(Community Matters) Politico Playbook: “Reinventing American Health Care: How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System,” by Ezekiel J. Emanuel, M.D ., chair of medical ethics and health policy at UPenn; White House special adviser on health reform from ’09 to ’11; son of a pediatrician; older brother to Rahm and Ari (published this week by PublicAffairs): “In the short term the ACA has been a political disaster for President Obama and the Democrats. … And it has left the Obama administration in a perpetually defensive stance, depleted of the political capital needed to achieve progress in other important policy areas such as immigration and the federal budget. …
“Regardless of the short-term political costs, in the longer sweep of history, beginning in 2020 or so, the ACA will increasingly be seen as a world historical achievement, even more important for the United States than Social Security and Medicare had been. And Barack Obama will be viewed more like Harry Truman – judged with increasing respect over time. …
“The talk of efficiency and value as well as cost control and accountability for quality … signals a sea change … [that over time] will free up governmental resources and allow the country to invest again in the many things that have been starved for funds: rebuilding roads, bridges, and other infrastructure and investing in early childhood education, scientific research and development.”
–”Six Megatrends in Health Care” : 1) End of insurance companies as we know them – Effective date: 2025: “Insurance companies will either become purveyors of management, analytics, and actuarial services or integrated delivery systems actually employing (or contracting with) hospitals, physicians, and other providers to render patient care” … 2) VIP care for the chronically and mentally ill – 2020: “Physicians and hospitals will focus on keeping patients with chronic illnesses healthy and out of the emergency room and hospital … routinely screening for depression and other mental health problems” 3) The emergency of digital medicine and closure of hospitals — 2020: “Over 1,000 acute-care hospitals will close” …
4) End of employer-sponsored health insurance – 2025: “Fewer than 20% of workers in the private sector will receive traditional employer-sponsored health insurance” … End of health care inflation – 2020: “Health care inflation will be GDP+0%” … 6) Transformation of medical education — 2025: “three-year medical schools and shorter residencies … half of medical school clinical training will be outside of hospitals.” Amazon: $15.17 hardcover; $10.99 Kindle http://goo.gl/sGPyYf
(Community Matters) Love this Daily Kos posting about Tim Cook standing up to climate deniers. Proud that the CEO of the world’s most valuable corporation is openly gay and models such integrity.
(Community Matters) Congratulations to Sarah Eckhardt and all her supporters, of which I’m now one. Congrats to my dear friend, Brigid Shea, Travis County’s newest commissioner.
Thank you to all the candidates who ran & their teams who together work so damn hard to serve the public.
I’m a huge Andy Brown fan and hope he’ll continue to serve the public. Travis County is a better place for all he’s done over the last 10+ years – thank you Andy. (heck, it’s probably 15 or 20).
(Community Matters) I started out this campaign enthusiastic for Andy Brown and always acknowledging that I thought Sarah Eckhardt was a good person and had served Travis County honorably. I didn’t support her because she can’t garner 3 votes on the commissioners court as a commissioner, and that certainly doesn’t recommend her as County Judge. But, I was wrong about the honorable part. Teamed with Brian Rodgers and Linda Curtis, she’s been releasing outright lies and misinformation as if Karl Rove was running her campaign and honesty & ethics didn’t matter. The Austin Chronicle finally called her out citing the damning evidence of a voice message.
(Community Matters) Every year on or near Texas Independence Day the Entrepreneurs Foundation hosts an event where we report to our members and thank those most active from our community most active in contributing to Austin.
Last night, we recognized Laura Kilcrease for 25 years of continuous contributions to Austin’s entrepreneurial eco system with the ATI 25th Anniversary Community Leadership Award. We recognized Build-A-Sign’s Dan Graham with EF Community Leader of the Year Award.
Member companies: Build-A-Sign, Greenling & Gazzang recognized for their outstanding community involvement programs, and Jessica Gass of Gazzang was our volunteer of the year.
EF and its member companies have raised over $9mm for other nonprofits, kids participating in our Lemonade Day program have raised $1.5mm and donated $600k to nonprofits. Team members at member companies have donated over 66k volunteer hours. We’re expanding our youth entrepreneurship programs, launching a youth entrepreneurship movement in Central Texas. And, increasingly we’re working closely with entrepreneurs and their management team to help build corporate cultures that contribute to their financial success and to our communities.
(Community Matters) Our tribe of friends who traveled to Israel together gathered to share pics and a meal – Lynn & Tommie Meredith, Suzanne & Marc Winkelman, Diane Land & Steve Adler, Reid Adler & Nancy Scanlon. Plus Doron Wilfand, our guide while we were in Jerusalem. And, me & Steven. Marc Winkelman and I both, independently had the idea to surprise our friends by flying Doron up for the dinner. Finally, Doron confessed to me that Marc had contacted him too. I tried to have him fake out Marc, telling him he couldn’t make it; alas, we had to share and collaborate. Great fun so delightfully surprising our friends.
(Community Matters) Deal Me Out: A stacked deck at the New York Times by Alex Pareene
The conservative perception of the New York Times as a liberal newspaper isn’t totally inaccurate. It’s a newspaper by and for the Northeastern elite, and the Northeastern elite is a pretty liberal bunch, at least about most social issues. But it is by no means a left-wing paper, and while it may editorialize in favor of modest economic redistribution, its coverage and its editorial choices are plainly crafted for the Haves. The paper’s audience is a certain kind of rich New York liberal—the hackneyed shorthand is “Upper West Side”—and the paper’s content naturally reflects this outlook (especially since this demographic also encompasses most of the people who edit and publish the paper).
(Community Matters) Last night celebrated the one-year anniversary of Battleground Texas. What an awesome political initiative – thank you President Obama – as well as my dearest friends Kirk Rudy & Adrienne Donato who are helping lead this initiative for our state.
Photo: with Steve Adler (future mayor ), actor Ben McKenzie & State Senator Kirk Watson (former mayor). Loved hanging, chatting with and otherwise catching up with (also) Will Roman, Amy Rudy, Emmy Ruiz, Jenn Brown, Hector Nieto, Hazel Barbour and so many others.
(Community Matters) Unbridled enthusiasm for yesterday’s court decision overturning Texas’ ban on same sex marriage:
Joaquin Castro (@JoaquinCastrotx): Great day for equality in TX –>”Texas’ ban on gay marriage ruled unconstitutional”
Lloyd Doggett (@RepLloydDoggett): Another significant decision from San Antonio on #equality.
(Community Matters) Epic ruling by San Antonio federal judge Orlando Garcia overturning the Texas constitutional ban on same sex marriage. “Equal treatment of all individuals under the law is not merely an aspiration — it is a constitutional mandate,” Garcia wrote. “Without a rational relation to a legitimate governmental purpose, state-imposed inequality can find no refuge in our United States Constitution.”
Our dear friends Suzanne Bryant & Sarah Goodfriend (photo AAS) at yesterday evening’s press conference and rally celebrating the court decision. I love the AAS profile on them.
(Community Matters) One of our favorite places.
Quick trip to London with Steven for a business meeting. In an airplane togther for many hours and alone in another country (plus on long car rides to Marfa) are among our most intimate times. We’re creatures of habit in London – often staying, eating, wandering in the same places. Like the Alley Theater in Houston was for many years, the Donmar Theatre in Covent Garden has become our favorite regional theatre – this time saw Versailles.
Steven warns me about talking about our travels. If it sounds pretentious to anyone, I apologize. If it is unbecoming to discuss one’s good fortune, maybe I’m just an uncouth bumpkin who still marvels at good fortune and wants to shout out “WOW.” We try to share travel and adventures with others – whether physically or, me, through sharing pictures and stories.