Many of the challenges Oakland faces are worsened by its unusual government structure, which makes it harder for the mayor, city council and other officials to do their jobs well. SPUR’s latest report diagnoses the problem and offers 10 recommendations for how the city can adapt its governance structure to better serve Oaklanders.

The Bay Area’s current system for collecting unpaid bridge tolls hurts hundreds of thousands of people across the region. This system disproportionately harms lower-income and working people by relying on punitive tools like fines, fees and car registration holds to promote toll payment. SPUR recommends steps to reduce the harms caused by the unpaid tolls system and begin to move toward an equitable tolling system.

California is in the midst of overhauling its Medicaid program to better serve the 12 million low-income residents who rely on it for health care. This report explores the state’s capacity to provide one key aspect of the plan: medically supportive food and nutrition interventions such as food pharmacies, produce prescriptions, healthy groceries and medically tailored meals designed to prevent, reverse and treat chronic health conditions.