To conclude, the authors describe their ongoing work on moral distress among healthcare workers – the distress that people experience when they are caught between what they think should be done and what they are told to do. The aim is to address a phenomenon now so widespread that it may have become a defining malaise of our age. Undertaken in close collaboration with an international team at the University of British Columbia, the initiative tests a novel online methodology that incorporates the rational-pragmatic, the psychosocial-transformative and the critical-emancipatory dimensions of PAR. The project also illustrates the authors’ goal of scaling up PAR thinking and practice, beyond small group dynamics. This is work in progress, much like PAR itself, designed to foster more critical thinking, ground-breaking action and authentic dialogue.