Mike Farmer @MFfeynman - Twitter Profile

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5 days ago

A workable structure is a kind of “federalism for compassion”: local units closest to need, with state and regional coordination, and a national backbone that provides standards, technology, and brand integrity.[1][2][3][4] ## 1. Overall architecture Think of four layers that mirror how government already works but remain voluntary and civic: - Local Neighbor Networks (city/county level) - State Councils - Regional Compacts (multi‑state) - National Backbone (American Neighbor-to-Neighbor Network, for example)[2][3][4][1] Each level has distinct roles, with information and funds flowing both bottom‑up (needs, outcomes, innovation) and top‑down (standards, tools, risk pooling). ## 2. Local level: where support happens Local organizations are the front line and face of the movement. - **Form:** 501(c)(3)‑type nonprofit chapters or coalitions anchored in counties or metro areas, governed by local boards. - **Functions:** - Identify needs (families, individuals, schools, clinics) and vet them using common national standards. - Administer direct support funded by local donors and allocations from state/national pools. - Enroll people into the birth‑to‑death plan (for those who can pay) and into the solidarity pool (for those who cannot). - Report outcomes, costs, and case data into the national tech platform in standardized formats.[3][4][2] - **Accountability:** - Local audits, peer review by neighboring chapters, and public transparency dashboards for every chapter’s inflows and outflows. - Local advisory councils including donors, service providers, and beneficiary representatives. ## 3. State level: standards and oversight State bodies coordinate and discipline the system without running every dollar. - **Form:** State Neighbor-to-Neighbor Councils (nonprofit or quasi‑public compacts). - **Functions:** - Set state‑level guidelines consistent with national standards: eligibility bands, basic benefit floor, expected reporting metrics. - Aggregate actuarial data for the insurance‑like side (life‑cycle coverage) and manage risk equalization across local chapters inside the state. - Certify local chapters for access to state and national funds based on performance and transparency criteria. - Mediate disputes, support weaker chapters, and shut down or merge failing ones when necessary.[4][5][1][3] - **Funding flow:** - Receive a share of contributions that are tagged “statewide” or “where most needed,” plus national redistribution for high‑need regions. - Allocate predictable support to local chapters based on need indices, performance, and matching formulas (e.g., match every local dollar with X from the state pool). ## 4. Regional compacts: risk pooling and specialization Multi‑state groupings handle issues that are too big or too volatile for a single state. - **Form:** Voluntary regional compacts (e.g., Southeast Neighbor Care Compact), akin to existing interstate agreements.[5][6][4] - **Functions:** - Pool risk for expensive and rare events (major health shocks, regional recessions, large‑scale disasters). - Share specialized capabilities (data science teams, legal, tech R&D, specialized care programs). - Create cross‑state standards for portability, so a participant’s coverage and history follow them when they move. This layer reduces volatility and keeps the system credible as an actual alternative to state welfare, not just a patchwork of charities. ## 5. National backbone: tech, brand, rules of the game The national entity is lean but powerful in setting the rules and infrastructure.

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Mike Farmer

@MFfeynman

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