Influence and Incentive

On Friday, I filed my SEEC Form 1 with the State Elections Enforcement Commission. This form, along with others, provides the SEEC information about how the candidate is complying with campaign laws and provides the public an opportunity to find out who is influencing the candidate, at least in terms of financial contributions.

Yet with campaign finance reform in Connecticut, at least for state offices, the effect of financial influence is not as significant as it used to be, and it may be time to look at other forms of influence. We are all influenced by our family, friends and neighbors, and what we see in the media. An interesting book that explores this is Personal Influence: The Part Played by People in the Flow of Mass Communications by Elihu Katz and Paul Lazarsfeld. It was first published back in 1955 and is perhaps even more relevant today as we think about influence online. This book influences my own thoughts about how we can work together for the sake of our community, state, and country.

Another key influence shaping my run for State Representative is the Connecticut Health Foundations Health Leadership Fellows Program. I became a fellow in this program last year. A key focus of the Foundation and the program is ‘Expanding Health Equity’. The program provides many great opportunities to gather with thought leaders to find ways to address health issues in Connecticut.

One opportunity was when Francois de Brantes from the Health Care Incentives Improvement Institute spoke to fellows about payment reform. In preparation for the talk, the fellow read the policy brief, Improving Incentives. It is well worth the read. What incentives can we offer to medical providers, insurance companies, pharmaceutical companies and others to reduce the cost and improve the quality of healthcare in America? As an example, are their incentives for medical providers to encourage caesarean sections when natural childbirth would provide better health outcomes? Are their incentives to have a caesarean section prior to 39 weeks, even though, as the March of Dimes notes, at least 39 weeks is best for your baby.

Through the fellowship, I’ve connected with people at many great organizations, the Universal Health Care Foundation of Connecticut, the Connecticut Multicultural Health Partnership, the Commission on Health Equity, the Connecticut Health Policy Project to name just a few.

Yet there is much more that needs to be considered when we think about the wellbeing of our community, state, and country. On Friday, I spoke with the producer of Conversations on Health Care about an upcoming guest, Elizabeth Bradley, who wrote the book, The American Health Care Paradox: Why Spending More is Getting Us Less. While we spend more per capita than any other country on health care, our results are not as good as other countries. Why is this? Perhaps some of it comes from failing to spend enough of what leads to healthy societies, like good food and housing. Perhaps some of it is due to flaws in our educational system or transportation system.

These are the issues that we need to be thinking about. We need to find incentives that will help our communities, our state, and our country be stronger and healthier. This is where you come in. Who influences you? Who do you influence? Who has good ideas that need to be brought into the conversation? What are those ideas? Let’s talk. Let’s use this as an opportunity to work together for better communities.

(Categories: )