Fixing Multnomah County

People often wonder why, with so much money and so many good intentions, homelessness and untreated addiction and mental illness have worsened in Multnomah County.

This website is about unpacking the reasons and proposing solutions to the core challenges facing our community.

The good news is that solving our problems is not as hard as we've been making it. Join me as we dive into the WHY, WHAT, and HOW of fixing our County.

WHY this site?

As an ER doctor, I cared for many people who had fallen through the cracks in our social safety net. I ran in 2016 for Multnomah County Commissioner not only to fix the net, but to prevent people from needing it in the first place.

During eight years as a county commissioner, I learned the processes, established the relationships, and partnered on policies for reform. Too often, politics intervened, leaving our most vulnerable residents, the people trying to serve them, neighborhoods and businesses to cope.

With time to reflect since leaving office, I created this website to share my insights on our biggest challenges, solicit your ideas, and figure out together how we can move forward. I invite you to join me!

In good health, Sharon Meieran, M.D., J.D.

More about Sharon →

WHAT’S broken?

In 2017, an estimated 1,500 people were homeless in Multnomah County. That same year, 79 people died on our streets.

By 2024, after spending more than a billion dollars on homeless services alone, the number of people living unsheltered in Multnomah County quintupled, and the number of people who died on our streets increased by more than a factor of seven.

Rampant homelessness happens when support systems have crumbled.

Starting in 2020, the confluence of the COVID pandemic, the racial reckoning in the wake of George Floyd’s murder, and the fentanyl crisis exposed the County’s long inadequate approach to providing basic human services. And it’s only gotten worse.

Plans and Resources →

HOW we fix it?

Our problems may be complex, but the solutions are straightforward.

They start with clear leadership, defined roles and responsibilities, a shared vision with meaningful and measurable goals, plans created by topic experts, and an effective and accountable governance structure.

Thankfully we aren’t starting from scratch.

Solving the big issues →

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Dr. Sharon Meieran Connecting the Dots
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