Nearly 46 million Americans were uninsured in — Eighty percent of the uninsured live in families with at least one employed individual, more The leadership for reform may emerge from various congressional committees, private-sector interests, a new working group established by the President, or various other organizational arrangements. Lessons from the failed reform effort—including the need for greater transparency—would undoubtedly underpin the design of a new reform process.
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Regardless of the entity that takes the lead, the secretary and the department inevitably will be required to give sustained attention to the development and assessment of reform options. Any health reform strategy ultimately put forward will affect every aspect of department activities:. In fact, reform will have an impact on all of the seven elements of organizational success: If only because health reform would have such a major impact on the department, the secretary cannot afford to be merely a passive observer of the process.
The department has both motivation and opportunity to play a significant role in creating a high-value health system because of the enormous costs—and powerful leverage—of Medicare and Medicaid and its role in setting quality standards across government health programs IOM, The department also has important expertise and information to contribute, too. HHS has paramount operational knowledge about the complex workings of the health sector, and the secretary will want to use the extensive data available from Medicare, Medicaid, CDC, FDA, the Health Resources and Services Administration, the Agency for Healthcare Research and Quality, and other federal, state, and private-sector agencies to help shape and assess options.
HHS will want to leverage its relationships with many important constituencies that also can contribute to the reform process. A successful health reform process would require transparency and strong communication and would undoubtedly be collaborative, cross-governmental, and involve many public- and private-sector entities. The department should clarify its role early in the process and marshal its resources to contribute its unique data resources and the perspectives gained from long and diverse experience.
Specific ways in which the department should participate in a reform process include the following:. The combination of a health system that is widely considered fundamentally flawed, competing external demands, internal organizational complexity, and impending large workforce losses due to retirement presents HHS with serious challenges, as well as opportunities for new thinking about the important themes the IOM committee considers in this report: The secretary, working closely with the White House and Congress, should take a major role in promoting and achieving health reform nation wide.
HHS currently has a large number of goals that are discussed in Chapter 6. These goals include four very broad goals that are not time specific; the secretary has nine priorities, and Healthy People has objectives for the nation. Turn recording back on.
National Center for Biotechnology Information , U. Where there is no vision, the people perish. Additional challenges include the rising prevalence of costly chronic diseases;. Census Bureau, ;. Roosevelt, Address to Congress, December 8, Mission A mission statement describes what the organization does, why it exists, and its role in achieving the vision. The current HHS mission statement, which encompasses both its health and human services roles, accomplishes these purposes well HHS, b: Goals To establish accountability and to monitor performance, both internally and externally, a set of time-specific, measurable goals is required, in addition to the vision and mission statements see Chapter 6.
In general, HHS goals should do the following: Support its vision and mission statements. The personal nature of health care and health maintenance requires that policies and programs take into account diversity among patients and tailor interventions to individuals.
At present, there is no mechanism to finance an effective response to public health emergencies Lister, Establishing effective partnerships with state and local governments and the private sector is desirable, but difficult. Currently, the secretary has significant management demands, providing direct oversight of 11 operating divisions and 15 staff divisions, without positions such as undersecretaries or assistant secretaries with line authority.
Reform will affect departmental priorities and whether and how well it can meet its mission and goals. Reform will influence the structure, alignment, and interrelationships of departmental agencies and units.
A Fresh Approach to Witness For The 21st Century: A Global Perspective
Set up a capacity to quickly conduct or coordinate external research on proposals offered by the White House, Congress, and others. Organize new forms of demonstration or state waiver programs to test specific aspects of reform proposals. Health policies for the 21st century: Challenges and recommendations for the U.
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Department of Health and Human Ser vices. National health spending in A year of change for prescription drugs. Health Affairs 27 1: The budget and economic outlook: The scientific laws that govern the universe -- the randomness and uncertainty inherent in both quantum mechanics and evolution, for example -- are then not contrary to God but become crucial elements of the divine creative process.
How does one even conceive of such a God that is not an exalted deity? Here, I will leave you with one example.
HHS in the 21st Century: Charting a New Course for a Healthier America.
This metaphor for God as the creative source of being does not come from a Christian theologian or a philosopher, but from Zen Master Thich Nhat Hanh, who imagined the relationship between God and human as that between the ocean and the wave. The ocean and the wave are related in two important ways. The ocean is the "ground" of the wave in the sense that the water molecules of the ocean make up the essence of the wave.
From a creative and dynamic perspective, the power of the ocean creates the individual existence of the wave. The wave like us has its own individuality, but its lifespan is relatively short. The wave emanates from the infinite ocean, and at the end of its existence, it returns to the ocean. Each individual wave is connected to all other waves because they share the ocean as their ground. Existence is finite, individualized and unique, yet underlying existence is a connection to the infinite.
To me, this understanding of God can not only work within the confines of modern science since all scientific laws come from God as part of the creative existence of the universe , but it also provides a powerful direction for how we experience God. What I may have lost from the illusory "comfort" of believing in a supernatural father figure who may or may not intervene on my behalf, I have more than made up for with a new realization: I can touch and experience a God that is the ground of my being though I'll never fully understand or see God at a much more intimate level, because God is the spark of light within me.
This view of God also leads to a more embracing view of morality because I share this power of being with each of my fellow humans in true brother and sisterhood, and I share it with the natural world as well. One challenge we face when thinking about God in this way is how do we talk about, much less worship, such a philosophical sounding God? It is easy to picture Michelangelo's God as the grandfatherly figure on the Sistine Chapel, but how do we relate to the God of Tillich and Whitehead?
In a future post, I will examine how we can rethink our traditional symbols of God as Father or Lord, but for now I'll pose the question to you:. These three approaches complement each other. Most Christian organizations settle for only one approach and it is inadequate. When we use all three together — when the church provides solid training in personal and small group witness as well as doing Outreach events — the result is powerful!
Our focus, then, is in developing an effective 3-prong strategy which equips believers with a personal, incarnational approach to witness, that offers small group evangelism through Seeker Bible studies and that effectively offers proclamation evangelism. When training others to develop confidence and competence in the area of personal witness, here are some areas that need to be addressed:.
Christ gave us a model, a message and a method for reaching the world. Our model for outreach, our paradigm for evangelism is the doctrine of the Incarnation. Although there are many doctrines which shape our understanding of witness, perhaps none shape it more than the doctrine of the incarnation; for it is not only a fundamental doctrine, it is a theological prism through which we view our entire missional task in the world.
How then do we go into the world like Jesus? Jesus was both radically identified in love and yet radically different in holiness.
FRATERNAL LIFE IN COMMUNITY
What skills can we learn by exploring the implications of the Incarnation? The basic content of the gospel is always recognizable and unchanging because it was received by the revelation of Jesus Christ Gal 1: However, the New Testament evangelists demonstrate flexibility and creativity in adapting and communicating the gospel in different political and cultural settings. This is why the Gospel must be constantly forwarded to a new address because the recipient is repeatedly changing his place of residence. Jesus told his first century disciples they needed to wait for the Holy Spirit before evangelizing their world.
What should we do next? What we need is a tool that enables seekers to feel comfortable and safe, that embodies a style that is Socratic, dialogical and process oriented, while allowing them to confront the Person of Jesus. One of the most effective evangelism tools is the Seeker Bible study. A Seeker Study examines the life of Jesus through a gospel in which the majority of the participants in the small group are unbelievers.
The Christian asks questions from the Seeker Bible study guide and invites the seekers to discover the Person of Jesus for themselves. The Christian is not the authority — the biblical text is the teacher. We invite the skeptic or seeker to come to a neutral place our home, our school dorm, at the back of a restaurant to look at a gospel and decide for themselves who they think Jesus is. They are meant to have fun and feel free to ask questions as they investigate the life of Jesus.
And while some may have been turned off by religious organizations like the church, many are still curious about Jesus: What was he like? What did he say and do?
And Jesus begins to come alive! Having done Seeker Studies for over 30 years and having trained Christians around the world to use this tool, we have seen incredible fruit as a result. A powerful way to evangelize is communicating the gospel through Proclamation Outreach.
The African church has remarkable gifts of evangelism and Africa has seen tremendous response to Proclamation Evangelism events. Bishop Ben Kwashi of Nigeria, a gifted and effective evangelist, has seen scores of people come to Christ. He has much to say in this area about the power of the gospel:. People of God, let us sharpen our focus on this one goal, the task of making Christ known, getting people to live righteously, to live holy lives, and to put all their energies, all their efforts into the mission of God in evangelizing the world.
Let us go forth then remembering that evangelism is a life before it is a task; it is a question of being before it becomes an agenda of doing. Let us refuse to preach a gospel that promises so much and demands so little. We have been given an infinitely credible gospel — so let us be credible messengers who demonstrate not clever methodology but authenticity. Remember, evangelism is not the result of perfected techniques given by super sales people, because the gospel is not for sale! If the world is to be evangelized in our 21st century — if we are to see revival — it will take genuine repentance within the church, divine cleansing, holy living and a fresh empowerment by the Holy Spirit.
What we need is a renewed vision of who Christ is and what He has come to do: If we live out this vision as true disciples, then evangelism cannot help but happen! Cape Town Advance Paper. Personal and Small Group Evangelism. Christian Witness Amidst Disaster in Japan. Sports Ministry and Evangelism. A Perspective from the Christian Academy. Mission in the Workplace.
The Lausanne Movement connects influencers and ideas for global mission, with a vision of the gospel for every person, an evangelical church for every people, Christ-like leaders for every church, and kingdom impact in every sphere of society. Learn about our beginnings, ongoing connections, and mission today. Toggle navigation Connecting influencers and ideas for global mission.
Part 1 Part 2 The gospel is the Good News, the glorious news that God through Christ came to our planet, lived, died and rose again to take away the sin of the world. How do we discern what is true and essential from the nonessential and even heretical? With the crisis of truth so prevalent in the West, where there are disagreements amongst the faithful over how to interpret key theological doctrines, the real issue comes down to this: This crisis of truth is not only a problem in the West. Has social justice, while terribly important, become for many Western Christians the easy default attitude, so that evangelism will have to be relearned as a choice and a sacrificial commitment?
What is the role of justice and justification when it comes to sharing the Good News? The Role of Culture There is much discussion today about the role of culture and the importance of expressing the gospel in culturally relevant ways. Consider just a few examples from our experiences of doing evangelism training around the world: Our Theology must impact our Methodology There has been a tendency in the West to focus evangelism training on simply learning techniques.