All Accountable Care Organizations have a patient representative on their board of managers. John Sickler, a retired businessman, serves as the patient representative on the board of managers for the Freedom ACO, an Aledade ACO in suburban Philadelphia. He joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to discuss his role on the board and how he helps the ACO promote evidence-based medicine and patient-centered care.