Gem has 20 years health care experience in various settings, including 15 years in management in long-term care, medical-surgical, cardio-thoracic surgery, emergency care, home health, and ambulatory care. She is board certified in gerontology and a licensed nursing home administrator. Currently, she is an administrative supervisor in Bayonne Medical Center, a 278-bed acute-care hospital in New Jersey. A veteran of Operation Enduring Freedom, she continues to serve in the US Army Reserve as a captain, public affairs officer, and training officer in 361st Public Affairs Operation Center Battalion in Fort Totten, NY. She holds a BS in Nursing and MS in Nursing Administration from New York University. As a student fellow of the Global Health Justice Partnership, she is looking forward in collaborating with the Yale Law School and Yale School of Public Health fellows for global policy research and projects.