Alameda, California, is home and I’m from Georgia. I find riding bikes in the desert fun.

Quality is the heart of healthcare reform, and our system does not perform well compared to other countries. “America First” is true for negative health rankings in the world (obesity, diabetes, and on). The Common Wealth Fund found in 2013 that the vast majority (75%) of U.S. adults said their health system needs to undergo fundamental changes or be rebuilt completely.

After the Patient Protection and Affordable Care Act — often shortened to the Affordable Care Act (ACA) or nicknamed “Obamacare” — became law in 2010, I left Washington, DC, to start Reform Cycle. In 2010 and 2011, I biked solo and twice failed to get the project fully off the ground. Then I got sick in 2012.

I struggle with bipolar disorder. Mental illness is in the news, and is a serious part of the conversation about healthcare reform. (Some experts estimate 30% of US adults are impacted in a given year.) I’m developing mental health resources for myself and others on the route. If you have suggestions, please contact me. I can be reached at [my first name]@cadencechance.com.