As health care administrators around the country prepare to implement the Affordable Care Act, educators are also tasked with preparing the next generation of managers — for the unknown.

No one knows yet just how health care reform is going to change the daily routine for practitioners and administrators, but all agree that business decisions, from purchasing supplies to the cost of follow-up care, are going to look different.

When it comes to the issue of accessibility, Sacramento businessman Tony Lutfi knows the drill.

Call it a recession, a realignment or a downturn. Whatever you call it, our current economy is experiencing convulsions most of us have not seen in our lifetimes. Our nation, our state and our region continue to suffer from a sputtering economy and painfully high unemployment.

Kevin Straw can restore a car to its original state. He can fix a dent, smooth rough spots, put on a fresh coat of paint and make a clunker look new.

But over the next couple years, Straw will have to learn the ropes of another craft, using unfamiliar tools to restore his business, fix the dents inflicted by a legal attack, smooth over the rough spots of his shop’s accessibility to wheelchairs and paint blue stripes in the parking lot.

Kevin Straw can restore a car to its original state. He can fix a dent, smooth rough spots, put on a fresh coat of paint and make a clunker look new.

But over the next couple years, Straw will have to learn the ropes of another craft, using unfamiliar tools to restore his business, fix the dents inflicted by a legal attack, smooth over the rough spots of his shop’s accessibility to wheelchairs and paint blue stripes in the parking lot.

“We intend — on our own as the majority party — to do all that we can to put people back to work.”  So says Senate Majority Leader Darrell Steinberg. Well, that certainly is good news.

Under the federal Affordable Care Act, all but a small number of Americans soon will be required to have health insurance. But having insurance is one thing; getting the medical care it is intended to cover may be entirely another.

I find myself getting hot under the collar every time I read another story or report on the pitiful state of public education in California.

Nowadays it’s not only hip for a business to go green, it’s the law. The state of California as well as some Capital Region jurisdictions have ordinances mandating recycling.

In a nation full of hot-button issues, few are as torrid as federal health care reform. More than a year and a half since its passage, the law — officially dubbed the Affordable Care Act but derisively called “Obamacare” by its critics — is still being fought in the courts, Congress and statehouses across the country. But for all the political and legal wrangling, the law is marching forward.

California’s ongoing economic slump has been historically challenging to local governments, even in relatively affluent areas like Folsom, which has one of the highest per capita incomes in the Capital Region. We sat down recently with Folsom City Manager Kerry Miller to discuss the city’s current fiscal condition and plans it has to thrive as the economy improves.