My career has been in health care policy and administration. But it has also always been on the fringes of politics. My first job
out of graduate school was conducting an evaluation of the Illinois Medicaid program for the Illinois Legislative Budget Office.
In the 40 years since, I have been a health care provider, a researcher, a teacher, a regulator, a consultant and a payor.
The biggest part of my career was almost 24 years as Vice President of Planning for the University of Chicago Medical Center.
My core responsibilities were over operational planning, the capital budget, maintaining relationships with Medicaid, and as
supervisor of the offices of Housestaff and Medical Affairs. I also served as a kind of utility administrator and troubleshooter.
Over the course of my tenure, I had responsibilities at various times for Quality and Regulatory Compliance; Operational
Budget (twice); Medical Records (twice); Planning, Design and Construction; Physical Plant; Marketing; and Organizational
Development. I served as Secretary to Board of the Medical Center for the second half of my time there, as well being involved
in special projects, particularly around medical education, construction of a new children’s hospital and the Medical Center’s
adoption of electronic medical records. I also taught regularly on health policy, medical informatics and the social context of
I retired from the Medical Center in 2008 and I had a small consulting practice, which included helping the newly formed
independent board of the Cook County Health and Hospitals System formulate its first strategic plan.
In 2010, immediately after the passage of the ACA, I was asked to lead the project implementing Illinois’s Medicaid expansion.
That included redesign of the eligibility and redetermination processes, replacement of 35-year old eligibility computer
system, and, eventually, enrollment of more than 500,000 people into Medicaid ACA coverage. I was also involved with
numerous other Medicaid initiatives, including conversion to managed care, quality incentives, Cook County waiver, and
information system priorities.
When a Republican became governor in 2015, I was re-retired. This time it has stuck. I still do some consulting and work on
my writing, both described elsewhere on this site, and spend a lot of time with my grandson.
I have a Ph.D. in Sociology and Public Policy from Harvard, but that was a long time ago.