Someday I’ll have to detail the story of how Dana and Pam, exasperated by the red tape and bureaucratic idiocy of the Medicaid system, decided to pick up the phone and call the Governor of Indiana. Long story short—his office cut through the nonsense and Bruce got the help he needed. My take on it was, “This is how government should work when government doesn’t work.”
Not long after that happened, I read George Will’s column about Mitch Daniels and the possibility that what he’s doing with Indiana state government is the wave of the future in the political world. I suddenly had this consuming desire to reassess my role as a Kentucky Commissioner—to develop a comprehensive vision and philosophical position with respect to my advocacy of bicycle and pedestrian issues. If I don’t have a coherent stance in support of non-motorized infrastructure enhancements, I run the risk of coming off as just another pork-barrel Republican or free-spending Democrat. I have to be able to articulate the advantages of increased exercise as a disease-reducing activity worthy of public investment versus the unchecked explosion of costs to maintain the Medicare/Medicaid entitlement promised to aging baby-boomers.
The way I see it, we have a window of opportunity to be proactive. If we don’t address the current and future demand side of the equation, we’ll never be able to handle the supply side commitments without screwing our combined standard of living and quality of life in America. We’ve concocted a scheme to overwhelm a health-care system that’s already too expensive (read my log entry from Thursday).
I’ve got to make sense of this. Maybe it could become a Clan project!
• Uncle Jerome could summarize the latest empirical evidence on exercise.
• Caitlan could investigate the macro-economic cost/benefit relationships.
• Brendan could explore how to communicate the practical aspects of alternative transportation.
• Ian could reinforce it all with an easy-to-digest philosophical paradigm that would fit on a 10th Planet T-shirt!
Relax, Uncle John… You’re really getting carried away this time.