Compassionate accountability means that feelings matter, thoughts matter and behaviour matters. The associated tools are helping physicians and surgeons deliver bad news to patients in a compassionate way, helping boards of directors lead their CEO's more effectively, supporting negotiators do a better job, turning regrets into commitments for the future. The applications are really infinite. Compassion is my passion admits Dr Nate Regier. Compassion isn't about what we do to other people, it's what we do with them. And that life is struggle, but struggling together makes it meaningful, it makes it productive, it makes it purposeful. We don't ever get time off when it comes to compassion, we are feeling, thinking and acting. “You can't nicey nice your way towards serious change, and big problems. Accountability without compassion gets you alienated. Compassion without accountability gets you nowhere” cautions Dr Nate. How can they co-exist in full measure without compromising either one of them?