Health Care Supply

Health Care Supply

Dave Chase makes an argument in his book The Opioid Crisis Wake-Up Call that healthcare has a substantial supply side drive, not just a demand side drive. This argument doesn't align with standard pictures of healthcare, the idea that people seek care when they are sick, and don't use care when they are well. Its … Continue reading Health Care Supply

On Redistribution

In the United States people hate the idea of redistribution. I was remarking the other day while reading a political science journal article that American culture operates with a background sense that using public policy to improve ones economic fortunes is illegitimate. The only legitimate way, in American culture, to improve ones economic standing is … Continue reading On Redistribution

A Public Purpose Mandate

In The New Localism Bruce Katz and Jeremy Nowak advocate for new governance structures to help encourage innovation and lead to dynamic growth for cities and metropolitan regions. Katz and Nowak believe that current structures and institutions are inadequate to respond to global challenges that demand multisectoral action, technological innovation, and network approaches to problem-solving. … Continue reading A Public Purpose Mandate

How Our Poorly Evolved Brains Contribute to Political Dysfunction

One of my beliefs about human beings is that we are currently operating in a world that has far outpaced the realities that our brains were evolved to live within. We are social creatures that operate in political tribes, and the social and political situations of our ancestors lives have pushed our brains to be … Continue reading How Our Poorly Evolved Brains Contribute to Political Dysfunction

New Considerations for the Public vs Private Discussion

In the past I wrote about the importance of privacy in our politics from the point of view of Jonathan Rauch and his book Political Realism. We have almost no trust in government, and we frequently say things like, "sunshine is the best disinfectant," but the reality is that politics is made much more complex when it is … Continue reading New Considerations for the Public vs Private Discussion

A Fresh Take on Public Asset Management

An area that I did not understand very well, since I have no real experience with city government, from Bruce Katz and Jeremy Nowak's book The New Localism has to do with the management of publicly owned assets. According to Katz and Nowak, public infrastructure, public land, and locally owned buildings and spaces are underutilized and … Continue reading A Fresh Take on Public Asset Management

Cities Suffer From Loss Aversion

"Many U.S. cities are, in essence, a fact-free zone when it comes to public assets. They have little knowledge of the assets they own and the market value of those assets, either under current or altered zoning regimes. Ironically, U.S. cities know what they owe (such as pension liabilities) but not what they own. Rectifying that … Continue reading Cities Suffer From Loss Aversion

The Complement of Networked Governance

The last few weeks I have been writing about governance ideas presented in Bruce Katz and Jeremy Nowak's book The New Localism. One idea I have brought up multiple times is the idea of new institutions at the local level formed from networks of public, private, and civic actors. Katz and Nowak argue that these … Continue reading The Complement of Networked Governance

Cities Building from Strengths

I really like the ideas presented in The New Localism by Bruce Katz and Jeremy Nowak because they provide a road-map for getting stuff done in a local context where our hyper polarized tendencies can be put aside. The ideas presented in the book focus on engaging local community members and groups to take real … Continue reading Cities Building from Strengths

Implementation Matters

One party in the United States seems to continually chide any public sector misstep and only seems to be able to complain about the problems and waste of public sector projects and programs when discussing what the government actually does. While there are undoubtedly challenges and problems in public administration, continually complaining about and criticizing … Continue reading Implementation Matters