“This is your opportunity to learn how to do this. You get to be in charge now.” Marcia Rippe of St. Joseph, Missouri, Buchanan County, shares her experiences as a leader of self-management programs. Rippe works for the Heartland Health (St. Joseph) Arthritis Community Services office. Rippe has served as a nurse educator for at least the past 25 years, and she provides patient education through her job. She also volunteers with the Red Cross, with Disaster Preparedness, and in teaching CPR. The Arthritis Community Services office provides many self-management programs. Rippe is a leader and trainer for the Chronic Disease Self-Management Program (CDSMP) and for the Walk With Ease (WWE) program.