The Oregon coordinated care model was implemented in 2012 through “Coordinated Care Organizations” (CCOs), which operate under a Section 1115 waiver, first granted by the Obama Administration. A coordinated care organization is a network of all types of health care providers (physical health care, addictions and mental health care) who have agreed to work together […]
From the sky bridge at OHSU, in a neighborhood where the median annual income is $42,000 and poverty is less than 15%—you can see neighborhoods six miles away with incomes half the size and the poverty rate twice as big. Between the sky bridge and those neighborhoods, poverty and its associated health disparities increase by […]
The three legislative concepts discussed in this paper build on the Affordable Care Act and are consistent with, and enhance, President-elect Biden’s health care proposal as described in his campaign. These concepts also compliment the initiatives in the House Democratic Leadership health care proposal introduced last year. A centerpiece of both proposals is to expand […]
The State of Oregon has done a good job conveying the importance of wearing masks and following social distancing measures, but official government communications alone may not be enough. Trust in government is at an all-time low, especially within minority communities, which have been disproportionally impacted by COVID. This problem has been exacerbated by the unfortunate politicization of public health during the recent national election cycle and the resistance in parts of our society to being “told what to do” by government. There are other, perhaps more effective, messengers that have not yet been fully mobilized—the trusted local leaders living in every community across our state, whose voices may carry more weight than directives from the state.
On this consequential election day, and at a perilous moment for our state and our nation, I want to share some thoughts on where we go from here. Early last Spring, in a letter I sent to several large Oregon foundations, I expressed concern about the health and integrity of our communities—a concern that economic stress, social isolation and prolonged uncertainty could tear apart the fabric of our society, and erode any sense of shared purpose.
As a parent, a doctor and former Governor, I urge Oregonians to vote “no” on Ballot Measure 110. I understand that a central motivation behind this ballot measure is to help reverse the disaster caused by the War on Drugs, which incarcerated people suffering from addiction and had a disproportionate impact on Black and Indigenous […]
The fatal shooting last weekend of a protestor in downtown Portland should give all of us pause, regardless of which side of the “political divide” we find ourselves. What we are witnessing here in Oregon is the ultimate test of the great American experiment, launched almost two and a half centuries ago. The central question is whether it is possible to establish a government “ruled not by accident and force, but by reason and choice.” How we choose to proceed in Oregon will, at least in part, answer that question. And the nation is watching.
This week’s decision by the Oregon Health Authority (OHA) to allow Trillium Community Health Plan to begin enrolling Medicaid members in the Portland area starting on September 1 threatens to disrupt important care relationships in the midst of the COVID 19 pandemic. Of even greater concern is the fact that this decision seems to have been made in a vacuum that ignores both the need for patient protections in a very vulnerable population and the intensified call for equity in our health care system
The Black Lives Matter movement has provided courageous leadership forcing all of us to confront the ugly specter of social injustice. We have an obligation to express our gratitude, to support that leadership, and to act. In that spirit, I offer these heartfelt thoughts, motivated by a concern that the crucial narrative at the heart of the movement is at risk of being hijacked for political gain.
As the protests in Portland continue, as crowds grow larger and violent confrontations more pronounced, some community members are asking whether the current process is advancing or hindering the goals of justice and equality that sparked the protests in the first place.
Consider three converging factors colliding on the streets of Portland: peaceful protests, a divisive president, and the deployment of federal agents in our city.
In the early hours of June 6, 1968— 52 years ago today— Robert Kennedy died at Good Samaritan Hospital in Los Angeles, felled by an assassin’s bullet, which ended an 84-day campaign that took place against the backdrop of a nation torn asunder by race and riots. I was 21 years old in 1968 and the protests sweeping our nation today remind me of how far we have come… and how little progress we have made in terms of social justice and equal opportunity. The social conditions of race and income inequality that Kennedy sought to address are as acute today as they were a half-century ago—indeed, today’s disparity between rich and poor is far greater.