How I Found My Mission


Over the course of my professional career which (at risk of dating myself) has spanned well over 30 years working exclusively in the healthcare field, I have lost count of how many times I have heard the phrase “America has the best healthcare in the world!” As a proud American, I would smile, nod my head to show agreement, and allow the comfort of patriotic pride wash over me. Yet, as the years went by and I continued to hear this phrase uttered over and over, my head nod was a little less vigorous. My certainty in the validity of this statement waned to the point where I was experiencing a certain sense of professional, existential doubt. For, you see, my perspective and an evolution in my thinking was shaped by real-life “on the ground” experience. My work took me to hospitals and clinics, large and small, urban and rural, in every corner of the United States and I came away with the realization that this statement of pride in our healthcare system was much too simplistic. Our immensely complex and variable system of care delivery is experienced very differently by different people.

Like so much in the world, no simplistic statement accurately conveys the complexity and nuance of what people experience in real life. The reality is that for some people in the U.S., specifically those with robust healthcare insurance living in densely populated areas with no provider shortages, the U.S. does arguably offer some of the very best care that you can get anywhere. It is objectively true that few can match our combination of medical innovation, clinical expertise, and technical prowess for those lucky individuals who can afford it. But, and this is a very important caveat, there is a huge swath of our population—sometimes entire communities, disproportionality black and brown and/or lower income—for whom this first-rate healthcare system is either difficult or even impossible to access. Some of the most vulnerable communities in this great country of ours, with populations that are often uninsured or underinsured, lack access to the services that more privileged individuals see as a basic right.

With this context in mind, I would like to proudly announce a formal name change at tango340B to tangoRx Solutions!

This may seem like an unusual preamble from which to announce a name change and rebrand of an organization. However, I felt like it was crucial to convey the context and the purpose of this change. We are not making this pivot as an attempt to create a catchier sounding name or to advertise our services. Rather, this is an earnest announcement of an expansion of our key services, our commitment to continued investment, and a doubling down on our core mission and vision towards helping serve those who need our support the most. My personal perspective, shaped by many years in the field, and the experience of the Tango team has motivated us to redouble our efforts. We are committed to thinking critically about how we can support 340B covered entities more comprehensively as they serve a patient cohort that is so often overlooked.

While we take immense pride in the 340B Administrative Services that we offer, you will see us expand our services into other key areas over the next several months. TangoRx Solutions will invest more into 340B education offerings and dedicate a great deal more effort towards advocacy work on behalf of those who might not have full access to the world class care that so many of us expect to receive when we or a loved one gets ill.

In service,

Monte Ruder, tangoRx Solutions

Monte Ruder is Head of Growth at tangoRx Solutions. He can be reached at

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