In my own region of Brabant and the city of Eindhoven (the Netherlands) we have been working together on the concept of `healthy city` for over 5 years now. The first initiative taken came from myself and my own STIR Foundation (City of Tomorrow), using the Sustainocratic work format. Our work became a confrontation with ourselves and the way we manage our cities and communities. And still is. The learning process is however unique, exciting and worth sharing.

This is a long blog again as it describes a process of awareness and a solution of common understanding and need. I describe first the issue, the impossible solution and the workable one from a core human values point of view. The latter works.

A unique dinner
Twice a year the political councillors of the five big cities of this region join for dinner, the so called `diner pensant` (dinner to think), together with the hierarchical representatives of the province. They discuss the practical issues related to their temporary jobs (every 4 years we see new executive faces after the elections). They are accompanied by their top civil cervants who run complex programs in the city.  This time the leading topic of the evening was `health`. I was invited to speak.

40 people gathered, mostly political city executives

40 people gathered, mostly political city executives, to listen to my story about historical `perverse` city management and our Eindhoven solution.

My speech is not an easy one. Despite the noble purpose of the evening and the practical commitment of the region to work on health we need to face the potential impotence of the venture.

Cities have never been envisaged from a health point of view. Doing it now we face a confrontation with a reality that is engrained into our city management and the democratic structure of our system of governance and societal steering. For 5 years we have been working with a solution developed by my foundation in cocreation with the organizing (of the dinner) city of Eindhoven. This solution is a source of inspiration for other cities but at the same time a challenge without presidence as it questions everything a city has ever stood for.

My opening slide is already a challenge even though I present myself as the inviting party to a safer reality, for human kind but also city management

My opening slide is already a confrontation. I present myself as the inviting party towards a new reality, a new societal format even.

Perverse old city management
The 5 years of experience in Eindhoven has become a practical voyage and proof of principle. It also became of tremendous academic interest for me to investigate the process through backward analysis. It gives modern insight on the practicality of transforming city management, sustainable leadership and societal awareness. Above all it is a research issue about human awareness development, executive blocks and hierarchies, and the human courage to break loose and co-create a totally new way of developing society. But before that we need to be aware of the current historic and ruling perverse reality of unhealthy city development and executive.

Cities have never developed around health, on the contrary. Cities developed around self declared land ownership, trade routes over sea and land, logistics, industrial processes, market places, public events and protection against the aggression of others. 5000 years of city development show us that everything turns around the hierarchy of power, the speculation with services and goods, consumption and all of this eventually translated into money driven executive management. Money leads in cities because the city hardly produces anything of itself. It interacts with its surroundings to purchase all it needs to continue speculation with the people who are attracted to this perceived abundance of real estate, shops and services.

Nothing in the city sustains health. Every executive decision made to develop the city is related to money driven choices that generally produce more pollution and health problems, not just in physical sense but also in the mentality, culture and behavior  of people. Economic growth through inflation prevails while the problems are remediated through costly regulating bureaucracy and expensive care systems. There are at least four big reasons why a city is not at all healthy:

  1. A city consists of tarmac, cement and glass, eliminating every reference to nature or living species in an ecosystem. When something is not perceived by people than it does not penetrate our sense of reality. People in a city don´t identify with life and develop a mentality of so called `frozen ego´s`, emotionless for the problems of our living surroundings simply because those surroundings do not exist in their daily interaction. There is hardly any empathy, no sensitivity, no awareness. At the same time the materials used to sustain the city and its growth are extremely polluting, producing unhealthy dust and fumes.
  2. A city is based on the trade and consumption of goods producing a psychology of greed and hoarding rather than an attitude of productivity for wellness.
  3. The dependence of the city on goods from outside the city makes it a decadent negotiator for volume, purchasing as cheaply as  possible whatever it needs to sell it as expensively as possible within the city. The effect is that the city contributes to the decadent way of treating our sea, soil and air producing all the problems that we face in the world that lead to huge catastrophes.
  4. The entire city is based on economics of trade that structurally rewards the systems that pollute (traffic, logistics, consumption, etc) while those who take responsibility are often do this as volunteers or get blocked by the official system.

The city inhabitants and users hardly identify themselves with issues such as climate change, acidifying seas or the invisible air pollution. The population does however show direct interest in sources to make money (through labor, social security, loans or pension schemes) to pay for all the services that a city provides. 90% of all city´s executive decisions are dealing with sustaining, rewarding and enhancing these patterns. The city’s transactions are being taxed and this sustains the bureaucracy, the investment in economic growth and the financial reserves to repare local damage. This damage repair is seen as a cost, not as lack of original responsibility.

Cities have developed around power, dependence, money and decadence

Cities have developed around power, dependence, money and a decadent blind consumer mentality

Never ever the city or its population has seen or considered itself beyond its own city confinement, empathised with nature or the city´s own natural surroundings. The city invests in tarmac, cement and glass, more logistics and mobility, causing the pollution to even grow further. When I was introduced to this powerful audience of this unique diner the presenter used this video of air pollution in the Netherlands referring both to the challenge we face, the problems we caused ourselves and the responsibility I try to take through sustainocratic ventures in Eindhoven.

This video was placed on YouTube in 2013, two years ago, and has been watched just around 1000 times. Any teenage or adult video on fashion or music will receive such amount of views in mere seconds. It shows where the public interest goes. Health is not in the minds of city people as they deal with other mental priorities and choices. Health hence can never be a democratic issue, nor part of a political campaign. Health is a core responsibility, a key value of life. But this responsibility has been made subject to the political and economic system that defends other priorities and prefers to remediate damage rather than prevent it. Country level executive work is largely a copy of the city´s management culture.

As the city consumes it parasites on the sea, the land, the air and all life on planet Earth. The exponential growth towards 7 billion human beings, of with 70% have populated the cities, delivers a life threating situation managed by hypocritical, perverse city politics and economics. We can hence conclude that all current humanitarian and ecological problems on Earth can be related directly to the sum of all cities and that cities hardly identify themselves with their responsibility due to intensive self interests and a political and economic system that stands health in the way. The countrywide government floats on top of the consumption in cities and the logistics to supply them. The results are catastophical for all life on Earth, including human awfulness as humankind is too kind.

Cities are responsible and need to take responsibility

Cities are responsible for all the damage and need to take responsibility

If this can be explained by pinpointing the executive problem of a polical and economic steering format and hierarchy why then did Brabant and Eindhoven accept my invitation back then, in 2010, to start cocreating  the first healthy city of the world, using air quality as guiding principle?

The executive layer has become a problem because it blocks the public motivation from taking responsibility.

The executive layer and hierarchical format has become a problem because it blocks the public motivation from taking responsibility.

Motivation differs, goals converge
My own motivation was and is still to initiate a society that takes core human values as leading dots on the horizon thus producing a self reflective and correcting society. By doing so one continuously challenges reality to see if progression can be made by engaging with such values (eg. Health, safety, self-sufficiency, self-awareness, basic needs fullfilment) and the continuous threats against it produced by life itself (human or nature). This would produce a continuous stream of innovation while we carry our responsibilities all together as a population. But it requires a different relationship with the executive steering.

Eindhoven had the courage to accept that challenge but the motivation goes step by step.

The motivation of the political partner at the city council was not yet challenging the political system that, in my reality, would disappear and be replaced by a new democratic setting. She was primarily interested in the potential of producing smart innovations as well as the production of insights that help her define her own executive policies around the air quality norms that come from the political hierarchy above the cities. Still now, after 5 years, the political partners introduce me and the cocreation efforts through AiREAS as a `measurement system for air pollution` rather than the beginning of a societal alternative in which we have taken responsibility together. I don´t push the situation as I see it as a gradual process. To accept my proposition immediately would mean political suicide in the perverse context of our present day systems. The story of perverse decadence can only be told by me as independent viewer of our realities but not by the city executive who is elected to uphold the system. We can however work together and need space todo so.

This evening session was the very brave first public setting organized by the executive of Eindhoven, accepting the total turn around of regional governance, with all the consequences of such move. The proof of principle of 5 years cocreation has developed enough arguments for the executive to adopt its challenge and present it to their colleagues as the best option forward. It has become a choice now, a serious executive option and this evening the choice was presented to the entire executive world by Eindhoven. The second part of my presentation was to explain this solution to get to cocreative health responsibility without political or economic suicide or chaos in between.

Health cocreation 
Socrates once said: “You can spend a lifetime fighting the system or put all your energy in creating a new one”. Sustainocracy is a commitment to create the new using the key values of our existence. For our traditional city executives it is hard to accept Sustainocracy when one is still in between two realities, professionally in one, humanitarian or intellectually in the other. Half denial and half acceptance is hence the safes way forward. Often we still hear the remark that “health has to become a business case” while in reality we realize and show that health is a basic, core responsibility, not a trade or something you can buy. Health is on the other hand so abstract that people generally do not understand, until we face the absence of it. That may also be the explanation why health never became an executive issue before.

Nature provides wisdom
When we look at nature we realize that it is always healthy and health driven. Life itself is by definition healthy. The natural living ecosystem that surrounds us is always healthy. That what is not dies or is eaten. The unhealthy always disappears to make room for new health!

De natuur is altijd gezond want anders gaat het dood

Life is always healthy otherwise it dies. Healthy cities will live too.

A human being is also a healthy creature of nature. When we produce unhealthy situations in our surroundings we do the equivalent with ourselves. A process of elimination starts until our responsibility reaches our awareness. We have never acknowledged this responsibility because we only became aware when it was too late. The individual dead do not complain. But the collective threat of death does make us react as a group. We have let ourselves be governed by our (equally natural) greed and competitive mentality around power and control. The consequences manifest themselves because the health thriving living reality confronts us with the shortages we created ourselves through exhausting life that does not automatically recover with the development of new life. The lack of natural group empathy with nature has shown that we don´t know what we really are. We are presented with a mirror by nature through the appearance of catastrophes, illnesses, crises and chaos.

Cities are the first structures that develop this awareness because of the vulnerability that now appears and the responsibility that has long been denied. It is not at all strange to see that the large trade centers along the seashore are the first that need to deal with the rising sea levels caused by air pollution and climate change that has been produced by those same trade centers. It is not strange either that cities at cross roads in the country side are feeling tremendous fluctuations in their economies because they eliminated local self sufficiency and productivity and became totally dependent of the economic variables of the rest of the world. When Eindhoven realised this in the 90´s it tried to find a way to become more productive itself and came to the powerful conclusion that it could present itself to the world as key innovating city. Brainport was born as a concept of cocreation. It gave the city a sense of productive ownership of something it could control rather than being victim of economic fluctuations from elsewhere.  The acceptance to my invitation can be seen in that context.

As stress builds up the awareness in the cities grows because they are now affected themselves in multiple ways by nature, shortages and the local crises. Responsibilities manifest at executive level and tension arises between this new sense of responsibility and the persistence of the old executive system, sustained also by powerful local lobbyists. Recogizing the problem is the first step towards a solution. That is why this diner and the possibility to speak openly about this tension, became a huge step for humankind, a burst of true healthy executive mentality, guts and sincere desire to solve such critical issues. But the old world is still dominant as the new world shows itself.

To provide room and space to develop itself the old executive is asked to step aside.

Volutarily stepping aside is a brave executive decision

Voluntarily stepping aside is a brave executive decision. The open space, together with the purpose of key human values, is refered to as Sustainocracy if organized proactively

It is of course not the executive itself that steps aside. Their act is a demonstration of guts and sense of responsibility. What is set aside is the dominance of the political and economic steering system to provide space for the development of our key values that otherwise would remain trapped by the system. The executive then steps back into society to address the issue together, not as a boss but as a partner. For this we need to create the right conditions.

Sustainocracy is change driven always towards the key value that is placed in the open space

Sustainocracy is change driven always towards the key value that is placed in the open space

The transformation starts outside the hierarchy of interests. Players are looking at creating patterns to fullfil the higher purpose that is placed in the open space left behind by the retreat of the steering mechanisms. The open space itself now needs to be managed too to avoid chaos or anarchy. That is where Sustainocracy comes in as concept and way of working. We introduced the figure of the ´sustainocrat`, an independent professional that has the task to create a table based on equality instead of hierarchy, invite the many players in this multidisciplinary arena and assure that the higher purpose (health in this case) remains leading. Together the participants, in which government still plays a key territorial role, share the health driven responsibility with social innovation through its citizens, technological innovation through value driven entrepreneurship and applied knowledge through science and education. As the process develops and cocreation ends up into value driven projects with measureable results every participant is confronted with the need to address change also in their own organizations. But these changes can be addressed effectively because of the powerful arguments developed in the sustainocratic settings.

The example that is most used is AiREAS, the sustainocratic venture to produce health in relation to air quality. In AiREAS the sustainocratic space is now filled with various multidisciplinary teams that are producing an overwhelming amount of practical and scientific insights, social and technological innovations and concrete advice about legal and executives obstacles that stand sustainable progress in the way.  AiREAS is providing a continuous stream of proof that can be used to start initiatives around every key issue that demands our attention fast.

Conclusion
Key conclusion is that, when the lid is off the dominance of political and economic steering, an explosion of creativety appears that addresses health and other core human values as a natural phenomenum. By structuring this creativy in the multidisciplinary format of Sustainocracy we can address any complexity because we introduce change not just through product innovations but also, all at the same time, by removing the blockage that the hierarchies created. The new sustainocratic society exists. It resembles an ecosystem in which all participate to shape and maintain a wellness based community in close resonance we our surrounding nature and natural resources. Sustainocracy is still relatively small on the global scale and hence still vulnerable but the ideology and practical outrole has proven itself, has been documented and now simple finds its way to the rest of the world as its seeds are being carried by the enthusiasm of all participants.

AiREAS results are impressive

AiREAS results are impressive

The local and global acknowledgment is equally impressive

The local and global acknowledgment is equally impressive

Most impressive is that it works and is adopted by more and more regions around the world

Most impressive is that it works and is adopted by more and more regions around the world