For June, 2012

Supreme Court Rules on Affordable Care Act: What does it say & where do we go from here?


By Jerry Lindman, J.D.

The US Supreme Court issued their ruling today (June 28, 2012) on the constitutionally of the Federal healthcare reform law passed in 2010 (Patient Protection and Affordable Care Act of 2010) and its various parts. What does it say and where do we go from here? I offer short-term and longer term perspectives on next steps on this important matter.

In the short term, a 5-4 majority of justices upheld all key provisions of the Affordable Care Act of 2010 including the individual mandate. Though their ruling and the way they decided it will have implications on future Congressional action, in effect, the US Supreme Court affirmed its constitutionality and sent it back into the realm of our elected public policy makers to implement, execute and improve. For a concise, simple overview of what the US Supreme Court ruling said, see Health-Care Ruling: A Scorecard, from the Wall Street Journal’s Law Blog, . For on-going legal analysis and other developments related to the Supreme Court’s ruling, see Scotus Blog –

What I find far more informative and inspiring is the longer term look “up-stream” that leading stakeholders and experts committed to universal healthcare in the US are taking. This “up-stream” examination looks well beyond the immediate legal, policy and political discourse regarding the Affordable Care Act of 2010, to identify and develop a growing consensus around next steps in public policies and practices that will remake what we now think of as our US healthcare system.  Their vision and action plan involves much more than is being discussed today by our elected policymakers and the media. As they see it, health is not just something that comes from the doctor’s office, it also is an outcome of addressing many community and neighborhood conditions that create an environment for healthy living.

The June 2012 Symposium sponsored by the Robert Woods Johnson Foundation ( ) did a good job of capturing consensus from this group of leading stakeholders which include academic, business and government. In the Symposium’s Final Report[1], this diverse group of stakeholders conclude:

  1. “No matter how the Supreme Court rules on the Affordable Care Act, health care in the next 20 years will need leadership that embraces community needs and new roles to care and guide individuals across a more data-driven, accountable U.S. health system. That was a consensus reached by health leaders brought together this week by the Foundation for an intensive two-day symposium in Kansas City to explore the future of health and health care in 2032. Though the high court’s decision looms large, the Justices’ coming ruling was barely acknowledged by the diverse group of more than 50 leaders from across the national health spectrum. The group included clinicians, academics, entrepreneurs and business executives from employers that ranged from Google to IBM.”
  2. They see four “alternative futures” for what healthcare in the US may look like in 2032; 1.) Slow Reform, Better Health, 2) Health If You Can Get It, 3) Big Data, Big Health Gain and 4) The New Ethics of Health. Alternative future #1 they describe as resulting from a “Zone of Conventional Expectation”. Alternative future #2 arises from the “Zone of Growing Desperation”. Alternatives #3 and #4 arise in a “Zone of High Aspiration”.

The Symposium Report goes on to identify four key areas for focus that will help to advance a quality, efficient universal healthcare for all in the United States:

  1. Develop new health roles beyond just traditional medical care professionals and public health providers;
  2. Focus the health-tech sector on developing community health metrics;
  3. Cultivate new leadership for a healthy society; and
  4. Remove barriers to achieve better health outcomes and quality.

Full Report:

More on the Four Scenarios:

[1] Health Leaders Look to 2032 for Opportunities to Improve the Health of the Nation at


Supply Chain Forum to Discuss Trade and Travel Through U.S.-Canada Border

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The Detroit Regional Chamber is hosting Translinked Supply Chain Forum: U.S. – Canada Regulatory Cooperation Council Presentation and Beyond the Border Action Plan Update on Friday, June 22 from 8:30-11:00 a.m. at the Detroit Regional Chamber offices on One Woodward Avenue in Detroit. This is certainly timely, coming on the heels of Canada’s offer to pay for the bulk of the costs for a new bridge between the US and Canada.
On the agenda is a discussion between TranslinkeD (a Detroit Regional Chamber initiative), the U.S. Department of Homeland Security, the Regulatory Cooperation Council’s Canadian Treasury Board Secretariat, and industry experts about how to maximize the opportunities for trade and travel through the U.S. – Canadian border.

Confirmed speakers include:

  • U.S. Representative Gary C. Peters, U.S. House of Representatives (MI-9)
  • Assistant Secretary Douglas A. Smith, Office of the Private Sector, U.S. Department of Homeland Security
  • Keith Devereaux, Office of International Affairs/Canada, U.S. Department of Homeland Security
  • Brian Masse, Member of Parliament (Windsor-West)
  • Glyn Chancey, Executive Director (Policy), Regulatory Cooperation Council, Canadian Treasury Board Secretariat
  • Carolyn Gawlik, Senior Director, Transportation, Distribution and Logistics Program, Detroit Regional Chamber
There is no cost to attend. If you are interested in transportation, distribution and logistics on what DRC calls “the world’s most important border crossing,” this is the place to be. Registration is here.

Toronto Open House, June 9, 2012


The College of Management at Lawrence Tech University is hosting an open house on Saturday, June 9, 2012 from noon until 4:00 pm to recruit MBA students for the Toronto campus. Chris Balsingh, Mina Jena, and Nadia Shuayto are hosting the event at:

Delta Toronto East Hotel
2035 Kennedy Road
Toronto, MIT 3G2
Unionville Room

The Ontario market is interested in an American MBA with a focus on Theory and Practice. Based on recent conversation with students, they are very interested in earning a U.S. MBA from an accredited university.

For further information on the Toronto MBA Program, please visit the following website:



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