I believe philanthropy has found its identity once again, as a convener, a risk-taker, a piloter of good ideas, and a partner in bringing those ideas to scale. Indeed, it's an exciting time to be in philanthropy. But I believe there are areas where we can do better and push ourselves further to maximize our impact in the years ahead.
The more complex a system is, the more it is at risk of failing in complex ways that were not anticipated by its architects. It would be hard to imagine a more complicated way of expanding health coverage than the Affordable Care Act.I say that, appreciating that Obamacare will eventually bring health coverage to tens of millions of uninsured people, that it will end the cruelty of denials of coverage based on "pre-existing conditions" (we all have the pre-existing condition of mortality); that it will allow young adults to stay on their parents' insurance to age 26; and that it will require free preventive care under all insurance plans. But there was a much simpler way of achieving this.