The World Bank hosted its annual Civil Society Policy Forum last week, and the clear, and very conscious, theme of the meetings was the connection between high-level transparency, stakeholder outreach and the building and securing of a functional and reliable civil society. In recent years, stakeholder outreach has been moving to prominence in the deliberations … Continue reading Illuminating the Landscape of Human-scale Policy Outcomes
8 crucial ideas for solving the healthcare crisis
We don’t have a good answer for how to solve healthcare in America. Let’s start there. Every interest group sees the problem differently, depending on immediate interests, learned perceptions, or advertised distortions. But the fact is, every interest group has some overlap with others, and there is a lot of common ground to be had, if we put ideology aside and try to focus on the problem itself. The problem is severe enough that neary 50 million people are without healthcare coverage, and another many millions are underinsured, not guaranteed to have necessary treatments covered, for one reason or another.
Some blame malpractice insurance costs, some blame pharmaceutical drug costs, some blame malpractice lawsuits, some blame greedy insurers, greedy doctors, or stingy public-funding programs. And they are all right. But the one group that is not ripping anyone off and that has no interest in costs continuing to escalate, is the average patient. Others fall into the category of innocents, but we have to recognize that the average person has zero control over these egregious failings of the system and does not want to see them prolonged.
Between the years 2008 and 2020, we are likely to see a still unimaginably sweeping shift away from fossil fuels and high-contamination modes of powering our economy. The transition will have a political component, but will be driven mostly by cost concerns, resource scarcity, and public demand for cleaner air and responsible climate policy, a demand which is not ideological in nature.
The long-term overhaul of the global economy, to bring it in line with what would be a responsible climate policy, will be more gradual, and has for some time now been taking its first halting steps toward acquiring momentum. But wealthy countries, ostensibly the most dependent on carbon-based fuels, also enjoy the conditions that permit broader flexibility in fuel resourcing, namely an economic cushion and variety in the marketplace.
Due to the science we already have, the laws we have to govern our own activity and to force government to act for the public health, we face the real possibility of being forced, in American courts, in the future, to pay for damage done to the most affected populations in other parts of the world, as a result of inaction by our government. And if not in court, then as a matter of the de facto urgencies of international political stability.
If we do not find a way to work to mitigate global climate change, future generations will look back and will see clearly that a zeitgeist of selfish convenience and primitive disregard for the wellbeing of our fellow human beings led to a reckless attitude with regard to this snowballing crisis. The public voice, and those campaigning for the level of public respect needed for election to office, should bring this issue to the fore, push for real initiatives to tackle the problem boldly, in a collaborative way, now.