February 27, 2011

A Universal Health Care Option Is Good for Small Business and US Global Competition

The best thing that could happen for US small business is universal health-care. I know, because I have owned small businesses since I was fourteen—47 years ago, and am a scientist entrepreneur.

Everybody knows that small businesses are the engine of employment and global competitiveness for America. It’s small businesses that invent the next big thing.

Facts are pesky things. And, anybody who has access to the Internet can get access to all the best scientifically valid research on medical issues for free. OMG, it’s called www.pubmed.gov—the index of all the worlds’ best health research. At pubmed, search “small business” AND “health-care”. Seventy-seven scientific articles show up pronto. The first “hit” is about “small-business employment in 22 rich economies,” just published in 2010.1

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What most American’s don’t know is that most small businesses in every one of our 21 major economic small business competitors for innovation—in Europe, in Canada, in Australia, in New Zealand, in Singapore, etc. NEVER worry about health insurance. That’s because all 21 have universal health-care systems, except the United States. “So what?” you say.

In other countries, small businesses have a competitive advantage. And, the United States—land of free enterprise—has among the world’s smallest percentage small-businesses as a proportion of total national employment compared to those other 21 countries. Betcha the tea party isn’t saying that. Catch the meaning? All these other countries that are supposed to be so terrible are actually better for small business to start up and operate. In America, you can start a small business and work in an entrepreneurial business or have health insurance. In 21 other countries competing against the US, people can start a business, work in an entrepreneurial setting AND have affordable, good health insurance.

As a small business owner in the US, I cannot touch what 21 other countries can offer.

But, maybe this doesn’t touch you, because you are on Medicare or work for a big employer or some government entity. Just consider these data about small businesses in America from our own Small Business Administration. Small firms (less than 500 employees):

• Represent 99.7 percent of all employer firms.
• Employ just over half of all private sector employees.
• Pay 44 percent of total U.S. private payroll.
• Have generated 64 percent of net new jobs over the past 15 years.
• Create more than half of the nonfarm private gross domestic product (GDP).
• Hire 40 percent of high tech workers (such as scientists, engineers, and computer programmers).
• Make up 97.3 percent of all identified exporters.
• Produce 13 times more patents per employee than large firms.

A deeper look into the data from the study by Schmitt and Lane paint a scary future picture about America’s future compared to the other 21 rich companies with public health care. Here are just a few findings:

• America has the second lowest share of self-employed workers (7.2 percent).
• Among US businesses with fewer than 20 employees, just 11.1 percent of those are manufacturing firms—but 18 other rich countries have a higher share of small manufacturing businesses.
• United States has the third lowest share (25.3%) of research and development related employment in firms with less than 100 employees.

So what happens to America’s economy as our proportion of small businesses declines further in comparison to 21 powerhouse economies of the world—all of which have that terrible, awful thing called a national, universal health care? Just start to watch our economy tank or lag further, our debt rise, and more people die or get sick. Remember, some who die or get sick will be your children and grandchildren, because for the first time in the history of the United States, our children are already having a shorter lifespan,2 more disabilities, and more health and mental health problems.3 Funny, you don’t hear this touted on TV or in the robo calls.

Why is universal health care important to small business? Please put on your thinking cap. I cannot hire the best and the brightest, because I cannot assure that they or their families will be covered. If you are the best or brightest, you are not going to risk jumping to the next big thing, if you, your spouse or kids might die. Hello?

And what about the entrepreneur like me? The leading cause of bankruptcy for small businesses in America is not so much bad business, it is getting really, really sick. I know that whole deal, because I have had cancer.

And for the record, we have four employees (plus dependents) on our health-care plan. In November, our cost went up 26%. The health-insurance company has done everything it can to get rid of us, just possibly because I’ve had a rare cancer that nobody knows why it happens. Hope we can sign up right away for health-care plan, like every industrialized competitor has but we don’t. Universal health-care and a public option is good for business and America’s future. The only other option is to file suit in the World Trade Organization for unfair competitive practices of the other 21 countries for providing health-care to their citizens.

References Cited

1. Schmitt J, Lane N. Small-business employment in 22 rich economies. Int J Health Serv 2010;40(1):151-63.
2. Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Brody J, et al. A potential decline in life expectancy in the United States in the 21st century.[see comment]. New England Journal of Medicine 2005;352(11):1138-45.
3. O’Connell ME, Boat T, Warner KE, editors. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. . Washington, DC: Institute of Medicine; National Research Council, 2009.

February 25, 2011

Gratitude for Good Government

In the run up to the 2010 election and since, we’ve heard nothing but bashing of every aspect of government one can imagine.

Dwight David Eisenhower was president when I was in elementary school, and my middle name comes from him, as my initials are the same, Dennis David Embry.  Eisenhower was from a small town in Kansas, like me.  Later when I was in in High School, I was recommended to be a U.S. Capitol Page by then Representative Robert Dole and appointed by Gerald R. Ford—then House Minority Leader.

The health of American society requires good government

The health of American society requires good government

I wanted to become a political leader to do good, because just about every elected official I knew growing up was deeply involved in good, descent things for my immediate world of school, community, the state and the Nation.  I remember to this day, then as a sixth-grader watching on a small black and white TV what John F. Kennedy said at this inauguration: “Ask not what your country can do for you, ask what you can do for your country.”

Today is not the same world. Everyday, my political friends are taunted, tormented and threatened.

A while back, I sat with my friends, the Mayor (a lifelong Republican) and First Lady of Tucson at a charity event. A lobbyist for the NRA came up to the mayor and made an explicit threat, “If you don’t vote the way we want, remember we have guns and you’d better watch your back.” I was stunned at the brazenness and the clear violent intent to intimidate.

Just this past Monday, I sat at a table at another charity event, this time with our Democratic County Attorney and directly across from the press secretary of our Congresswoman, Gabrielle Giffords. For the first time, in my life, I realized that there were people in my hometown who might rush into a charity event to shoot and kill elected officials in an anti-government fever. This was not an abstraction, since Gabby and her staff—many of whom I knew well—had been shot and some killed just a month earlier.

All of this is in context of protests sweeping Egypt. They were not protest so much the end of all government: they were protesting to have good government, and the end of oligarchy of a modern Pharaoh.  The Egyptians in the square were like the American Revolutionaries who undertook not to end government, but to create good government. Therein is my essay: Gratitude for good government.

A few weeks ago, I had to leave my home to do work in another state and several communities. For some reason, it popped into my head to count all the ways that good government was good for me.

Waking up

When my alarm clock when off at the right time, it was because it was synchronized to some atomic clock at www.time.gov.  That is maintained by “two time agencies of the United States: a Department of Commerce agency, the National Institute of Standards and Technology (NIST), and its military counterpart, the U. S. Naval Observatory (USNO). Readings from the clocks of these agencies contribute to world time, called Coordinated Universal Time (UTC).” The time maintained by both agencies should never differ by more than 0.000 0001 seconds from UTC.  Hmmm, both business and our military need really, really accurate time and measurement standards for things to work. That might cost me a few dollars a year—to keep things running on time, not running into each other, and not launching weapons willy-nilly because of a slow or fast watch.  That seems like good government.

I made coffee. I filled the coffee maker with water from the tap. I ground coffee beans, and put them in the filter paper. I flipped the switch.  Such easy tasks that we take for granted based on good government for clean water and safe food.

The water that came out of my tap in Tucson, Arizona was from the Colorado River Basin by the Central Arizona Project that was possible because of the Glen Canyon Dam, the Hoover Dam, the Parker dam, etc.  Now I have filled the coffee pot for 22 years out of the same tap, every day. Each day, the water comes out clean and uncontaminated to make my fresh coffee.  Were it not for good government and those good government water projects, Tucson might be a city of a few thousand people who were desperately dusty, dry and thirsty.  That’s good government, and all those water systems were the result of really big government expenditures and plans stretching back nearly 80 years ago.

I switched on NPR while taking a shower. I heard a great story about cancer prevention, based on a new study funded by the National Institutes of Health, which is part of the US Department of Health and Human Services. Cancer prevention and treatment are not impersonal topics to me; I am a survivor one of a cancer that can be one of the most deadly: melanoma.  I looked up the study on pubmed.gov, which is maintained by the National Library of Medicine—again maintained by the US Government as the worlds’ largest collection of scientific articles for medicine. I was able to look up the article in the Internet, which was invented by the US Department of Defense and accessible to every citizen of the United States because of rules by the Federal Communications Commission.  That’s good government, and you cannot have the “the greatest healthcare in the world” without having the best medical science in the world—pretty much paid for by our tax dollars.

I pushed the remote control to open the garage. Only my garage door opened. That’s because the Federal Communications Commission regulates the frequencies. That seems like another example of good government.

Making my trip

I start my car, which is equipped with lap belts, multiple airbags, and all sorts of crash worthiness engineering. How did that happen? Laws started to happen in the 1960s, which have now dramatically reduced deaths and crippling injuries. I am grateful to the US Department of Transportation for my wellbeing.

My little 10-year old New Beetle moves smartly down our street. Now my car uses premium gasoline. Bad gas can kill that very high-compression turbocharged 1.8-liter engine. I don’t know exactly who tests and measures the gasoline quality at the state and federal level, but I am grateful for those nameless folks as agents of good government.

Now, I turn left and go two-tenths of a mile up the hill to the stoplight at Synder and Kolb. It’s a blind intersection when coming up the hill. People speed up and down two-lane Kolb. It’s the only North-South connector for people living in the far East side of Tucson. It’s a blind intersection for me, because of the apartment buildings, the hill and the curve of the road. Ten years ago, three neighbors were killed in a traffic accident trying to turn just like me now. The traffic engineers in Pima County and the Arizona Department of Transportation studied the traffic flow and accidents. They decided to put up a traffic light. Thank God for good government; now I breathe a bit easier at this intersection—knowing neighbors, strangers and I are safer now.

Driving down the hill, I notice the power poles. Hadn’t thought about that till just now. The power allows all business equipment to run in my study, and power the traffic light that now saves lives. That electricity on those power lines and from nuclear power plant are all regulated by the Federal government. Except for occasional lightening strikes, I have had power every day for 22 years in my house. I guess that’s good government, too.  In Arizona, we never had the fake energy crisis caused by market manipulations and illegal shutdowns by Texas companies and deregulation in California.

On the way to the airport, my phone gets a text message update that my flights are on time, and I got a text from clients in Canada where I have excellent export business. That text message was made possible by government rules for radio frequencies and protocols that are arbitrary but necessary for wireless telecom to work across companies, services, and even countries. Treaties between the US and Canada make it a breeze for my company to do international business. All these things seem like good government, necessary for my business success.

The way to the airport is on city, county, state and federally supported roads. The safety design and funds come from my and your tax dollars. Growing up in Kansas, we had really, really good roads because our elected officials like President Eisenhower thought national defense and commerce needed them. I think he and others were right.  I have high levels of gratitude for a good road or street.

While driving, I reflected how good government might have saved my life.  I grew up in the 1950’s in Phoenix during the height of the polio epidemics.  Every level of government from school districts to the White House mobilized our country to assure that all children in America were inoculated, that I recall getting vaccinated at Osborne Elementary School in Phoenix.  Every child was vaccinated—the children conservatives and liberals, right-wingers or left-wingers, Republicans or Democrats, John Birchers or Communists.

When I entered the University of Kansas as an undergraduate in 1967, my tuition was but $240 per semester—thanks to good government. Today, it is $3,937 per semester, and will jump more because many legislators question the “need” for a college education today.  In late 1960s and early 1970s I could and did earn enough money to help pay much of my way. A student cannot today.  When I finished graduate school, I had $8,000 in government-sponsored student loans at something like 0.6% interest. I was able to pay that off quickly. Today, students have non-government loans that are larger than jumbo-home mortgages at an interest rate as much as 8.5% from the private sector.  I am eternally grateful for my low-interest government loans that helped me bridge what I could earn and my scholarship funds during graduate school.

Now, I board my first flight (out of several legs) to do business in a couple of different cities, including going Winnipeg that has become a major client. That trip involves me placing my life in trust to the staff of the airlines and air traffic control. The Federal Aviation Agency makes sure pilots aren’t drunk, stoned or deranged flying my plane. The same agency also checks to see that the planes are properly equipped and maintained, and makes sure the air traffic controllers do their job so that my plane doesn’t collide with another plane.  Until you’ve flown on a third-world airline, you don’t develop a profound sense of gratitude for all those government actions that keep you from being a casualty. Without decently safety and reliable airlines, I would not have business in virtually every state in the Union as well as multiple foreign countries. I am grateful for this life-saving good government.

Coming Home

I’ve been traveling for work for a whole week, and got home about 1 am on Saturday. Sleeping in until 9:45 am, I shuffle into the kitchen in my clippy-clop slippers. I am pouring coffee, still sleepy. My phone rings about 10:15 am, January 8, 2011.

My Congresswoman and friend, members of her staff who I know and count as friends, an admired judge, a little girl in my husband’s school district, and some citizens I never met were shot and six were killed. A young, gay Hispanic student at the University of Arizona (supported by my tax dollars) saved the life of our Congresswoman and friend. She and others were tended and transported by multiple-local government funded emergency services to the University Medical Center, a Level 1 trauma center subsidized by federal, state and local government agencies and funds. No Level 1 trauma center can clear a profit, except by refusing care. I am so thankful for these government supported trauma services.

The trauma surgeon who then saved Gabby Giffords was expertly trained in head injuries by his government service during the Iraq war.  The research that allowed him to do the right thing was funded both by the Department of Defense and the Department of Health and Human Services.   I am so grateful for these government training he received.

For a few weeks, the bashing of government workers and services quells a bit.

A Week in Madison

My company has had projects in Wisconsin since 2002, and we have an office in Madison. The state has had one of the best civil services for years.  I cannot believe my eyes and ears. Normally, about the worst thing you can say about Wisconsin is they wear silly cheese hats at football games.

All the chatter I see on the TV monitors wants you and I to believe that the teachers, the social workers helping disabled, the secretaries who work in a government agency, the guy who gives you the drivers’ license test, the park rangers, the summer road repair crews, the people who mow the road medians and shoulders, the building inspectors, the restaurant health inspectors, the nurses who give flu shots to the elderly and poor kids, the sewer and water crews, the EMT crews, the psychiatrists and orderlies at the state hospital, etc., are the people who caused America’s economy to plunge into the worst recession since the Great Depression. The shout-casters want you and I to believe that those are the people who are wrecking America financial stability and economic competitiveness.   Really? Those government employees and the everyday citizens they serve actually caused and continue to cause the catastrophic financial problems we face?

If you thinking even remotely that this is true, please run and turn on your shower to the coldest water possible and jump in that shower immediately—clothes and all.  You have a potentially fatal case of media induced madness. Only cold water can shock you out of the fatal delusions.

Gratitude for Good Government

For those of us who remember and know what good government does for freedom, quality of life, economic bounty and public safety and health, pray for good government—not for the death of good local, state and federal government.  If you seek the death of Good Government, then you will soon live in a place that resembles evil combination of the anarchy of Somalia, the oligarchy of Russia or Mubarak’s former government of Egypt, the nepotism and insanity of North Korea, and the religious demagoguery of Iran’s Mullahs.

I want an America where the government is a good government, not an abandoned shell of our past greatness and exceptionalism.  I want an America for my grandchildren and your grandchildren where people in civil service and elective office are not seen as crooks, sociopaths or leeches. I want to them to be good at what they do for public education, public safety, public health, infrastructure, and keeping things fair and honest.  I want our children and grandchildren to view elective office and civil service the way President Kennedy called us to us to do; and my former bosses, Gerry Ford and Bob Dole modeled as citizens, elected officials, and patriots.  If we have that kind of good government, our economy and stability will rebound quickly.

We cannot claim to be the best government in the History of the World and then claim all the people and services in that system of government from local schools to municipalities or states to the federal government are inherently bad, evil, corrupt, and the cause of American decay.  I have gratitude for Good Government, because everything I do as an individual or business—including my very life, and yours, too—depends on Good Government.

February 6, 2011

Advocacy for Pragmatic Public Discussion: The Way Out of America’s Toxic Debates?

Pragmatic and respectful public discussions are fundamental to creating a nurturing society. How likely is it that we will create more nurturing families, schools, workplaces, and communities, if we cannot even talk about what is to be done without getting into arguments? Read More »

January 29, 2011

Inch by Inch and Row by Row, Gonna Make This Garden Grow

All over America neighborhoods are organizing to end the plague of inter-generational poverty.  It started with the Harlem Children’s Zone (HCZ) and got a big boost from President Obama’s Promise Neighborhood initiative.  Only 21 neighborhoods got funding to create Promise Neighborhoods, but many other neighborhoods have struck out on their own.  Last post, I told you about Lane County Oregon’s Promise Neighborhood Initiative.  This time let me tell you what the I Have a Dream Foundation is doing in the second poorest elementary school in Oregon.

Jean Kjellstrand of our Promise Neighborhoods Research Consortium discovered this gem as she networked with people and organizations trying to make a difference for children and families within the greater Portland metropolitan area.

Alder Elementary School is in the Reynolds School on the East Side of Portland.  Close to 75% of the students speak English as a second language, many of whom are Latinos.  The district is one of the most forward looking in the state.  The citizens of the district can be proud of the highly skilled, dedicated, and frequently bilingual staff they have recruited for their schools.

The district and the I Have a Dream Foundation have come together around a plan that looks very much like the Promise Neighborhood approach—implementing evidence-based family, school, and neighborhood supports for successful child development from the prenatal period through adolescence. They are just getting started with many of the family and neighborhood efforts, but they start with a school that is simply wonderful.

Leanne Cox, the school’s counselor and Mark Langseth the CEO of the I Have a Dream Foundation in Oregon took Jean and I on a tour.  The first thing you notice was all the information displayed around the school about college, careers, and what children need to have a successful future. Pennants and banners for colleges from all over the country. (The next day I ordered a pennant from my alma mater, the University of Rochester.)  Posters showing kids as scientists, computer programmers, judges, etc.  A bar graph showing the range of pay you are likely to get depending on the amount of education you get. Reminders are everywhere of the importance of going to college.

The other thing we noticed is just how nurturing the school is.  As we walked through the halls multiple students came up to Leanne and gave her a hug.  In the classrooms, hallways, and cafeteria, I did not see a single instance of misbehavior. Kids lined up, took turns, interacted positively, and smiled at me when I made eye contact.  You could tell that this is a safe and caring environment; learning isn’t hampered by high levels of stress.

And the school is using evidence-based practices.  They get DIBELS scores (a measure of reading-readiness that predicts success in learning to read) on every in-coming kindergartner.  This will be important for evaluating their efforts to get parents and preschools to improve kids readiness. They have implemented Positive  Behavior Support.  They are carefully evaluating each student’s progress with frequent assessments and changes in teaching practices if needed.

Alder benefits from a very dynamic principal, Paz Ramos. While we didn’t meet him during this visit because of a scheduling conflict, Jean met him earlier and found him to be a compassionate, engaging, and inspiring principal who is able to relate to the difficulties of many of the students because of a similar background.  His approach is right in line with acceptance-based principles.  Mark described him talking to a child about something difficult that happened and encouraging he child to accept that it was hard and turn to what he was going to do today.

Leanne told us about an incident that brought tears to my eyes. She said that she got word that one boy had written that he was very sad.  When Leanne followed-up with him a few days later, he said that the problem had been resolved.  His mother had come home and told him that they would have to move for financial reasons. He sat her down and told her that that they could NOT move. He had to go to Alder because that was the only way he could get to college.

All over America, people are coming together around a set of research-based principles about nurturing young people’s successful development. In these difficult fiscal times, it will be hard to sustain them.  But I am optimistic that America is on its way to ending its standing as the developed country with the greatest amount of child poverty. Inch by inch and row by row, neighborhoods are popping up that are doing all the right things to ensure children’s success.  As the success of these efforts grow, more and more resources will be put into such programs. And, as a result, crime rates will fall, educational achievements will soar, and all of our citizens will prosper.

January 25, 2011

15-seconds in Tucson

On January 8, about 10:15 am at the Safeway where my husband and I occasionally shop, 19 people where injured or killed by gunfire. Some of the injured or killed I knew.

What most people don’t know is how long it took to discharge 33 bullets from the high-capacity magazine loaded into the Glock pistol. It too less time than it took me on that Saturday morning just before I heard the news, to take a coffee mug down from the kitchen cabinet and fill that mug with coffee. All 30 bullets were discharged, injured or killed my friends and neighbors in 15 seconds.

Now, right after this terrible event, the same gun and those high-capacity magazines flew off the shelves of gun stores in Tucson and other places.

I wonder who the heck is being protected by by pistols with high capacity magazines that can fire 30+ bullets and kill or injure 19 people I know in 15 seconds. My cop friends who work really serious cases don’t carry those magazines.

I am not feeling free, knowing that just about anybody in my state can carry weapons like that—even in bars.

January 24, 2011

All over America communities are organizing to improve outcomes for young people living in high poverty neighborhoods.  Here is a glimpse of one effort that I am proud to be connected with. Read More »

January 16, 2011

Some Heartening Thoughts about the Events in Tucson

I have found myself numbed by the events in Tucson. I was the President of the Students for Robert Kennedy at the University of Illinois.  On June 6, 1968—my birthday—I woke up to the news that he had died. I went to his funeral and learned about a group, the Citizens for Responsible Firearms Policy.  I went back to Champaign and formed a local group. If anyone had told me that our gun situation would be worse in 2011 than it was in 1968, I would never have believed them. It has become virtually impossible to even have a public discussion about guns.

But I now see glimmer of hope for our nation, Read More »

January 13, 2011

Loughner More Than a Deranged Individual; He Is One of Millions

The phone rang Saturday morning in Tucson. My coworker Sarah was gasping: “Gabrielle Giffords has been shot.” I couldn’t breathe, and started to sob. ‘”Oh, God no.” Sarah and I both know Gabby and many people in her office. Read More »

November 15, 2010

Expressive Writing Activity Proven to INCREASE Employment. Why aren’t we doing that?

Bad things happen to people.  One of the worst is to lose a job or your business.

Now, we’ve got 15 million people unemployed. That is a lot of human pain, and wouldn’t add more pain to future job interviews? What if all those hurting people hurt less? Would that help them get jobs or start a new business? Yes, and why not use an evidence-based kernel for everyone whose experienced job or business loss to ease that pain?

After losing a job, people get angry with others and themselves. People get depressed. People give up, “ saying what’s the use?” And people often get sick from the stress.  Sometimes they turn to alcohol or medications to make the noise and pain in their minds numb.  None of these strategies work well at getting another job.

Trying to force yourself to stop negative thoughts and feelings can just make things worse. It’s just like saying not worry makes one worry more. The paradox is that if you write about the awful thing you experienced for 20-minutes each day for five days, good things happen: 1) you tend to get healthier, and 2) you are more likely to land a job. That’s what a famous  study shows. You can read it here:

http://bit.ly/bw93dV

Thousands of professionals were laid off from the tech industry Texas 20 years ago.  Some of them were randomly assigned to do an emotional writing kernel (an evidence-based practice). Others did another kind of writing, and some did no writing at all.  What happened 8 months later?

If the people did the emotional writing, 68% of them got some kind of employment, started a business or got a contract. If the people did no writing at all, only 27% of them got any kind of a job.  That’s a 40% difference!  Now, it the kernel only worked for 5% or 10% of people who lost their jobs, then there would be 750,000 to 1.5 million more people working or making money.

The worst thing that could happen about writing about the bad thing would be that your health would be better—based on multiple published studies.

Can you imagine the new Congress will create that many jobs in 8 months?  Can you imagine all the bickering in the new Congress helping improve your health?

If you, a loved one, or a friend are struggling with a job or business loss, why not try the expressive writing kernel. I did it, and it very much helped me when a former business partner seriously harmed me. You can do the same activity for free. Here are your daily instructions. We’ve set it up so you can do this anonymously:

Day 1: http://bit.ly/day1jobs

Day 2: http://bit.ly/day2jobs

Day 3: http://bit.ly/day3jobs

Day 4: http://bit.ly/day4jobs

Day 5: http://bit.ly/day5jobs

What if this simple procedure were part of every social service, every doctor’s office, part every faith-based service or even promoted on TV? What if every job counselor or mental-health professional did this? What if every government agency encouraged this? Why aren’t we doing that?

Let me know what you think.

August 9, 2010

Comments on Whitehurst and Croft’s Criticism of the Promise Neighborhood Initiative

Anthony Biglan and William A. Aldridge II

Russ Whitehurst and Michele Croft have criticized the Promise Neighborhood initiative for including social and community interventions along with school reforms. They argue that there is no evidence that such non-school interventions affect academic achievement and that it is a waste of precious resources to include them. They provide an analysis of the Harlem Children’s Zone (HCZ) to support this position.

We have reviewed this report, Geoffrey Canada’s response to it, and Whitehurst and Croft’s rejoinder. We think the discussion is missing two important points. First, although the evidence from the HCZ about the efficacy of non-school interventions is weak, there is substantial evidence from other research of the value of non-academic, social and behavioral interventions both for academic outcomes and for many other important outcomes that affect young people’s development.

Second, any effort to intervene in high-poverty neighborhoods requires significant involvement of the research community. Simply implementing interventions in Promise Neighborhoods without further evaluation will not allow us to accumulate knowledge about how to make these interventions work and it will leave us without the evidence necessary to support further investments in such efforts.

We agree that the evidence from the HCZ efforts does not provide strong support for the value of additional interventions, but this is due to the methodological problems with evaluating them in the context of what the HCZ has done. Quite appropriately, for a program trying to make a difference in young people’s lives, HCZ has not designed a randomized trial of their nonschool programs. Whitehurst and Croft acknowledge that this is why it is difficult to evaluate their effect.

What is missing in the Whitehurst and Croft critique is the recognition that there is a large body of empirical evidence on the value of interventions–other than instructional reform–that have great benefit for the wellbeing of young people. The IOM report on prevention (National Research Council & Institute of Medicine, 2009) and our Promise Neighborhoods Research Consortium document numerous well-researched programs, policies, and practices that affect wellbeing from the prenatal period through adolescence. It is possible to prevent problems as diverse as depression, antisocial behavior, and drug abuse. The PNRC website provides a list of programs whose benefits include enhanced academic performance: Positive Action; Big Brothers Big Sisters; the Good Behavior Game; the PATHS program; Raising Healthy Children; and the Strengthening Families Program. In addition, although Whitehurst and Croft argue that the Nurse-Family Partnership, does not have an impact on children’s reading and mathematics test scores, our reading of the evidence indicates that for mothers with few psychological resources, the program does increase both math and reading scores as measured by achievement tests and GPA.

The PNRC website also summarizes evidence about the effects of numerous policies that can affect academic outcomes as well as other important outcomes. They include policies that support mentoring programs, a modified school calendar, after-school programs that include academic support services, and reducing class size,

Moreover, focusing narrowly on academic success would be a mistake. Psychological and behavioral problems such as depression, antisocial behavior, and drug abuse do substantial harm to development of millions of young people and impose significant costs on society. High poverty neighborhoods need comprehensive efforts not only to improve young people’s academic success, but to prevent all the other threats to their success in life.

This is not to say, however, that we should simply assume that comprehensive interventions will work in high-poverty neighborhoods. Research is needed to ensure the success of such ambitious efforts. The Harlem Children’s Zone inspired the efforts of our PNRC. We believe that the success of initiatives like Promise Neighborhoods hinges on ongoing research to guide, refine, and strengthen such interventions. For this reason, the PNRC has articulated not only what evidence-based interventions are available but also how they can be evaluated.

We have great admiration for Russ Whitehurst and Geoffrey Canada. Whitehurst led a reform of the research practices of the Department of Education that transformed the quality of educational research. Geoffrey Canada’s Harlem Children’s Zone has inspired a nationwide movement to transform the development of children and adolescents in poor communities. It is the first serious effort this nation has made to address the problem of inter-generational poverty since the Johnson administration. We hope that the current controversy will not undermine the cooperation and mutual respect that is needed if those of us who are trying to make a difference on one of this country’s most neglected problems are going to succeed.

So we celebrate the contributions of both Canada and Whitehurst. But it would be a shame if the Whitehurst and Croft critique meant that none of these interventions were implemented and tested in high-poverty neighborhoods.

Some who are skeptical that anything can be done about poverty have joked that we fought the war on poverty and poverty won. But the last war on poverty wasn’t fought with the tools that science has now made available. We now have evidence-based interventions throughout development that can help young people succeed and the scientific methods for strengthening existing interventions and building comprehensive interventions that transform high-poverty neighborhoods.

Literature Cited

National Research Council & Institute of Medicine (2009). Preventing mental, emotional, and behavioral disorders among young people:  progress and possibilities. Committee on Prevention of Mental Disorders and Substance Abuse among Children, Youth, and Young Adults:  Research Advances and Promising Interventions. Washington, DC: The National Academies Press.