1. A Short History of the UNLV Medical School Robert Lang, Ph.D. Professor and Director The Lincy Institute Brookings Mountain West Greenspun College of Urban Affairs University of Nevada, Las Vegas Las Vegas, NV—September 29, 2014

2. Welcome to The Lincy Forum What is The Lincy Institute?  Thanks, Lincy Found./ Dream Fund! Today’s Conference:  Follows up on the November 2013 Conference that Rolled Out the Tripp Umbach Study on a Las Vegas Allopathic Medical School  Focus—Valuing a Medical School

3. A Short History? How Can You Give a History of Something That Technically Does Not Exist? This is a Brief Review of the Work Lincy and Brookings did on the Establishing the Case for an Allopathic Med School in Las Vegas

4. The History 2011. Brookings Institution- Brookings Mountain West-SRI International, Nevada Economic Development Plan Recommendation: The State Should Support a Medical School in Las Vegas to Diversify the Economy The North/South “M&M Strategy”

5. The History 2013. Brookings Institution Metropolitan Policy Program Analysis of Top 100 U.S. Metros Heath Service Employment Key Finding: Las Vegas has the Smallest Share of Health Service Workers of any U.S. Metro Area

6. The History 2013. Lincy Institute Commissioned Study by Tripp Umbach LLC of the Economic Impact of an Allopathic Medical School in Las Vegas Conclusion: An UNLV Medical School would have a 1.1 Billion per Year Impact by 2030 and Would add 8,000 Jobs

7. Today—2014 2014 Lincy Institute Commissions a Brookings Institution Analysis of Federal Funding for a UNLV Medical School Conclusion: A UNLV Medical School would Add Over 50 Million in Federal Funding Within a Decade of Founding a Medical School

8. Today—2014 A Just Published Brookings Institution Metropolitan Policy Program Metro Monitor Shows:  Las Vegas Health Services Maintain a 0.64 “Location Quotient” as of the Second Quarter of 2014  During both the Recession and Recovery Health Service Jobs Grew 10.8% and 11.6% Respectively

9. What is a Location Quotient? A Location Quotient is Defined as the Metro Area Share of Total Jobs in a Given Industry Divided by the Comparable Share Nationwide. Values Greater than One Demonstrate a Greater than the National Average Share of Jobs in that Industry, Indicating Specialization

10. So Where is LV in 2014? Leisure and Hospitality—LQ = 3.01 Construction—LQ = 1.17 Trade, Trans., Utilities—LQ = 1.00 Prof. and Bus. Service—LQ = 1.00 Health Services—LQ = 0.64 Education—LQ = 0.53 LV is Missing “Eds and Meds”

11. Eds and Meds Are Often Overrepresented in Regional Economies Above 2 Million Residents Because of Scale Most Large Regions Have a Carnegie “Research Very/High Activity” University and ALL have Allopathic Medical Schools That Includes Orlando

12. Las Vegas 2013 Population In 2013 (July 1 Census Estimate) :  Las Vegas (Clark, NV) “Metropolitan Statistical Area” had 2,027,868 People Ranked 31 st in U.S.  Las Vegas NV, AZ (Clark, NV; Nye, NV; Mohave, AZ) “Combined Statistical Area” had 2,273,195 Million People Ranked 27 th in U.S.  Net In-Migration of Over 50K 2011-13

13. Selected Comparable CSAs 23 rd Kansas City, MO pop. 2,393,623 25 th Columbus, OH pop. 2,370,839 27 th Las Vegas, NV pop. 2,273,195 28 th Cincinnati, OH pop. 2,196,629 30 th Raleigh, NC pop. 2,040,498 Las Vegas is Big Enough Scaled for a Med School and a Research Univ.