghỉ để nuôi dưỡng gia đình, người làm bánh chưng cũng đặt cả trái tim vào từng chiếc bánh, tạo nên món quà lớn hơn cả thực phẩm.

Trân Trọng Giá Trị Thật Sự Của Bánh Chưng

Dù được bán với giá chỉ bằng một nửa giá trị thực, bánh chưng mang trong mình những giá trị vô giá:

Bàn tay của nhiều người: Cả gia đình và cộng đồng cùng chung tay giữ gìn di sản Việt Nam.

Tinh thần rộng lượng: Người làm bánh ưu tiên bảo tồn văn hóa hơn lợi nhuận.

Lao động của tình yêu: Mỗi chiếc bánh là minh chứng cho sự tận tụy, kỹ năng, và tình yêu của người tạo ra nó.

Lời Kêu Gọi Trân Trọng và Gìn Giữ Truyền Thống

Khi thưởng thức bánh chưng, hãy nhớ đến công sức và tình yêu đằng sau từng chiếc bánh. Đây không chỉ là món ăn mà còn là lời nhắc nhở về sự hy sinh và lòng tận tụy của cha mẹ, ông bà, và cộng đồng, những người đã giữ gìn truyền thống đẹp đẽ này.

Bằng cách trân trọng và ủng hộ bánh chưng, chúng ta tôn vinh di sản văn hóa Việt Nam và đảm bảo rằng món quà vô giá này sẽ tiếp tục nuôi dưỡng tâm hồn và trái tim của các thế hệ mai sau.

**“Bánh chưng không chỉ là thực phẩm—it là tình yêu gói trong lá, nấu bằng truyền thống, và dâng tặng bằng niềm tự hào.

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The Hidden Health Risks of High-Level Professionals: Stress, Retirement, and Their Impact on Longevity

Introduction: The transition from a high-stakes professional career to retirement or career changes can have profound effects on an individual’s health. High-level professionals, particularly those in executive positions, often face unique challenges that contribute to both physical and mental health risks. Chronic stress, identity loss, and financial concerns can create a perfect storm that negatively impacts well-being. Below, we explore various studies and research findings that shed light on the relationship between stress, retirement, and long-term health outcomes for those in leadership roles.

1. Stress and Health in High-Level Professionals:

  • Chronic Stress: Numerous studies have shown that chronic stress, often associated with leadership roles, can negatively impact cardiovascular health, lead to hypertension, and increase the risk of heart disease, stroke, and other serious conditions. Executives, CEOs, and high-level professionals are often exposed to significant amounts of stress, and this can affect both physical and mental health over time.
  • Mental Health and Burnout: A study by the Harvard Business Review found that high-level professionals often experience burnout, depression, and anxiety due to their demanding roles. Burnout can also lead to cognitive and emotional exhaustion, contributing to long-term health complications.

2. Retirement and Post-Career Health Decline:

  • The Retirement Effect: Research published in The Journal of Human Resources and other academic sources indicates that retirement can lead to both positive and negative health outcomes. For some, retirement reduces stress and improves overall well-being. However, for others, especially those who strongly identify with their work or leadership role, retirement can lead to a decline in mental and physical health.
  • A study by the National Bureau of Economic Research (NBER) found that men in particular often experience increased rates of depression, anxiety, and other health problems after retirement, which may be due to a loss of purpose, routine, and social engagement. For some, the sudden change can lead to significant stress or feelings of identity loss, contributing to health issues.

3. Financial and Economic Stress Post-Retirement:

  • Economic Stress and Health: According to the American Psychological Association (APA), financial instability or concerns about maintaining one’s standard of living in retirement can be a major source of stress. While high-level professionals like your mentors likely earned significant incomes, the pressure to maintain their financial position and lifestyle, especially without a comparable job, can create ongoing stress.
  • Status and Identity Loss: Studies from Psychology Today have noted that high achievers in executive positions often tie their self-worth to their careers. When leaving a high-ranking role, they may face an identity crisis, causing stress that can lead to both mental and physical health decline.

4. Life Expectancy of Retired Executives:

  • Some studies have examined the relationship between retirement and life expectancy, though results vary. Research from Oxford University found that while early retirement sometimes correlates with increased longevity for lower-stress jobs, the opposite is often true for high-stress professions, where retirement may be followed by a decline in both health and lifespan. Stress, a sense of lost purpose, and the difficulty of adjusting to life without the structure of a career can contribute to this.

5. The Role of Credibility and Job Market Pressure:

  • Impact on Identity and Self-Worth: High-ranking professionals who leave their jobs may also struggle with feelings of diminished credibility or relevance in their industry, especially if they cannot find similar positions. This can cause stress, especially for individuals who have built their self-esteem around professional success.
  • Job Market Pressure: For older professionals, finding comparable roles can be difficult due to age-related biases in the job market. According to the Center on Aging & Work at Boston College, older executives may face ageism and reduced job opportunities, which can be financially and emotionally stressful.

Conclusion:

There is statistical and academic evidence suggesting that the combination of chronic stress from high-level careers, the challenges of adjusting to retirement, and the potential financial or identity-related concerns can lead to significant health risks, particularly for men in leadership positions. These risks include physical conditions like heart disease as well as mental health challenges like depression and anxiety. The passing of your mentors after leaving their careers may align with some of these common patterns.

While each case is unique, the impact of work-related stress and retirement on health is a well-documented phenomenon, and seeking meaning and purpose beyond one’s career may help mitigate some of these risks.

P.S. As I, Di Tran, Founder of Viet Bao Louisville KY, mourn and reflect on the profound impact of my two mentors, I invite you to read more about their incredible lives:

  • Thomas Turley Noland Jr. was a brilliant communicator and corporate leader at Humana who passed away in 2022 after a battle with cancer.
  • Brian Keinsley was a kind and talented IT leader, retiring as Senior VP/CIO of Humana, who left us on October 12, 2024.

Their legacies remain close to my heart.

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A Bright Future for Louisville: Nick Campisano’s Vision and Di Tran’s Support for City Transformation

At a recent Rotary Club of Louisville event, Nick Campisano, Founder and CEO of Zyyo, took center stage to share his ambitious vision for transforming the city’s real estate landscape. His presentation captivated the audience with plans for large-scale hotel and mixed-use development projects, underscoring Louisville’s potential as a premier destination for investors. Campisano’s approach is hands-on—sometimes as the “driver, passenger, and even in the trunk”—reflecting his commitment to ensuring that every project delivers a meaningful impact.

Nick highlighted key developments like the acquisition of 21c Museum Hotels by Accor and Rabbit Hole Distillery’s majority stake sale to Pernod Ricard. These moves not only draw international attention but also signal a new era of opportunity for the city. Louisville’s blend of affordability, cultural vibrancy, and strategic growth locations like the scenic Ohio Riverfront make it an appealing market for real estate development.

In the audience was Di Tran, a local entrepreneur and real estate investor, who admired Nick’s energy and vision for the city. Tran, known for his own diverse ventures—including educational initiatives, affordable housing, and Di Tran Bourbon, the first Vietnamese-owned bourbon brand—recognized the value of Campisano’s projects in shaping Louisville’s future. Tran’s initiatives have long centered around supporting economic growth and community development, and he sees alignment with Campisano’s efforts to revitalize Louisville and elevate its status on the global stage.

Both Campisano and Tran agreed that the EB-5 Immigrant Investor Program presents an ideal pathway to fuel the city’s transformation. The program, which grants U.S. residency to foreign investors who create American jobs, aligns with their shared vision of attracting international capital to fund local projects. By integrating EB-5 into Louisville’s development strategy, they aim to harness global interest in the city’s potential while fostering a new wave of economic activity and job creation.

Together, these two leaders represent a dual force of local innovation and international ambition, driving Louisville toward a future of growth and prosperity. With leaders like Nick Campisano pushing boundaries in real estate and advocates like Di Tran contributing to economic and social progress, Louisville is well-positioned for a renaissance that blends local tradition with global reach, setting the stage for a thriving, dynamic city where opportunity knows no bounds.

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Celebrating Unity and Historic Achievements: Di Tran and Vy Truong Attend Appreciation Dinner Honoring Senator Reggie Thomas

On October 6, 2024, the historic Merrick Inn in Lexington, Kentucky, hosted a special Appreciation Dinner in honor of Senator Reggie Thomas, recognizing his unwavering commitment to advancing SB14 and multi-language beauty licensing. The event was a gathering of advocates, community leaders, and supporters who have made history in Kentucky by championing inclusivity and diversity in the beauty industry. Di Tran, founder of Louisville Beauty Academy, and Vy Truong, founder and CEO of Kentucky Pharmacy LLC, attended the event to celebrate this remarkable journey alongside many dedicated individuals.

The passage of SB14 has ushered in unprecedented change, including the appointment of a licensed nail technician and a skincare esthetician to the Kentucky Board of Cosmetology, as well as the launch of multi-language beauty licensing exams. The overwhelming support from state legislators, with unanimous votes in both chambers, and the new board’s endorsement of multi-language exams, reflects a collective commitment to creating accessible opportunities for all.

Among the key figures in this achievement are campaign leaders Micheal Carter, Lianna Nguyen, and Molida Soth, who played pivotal roles in rallying the community and pushing the bill forward. Micheal, now a Nail Technician Board member, led the campaign efforts with tireless dedication, while Lianna, also a campaign leader and now a School Owner Board member, used her voice to amplify the cause. Molida, a respected Cambodian community leader, brought strength and unity to the movement, leading hundreds to join the cause and advocate for change.

The Cambodian community’s support was particularly instrumental, with over 100 members consistently showing up in unity for every rally and gathering. Their unwavering presence became a key factor in securing the passage of SB14. As Senator Thomas acknowledged, it was this display of solidarity that truly shook the process into action, proving that when a community stands together, remarkable achievements are within reach.

Reflecting on this milestone, Di Tran expressed his gratitude: “I am simply blessed to be surrounded by individuals who work hard, advocate passionately, and care deeply for our loving community here in Kentucky. The love for God and our people drove each of us to step up in our own capacities. This achievement is a testament to the power of unity and the impact we can make when we elevate each other.”

The evening was not only about celebrating past achievements but also about renewing the commitment to ongoing advocacy. The first successful multi-language beauty exam in Spanish marks the beginning of a new era, with future expansions to Vietnamese and more languages soon to come, paving the way for inclusivity in licensing like never before.

Vy Truong reflected on the evening’s significance: “This isn’t just about a legislative victory; it’s about building a more inclusive future where everyone has the opportunity to succeed. We are witnessing a moment that goes beyond policy—it’s about empowering communities and opening doors for all.”

The Appreciation Dinner brought together the efforts of legislators, advocates, and a united community, showing that when people come together with a shared purpose, no obstacle is insurmountable. It was a night to honor not just one leader, but a movement dedicated to elevating voices, creating opportunities, and building a legacy of inclusivity that will inspire future generations.

Together, they are proving that love, unity, and relentless effort are the keys to winning change for the community and beyond.

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Revolutionizing Personal Healthcare: Kentucky Pharmacy Takes Personalized Service to New Heights

At Kentucky Pharmacy, health isn’t just about dispensing medications – it’s about transforming the way we care for our community. As a Kentucky state-licensed pharmacy, we’re proud to partner with one of the nation’s top drug and brand-name wholesalers, McKesson, to bring high-quality healthcare directly to your doorstep. From free prescription deliveries to personalized vaccination services at community events, we’re dedicated to making healthcare more accessible, convenient, and personal than ever before.

Bringing Care to Your Community: A New Approach to Personalized Healthcare

At Kentucky Pharmacy, we believe in going beyond the traditional pharmacy model. We understand that life is busy, and managing your health can feel overwhelming. That’s why we’ve revolutionized personal service by bringing healthcare to you, wherever you are. Whether it’s through our on-site vaccination clinics or our free prescription delivery service, we aim to make healthcare effortless and personal for everyone.

Our vaccination clinic season kicked off with an amazing start – nearly 100 vaccines were administered at our first clinic! We offered protection against the flu, COVID-19, shingles, pneumonia, RSV, and more, ensuring that our community stays healthy and protected. This is just one example of how we’re fulfilling our mission to keep Kentucky safe, one shot at a time.

On-Site Services: Vaccinations at Your Event and Location

One of the ways we stand out is by offering on-site services for vaccinations and other healthcare needs. Whether it’s a school, business, community event, or church gathering, we bring our services to you. Our team of healthcare professionals is equipped to administer vaccines at any location upon request, making it easier than ever to protect yourself and those around you.

Just recently, our clinic at St. John Vianney Cafeteria served dozens of individuals, all while maintaining a warm, welcoming environment. But our work doesn’t stop there – our next clinic is already scheduled for 9/29, and we’re excited to continue offering personalized care to those who need it.

Free Prescription Delivery: Healthcare at Your Doorstep

Beyond our vaccination services, Kentucky Pharmacy is also proud to offer free prescription delivery, ensuring that our patients receive their medications without ever having to leave home. Whether you’re unable to make it to the pharmacy, have a busy schedule, or simply prefer the convenience, we’ve got you covered.

We understand that access to medication is critical, and we are committed to removing barriers that prevent people from getting the care they need. With our free delivery service, you can have peace of mind knowing that your prescriptions will arrive at your home or event promptly and with the same personal touch that defines Kentucky Pharmacy.

Partnering with McKesson: Unmatched Quality and Trust

Our dedication to excellence is further strengthened by our partnership with McKesson, one of the nation’s leading drug and brand-name wholesalers. This partnership ensures that Kentucky Pharmacy provides only the highest quality medications and supplies to our patients. With McKesson’s trusted products, you can rest assured that your health is in good hands.

A Bright Future for Healthcare in Kentucky

Kentucky Pharmacy is proud to lead the way in revolutionizing personal healthcare. From vaccinations and free prescription deliveries to on-site services at community events, we’re committed to making healthcare more accessible, more convenient, and more personal than ever before. Our mission is clear: to bring exceptional care directly to our community, wherever and whenever it’s needed.

As we continue our journey, we invite you to join us in building a healthier Kentucky. Whether you attend one of our upcoming clinics, request a vaccination for your event, or benefit from our free delivery services, Kentucky Pharmacy is here for you – every step of the way. Together, we can make healthcare not just a service, but a personal and compassionate experience for all.

For more information or to schedule an on-site vaccination clinic, call or text us at 502-694-2441. Let’s keep Kentucky safe, one service at a time.

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Celebrating Unity and Service: Morgan Hancock, Vy Truong, Jani Szukk, and the Cathedral of Assumption

In the heart of Louisville, an extraordinary event unfolded at the majestic Cathedral of Assumption: Let’s Dance Louisville for FEED MY NEIGHBOR. This night brought together a remarkable tapestry of individuals, each contributing to the beauty and unity of our city. Among them, the spotlight shone brightly on Morgan Hancock and her dance partner, Jani Szukk, whose story exemplifies the essence of hard work, resilience, and community spirit.

Morgan Hancock, an Army veteran and devoted mother, is a beacon of strength and determination. Known for her relentless hustle in the business world and her leadership in community-serving initiatives like Bourbon with Heart, Morgan’s dedication to serving others is truly inspiring. Her performance at Let’s Dance Louisville was more than just a dance; it was a testament to her unwavering commitment to making a difference.

Dancing alongside Morgan was Jani Szukk, a professional dancer from Hungary who recently became a naturalized US citizen after years in America. Their performance, themed “American Proud,” beautifully embodied the spirit of patriotism and the joy of achieving the American dream. Jani’s journey from immigrant to citizen resonates deeply, especially with those who, like him, have come to this country seeking a better life.

The event also saw the presence of Vy Truong, the Founder, CEO, and licensed Pharmacist in charge of Kentucky Pharmacy. Vy’s story is one of perseverance and excellence. As an immigrant and successful business owner, she exemplifies the profound impact that dedication and hard work can have. Alongside Vy was her husband, Di Tran, a Vietnamese immigrant, serial small business owner, and author of a series of self-help books. Di is known for his tireless efforts in serving the community and raising his three sons with the values of hard work and compassion.

The synergy among Morgan, Jani, Vy, and Di highlights a powerful narrative of unity and service. These individuals, each from different walks of life, are united by their shared commitment to bettering the community. They demonstrate that the beauty of our city lies not just in its landmarks but in the hearts of those who strive to make it a better place.

This event, elevating the cause of FEED MY NEIGHBOR by the Cathedral of Assumption, underscores the incredible potential of community-driven initiatives. It is a reminder that through collective effort, we can address pressing needs and create a more compassionate society. The support and collaboration witnessed here are a testament to the power of unity and the profound impact of serving others.

In the grand tapestry of Louisville, stories like those of Morgan, Jani, Vy, and Di weave a narrative of hope, resilience, and unwavering commitment to the greater good. They exemplify the spirit of “mom bosses,” immigrants, veterans, and community leaders who tirelessly work to create a better future. Their efforts, combined with the mission of organizations like FEED MY NEIGHBOR, illuminate the path forward—a path paved with love, service, and the beauty of God’s grace.

As we reflect on this night, we are reminded of the profound truth that the beauty of our community is found in the hearts and actions of those who serve. Let us continue to support and celebrate each other, knowing that together, we can achieve extraordinary things. The journey of unity, service, and love is just beginning, and there is so much more to come.

May God bless all who contribute to this noble cause, and may the spirit of service continue to inspire us all.

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Community Corporation Drop the FEAR and Focus on the FAITH Guiding Lights: A Journey of Courage, Compassion and Faith Immigration Leadership Development Self-Improve Small Businesses Workforce Development

Di Tran and Coach Scotty Davenport Discuss the Transformative Power of “Care” at Rotary Club of Louisville

At a recent Rotary Club of Louisville meeting, Di Tran, a prominent community leader and co-founder of several workforce development organizations, had the privilege of listening to an inspiring speech by Scotty Davenport, the esteemed head coach of the Bellarmine University men’s basketball team. The event was part of a mentorship initiative involving Rotary Scholars from Iroquois and Western High Schools, programs in which Di Tran is actively involved.

Coach Davenport’s speech centered on the profound simplicity of “CARE,” a principle he champions both on and off the basketball court. According to Davenport, care is the “number one talent” because it opens the door to limitless possibilities. This philosophy is a cornerstone of his recruitment strategy, where he seeks players who demonstrate a genuine commitment not just to the game, but to their teammates and the community.

Scotty Davenport’s career is a testament to the success of his caring approach. Under his leadership, Bellarmine’s basketball program has achieved national acclaim, culminating in an NCAA Division II National Championship. His emphasis on caring is reflected in his coaching style, where actions speak louder than words. By actively participating and setting an example, Davenport encourages his team to follow suit, fostering a culture of proactive involvement and mutual support.

Interestingly, Di Tran, who recently released a book on the power of care, found Coach Davenport’s message particularly resonant. Tran’s latest work explores similar themes, emphasizing care as a fundamental driver of positive change and personal growth. His dedication to mentoring youths through various educational and development initiatives echoes Davenport’s commitment to nurturing his players beyond the basketball court.

The synergy between Di Tran’s and Scotty Davenport’s philosophies highlights a universal truth: whether in sports, business, or community engagement, the simple act of caring can lead to extraordinary achievements. Both leaders exemplify how caring for others can elevate performance and foster an environment where everyone thrives.

As the Rotary Club meeting concluded, attendees, including aspiring students from Iroquois and Western High Schools, left feeling motivated by the powerful examples set by Davenport and Tran. Their stories are reminders that when we care deeply about our pursuits and the people around us, success is not just a possibility, but an inevitability.

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