This presentation by Michael Thrasher at the Global Summit on Occupational Health in Music highlights the ethical responsibility of music school leaders to prioritize health, well-being, and supportive environments. Thrasher calls for “altruistic leadership,” in which directors, deans, and faculty with influence model wellness, embed health into policy and curriculum, and work to overcome barriers such as a lack of training, cultural resistance, and financial constraints. The session urges leaders to see beyond legalism and liability, embracing a holistic vision where sustainable music careers require thriving, healthy lives and proactive institutional action.