www.iccd.org describes a supportive employment model with much to recommend it. Peer-driven and natural community support can reduce costs and are more effective.

Currently, the County bears the brunt of the cost for delivering health services. This cost should be shared with the City, especially since the creation of Urban Renewal Districts sucks money away from the County and School districts

The Crisis Triage Center was utilized to both rescue mentally ill persons from emegent crisis or uncontrolled mental health problems and help refer them to more permanent solutions, be it housing, med management, or outpatient follow-up. Now, when swooped up by the police, the police only have three choices - emergency rooms, jails, or back to the street. This overloads the emergency rooms (number one cause for ambulance diverts), the jails (who gets released) and solves nothing.

The current status of our economy has put a burden on many of us. I believe that it6 would be beneficial for all concerned to make public transportation more affordable for those seeking employment. Anyone can acquire an earnings statement from their local Social Security office. A process can be initiated for such an individual to show their lack of earnings to the proper agency at which time some sort of discount could be facilitated.

ensure that the most undrsrvd comm's have priority access to services

Communities have the wisdom of how to best serve themselves. Support with funding, staffing, and power the ability of communities whether they be communities of color, low-income communities, youth, or other users of county services to drive how services are provided.

Currently there is a bike lane on Broadway for southbound bike traffic. Why not put a northbound bike lane on 4th?

Local governments are confusing entities, and it can be very difficult for citizens to understand the implications of certain decisions. These unforeseen implications may come from union contracts, state law or funding restrictions. I have seen this a lot in the City's budget process. Citizens advocate to save a specific program and are upset when something seemingly unrelated is cut instead.
I don't believe this should be done for the whole budget. Most people don't have the patience for that. But providing some very clear examples might help citizens provide more useful feedback on budget decisions.

The healthcare clinics are overcrowded, so why don't we make medical care more accessible and mobile. Maybe we can continue to partner with ODOT, to deliver healthcare to apartment complexes located within Multnomah County it\self?

Single payer healthcare would solve Multnomah county's dilemma over how to pay for medical costs. The VA system of healthcare is similar to single payer system, so why don't we try a pilot program in the county to see if it could work?

MCHD must establish firm firm timelines with measurable outcomes to reduce disparities each year. This must be done with clear policies abd funding.

Currently 19% of Multnomah County adult residents smoke. Smoking is correlated with income (low). Low income folks typically receive other subsidies. Let's bombard them with even more anti-smoking messages -- quitting smoking is the single biggest thing folks could do to decrease Multnomah County's health-related expenditures.