A late October evening in Denver, and a software designer named Marcus sits at his kitchen table scrolling through his health plan options. The renewal notice arrived with […]
The Wisdom of the Ward and the Decline of Institutional Memory
There is a county clerk in Wisconsin who can tell you, without looking, which precincts always flip their absentee tallies at the last minute and why. She knows […]
The Battle Over Healthcare Insurance Subsidies
Rep. Jen Kiggans of Virginia is hardly the person you’d expect to be leading the charge to save Obamacare subsidies. A Republican, a Navy veteran, and a nurse […]
Three Blueprints for Healing Rural America
The story of rural healthcare in America is always a story of distance. Distance between patients and providers. Distance between federal policy and local needs. Distance between what […]
What Happens When Your 401(k) Speaks Fluent AI
Margaret Chen has spent thirty-two years teaching fourth grade in San Bernardino. She retired last June with a comfortable pension from CalSTRS, California’s teacher retirement system. What she […]
Burnout, Boundaries, and the Battle to Balance Care and Career
There’s a woman I know who makes chicken pot pie every Tuesday. Last week, she forgot the chicken. Not because she’s losing her mind, but because her mind […]
Small Towns Deserve More Than Empty Promises
Washington debates often revolve around numbers. Trillions in spending. Billions in cuts. A line item here. A policy adjustment there. Out in rural America, the numbers feel less […]
What Happens When Washington Forgets the Heartland
Every so often, Congress confronts a decision that seems technocratic on the surface but reveals something deeper about our national character. The current debate over Medicaid funding for […]
Biosimilars Are the Billion Dollar Solution We Keep Ignoring
The United States pays more for prescription drugs than any other country. That is not a function of better drugs or better care. It is a result of […]
Art’s Journey to Wisdom Travels the Path of a Public Good
Modern economies reward efficiency, not reflection. Our institutions—schools, platforms, governments—are calibrated to deliver outcomes, track progress, and benchmark success. In this landscape, the arts are often treated as […]