If what Reeves says is true, then what Nick Macchione, director of health and human services for San Diego County, Calif., calls “potent simplicity” is the friend of everyone else. Macchione and his colleagues used the concept to create a clear, empowering message to underpin Live Well San Diego, the county’s strategic community health plan. They came up with notion of “3-4-50” to communicate the idea that three behaviors -- smoking, lack of exercise and poor nutrition -- contribute to four chronic diseases that cause more than half of the county’s deaths.
In the book Simple: Conquering the Crisis of Complexity, authors Alan Siegel and Irene Etzkorn write that achieving simplicity is anything but simple. “It takes work to organize, streamline, clarify and generally make sense of the world around us,” they write. An example of the scope of effort involved is Rhode Island’s work to increase voter participation. Secretary of State Nellie Gorbea’s team began by redesigning the ballot, working with the Center for Civic Design, the federal Election Assistance Commission, the American Institute of Graphic Arts and the Brennan Center for Justice. They tested it with focus groups and people on the street and then educated voters with videos, sample ballots online, interviews with Gorbea in both Spanish and English, and 120 voter information sessions.
Simplifying the school selection process for Boston families -- a system perceived by many as working to perpetuate the inequities it was supposed to be fighting -- also was anything but simple. Susan Nguyen, chief of staff for the Boston Mayor’s Office of New Urban Mechanics, says the changes had to be made with a lot of attention to who was using the process. Collaborating with Code for America and spending a lot of time talking with parents, Nguyen and her team ditched an eight-page printed foldout crammed with complex details in favor of a multilingual Web page that functions like Hotels.com.
Reeves quotes a mantra of the artist Georgia O’Keeffe: “Select, simplify and amplify.” Public officials who take those words to heart in shaping public services will have succeeded in opening another front for combating inequality and the decline of trust in government.
This column has been updated to correct the title of the federal Election Assistance Commission.