THE TRUMP PHENOMENON: REAL OR IMAGINED?

 

            [PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, not just a monologue.]

Why does Donald Trump continue to rise in the polls as America looks forward to the 2016 presidential election?

Perhaps there is no one answer to that question, but one factor is that many Americans are fed up with the current nature of politics and the failure of any of the elected class to deal genuinely with the real problems facing this country.

Put me in that camp of the disgruntled.

But, that said, there is no way that I could sign on to support Trump. His so-called “ideas” are outlandish and he couldn’t achieve them even if he was king for day. He blunders on, saying anything and everything, content, it would appear, to boost his own substantial ego.

If someone like me wants to help produce a better political process oriented to making tough decisions on tough public policy problems, the path to that process does not go through Trump.

Consider his immigration notions. He wants to deport all of those who are immigrants, including the children of immigrants who were born here. He couldn’t do that without changing the U.S. Constitution and that would take a political agreement that is not in the cards.

It would take years and millions of dollars to round up all of the immigrants around the country and throw them out, an action which would disrupt families and sow nothing but discord in a country where welcoming immigrants is a long-held position.

Still, Trump blunders on. And it seems that most members of the media giving him a pass as they appear willing to accept by his egotistical, bombastic style with no test of accuracy or ability to achieve.

Wall Street Journal columnist Peggy Noonan, not content to join other members of her craft, went deeper this week with a piece entitled, “America is so in play.”

She pointed to several factors that have given rise to Trump:

  • One is the deepening estrangement between the elites and the non-elites in America. This is the area in which Trumpism flourishes.
  • Second, Mr. Trump’s support is not limited to Republicans, not by any means.
  • Third, the traditional mediating or guiding institutions within the Republican universe — its establishment, respected voices in conservative media, sober-minded state party officials — have little to no impact on Mr. Trump’s rise. Some say voices of authority should stand up to oppose him, which will lower his standing. But Republican powers don’t have that kind of juice anymore. Mr. Trump’s supporters aren’t just bucking a party, they’re bucking everything around, within and connected to it.
  • Fourth, “the base” isn’t the limited, clichéd thing it once was; it’s becoming a big, broad jumble that few understand.

Noonan adds that, on the subject of elites, she spoke to Scott Miller, co-founder of the Sawyer Miller political-consulting firm, who is now a corporate consultant. He worked on the Ross Perot campaign in 1992 and knows something about outside challenges.

Miller, Noonan wrote, views the key political fact of our time as this: “Over 80 per cent of the American people, across the board, believe an elite group of political incumbents, plus big business, big media, big banks, big unions and big special interests—the whole Washington political class—have rigged the system for the wealthy and connected. It is ‘a remarkable moment.’ More than half of the American people believe ‘something has changed, our democracy is not like it used to be, people feel they no longer have a voice.

“People who work for a living are thinking this thing is broken, and that economic inequality is the result of the elite rigging the system for themselves. We’re seeing something big.”

Noonan ends her piece with this: “An odd thing, in my observation, is that deep down the elite themselves also think the game is rigged. They don’t disagree, and they don’t like what they see — corruption, shallowness and selfishness in the systems all around them. Their odd anguish is that they have no faith the American people can — or will — do anything to turn it around. They see the American voter as distracted, poorly educated, subject to emotional and personality-driven political adventures. They sometimes refer to “Jaywalking,” the old Jay Leno “Tonight Show” staple in which he walked outside the studio and asked the man on the street about history. What caused the American Civil War? Um, Hitler? When did it take place, roughly? Uh, 1958?

“Both sides, the elites and the non-elites, sense that things are stuck.

“The people hate the elites, which is not new, and very American. The elites have no faith in the people, which, actually, is new. Everything is stasis. Then Donald Trump comes, like a rock thrown through a showroom window, and the molecules start to move.”

I am among those who have believed that the preoccupation with Trump would not last. I have thought he would implode, but he already has lasted longer than I thought he would.

Therefore, Noonan’s analysis makes sense to me. But I hope that Americans who are fed up with the status quo will opt for something more genuine than Trump.

We need real people who will debate real problems and come up with real solution

IMMIGRATION ON THE FRONT BURNER, BUT IT’S NOT A NEW ISSUE

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was as a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, rather than just my monologue.]

To read some news accounts recently, you’d think that immigration policy was a new issue.

It’s not.

Would-be policymakers in Washington, D.C. ( I write would-be because they have not actually come up with a policy) and states along the border between the U.S. and Mexico have struggled with the issue for years, with no solutions in mind, perhaps in part because we are a nation of immigrants; at least my generation’s forbears were.

Donald Trump, who deals in overstatements, even said in early August on the presidential campaign trail (yes, it is incredible that the blowhard is viewed these days as a genuine candidate for the nation’s highest political office) that “this was not a subject that was on anybody’s mind until I brought it up at my announcement.”

Absurdly, Trump even advocated two so-called “policy innovations:” Abolition of birthright citizenship and mass deportation.

Many reporters let that Trump’s inaccuracies ride, but New York Times columnist Charles Krauthammer would not be still. He performed a service by putting Trump’s comments in a context, with these points, under a telling headline – Borderline Lunacy:

THROWING OUT BIRTHRIGHT CITIZENSHIP: If you are born in the United States, Krauthammer reminds readers that “you are an American citizen.” That’s because the 14ttth amendment to the Constitution exists. Rounding up and deporting all of the citizens, mostly children, who were born of immigrant parents, admittedly many of them illegals, would require years of work and millions, perhaps billions, of dollars in costs.

MASS DEPORTATION: Trump told NBC reporters that “all illegal immigrants must leave the country, along once they’ve been kicked out, we’ll let the good ones back in.”

“On its own terms,” Krauthammer writes, “this is crackpot. Wouldn’t it save a lot just on Mayflower moving costs if you chose the ‘good ones’ first – before sending SWAT teams to turf families out of their homes, loading them on buses and dumping them on the other side of the Rio Grande.”

“Less frivolously,” Krauthammer adds, “it is estimated by the conservative American Action Forum that mass deportation would take about 20 years and cost about $500 billion for all the police, judges, lawyers and enforcement agents – and bus drivers! – needed to expel 11 million people.

“This would all be merely ridiculous if it weren’t morally obscene. Forcibly evict 11 million people from their homes? It can’t happen. It shouldn’t happen. And, of course, it won’t ever happen. But because it’s the view of the Republican front-runner, every other candidate is now required to react. So instead of debating border security, guest-worker programs and sanctuary cities – where Republicans are on firm moral and political ground – they are forced into a debate about a repulsive fantasy.”

WHO BENEFITS FROM TRUMP’S EGO-DRIVEN BOMBAST? THE DEMOCRATS: If you are a conservative alarmed at the country’s direction and committed to retaking the White House, Krauthammer says you should be concerned about what Trump’s ascendancy is doing to the chances of that happening.

“The Democrats’ presumptive candidate is flailing badly,” Krauthammer writes. “Republicans have an unusually talented field with a good chance of winning back the presidency. Do they really want to be dragged into the swamps — right now on immigration? – that will make that prospect electorally impossible?”

As a footnote, Oregonian columnist David Sarasohn added his voice to the debate over the weekend when he wrote a piece on the immigration debate, with an emphasis on Oregon.

“It was always hard to figure out the logistics,” Sarasohn writes, “of just how more than 100,000 undocumented immigrants in Oregon were going to quickly shipped out of the country…There would be the matter of tens of thousands of Oregon families being taken apart, and large part of the Oregon economy ceasing to exists, but, hey, we’re about a principle here.”

Point made.

Responding to the writing of Krauthammer and Sarasohn, this writer hopes that we will find a better way to have debates about critical issues facing this country, including immigration.

We need rationale, moral, thoughtful people who will vie to lead this country where ALL of us reside.

PRESIDENTIAL CONTEST HEATS UP ON BOTH — NO, ALL — SIDES

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was as a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, rather than just my monologue.

Here we are still a few months away from the presidential primary and all we see are continuing horse-race stories about the contest on both sides – Democrat and Republican – or even a third side, Independent.

It’s possible that the result could boil down to a tough choice for voters between an alleged crook on one hand and a blowhard on the other. The alleged crook is Democrat Hillary Clinton, who is under continuing scrutiny for use of personal e-mail accounts to do the public’s business. The blowhard – not necessary to use the word “alleged” in this case – is Republican Donald Trump, who appears to believe he can say anything because any comment will buttress his already massive ego.

Clinton, for her part, is coming under increasing scrutiny for her use of a private e-mail account, including, allegedly, to handle classified material when she was Secretary of State. She also appeared to use that high office to create windfalls for the Clinton Foundation.

It is possible, as this is written, that Vice President Joe Biden will enter the D fray, an action which could be good news for Senator Bernie Sanders if Biden’s entry takes already eroding support away from Clinton.

But, for now, back to the Republicans.

With only media accounts on which to rely, it is difficult to sift and sort through all of the candidates, especially with so many — too many for one debate — in the race.

Wall Street Journal columnist Gerald Seib performed a service a couple weeks ago when he wrote a piece dividing the Republican candidates into two camps after the first debate – fighters and statesmen.

His piece asked the question: Do voters want a candidate who channels their anger, or one who acknowledges it yet moves beyond it? Seib added: It says something about the national mood of 2016 that it isn’t entirely clear which is the better place to land.

Seib put Donald Trump, Rand Paul, Chris Christie and Mike Huckagee in the fighter camp.

While those candidates, Seib wrote, were engaged in a kind of debate demolition derby, there was another group that seemed more interested in a calmer drive down the political parkway.

In this calmer camp, he put Jeb Bush, Marcio Rubio, Scott Walker and John Kasich. Seib added that three candidates relegated to the early debate on Fox – Carly Fiornia, Rick Perry and Bobby Jindal – might find a way to gain some traction heading toward Iowa.

What works best – fighting or statesmanship? There is no agreement this far in advance of the 2016 primaries.

From the Seib column: “The fight camp is about dividing folks, like Obama has done,” said Scott Reed, who managed Bob Dole’s 1996 presidential campaign and now directs political operations for the U.S. Chamber of Commerce. “Statesmen are more about growth–growing the party and being upbeat and optimistic about the future.”

Similarly, Kevin Madden, who worked on Mitt Romney’s 2012 campaign, says “these races ultimately always shift towards becoming a contest of who is the most presidential.”

Finally, Seib says there is a question about whether anyone can bridge the fighter and statesmen camps. So far, there has been no answer to that question and the answer probably won’t emerge until Donald Trump exits stage left, for he is, at best, an actor playing a part – and here’s hoping the departure occurs soon.

RE-VISITING OREGON’S ASSISTED SUICIDE LAW

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was as a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, rather than just my monologue.]

A Wall Street Journal opinion piece the other day recalled for me difficult memories of the time, 20 years ago, when Oregonians voted to approve the first doctor assisted suicide measure in the country.

The headline on the piece illustrates the writer’s point of view: A Doctor-Assisted Disaster for Medicine.

Further, the writer, Dr. William L. Toffler, an Oregon physician who heads Physician for Compassionate Care, said he “had seen the dire effect of assisted-suicide laws on patients and my profession.”

For me, the piece brought to mind these facts:

THE FIRST CAMPAIGN: My firm, CFM Strategic Communications, ran the opposition campaign the first time the measure appeared on the ballot. It was a hard-fought campaign and, as you might imagine, featured themes that tugged at the emotions of Oregonians on both – if not all – sides of the debate.

The result was that Oregonian approved the measure by a 51-49 vote, which as the margin indicates, could not have been predicted by any reputable pollster.

THE LEGISLATIVE RESPONSE: It was tough for many legislators to understand the implications of this first-in-the-nation law, so, in a difficult decision, they sent the measure back out to a vote of the people. Even after “the people spoke,” legislators asked them to speak again – and they did, this time by a clear 60-40 margin. [It should be added that my firm did not run that second campaign.]

A FURTHER LEGISLATIVE RESPONSE: What follows next is a tribute to the ability of a legislature to rise to the occasion and develop a compromise that reflects true middle ground – no one is 100 per cent in favor of the compromise, but everyone gets something even while losing something.

This was the case when the legislature took on the task of revising the “immunities” section of the law that had recently cleared the ballot.

Tough work.

The task was assigned to then Senator Neil Bryant, R-Bend, a seasoned legislator with the ability to find the smart middle ground and lead his colleagues in the Senate and the House to accept the decision.

He called various interests into a back room, including representatives of the assisted suicide advocacy group, Oregon Right to Die, and me, as the representative of Oregon’s largest health care system, Providence Health & Services.

Further, in a wise move, Bryant specifically prohibited the Oregon Catholic Conference from participating in the negotiations because it would have been impossible for the religious organization to compromise on an issue of faith and principle.

Over several weeks we hammered out a compromise that allowed organizations like Providence, which were affiliated with a religious organization, to prevent assisted suicide “on their property, by their employees, and within the course and scope of contractual arrangements.”

In return, Providence had to agree to a tough corollary – it had to refer patients out for information and services related to assisted suicide. And, for some, referral is tantamount to “agentry,” which is viewed as being almost the same as engaging in the immoral action itself. For a health care provider, however, it made sense to accept the compromise in light of the new Oregon law, as well as the obligations to meet the needs of ALL patients.

IMPLEMENTING THE LAW: In his Wall Street Journal piece, Dr. Tofler says that more than 850 persons have taken their lives by ingesting massive overdoses of barbiturates prescribed under the law.

Proponents, he says, claim the system is working well with no problems. He disagrees.

“As a professor of family medicine at Oregon Health & Science University in Portland, as well as a licensed physician for 35 years, I have seen firsthand how the law has changed the relationship between doctors and patients, some of whom now fear that they are being steered toward assisted suicide.

“As a society, we should continue to reject the legalization of physician-assisted suicide as a solution to suffering. Instead, we must work to increase access to hospice and palliative care to better support those suffering from terminal illness. The sick and aging deserve better than Oregon’s mistake.”

WHAT’S AHEAD: The debate over assisted suicide is clearly not over, though the law in Oregon is not likely to change. Anyone who has been involved with loved ones or friends in the late stages of their lives can understand the interest in the poignant and emotional decisions near the end, including in the midst of suffering. At the same time, Dr. Tofler’s personal experiences propose the notion that physicians should focus on life, not death.

All of these tough issues will arise again to the south as the state of California considers an assisted suicide measure. The venue will be the California legislature where the outcome is in doubt, given religious opposition, hesitant Democrats and question marks from Governor Jerry Brown who says a special session is not the place to consider such a weighty decision.

CELEBRATING A 25TH ANNIVERSARY WITH WILLAMETTE VALLEY VINEYARDS

CELEBRATING A 25TH ANNIVERSARY WITH WILLAMETTE VALLEY VINEYARDS

CFM wine bottleThe firm where I worked for 25 years – CFM Strategic Communications – celebrated its 25th anniversary this month by hosting a wine pairing dinner at Willamette Valley Vineyards (WVV), one of Oregon’s premier winemaking enterprises.

Actually, the president of WVV, Jim Bernau, hosted us at his establishment just south of Salem in the hills near I-5, a location which affords incredible views to the west, including the initial grapevines, which Jim planted himself about 30 years ago.

Jim, one of the most capable entrepreneurs I know, offered various reports over dinner about the wine industry in Oregon, which has prospered over the years. He peppered his comments with stories of the public policy achievements over the years by Oregon wineries, as well as about specific results by the industry in being environmentally friendly.

That was interesting news for all of us at CFM because, over the years, we have had the privilege of representing the Oregon Winegrowers Association at the Capitol in Salem, often with Jim chairing the committee with which we worked. So, we share with Jim and many other winemakers credit in Oregon for passing laws in that have allowed the industry to flourish here.

The WVV mission statement says it all: “Our mission in growing cool-climate varietals is to create elegant, classic Oregon wines from the Willamette Valley Appellation. As native Oregonians, we treasure our environment and sustainable practices in vinifying our winegrapes.”

As reported in the WVV website, Bernau, “purchased the estate site in 1983 and cleared away,” by his own hand, “the old pioneer plum orchard hidden in scotch broom and blackberry vines. He planted Pinot Noir (Pommard and Wadenswil clones), Chardonnay (Dijon and Espiguette) and Pinot Gris.  In the beginning, he hand-watered the vines with thousands of feet of hose.

“Numerous classes at UC Davis, and seminars from here to France, sharpened Jim’s viticultural skills and in 1989 he was ready to build his dream–a world class winery in the Willamette Valley—and make cool-climate varietals, especially Pinot Noir, in sufficient quantities to be served and sold in the best restaurants and bottle shops in the world.

“A combination of determination and extraordinary people has brought Willamette Valley Vineyards from an idea to one of the region’s leading wineries, earning the title “One of America’s Great Pinot Noir Producers,” from Wine Enthusiast Magazine…

“The winery and underground cellar are carved into the top of an ancient volcanic flow, the soil red from its oxidized iron content and well-drained. This unique terroir is similar to the red clay soil found in the Grand Cru Pinot Noir vineyards of Romaneé-st-Vivant in Burgundy, where the ‘soil gives France’s most perfumed, satiny, expensive wine.’”

Thus, the award winning Willamette Valley label.

We have been honored to share many of our 25 years with Jim and his colleagues, plus to enjoy wine and dinner at his fine establishment earlier this month.

If you get a chance, visit the winery yourself. You’ll be impressed by the location, the service – the best in the business in my judgment – and, of course, the fine wine.

So, Jim, here’s to another 25 years!

If you get a chance, visit the winery yourself. You’ll be impressed by the location, the service – the best in the business in my judgment – and, of course, the fine wine.

So, Jim, here’s to another 25 years!

WORDS MATTER — OR DO THEY?

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, not just a monologue.]

I have always said there are three kinds of people when it comes to receiving information in today’s society…

  • Those who like words
  • Those who like pictures and other graphics
  • Those who like numbers and charts

Of course, there are variations on the themes, as well as combinations of all three.

Those who know me know that I like words better than the other “stuff.” For this blog, I’ll focus on the power of using certain words in certain circumstances – or, given the first example, ignoring the simple meaning of words on their face.

That example is the U.S. Supreme Court. In its recent decision upholding the federal ObamaCare health care law, justices on the prevailing side appeared to ignore four key words in the Affordable Health Care Act: “Established by the state.”

The words were contained in the long and complicated health are act that cleared both the U.S. House and Senate without one Republican vote on the “yes” side. The four words were meant to indicate that federal tax credits would be available only to citizens who received their health care through STATE health insurance changes.

Of course, since enactment of the law, most states have passed on creating exchanges – or, in the case of Oregon, failed to do so successfully.

If it was a drafting error for the four words to be included in the Health Care Act, well the fact is that the words were there and they were there several times. In theory at least, they mean what they say. But, the Supreme Court ruled differently and, in the process, some critics said it was legislating, not opining on the meaning of a law.

The Court vote allowed the federal act to remain in place without leaving those who had applied for and/or received tax credits to continue on down the tax credit road. Was it a political move? I would say yes.

Was it the right move on the simple meaning of the words? I would say no and, while I am not attorney, I have focused on the meaning of words in all of my professional live and believe the decision ignored the direct meaning of the statute.

Let’s move on to a more mundane example, but one that illustrates an important point, at least for me. If, in writing a piece, you say that someone admitted something, you convey an impression, upon close reading, that someone did something wrong and admitted the wrongdoing.

However, if you use a more neutral word – the word said, for instance – you don’t leave the impression of guilt. I first learned this valuable lesson when I was a reporter for a daily newspaper, The Daily Astorian. In covering city and county government in that coastal community, I tried to use the neutral word in attributing quotes or paraphrases.

Words also matter when it comes to euphemisms, which exist throughout society, both in writing and speaking. On occasion, there are good reasons for euphemisms – better sometimes to pull the punch than deliver the news, sometimes bad news, more directly.

But, in politics, where I spent 40 years of my professional career, euphemisms are often used to blur the reality of an action. Look no farther than the phrase “revenue enhancement” instead of the phrase “tax increase.” The former blurs the reality, often I suggest, intentionally.

Or, the word government “investment” rather than the word government “spending.” The former makes sense if the expenditure actually produces a return on the expense – then it truly is an investment. But, more often than not, the word investment is used to blur the reality that some in government want to spend more money without regard to a return.

In a letter to the editor of the Wall Street Journal early this month, a writer made a few more points, some of which are worth noting:

  • “Investment” means spending
  • “Access to” means free
  • “All of the e-mails” means all of the e-mails I want you to see
  • “Refundable tax credit” means a handout
  • “Fairness” means theft

Thus, the writer adds, going back to my first example, why should anyone expect the U.S. Supreme Court to read “state” as state or “legislators” as legislature?

So, in a number of ways, words matter, especially to those of us who focus first on them rather than on charts, graphs or pictures.

The message is: Try to use the right words, understand what the words mean and be careful about the impressions you convey when using them.

FINDING THE SMART MIDDLE: ANOTHER THOUGHT

I wrote recently in this space about my aspiration that political leaders from Salem to Washington, D.C. would find what I call the “smart middle” to solve pressing public policy problems.

That goal seems ever more remote as elected leaders continually run for office in what has been called a permanent campaign. They appear to be focused on putting their opponents or members of another political party on the defensive by name calling and offensive mailers or social media messages.

And, frankly, the loss of real politics is one reason why I hung up my shingle as a lobbyist after more than 40 years in the business – not the only reason and not the major reason (my age factors into the equation), but still one reason.

But this different thought has been coursing through my brain lately: One of the reasons that politicians have so much trouble finding the smart middle is that they are lot like us. We have the same trouble.

In our everyday work or social life, rather than working with others, many of us seek to work our will. We want what we want when we want it without working to understand another’s point of view.

We want to advance our own cause – our own point of view and, to those who may disagree with us, we say, in effect, forget, I want my own way.

As I write this, my own goal is to be open to middle ground in all of my relationships. If, on occasion, I hold a view on the basis of some moral or strongly held principle, then I won’t compromise. But, if I hold a view just because I hold a view, then there is ample reason to find the smart middle.

If we did this more in our everyday lives, then it would be more logical for us to expect our politicians to do the same – to find the smart middle, which, after all, is supposed to be the definition of politics, the art of compromise.

HEALTH CARE REFORM SUCCESS — IN MEDICAID, IN OREGON

 

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, not just a monologue.]

Given all of the controversy over health care reform, one key fact has tended to escape much attention lately.

It is this: Health care reform is working in Oregon, at least in terms of the state’s participation in the Medicaid program, the joint state-federal program that serves low income Oregonians.

There may be continuing tension over the operation of a health insurance exchange in Oregon, with the legislature’s decision, in the aftermath of the controversy over former Governor John Kitzhaber, to scrap Cover Oregon and turn responsibility for the exchange over to the Department of Consumer and Business Services.

Of course, the recent U.S. Supreme Court decision only adds to the tension as the Court, in a ruling that caught many observers by surprise, decided that four words in the national health care law (“established by the state,” as in health insurance exchanges established by states that would yield approval for federal tax credits) didn’t mean much.

So be it, I guess.

But should be no controversy over the Medicaid program here.

To verify this, I give you a piece written by Oregon’s Health Authority (OHA) Director Lynne Saxton in a message to all OHA employees. It should be added that Lynne is a great friend of mine as we forged a friendship as I represented her former employer, Youth Villages-Oregon, over a number of years.

**********

Measuring success through positive outcomes
Last month, we released the 2014 Health System Transformation report that lays out the progress of Oregon’s coordinated care organizations (CCOs) on key quality and financial measures. More than 434,000 Oregonians have enrolled in the Oregon Health Plan since January 1, 2014, and the coordinated care model continues to show improvements to Oregonians’ care for the second straight year. We know where the future challenges lie, and are focused on addressing these transformation issues.The report shows improvement in several areas including decreased emergency department visits, decreased hospital admissions for short-term complications from diabetes, decreased rate of hospital admissions for chronic obstructive pulmonary disease and an increase in patient-centered primary care home (PCPCH) enrollment. But there are areas for improvement as well, including the rates of cervical cancer and chlamydia screenings for women.

Metrics are the best way to keep us accountable for the work we do and the outcomes we strive for. Having measurable goals focuses our efforts and determines our success. Last month, we also posted the CCO financial reports for 2014. CCOs are continuing to hold down costs. Oregon is staying within the budget that meets its commitment to the Centers for Medicare and Medicaid Services to reduce the growth in spending by 2 percentage points per member, per year. We are required to stay within a 3.4 percent growth rate and we are meeting that requirement. (The national growth rate from fiscal 2010 to 2013 was 4 percent. Some states including California (13.7 percent) and Indiana (10.7 percent) saw double-digit growth during those years, according to CMS data analyzed by the Kaiser Family Foundation.)

As we continue our internal work of aligning our divisions to reflect health system transformation, these reports remind us the coordinated care model is helping us achieve the triple aim of better health, better care and lower costs. Oregon’s health system is continuing to improve care for the nearly 1.1 million Oregonians who need it most. Thank you for the part you play in our collected efforts.

Before she took over as OHA director, Lynne established solid track record at a major Oregon non-profit organization, Youth Villages-Oregon, that serves at risk children and their families. At Youth Villages, she placed substantial on producing outcomes – success in the services for children that could be measured six, 12 and 18 months after discharge. The rate of positive outcomes was greater than 80 per cent.

Now, in her new roll for the State of Oregon, Lynne is leading her staff to emphasize outcomes again and there is no better record that what is happening with the state’s Medicaid program.

FOND MEMORIES AT THE HOME OF GOLF

FOND MEMORIES AT THE HOME OF GOLF

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[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, not just a monologue.]

As professional golfers (and perhaps an amateur or two) head to the home of golf for the British Open – the Old Course at St. Andrews – it seems to be a good time to share some of my personal memories of this special place.

It was the golf icon Bobby Jones who uttered this sentence: “If I were to set down to play on one golf course for the remainder of my life, I should choose the Old Course at St. Andrews.”

Agreed.

St. Andrews – both the seven golf courses there that are part of the St. Andrews Links Trust and the town itself, with its center, St. Andrews University – took my breath away when I arrived there the first time with my wife, Nancy, on a visit to the homeland of her parents, Scotland.

We arrived on a Sunday and the Old Course is closed on such days, becoming a park for residents and tourists alike, lying, as it does, astride the North Sea. It was a beautiful day, sunny and warm, as we strode around the course and stopped, of course, to take the obligatory photos at the Swilcan Bridge near the 1st and 18th holes.

After that first visit, we took a few other trips to Scotland, none of which included a return visit to the Old Course. So, in 2012, we ventured back there with my daughter, Lissy, her husband, Tim, and two grandchildren, Mason and Kate. Again, we arrived on a Sunday and walked around the Old Course as a park. The Swilcan Bridge beckoned us again.

That bridge is a golf icon. Many golfers remember a few years ago when the best golfer of all time, Jack Nicklaus, bid farewell to all of his appearances at the Old Course on a solitary walk across the Swilcan Bridge. He lingered on the top for a few moments, not to accept all of the applause, but, apparently, to savor the moment one last time. He then went on to the 18th hole and, fittingly, sunk a birdie putt for his last official golf hole in a tournament he won several times.

On our family’s walk that Sunday, we saw hundreds of tourists and residents alike, plus one horse and a few dogs, who enjoyed “the walk in the park” as much as we did. It strikes me as a master stroke – pardon the play on words – for the owners of the Old Course to make it into a park one day a week. Everyone seems to relish the trek around the course, which often includes a walk over to the adjacent North Sea beach.

As our family arrived in St. Andrews, we took steps to do what every golfer wants to do on the Old Course, which is to play. To put it mildly, it’s difficult to get a tee time. We were not able to do in advance, so as nearly everyone does, we signed up for what’s called the “ballot.”

It’s essentially a lottery and, if your card is chosen, then you get to play the course.

On Monday, my daughter, my son-in-law and I set off on what’s called “The New Course,” which, despite its name, dates to the 1860s. During that round, my wife got the call we had hoped for: We would be playing the Old Course on the next day!

Our glee was followed by a foreboding reality – we would have to tee it up on the 1st tee in front of all sorts of bystanders who would be there, not to see us, but to watch anyone play on the Old Course.

Rather than provide my own description, let me quote from one of my favorite books – Two Years in St. Andrews — by one of my favorite golf authors, George Peper, now the editor of Links Magazine. Here is what he wrote:

“No matter who you are, to stand for the first time on the 1st tee of the Old Course is to experience the greatest natural laxative in golf. So intimidating is the opening that Dwight Eisenhower, a five-star general who once held the fate of the free world in his hands, couldn’t handle the pressure. He slinked to the second hole.

“There you are, barely a dozen steps from the front porch of the Royal & Ancient Golf Club, the full weight of its four-storied grayness upon you. Thirty-two clubhouse windows face that tee, and you can feel eyes piercing from everyone one of them, especially from the Big Room – front and center on the ground floor – where the blue-blazered members sip their gin and tonics and peer imperiously through graduated bi-focals.

“You feel their eyes, lasered into your temples. You feel the eyes of every golfer in your group, every golfer waiting to play, every lurking caddy, raking greenkeeper, and passing motorist, every shopkeeper, dog walker, street cleaner, beachcomber, and windsurfer, every gull, snipe, and pigeon, every fisherman on every trawler in the North Sea. Most of all you feel the eyes of Old Tom Morris and Harry Vardon, of Henry Cotton and Bobby Jones – of every great player, live or dead, who has ever walked these fabled links. And you don’t want to disappoint them.”

That was exactly how we felt as we prepared for the inevitable tee time.

My daughter, Lissy, put it well when she said that, when her tee time came, she was afraid she would be sick. But good news here – to Lissy’s relief, she piped a great drive straight down the middle, as did her husband, Tim. Mine was okay, too, and so off we went on what would be an experience of a lifetime – a family trip around the Old Course.

Our score didn’t matter, as is often the case in Scotland. We just relished the place and loved reliving history.

No doubt these memories will come flooding back as I watch the British Open early next month. Pardon me, to all in Europe it is “The Open,” which, of course, is designed to separate it from what is deemed to be its lesser counterpart, the U.S. Open.

So, yes, let’s relish the memories and make new ones on the Old Course for “The Open.”

OREGON PUBLIC BROADCASTING: A CREDIBLE PARTNER

[PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was a reporter for the Daily Astorian (in Astoria, Oregon) and I went on from there to practice writing in all of my professional positions, including as an Oregon state government manager and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing pubic policy – to what I write. If you are reading this, thanks for doing so and please don’t hesitate to respond so we can engage in a dialogue, not just a monologue.]

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The firm where I spent 25 years of my professional career – CFM Strategic Communications – has enjoyed a partnership with Oregon Public Broadcasting (OPB) for more than 15 years.

For those years, our firm also had the privilege of representing OPB in Salem where, at one point, bonding funding was at stake to enable OPB to build out its digital network in Eastern Oregon. Without the funding, the area “would have gone dark” in terms of OPB radio and television signals.

To the credit of OPB and its top managers – Steve Bass, the CEO of the enterprise, and Dan Metziga, the vice president of development – we were successful. We convinced legislators to allocate more than $3 million in bond funding for the project.

While we are proud of this achievement for OPB, a credit should go to all who were involved in proposing the allocation, as well as to legislators who, wisely, supported it even in the face of a lot of competition for lottery-backed bonding dollars. One of the chief supporters was Senator Betsy Johnson, D-Scappoose, a solid political operative in Salem who remains, today, a staunch supporter of OPB.

In CFM’s partnership with OPB, we sponsor ads on radio and TV airwaves, ads that emphasize our own credentials as a lobbying and public relations form. The partnership has been more beneficial for us than for OPB.

As a member of the OPB Business Partner Committee, I was asked recently to tape a testimonial for the annual Business Partnership Reception. I was happy to do so.

Here is a summary of the points I made:

  • We have been pleasantly surprised over the years to hear how many people – friends, neighbors, associates, legislators, other public officials – have noticed our support for OPB and have complimented us on being so involved. Our state and federal lobbying work, as well as our general public relations activities, have benefitted from the partnership.
  • The top-level credibility of OPB as a news and information source – you always can trust with what you hear or see on OPB – has added to our own reputation as a firm.
  • Several of us in CFM have backgrounds in the media business – some in newspapers, some in TV, some in other media forums – so we appreciate the chance to support such a credible news and information source

For us, linking up with OPB represented a way to burnish our own reputation as a firm interested in the best Oregon has to offer. And OPB surely meets the test of being the best.