Citizen Brief



About the Citizen Briefs 


The citizen brief is central to reclaiming the role of the citizen in the body politics. It is a stand alone document addressing a particular societal challenge, i.e the opioid epidemic. The citizen brief is utilized to establish a framework for a citizen oriented treatment plan that provides a comprehensive, multi stakeholder and multi phase road map for citizen involvement in their political ecosystem. It is best used as part of The Medical Case Presentation. The complete citizen brief provides a vision for the issue reframes a problem, provides data, discusses the various issues and proposes actions that can be undertaken by the citizen to address the problem.

The Medical Case Presentation of the US Healthcare System offers a framework to address the challenges of the United States, in confronting our political and financial problems.The Case presentation closely linked to the CItizens4health Strategic Plan and Roadmap.  The challenges of healthcare are addressed. The process is used to translate symptoms into the best solutions based on existing information. The treatment plan is most effective when the problems addressed are clearly defined, the alternatives for action discussed and the plan offers actions to address short and long term challenges.

Link to the Healthcare Case Presentation on Medium





​The United States’ healthcare system provides healthcare services to the nation’s population and includes provider services, support services, research, and education. Healthcare services are provided through multiple venues. The cost of healthcare services is estimated to be $2.7 trillion a year, or $7,029 per person living in the U.S. The system is financed through a patchwork of payers, including government-provided (Veterans Affairs, prison, Military), government-financed (Federal Employees Health Benefits, Medicare, Medicaid), employer-provided systems, as well as coverage purchased from private insurance companies and safety net programs.


The Vision:

By November 2020 all Americans have the opportunity to experience optimal well being throughout their lifetime.

By November 2020 Americans live in healthy communities and each of us have access to healthcare services that provide the highest level of medical services to maintain, wellness regardless of medical condition and stage of life.

By November 2020 Americans are  part of a responsive representative local and national political system



The U.S. healthcare system is a patchwork of services assembled over the past 150 years. There is a lack of social consensus about the role of healthcare in American society. Several ideological factors shape our approach to the system. The U.S. healthcare system has pioneered treatments, procedures, and medicines that have extended life expectancies and improved everyday life for people all over the world. Yet only one-fifth of Americans think their health care system works well.

The Ecosystem:

The Health Ecosystem consists of major sectors, thousands of stakeholders including for profit, non profit, government, professional groups and many individuals. 

The Evidence:

Data is crucial for an objective presentation of a given medical situation, not just to help the diagnosis, but also to decide on a course of treatment and monitor results. The challenge with data is to agree upon what is important and relevant.  Data is not an opinion; it is usually reproducible and verifiable. Data is a tool for more informed decision making about, not a decision itself. The challenge is to present the information in a simplified manner that allows for utilization into the decision making.

Having an agreed upon base of data, or a way to challenge the data, will elevate the discussion to a more productive level, a more deliberative conversation built on respect rather than fear and that allows for problem solving. 

We will provide data relevant to the healthcare challenges facing our nation, and document the source of the data.

The data associated with the healthcare ecosystem ins substantial and evolves minute to minute. Data is crucial for meaningful decision making as a citizen. Although the data is often available it is complex and needs to be made user friendly and contextualized. 


Best Practice: 

What is the evidence base for main issues in healthcare 

Take Action : 

The challenges facing the healthcare system are daunting that’s why we need to work together. The solutions will not come from a centralized entity be it government or a private organization like insurance companies. Because healthcare is personal and local, each and every one of us can contribute to the reform our healthcare system so desperately needs. The Tool Box for Citizen Engagement gives you user friendly information civic engagement tool and other activities that make you the most important piece for achieving the best healthcare system in the world. We divided the activity into three types: Get Personal, Get social and Get Political. You can learn more about activities for each of these types and start to do your part to achieve the best healthcare system for all of us.In addition you can learn about activities you can engage in activities to make medical care safer with our project, Getting to Zero by 2020.


Get Involved :

Because healthcare is personal and local, each and every one of us can contribute to the reform our healthcare system so desperately needs. Open-source Healthcare Reform gives you user friendly information civic engagement tool and other activities that make you the most important piece for achieving the best healthcare system in the world.   


We believe that citizen engagement is crucial to improve our healthcare system. We provide information, ideas and tools to for civic engagement. We will discuss ways you can support our work and improve your own, community’s, and the nation’s health.


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