Dr. Sharon Meieran: Fixing Multnomah County

It’s time for a reset.

Multnomah County spends more than $4 billion a year, nearly $400 million on homelessness alone. Yet unsheltered homelessness has quintupled in five years. Mental illness and addiction remain largely untreated. Public trust has collapsed. Hundreds of people are dying unsheltered every year.

These are not isolated failures. They are symptoms of a government structurally incapable of doing its job.

As an ER doctor and former county commissioner, I’ve seen the system from the inside and the front lines. I’ve worked with local experts, community leaders and those impacted by county services.

Guided by their wisdom and incorporating successful practices from across the country, I wrote a comprehensive plan to turn the County around. The principles are simple:

• Organize for impact
• Measure what matters 
• Budget for results
• Account for every dollar

I invite you to review the detailed plan, share feedback, and subscribe to my newsletter for updates.

Together we can build a county government that actually works – one that saves lives, restores trust, and delivers results worthy of our community – while spending less.

PLAN SUMMARY
FULL PLAN LEADING w/ HOMELESS SERVICES
BEHAVIORAL HEALTH PLAN
CURRENT ORG CHART | FUTURE ORG CHART
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