An informational analytics initiative from the Concerned Actuaries of the United States
The Making Important Things Work initiative brings together data, expert insight, and
advanced, holistic analytics to provide the nation’s policy-making, regulatory and
advocacy communities with a deeper and broader understanding of some of America's
most complex and urgent challenges from healthcare and Social Security to pension
systems and sustainability.
Here, you'll find clear breakdowns of what's not working, why it matters, and what can
be done to fix it. Explore interactive content, follow issue-specific updates, and join us in
driving informed, practical solutions that make a difference.
Greater decision-maker and general public:
A summary of what’s not working with regard to a specific area of challenge and
opportunity.
A review of the context (e.g., what contributed to the problems; what barriers to change
exist, etc.).
Webinars and podcasts featuring recognized experts and practitioners. Findings from CA2M holistic analytics pertinent to the specific area of challenge and opportunity.
The Society of Actuaries (SOA), an organization representing more than 34,000 members around the world announced today that it’s prestigious Spotlight for Societal Purpose Award has been awarded to Mr. Mark Litow, FSA, of Wisconsin for his role as one of the founder’s of the non-partisan Concerned Actuaries of the United States (CAUS) and for development of the foundational CAUS’ Comparative Actuarial Assessment Model (CA2M), a predictive holistic analytical tool designed to help policy-makers and other decision-makers evaluate the probability of success for proposed changes to the nation’s social insurance and public finance programs.
Press Release
Rural healthcare in America is facing a mounting crisis, marked by widespread hospital closures, chronic workforce shortages, and growing barriers to basic medical access. For millions of people living in small towns and remote areas, the nearest emergency department may now be hours away, and shortages of primary care physicians, obstetricians, and mental health providers leave entire communities without essential services. These gaps disproportionately affect elderly populations, low-income families, and those with chronic conditions, fueling higher rates of preventable illness and mortality. At the same time, financial pressures, limited insurance coverage, and the escalating costs of care are pushing rural hospitals and clinics closer to collapse. The result is a dangerous health divide between rural and urban America, one that threatens not only individual well-being but also the economic and social stability of entire communities.
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Practically everyone knows that Social Security, as currently funded and managed, is not financially sustainable. The experts charged with overseeing Social Security have been forecasting funding shortfalls for years. The generation of workers who are providing the dollars to pay benefits to today’s Social Security recipients have been concerned for years that the program will not survive to pay them benefits. The media have reported these serious concerns: elected representatives from every level of government know there’s a problem. Unfortunately, neither the structural and systemic challenges facing Social Security for decades nor the widespread knowledge that Social Security is not financially sustainable have generated a politically persuasive demand for a comprehensive solution that would effectively fix the threats facing this indispensable program.
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Well designed public policy should provide intended benefits and have the ability to calibrate designed actions, fiscal notes, and enforcement. If we want the professional principles of economics and actuarial science to keep such a policy sustained over 50 to 100 years as has been the intent with Social Security, Pensions, and Medicare then adherence with the principles of these disciplines is necessary to avoid the failure of public policy structures.
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