Tag: Government


A Painful Goodbye: End-of-Life Care in the U.S. Healthcare System

The difficulties around healthcare in the U.S. remain as complex as ever. I have spent the last two months experiencing those in a very personal way. Twenty-two years ago, a close family member—let’s call her Millie—was diagnosed with cancer and given a poor prognosis.  She beat the odds and survived. This summer, she was again… Read more »

Leadership Lessons Learned from the Presidential Election

As I turned on the TV yesterday evening to watch the election results, I didn’t know what to expect. The polls were too close to give a confident advantage to either candidate and, given recent history, it was plausible that either candidate could have won. Reflecting on what emerged during the evening, I began thinking… Read more »

From Being Right to Doing the Right Thing: My First Lesson in Designing Organizations to Fulfill Our Intentions

In the presidential campaign, I have been struck by how much the dialogue is about what people are “for” and how little we talk about how to do what we want. As if being “for” the right things led to a clear path to success. Indeed, our president is faulted for proposing the right ideas… Read more »

Leading Public Organizations Creatively

The belief that government must continue to be structured and must function in 2012 as it has in the past is a myth. There is much that public sector leaders can do to change their organizational culture, improve the quality of services they deliver, and become more efficient stewards of the public’s money. I would… Read more »

Education as… Discretionary Spending?

A mid-August posting by Jeff Selingo, editorial director of The Chronicle of Higher Education, described three key issues facing administrators in higher education in the U.S. What he referred to as the “trifecta” that had to be kept in balance involved “rising tuition discount rates, flat or falling net tuition revenue, and declining yield numbers.”… Read more »

Simplifying Complexity in Politics: Healthcare

With the coming of another U.S. presidential election, we are faced once again with a barrage of over-simplified explanations about increasingly complex problems. And with the choice of Paul Ryan as the vice presidential candidate for the Republican Party, it seems that healthcare will be front-and-center in the ads and speeches. He obviously didn’t create… Read more »

The Polarizing Effects of Avoiding Uncertainty

The other day, National Public Radio published a story about partisan politics. According to insights offered by Dartmouth College political scientist Brendan Nyhan in the story, partisans tend to be partial to their political loyalties on a range of issues, side-stepping the facts. When remaining loyal requires them to change their views of the facts,… Read more »