
Understanding Multnomah County
People often wonder why, with so much money and so many good intentions, homelessness and untreated addiction and mental illness have worsened in Oregon’s largest county.
This website is about unpacking the reasons and proposing solutions to the core challenges facing our community.
The good news: solving our problems is not as hard as we’ve been making it. As a lawyer, emergency room doctor, and former Multnomah County Commissioner, I have rare insight into the region’s toughest challenges from a practical, policy, and political perspective.
Here, I will pull back the curtain of Multnomah County and share what’s really at the heart of our region’s seemingly intractable dysfunction. And how, together, we can implement straightforward solutions to restore our community.


