I spent many years working for MDA and feel a need to address all the comments to paint a picture. The field staff does great working raising funds that stay local to support local programs. The goals set by National can be unrealistic and the approach to programs causes staff to burn out - too many events instead of building on the successful ones. The National staff is a bit dysfunctional and it is ironic since most of the current leadership came from the field. The income is declining which does not justify the high salaries they are paid and the money they waste. They recently cut nearly 30 staff members with a portion of those members being some of their longest tenured employees with an insulting severance. This organization has a good local presence but on a National level, can use some retooling and some lessons about loyalty.