Multnomah County spends $4 billion a year, hundreds of millions on homelessness alone. Yet unsheltered homelessness has more than tripled in five years. Mental illness and addiction remain largely untreated. Public trust has collapsed. Hundreds of people are dying on our streets every year.

These are not isolated failures. They are symptoms of a government structurally incapable of serving its people.

As an ER doctor and former county commissioner, I’ve seen the system from the inside and the front lines. I’ve worked with local experts, community leaders and those impacted by county services.

Guided by their wisdom and incorporating what’s worked in other places across the country, I wrote a comprehensive plan to turn the County around.

The principles are simple:

• Organize for impact

• Measure what matters

• Budget for results

• Account for every dollar

I invite you to review the detailed plan, and subscribe to my newsletter for updates.