As a heath care provider, she understands the importance of women’s access to health care without government interference. She is employed as the Chief Health Officer at SAS and serves as adjunct faculty at Duke, UNC-Chapel Hill and ECU. She is former President of the NC Nurses Association. Gale has been very involved in local politics as a member of the Cary Town Council since 2007. She also serves as the Mayor Pro Tem of Cary.