PITTSFIELD, Mass. — Dr. Donald Berwick grew up in a small rural town where if someone's car was stalled on the side of the road, you didn't drive by.

You stopped to help.

It was a general idea that he grew up with, that "we're all together and we help each other." And it is that general idea that has now led him to "strongly considering" a run for governor.

His father was doctor, making house house calls miles away helping everyone he could and Berwick followed those footsteps.

He went off to Harvard Medical School and then went on to become a pediatrician. Meanwhile, public policy was an interest of his and he received his master of public policy degree from the John F. Kennedy School of Government at Harvard.

While working in private practice, there were inefficiencies that hindered his ability to provide the best care — for example labs tests not being returned quickly.

"I got interested in quality. How do we do better?" Berwick said on Tuesday when he introduced himself to members of the Berkshire Brigades, the county's leading Democratic organization. "I became a student not just of health care but of improvement. I began studying on anything gets better."

He found the best organizations didn't "disrespect" the people working for it. But, like his younger days in Connecticut, worked together with motivated leaders in various disciplines using their own imagination and plans to work toward the common goal.

That management belief coupled with his drive to "make everything better" led him to start the nonprofit Institute for Healthcare Improvement, bringing health-care professionals from across the world together to optimize health-care delivery.

"I then started to grow a national and international organization to try to improve health and health-care worldwide. And that grew. It is now the largest and most significant of such an organization in the world," he said.

Meanwhile, he still saw patients but wanted to do more. While he could treat a virus and make the health systems better, he couldn't solve the root cause.

"What makes a kid sick is not just the germ ... it is poverty, something in the air that shouldn't be there, injustice, fear or just social circumstances," Berwick said, adding that health care extends far beyond medicine.

Berwick told a story of a child growing up in poverty who had to fight to get a bone marrow transplant. He finally received it to cure his leukemia only years later to be murdered because of his social circumstances.

He then got the taste of the public sector. In 2008, President Barack Obama selected him as a recess appointee as administrator of the Centers for Medicare and Medicaid Services. He was called on to change the system after the passage of the Affordable Care Act.

He oversaw seven of the 10 provisions put in place by the act while leading the $820 billion health insurance agency. He led that organization by forming close relationships with other agencies.

"The first rule is that we have to run CMS in the way you want health care to be," Berwick said.

But on the legislative side, the environment was often "toxic" and elected officials weren't making decisions based on what "they feel in the heart" but rather "what they saw on TV," he said, and both parties in Congress were not working together and it was hurting the government's ability to work for the greater good of the people.

"That was entry into high level government," Berwick said, adding that he was excited with the direction the administration was going in universal health care.

His term ended after 17 months when he resigned because it was clear a Republicans would oppose a Senate confirmation for full appointment. He returned full time to his home with his wife, Ann, who is the chairman of the state Department of Public Utilities.

Now, a year after his term ended in Washington, he is ready to dive back into the public sector with a run for governor.

"I want to stay in the public sector. What governments can do is phenomenally important if it is done right. By right I mean, well run and responsive to the public and in good partnership," he said. "I want to make the best possible community."

If he formally enters the race, he is planning to run on a platform aimed at improving the state's health care system, particularly lowering the costs by focusing on keeping patients healthy rather than "filling beds"; educating children; ending poverty, and solving economic problems the state faces by improving the energy policy.

"I would like to be governor to bring that kind of thinking about proper management, commitment to the poor, total commitment to children and continue swinging the bat at health care. I think I can do that and I'd like a chance to try," he said.

Berwick and Treasurer Stephen Grossman are the only two candidates so far who have indicated they may enter the 2014 race. Berwick hasn't yet announced but is going on a "listening tour" across the state to hear from the people.

Once news leaked out that he was considering a run, the Brigades invited him to speak. Grossman recently spoke at the Brigades' annual dinner.

PITTSFIELD, Mass. — The Pittsfield Firefighters Association wants Stephen F. Lynch to be the first card-carrying union member on the U.S. Senate floor. 

PITTSFIELD, Mass. — State Sen. Benjamin B. Downing will not be running in the upcoming special election for the U.S. Senate.

Downing released a statement Friday saying that after considering all aspects of the race — "especially financial" — he decided not to run in the special election to replace U.S. Sen. John Kerry, who was nominated for Secretary of State.

"Over the past three weeks, I have spoken with family, friends and colleagues throughout the state about a possible run for the U.S. Senate," Downing said in the statement. "The response was overwhelmingly positive, not only from my friends in Western Mass., but from fellow public servants, party activists and citizens of all stripes. I will be forever grateful for their words of encouragement, advice, and endorsement."

He continued, "I wish their faith in me was enough to sustain a campaign, but I know that every consideration – especially financial – must be made before a race of this type is undertaken.  After considering every aspect of a possible campaign, I have determined that I will not be a candidate for the U.S. Senate in the upcoming special election."
 
In December, Downing said he was considering a run and was prepared to mount a campaign.

The move would have been a large jump for the young Senator, but one he was confident he could take. Downing said he would have been able to "energize" the younger voter across the state by bringing a "fresh face" to government.

Since then, U.S. Rep. Edward J. Markey of the 5th Congressional District announced a campaign and reeled in endorsements from key Democrats across the state - including Kerry, Vicki Kennedy, former U.S. Sen. Edward Kennedy's widow, and former U.S. Congressman Barney Frank, who is expected to be appointed to the seat until the election.

Markey also has received endorsement and financial assistance from the Democratic Senatorial Campaign Committee.

U.S. Rep. Michael Capuano and Stephen Lynch are both still considering runs at the seat. On the Republican side, former U.S. Sen. Scott Brown has hinted that he too would be in the running.

But don't expect Downing to stay in his current position forever. Downing has previously considered running for the U.S. House of Representatives and doesn't hide his desire to move up the ranks. Downing is in his fourth term in the state Senate.

PITTSFIELD, Mass. — State Sen. Benjamin Downing could soon have an opportunity to join the "center of the debate" by bringing a fresh face and energy to U.S. Senate.

The senator, who was just elected to his fourth term, hasn't hidden that he wants to move up the in the political ranks. Last year, he weighed the possibility of running for the U.S. House. Now with what many are considering the imminent appointment of U.S. Sen. John Kerry as secretary of the state, Downing is prepared to mount a campaign in a special election for that seat.

If he decides to run.

"Why I am considering it is why I got into politics in the first place," the Pittsfield Democrat said on Thursday. "If you care about economic development, the center of the debate is in the U.S. Senate."

Downing is one of several Democrats reportedly exploring the possibility of running. U.S. Rep. Stephen F. Lynch, Michael E. Capuano, and Edward J. Markey have all hinted at running for the nomination; Attorney General Martha Coakley has not ruled out a second try for the Senate.

There also has been fringe talk of two well-known names entering the race — Edward M. "Ted" Kennedy Jr. (who lives in Connecticut but owns a home at the Kennedy compound on the Cape) and actor and Oscar winner Ben Affleck, who's been involved with Democratic campaigns, including Elizabeth Warren's unseating of U.S. Sen. Scott Brown.

Who actually enters the race is on all of their minds. Downing is waiting to see who is planning to run and then developing and examining his campaign strategy to see if he has a "legitimate" shot at winning.

"Successful statewide races are not handed to people who are the next in line," Downing said, believing he can energize both the Democratic base and unenrolled voters.

Brown himself has signaled that he may resurface as the Republican candidate, noting in his farewell speech on the Senate floor that "victory and defeat is temporary." The special election — and the timing — would be similar oddly enough to the circumstances that propelled the still popular Brown into the Senate the last time around.

Downing and Brown served together in the state Senate, although Brown also served three terms in the House before moving up to the Senate two years before Downing. Downing, of Pittsfield, easily won his first election and has run unopposed his last three terms for the Berkshire, Hampshire and Franklin district, the largest district geographically.

The move would be a large jump for the 31-year-old but not one that hasn't been done before.

"While it is a significant step, it is one Scott Brown and Barack Obama took," Downing said. "I believe I can stand toe to toe with Scott Brown."

Downing knows how brutal campaigns for a national seat can be — he was recently part of the Warren campaign that defeated Brown — and he says he is ready for it.

"When it comes, I will be ready to take the step," Downing said, adding that he is ready to hit the ground running if he decides to make the "hard decision" of entering the race.