Christopher F. Koller
President of the
Milbank Memorial Fund
Improving State Health Policy Leadership
You would think a billion-dollar-a-year organization that pays its chief 20% of the market rate and turns that role over every two years—as is the case with state Medicaid programs—might start to consider the importance of leadership. Leadership also seems important for a public health agency charged with guarding the safety of food, water, and patient care, or a child welfare or human services agency.
Good leadership is equally vital in state legislatures, where officials construct state budgets—nothing less than public values statements—and develop laws, arbitrating between competing demands and conflicting notions of the public good.