作為凱撒醫(yī)療集團(tuán)(Kaiser Permanente)有名的前首席執(zhí)行官,于去年11月逝世、年僅60歲的伯納德·泰森,是他那一代人中最有影響力的醫(yī)療管理者之一。他的突然離去,讓許多人認(rèn)為,由他倡導(dǎo)的重要改革,即關(guān)注人類健康的社會決定因素,也將因此停止。幸運(yùn)的是,并沒有如此。他的遺孀丹尼斯·布拉德利·泰森和美國心臟協(xié)會(American Heart Association)聯(lián)合成立了一項(xiàng)基金,且資金充足,由此,伯納德·泰森的工作成果和理念得以流傳。
9月16日上午,布拉德利·泰森和美國心臟協(xié)會宣布,伯納德·J·泰森影響力基金(Bernard J. Tyson Impact Fund)將進(jìn)行10項(xiàng)新投資,這些投資都是基于泰森在擔(dān)任凱撒醫(yī)療集團(tuán)首席執(zhí)行官時(shí),提倡的社區(qū)強(qiáng)化理念和計(jì)劃。得益于生前支持泰森理念的、一些富有且具有影響力的捐贈人的資助,這些投資頗具經(jīng)濟(jì)實(shí)力。琳恩·貝尼奧夫和馬克·貝尼奧夫已經(jīng)向該基金捐贈了100萬美元,紐約慈善家伊麗莎白·埃爾廷和邁克爾·伯蘭特的基金會同樣捐贈了100萬美元。亞馬遜的首席執(zhí)行官杰夫·貝佐斯也捐了一筆巨款,不過具體數(shù)額尚未披露。
“伯納德生前身負(fù)使命。”該基金執(zhí)行委員會主席、他的遺孀布拉德利·泰森說,“為了繼續(xù)履行這一使命,正如他所說,我們必須把重心放在可量化的可持續(xù)性成果上。”
泰森醫(yī)療模式的根本就是要確保人們能夠獲得醫(yī)療服務(wù),而不幸的是,新冠肺炎明確點(diǎn)明了這一原則的挑戰(zhàn)性和緊迫性。在美國,因?yàn)樾鹿诜窝锥疾〖八劳龅娜巳褐校猩朔N所占比例極高。
對此有許多解釋(或理論),其中一個(gè)被廣泛認(rèn)可的理論,是一個(gè)被稱為“慢加急性”的醫(yī)學(xué)概念:如果一個(gè)人已經(jīng)患有慢性病,例如高血壓或糖尿病,當(dāng)遭受急性感染時(shí),對方更容易出現(xiàn)危重癥狀。而美國的少數(shù)族裔普遍患有慢性病。
伯納德·J·泰森影響力基金希望借由奧克蘭/舊金山地區(qū)的首批“投資對象”,來解決這一問題。在獲得資助的灣區(qū)企業(yè)中,有一家名為ConsejoSano的營利性社會企業(yè),它致力于通過擁抱多樣性而不是無視它,來改善文化多樣性人群的健康狀況。首先,這意味著提供醫(yī)療服務(wù)時(shí)要使用患者的母語,包括發(fā)送短信,以鼓勵(lì)他們進(jìn)行日常保健和健康檢查。
同樣,該基金還投資了東北醫(yī)療中心(North East Medical Services),這是舊金山的一家大型社區(qū)衛(wèi)生中心,其重點(diǎn)關(guān)注于低收入的亞洲移民社區(qū)。在提供醫(yī)療服務(wù)時(shí),他們也是說患者的母語。
部分投資對象則專注于為缺醫(yī)少藥、資源匱乏的社區(qū)提供經(jīng)濟(jì)適用房。其中包括總部位于紐約的非營利組織New Destiny Housing Corporation,以及位于灣區(qū)的阿拉米達(dá)縣西班牙語統(tǒng)一委員會(統(tǒng)一委員會)。其余投資對象,則是一些由少數(shù)族裔創(chuàng)建和/或領(lǐng)導(dǎo)的組織,其重心放在紐約或北加州的當(dāng)?shù)厣鐓^(qū),致力于更多地為他們提供營養(yǎng)食品、推廣塑造家庭財(cái)務(wù)韌性的方法,或提供心理醫(yī)療服務(wù)。
所有這些主題都蘊(yùn)含了伯納德·泰森對人類健康的整體構(gòu)想。他認(rèn)為,如果一個(gè)人生活在充滿暴力的環(huán)境中,得不到健康的食物,或者沒有棲身之所,那么他的身心幾乎不可能是健康的。可怕的是,大約15%的美國人的生活環(huán)境均是如此。根據(jù)美國心臟協(xié)會(泰森長期擔(dān)任其董事會成員)的說法,據(jù)估計(jì),由于缺乏健康食品、衛(wèi)生安全的環(huán)境、優(yōu)質(zhì)的教育和住房等生活必需品,美國約有5000萬人罹患心血管疾病的風(fēng)險(xiǎn)更高。
除了傳播人類健康理念的使命外,伯納德·J·泰森影響力基金還在探索創(chuàng)新的社會影響力投資方式。“從某種意義上說,我們資助ConsejoSano的方式實(shí)際上很有趣,因?yàn)檫@是我們首次發(fā)行可轉(zhuǎn)換債券。” 基金總經(jīng)理雷蒙德·古思里表示,“所以它一開始是一筆撥款,但后來又混合了一張可轉(zhuǎn)換債券,可轉(zhuǎn)債會以我們建議的指標(biāo)為衡量標(biāo)準(zhǔn),對他們所產(chǎn)生的影響力進(jìn)行轉(zhuǎn)換。最后,如果它們確實(shí)達(dá)到了某些影響力指標(biāo),那么這部分股權(quán)事實(shí)上會轉(zhuǎn)化為創(chuàng)始人所有。”
古思里說,該基金的一個(gè)核心原則是,它應(yīng)該是再生資本,這意味著它的目標(biāo)是為社區(qū)創(chuàng)造更多的回報(bào),而不是獲取這些回報(bào)。“很多影響力基金實(shí)際上是在收購公司。”古思里說,“而我們是想要在創(chuàng)造更大的影響力的同時(shí),為這些偉大的企業(yè)家創(chuàng)造更多資產(chǎn)。”(財(cái)富中文網(wǎng))
作為凱撒醫(yī)療集團(tuán)(Kaiser Permanente)有名的前首席執(zhí)行官,于去年11月逝世、年僅60歲的伯納德·泰森,是他那一代人中最有影響力的醫(yī)療管理者之一。他的突然離去,讓許多人認(rèn)為,由他倡導(dǎo)的重要改革,即關(guān)注人類健康的社會決定因素,也將因此停止。幸運(yùn)的是,并沒有如此。他的遺孀丹尼斯·布拉德利·泰森和美國心臟協(xié)會(American Heart Association)聯(lián)合成立了一項(xiàng)基金,且資金充足,由此,伯納德·泰森的工作成果和理念得以流傳。
9月16日上午,布拉德利·泰森和美國心臟協(xié)會宣布,伯納德·J·泰森影響力基金(Bernard J. Tyson Impact Fund)將進(jìn)行10項(xiàng)新投資,這些投資都是基于泰森在擔(dān)任凱撒醫(yī)療集團(tuán)首席執(zhí)行官時(shí),提倡的社區(qū)強(qiáng)化理念和計(jì)劃。得益于生前支持泰森理念的、一些富有且具有影響力的捐贈人的資助,這些投資頗具經(jīng)濟(jì)實(shí)力。琳恩·貝尼奧夫和馬克·貝尼奧夫已經(jīng)向該基金捐贈了100萬美元,紐約慈善家伊麗莎白·埃爾廷和邁克爾·伯蘭特的基金會同樣捐贈了100萬美元。亞馬遜的首席執(zhí)行官杰夫·貝佐斯也捐了一筆巨款,不過具體數(shù)額尚未披露。
“伯納德生前身負(fù)使命。”該基金執(zhí)行委員會主席、他的遺孀布拉德利·泰森說,“為了繼續(xù)履行這一使命,正如他所說,我們必須把重心放在可量化的可持續(xù)性成果上。”
泰森醫(yī)療模式的根本就是要確保人們能夠獲得醫(yī)療服務(wù),而不幸的是,新冠肺炎明確點(diǎn)明了這一原則的挑戰(zhàn)性和緊迫性。在美國,因?yàn)樾鹿诜窝锥疾〖八劳龅娜巳褐校猩朔N所占比例極高。
對此有許多解釋(或理論),其中一個(gè)被廣泛認(rèn)可的理論,是一個(gè)被稱為“慢加急性”的醫(yī)學(xué)概念:如果一個(gè)人已經(jīng)患有慢性病,例如高血壓或糖尿病,當(dāng)遭受急性感染時(shí),對方更容易出現(xiàn)危重癥狀。而美國的少數(shù)族裔普遍患有慢性病。
伯納德·J·泰森影響力基金希望借由奧克蘭/舊金山地區(qū)的首批“投資對象”,來解決這一問題。在獲得資助的灣區(qū)企業(yè)中,有一家名為ConsejoSano的營利性社會企業(yè),它致力于通過擁抱多樣性而不是無視它,來改善文化多樣性人群的健康狀況。首先,這意味著提供醫(yī)療服務(wù)時(shí)要使用患者的母語,包括發(fā)送短信,以鼓勵(lì)他們進(jìn)行日常保健和健康檢查。
同樣,該基金還投資了東北醫(yī)療中心(North East Medical Services),這是舊金山的一家大型社區(qū)衛(wèi)生中心,其重點(diǎn)關(guān)注于低收入的亞洲移民社區(qū)。在提供醫(yī)療服務(wù)時(shí),他們也是說患者的母語。
部分投資對象則專注于為缺醫(yī)少藥、資源匱乏的社區(qū)提供經(jīng)濟(jì)適用房。其中包括總部位于紐約的非營利組織New Destiny Housing Corporation,以及位于灣區(qū)的阿拉米達(dá)縣西班牙語統(tǒng)一委員會(統(tǒng)一委員會)。其余投資對象,則是一些由少數(shù)族裔創(chuàng)建和/或領(lǐng)導(dǎo)的組織,其重心放在紐約或北加州的當(dāng)?shù)厣鐓^(qū),致力于更多地為他們提供營養(yǎng)食品、推廣塑造家庭財(cái)務(wù)韌性的方法,或提供心理醫(yī)療服務(wù)。
所有這些主題都蘊(yùn)含了伯納德·泰森對人類健康的整體構(gòu)想。他認(rèn)為,如果一個(gè)人生活在充滿暴力的環(huán)境中,得不到健康的食物,或者沒有棲身之所,那么他的身心幾乎不可能是健康的。可怕的是,大約15%的美國人的生活環(huán)境均是如此。根據(jù)美國心臟協(xié)會(泰森長期擔(dān)任其董事會成員)的說法,據(jù)估計(jì),由于缺乏健康食品、衛(wèi)生安全的環(huán)境、優(yōu)質(zhì)的教育和住房等生活必需品,美國約有5000萬人罹患心血管疾病的風(fēng)險(xiǎn)更高。
除了傳播人類健康理念的使命外,伯納德·J·泰森影響力基金還在探索創(chuàng)新的社會影響力投資方式。“從某種意義上說,我們資助ConsejoSano的方式實(shí)際上很有趣,因?yàn)檫@是我們首次發(fā)行可轉(zhuǎn)換債券。” 基金總經(jīng)理雷蒙德·古思里表示,“所以它一開始是一筆撥款,但后來又混合了一張可轉(zhuǎn)換債券,可轉(zhuǎn)債會以我們建議的指標(biāo)為衡量標(biāo)準(zhǔn),對他們所產(chǎn)生的影響力進(jìn)行轉(zhuǎn)換。最后,如果它們確實(shí)達(dá)到了某些影響力指標(biāo),那么這部分股權(quán)事實(shí)上會轉(zhuǎn)化為創(chuàng)始人所有。”
古思里說,該基金的一個(gè)核心原則是,它應(yīng)該是再生資本,這意味著它的目標(biāo)是為社區(qū)創(chuàng)造更多的回報(bào),而不是獲取這些回報(bào)。“很多影響力基金實(shí)際上是在收購公司。”古思里說,“而我們是想要在創(chuàng)造更大的影響力的同時(shí),為這些偉大的企業(yè)家創(chuàng)造更多資產(chǎn)。”(財(cái)富中文網(wǎng))
Bernard Tyson, the celebrated former CEO of Kaiser Permanente who passed this past November, was one of the most influential health care leaders of his generation. His sudden death, at the age of 60, left many with the sense that his important crusade—championing the central value of social determinants in human health—would stop as well. Happily, it won’t. Thanks to a new, substantially funded initiative led by his widow, Denise Bradley-Tyson, and the American Heart Association, Bernard Tyson’s work and message have been given an afterlife.
September 16 morning, Bradley-Tyson and the AHA are announcing 10 new investments by the Bernard J. Tyson Impact Fund that build on the kind of community-strengthening ideas and programs that Tyson promoted as Kaiser Permanente’s CEO. And these investments have some real financial muscle, thanks to a few well-heeled and influential donors who supported Tyson’s efforts when he was alive. Lynne and Marc Benioff have given $1 million to help anchor the fund, as has the foundation of New York philanthropists Elizabeth Elting and Michael Burlant. Amazon CEO Jeff Bezos has also made a significant donation, though the amount has not been disclosed.
“Bernard was a man on a mission during his time on earth,” says his widow, Bradley-Tyson, who serves as chairman of the executive committee for the fund. “To continue to serve that mission, we have to focus, as he said, on measurable sustainable outcomes.”
Fundamental to the Tyson health care model is simply making sure that people have access to care—and the challenge and urgency of that tenet has been made clear, unfortunately, by COVID, which has disproportionately sickened and killed people of color in the U.S.
There are a number of explanations (or theories) for this—but one widely acknowledged reason is a medical concept called “acute on chronic”: when a person already has a long-standing health condition such as hypertension or diabetes—which are far more prevalent in minority populations in America—they are much more likely to suffer serious consequences from an acute infection.
The Bernard J. Tyson Impact Fund hopes to tackle this problem head-on with its inaugural class of “investees” in the Oakland/San Francisco region. Among the Bay Area businesses being supported with financing are ConsejoSano, a for-profit social enterprise that works to improve health outcomes for culturally diverse populations by embracing that diversity, not ignoring it. For starters, that means giving care to patients in their spoken language—including through text messages that encourage people to come in for routine care and health screenings.
On the same front, the fund is also investing in North East Medical Services, a large community health center in San Francisco that focuses on low-income Asian immigrant communities and likewise delivers care in the language of its patients.
Additional investees focus on giving people in underserved and under-resourced communities access to affordable housing. Those include the New York–based nonprofit New Destiny Housing Corporation, and in the Bay Area, Spanish Speaking Unity Council of Alameda County, Inc. (Unity Council). Still other financing recipients, all of which are minority-owned and/or led, focus on providing local communities, either in New York or in Northern California, with better access to nutritious food, with tools to build their financial resiliency, or access to mental-health-care services.
All of these themes were woven into Bernard Tyson’s holistic vision of human health. It was nearly impossible for a person to be physically, mentally, and emotionally well, he believed, if they were living in surroundings of violence, had little access to healthy foods, or had no roof over their head. Frighteningly, those descriptions apply to the environment in which some 15% of the U.S. population lives. An estimated 50 million people in the U.S. are at higher risk for cardiovascular disease because they lack necessities such as healthy food, a clean and safe environment, quality education, and housing, according to the American Heart Association, where Tyson long served on the national board of directors.
Beyond its mission to spread this understanding of human health, the Bernard J. Tyson Impact Fund is also exploring innovative ways to invest for social impact. “The way we’re supporting ConsejoSano is actually interesting in the sense that this is the first time we’re doing a convertible note,” says Raymond Guthrie, the fund’s managing director. “So it starts as a grant, but then it’s mixed with a convertible note that converts based on how much impact they’re creating, measured on metrics that we advise. And then, at the end, if they do hit certain impact metrics, that equity actually converts for the founders.”
A core tenet of the fund, Guthrie says, is that it should be regenerative capital, meaning that its aim is to generate more returns for the community, not extract those returns. “A lot of impact funds are actually buying companies,” says Guthrie, “and we want to create more equity for these great entrepreneurs while also driving more impact.”