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Thank you, Nick, especially for your last paragraph. We are indeed creating the future, with everything we do . Today is nothing more than the future that was created by the actions and decisions made by someone(s) in the past!

The power of one becomes the power of all of us when we realize we all want the same future - a healthy place to live. From there we can escape the hazards of problem-solving. Instead of talking about patching the individual holes in the dam, we can focus on keeping the town dry.

My work around healthcare has been about that bigger question: How do we build truly healthy communities? And we have found that when we address that bigger, more visionary “keeping the town dry” question, problems are solved with less anguish.

[…] We Reap What We Sow³ After nearly two decades in health care administration, it is apparent to me that the System is shaking out in ways that may prove to be both very interesting and disparaging to many of our citizens.   In the recent Wall Street Journal Article, Care Gap  Hospital Building Boom Sparks Fear Cities Will Be Left Behind, the nuances of the current five year, $100 billion building expansion that has taken place from 2000 to 2005 in the industry, the majority of that construction has occurred in the suburbs in order to allow the hospitals to target the affluent.  This, according to the article, has resulted in a financial struggle for the urban centers that often treat the poor.  The result of this movement?  “Scores have had to shut their doors.”…. […]

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