Government Innovation: Liberty (Part 2 of 3)

“There is but one method of rendering a republican form of government durable, and that is by disseminating the seeds of virtue and knowledge through every part of the state by means of proper places and modes of education and this can be done effectively only by the aid of the legislature.”

To ensure the liberty of our people, and indeed all people, we have created a democratically elected government split into three branches each which balances the others, created publicly funded education, infrastructure, information, public safety and military resources and reshaped our public policies —albeit often slowly — as people realized we could do better.

Our ability to progressively re-evaluate current practices is based on the assumption that people have access to all of the information available and are best able to use that information to move forward a new idea.

But, throughout the past few decades, our values have shifted. Creativity has become bogged down by drudgery, thoughtfulness by superficiality and education by bureaucracy. The most interesting classes are getting cut from curricula, national debate is shaped by sound-bites not real discussion and our process of educating young people, so that they can overcome these challenges, has slowly been re-focused. Our attention is no longer on what knowledge and values we are imparting or what people need to learn to be successful in our times but rather on how we can most efficiently measure what we are doing. But there is hope, and it has a lot to do with leveraging new technology.

Technology, Entertainment, Design, or TED, as many of us know it, is an organization that fosters global innovation through the inspiration of, aggregation and mass free distribution of some of the most brilliant talks on pressing issues that exists on this planet. All of TED’s content is made available online for free and has been translated into more than 50 languages by a corps of volunteers.

The lesson: Education doesn’t always need to take place in a classroom or by a textbook. Sometimes a media platform delivers information better than a book can, and if it can reach people a classroom textbook otherwise wouldn’t, so much the better.

Does this mean all schools should take place online? Certainly not. But does it mean that through public schools the government should invest in ways to inspire, education and connect people using the internet, much like many colleges have been doing for years? Absolutely.

Public schools should be our most connected institutions, using online media, social networking, online games that foster curiosity and real-time audio/visual communication to connect students with all of the resources the world has to offer. Schools don’t need to offer every single class in every single subject. Just by having a well-connected accessible library or study space, schools could connect all of their students to nearly infinite outside resources. Yet many schools still operate under primitive IT policies that often prohibit students from accessing the most valuable online platforms, and few go as far as to actually encourage them.

In another field that is one of the most productive to invest in, we see libraries across the country getting their funding cut, even as patron usage steadily increases.
Even in South Orange, where the library has taken many proactive financial steps already, it voluntarily eliminated a full-time staff position worth $62,000, and is forced to cut another $25,000 out of the budget between 2009 and 2010.

People need these knowledge centers where they can perform research, connect with other people and be linked to the rest of the world, especially if they cannot afford home broadband access.

Guaranteeing both that all people have equal access to information and know they have such access is one of the best safeguards against tyranny, ignorance, polarization and hatred, all things that I know I am not alone in seeing more and more of in national debate these days. A truly excellent education will allow people the chance to rise above this.

Education is our assurance that when, for example, looking at racially-biased drug laws, the complex implications of immigration policies or military strategies that will influence decades of international relations, that we can approach these issues in educated, nuanced and thoughtful ways with the shared values of progress, community betterment and rationality. That is what the founding fathers meant by liberty and that is what we must work towards. And the first step is education.

Government Innovation: Life (Part 1 of 3)

Life. I’m not talking about Oprah’s version of the BBC and David Attenborough’s Planet Earth. I’m talking about what is perhaps the most fundamental of rights granted to any person by positive law, natural law, social contract or any other system we could use to quantify rules and rights.

Our right to live is the cornerstone of ensuring a prosperous and sustainable society. Animal hierarchies decide and categorize social interactions to lessen violence and death and our laws seek to do the same. Life, however, has not always been a given right in human civilization and has not even extended to all people for the entire history of this country.  People from various political persuasions would argue that today, in the United States, our right to live is threatened by either the death penalty, poor healthcare, violence terrorism and war, abortion, poverty, poor nutrition and the list goes on.

And we expect our government, even the most libertarian among us, to protect our lives. We generally expect police/fire/emergency management services, a military and the most basic regulations to ensure that we don’t die as easily as some wouldn’t mind us to.

Personally, I would consider that protection of life extending to healthcare, including diet and nutrition, certain consumer regulations, like seat belts and pharmaceutical regulation, and the ability for us to live in a society where violence and death are not accepted forms of social dynamics.

So, we have arguably the most powerful military in the world. We have over one million police officers employed throughout the country. We have an unbelievably responsive 9-1-1 system that sends emergency personnel to your doorstep in minutes in most of the country - without asking how much money you have or insurance information or whether you paid your taxes or even voted (Except in South Fulton, TN). Not bad.

But the biggest gap that is readily visible is the health of our country. This lack of attention being paid to health is causing epidemic obesity and diabetes rates, steadily climbing rates of sexually transmitted diseases, emerging strains of antibiotic resistant bacteria and exploding rates of conditions, from cardiac issues, strokes, cancer, and of course, traumatic injuries.

And we don’t even provide the infrastructure to encourage people towards preventative care and personal responsibility.

Some argue the market will handle this. However, the facts are simple: We spend more per-capita and get less than other developed countries because we are allowing the private sector to cash in on our lagging health by discouraging cost-saving preventative measures.

We are putting the onus on the emergency medical system to pick up this slack, which ends up being astronomically more expensive and time consuming than if we had approached these problems from a proactive perspective. 

But by using technology, without even tackling the larger issues that are wrapped up in the all too ubiquitous mindless political posturing of our time, the government can take major steps towards improving this system and helping us improve our health and reduce the strain on our economy and healthcare system.

Allowing consumers total control over their healthcare information, as the VA is beginning to do with their ‘blue button,’ where people can download all of their medical history from the VA website, and then take that information, do with it what they will, is a great way to put a little control back in our hands. 

Modernizing patient care by switching to electronic charting, where medical records are kept on computers, will prevent errors from being made, save medical staff time and will save us money. Electronic records are cheaper, easier, transportable, downloadable and secure. We need to re-imagine the government’s role in e-charting as a springboard for developers to create the innovations that we can use to modernize our healthcare system. Should we tell the government to create this system? Not necessarily. But should we tell our government to ensure that data is accessible so that 3rd parties can create new innovations? Absolutely.

Even by expanding broadband internet, public libraries and educational resources to more people, we can help ensure people have all of the information to make the right decisions. Of course wrapped up in a larger discussion of a failing education system that doesn't teach people how to (a) find information and (b) make their own decisions, the idea that people should be able to realize what is healthy is critical. By releasing government data for reconsumption and sharing, we can allow third party innovators create meaningful web-based informational resources on personal health, how to choose the best healthcare providers and more.

None of these issues will solve the problem. They are but the tip of the iceberg of apolitical technology-based solutions that save money, improve efficiency and make the government more transparent and accountable.

Todd Park, the Chief Technology Officer for the U.S. Department of Health and Human Services said it best with an interview with NPR, "I think everyone, I would presume, is in favor of better informed consumers. Everyone's in favor of healthy Americans, everyone's in favor of more functional marketplaces. I mean it's not a political thing, it's an American thing."

Furthermore, healthcare is but one of a dozen fields that we can improve the government’s life-saving directive by using open technology. What are some ways you think government can better protect our lives using technology?