This of course will lead to a showdown in all 50 states and DC in November.

From an urban conservative perspective I never understood why we needed the federal government to improve the health care in our community when our community generate $1 trillion. The problem with the $1 trillion is that we are the largest consumers in the United States instead of being the largest producers. With $1 trillion we could easily write our own health policies and fund them. So when I see Black folks screaming for joy over the passage of the health care bill I ask myself is it because President Obama did this, is it because the Democratic party did this or a little of both?

To tell you the truth no political party can save our community when it comes to health care. We have to be able to save ourselves. Urban conservatives have given solutions to this issue many times however, if Blacks would learn not to be distrustful towards each other and actually begin to support each other from a silver rights perspective then we would not have to rely on the federal government all the time. I have no problem with our community partnering with government, private sector and technology to conduct business. What I have a problem is that we would rather much turn solely to a larger entity who is having trouble running the United States Postal System than turn to each other and be innovative about our approaches to health care.

So with the passage of this bill where do we go from here?

Although urban America is rich in natural resources, paradoxically, most of our cities are afflicted and pounded by domestic hunger, poverty, diseases, conflict, genocides, corruption, environmental degradation, and massive underdevelopment among others. Urban conservatives are always seeking other alternatives to address the cultural, spiritual and economic needs in our community. From its natural resources, one would expect to see people enjoying high standards of living. Instead, urban America is full of people still struggling for their basic needs.

There is no magical bullet to solving the health care crisis in our community because our faith based/non profits have not demanded that these coney islands in our community and other fast food restaurants stop building death traps in our community. The reason? Most Black churches in the urban communities serve food that is unhealthy after church service. How can you get an emotional high after service only to make yourself sick later? It makes no sense.

40 years after the Civil Rights Movement, the urban communities in America are still struggling in homegrown solutions and urban talent. The biggest question is why this is happening in a community where people are endowed with the human mind that is creative and innovative? Again, with $1 trillion being generated how come we cannot provide the basic needs for health in our community?

Today most urban communities focused on the "visible wealth" and in some cases what I call `tribal organization'. This individualistic structure instead of creating wealth, promotes chaos over resources.

Urban America have perpetually been at war over the 'community cake' with each community struggling to control only the known aspects of wealth. Few have ventured to create new wealth and migration trends could as well be a pointer to a new breed of Black Americans out to explore new opportunities as opposed to fighting over stale ones. By continuing to fight over the stale issues we had to wait for President Obama to save us from failing health care. This could have been done 20 years ago where our children would have been benefiting from health care reform from our parents. But when you are not thinking with a vision and have an entitlement mentality this is what we end up.

Urban Americans have been unable to produce real health care sensitive to our plight because of the heavy reliance on political external support. It makes no sense that each ethnic group that exploits urban Americans have its long term interests pegged to the support in a way compromises the ability of urbanites to seek to solve their own problems in this health care crisis. Consequently,our urban cores are a desert of concrete solutions to its own problems. Each and every urban community has been made to believe that the solution to our problems is somewhere in the federal or state government. Prosperous ethnic groups exploited people's talents in order to develop and the urban community must do the same for the inner cities.

The fact that the inner cities are plagued with numerous problems points at the wealth of solutions beckoning problem solvers. Migration to other communities is but a symptom of an underlying problem in urban America. That people are suffering an inner crisis to change. They want to develop and achieve better living standards similar to those in the suburbs; they want security, health, better political and legal infrastructure. Black migrants from the inner cities want electricity, clean water, a good educational system, good roads and generally a happy and satisfying life. One need not blame those who migrate to wealthy suburbs - blaming them is to miss the point.

Intellectuals from urban America migrate to wealthy countries in search of more rewarding challenges, better pay and recognition. This has been possible due to lack of an effective intellectual property regime that will make them stay home and help their cities create wealth. Health care is not an excpetion to this rule.

However, they are harassed and treated with suspicion for merely being intellectuals. To stem our brain drain from the inner-cities, it's instructive that urban Americans builds educational institutions that will protect intellectual property. Building such institutions will ensure that the urban innovators build upon the already existing knowledge to solve urban America's problems. Inner city innovators should seek to work with Africans in Diaspora and immigrants from other developed nations to offer concrete and workable solutions to urban America's problems. So far little has been done to tap into medicine, and the extra educational economy in the community.

The health care bill does not address hunger and poverty that exists in our community. This is something we must solve as a community. You can open a church on every corner but you cannot feed children on a daily basis. You can complain about strip clubs but will not address child poverty in areas like Detroit.

Urban community leaders should promote the welfare of poor and innocent people in the inner cities and work hard to build amicable and amiable relationships among each other and other communities. Above all, they must determine to promote urban America's economic development, with competitive global markets, improvement of health, a more cohesive social structure, and better standards of living. No health care bill can solve this issue but us.

Urban America do not need delusional epistemological or ontological revolution of paradigms but practical and pragmatic approaches to both economics and politics. Therefore, when we are developing health care policies it is not supposed to and cannot be catered to a political party slogan but a meaningful and purposeful statement of intent with a coherent, consistent and commensurate set of well thought out and achievable objectives and instruments to ameliorate a properly diagnosed policy problem. The policy process should neither be sacrificed on the altar of political expediency as is often the case with many policies in urban America nor be a journalistic or newspaper story. A developmental policy for urban America must be predicated on a vision to transform the economy and society at large.

Its nice to cheer on health care reform in our country and I must admit President Obama got the job done on this. Even with the election of Massachusetts Senator Scott Brown, Obama still managed to navigate the ship and steer it into the dock. Meanwhile, the GOP fell asleep at the wheel with the health care debate. We bitched, faxed, called our Congressmen and women,screamed and even protested. Not only the health care bill passed but the Student Aid bill passed.

Regardless of how you feel about the Student Aid bill how come this was NOT part of the central debate like the health care? Again, when will my GOP colleagues realize that education is the # 1 issue in America? Allow the urban conservative community to help you reshape your debate on the issues when it comes to urban America.

Here is a tip for my GOP colleagues. A core strategy was needed in this debate. I said years ago, there will come a time when the GOP must enter the urban community for votes. It is ridiculous for any Democrat to come into a GOP stronghold and win elections on a pro-life/pro-gun platform. Now the Democrats are going after illegal immigrants and registering them to vote in their party. If you cannot see the writing on the wall then its time for the Frederick Douglass Republicans and urban conservatives to run the show. The GOP could have easily catered their health care plan to the urban communities but as usual chose not to do so.

That is ok because we have to take matters in our own hands.

So what do we do with this health care bill since it will be signed into law by President Obama? Do we sit and complain about the problem or do we take action? I have taught urban conservatives not to even flinch about what is going on in DC. To complain about the passage of the health care bill and not have solutions will show our weakness as a group. We do not have time for this.

Instead, we need to take health care into our hands. One way is to start is with a full-scale fight against poverty in an organized and planned manner. We must begin to amass human, material and financial strength and begin to mobilize all sectors of society for this purpose.

While we increase investment to improve production and living conditions in poverty-stricken areas, Urban America must also pay more attention to ecological and environmental protection and for sustainable development.

It's time to handle business not promote fear. We do not have time for protests and screaming when we must protect and provide for our children and senior citizens. We have people in our community who are going to school for nursing. Have we ever tried to steer them into a direction of medical entrepreneurship? Taking them higher as doctors? Opening and managing group homes and the likes with a holistic diet, routine exercise and a reestablishing a spiritual foundation that will enhance their way of life? Independency, not dependency, is the call of the day. I will like to reach out to others in the Diaspora for assistance in terms of a 5 year plan on health care that can benefit our urban cores internationally. Take action not talking about November. By that time more people would have died because you are waiting for some election to vote people out.