<?xml version="1.0" encoding="UTF-8"?><item href="/pre-go-live-resources/_migration/2026-07-29/magazine/summer-2015/managing-change-health-systems.html" dsn="news"><pubDate/><title>Managing Change to Health Systems</title><excerpt>In high school, Betsie Frei ’06 exchanged her tiny hometown in the Sierra Nevada foothills for a city in Venezuela and found a type of poverty foreign to the United States. She began tackling the issue of poverty as a double major in sociology and Spanish at Westmont and studied different levels of international development during a semester abroad in Honduras.</excerpt><author/><image>
            
            <img src="/_migrated-binaries/sites/default/files/styles/16_9_900w/public/DSC04935-505x336.jpg" alt="Betsie Frei"/>
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