Enlightened Conflict

a different case for better healthcare for all

August 3rd, 2017

life expectancy health statistic

 

 

I have made the case a number of times why healthcare for everyone benefits America from a productivity standpoint. Today I will try to make a case for healthcare for all by pointing out an underlying real issue which creates some disillusionment <which obviously drove some of the Trump support during the election> in middle America.

 

We often discuss inequality in terms of economics & opportunity … but how about something which cuts to the core being of everyone – life expectancy inequality.

 

I came across a map created in May of this year showing life expectancy by county.

 

life expectancy health map colored

 

Well.

 

Yikes.

 

Okay.

 

Double yikes.

 

The average life expectancy … yes … average … in individual counties can vary by up to 20 … yes … 20 … years.

 

Yes.

 

If you live in certain counties the average life expectancy is around 87 years <remember … this is average for an entire county> and in other counties the average life expectancy is around 67 years.

 

Holy shit.

 

Average.

 

20 years difference.

 

And I am not smart enough to do the cross tab <or invest the energy> but if you look at the life expectancy map and you were to overlay the Trump voter support I would bet <and I am not a betting man> that the counties which have the 20 years less life expectancy … shit … the counties with lower standard deviation life expectancies in general … went overwhelmingly for the Trumpster.

 

So for all the intellectuals, faux & real, who suggest many of the Trump voters are ignorant, misguided and stupid … you may want to shut up and think about this for a second.

 

These people have a legitimate gripe.

 

Yeah.

 

Life expectancy is pretty legitimate.

 

I mean if my local community is dying off around me and I look around at other communities who seem not only getting better breaks but are actually living longer … well … I am gonna start thinking I am being overlooked and underappreciated.

 

............ Life expectancy standard deviation ................

………… Life expectancy standard deviation …………….

 

 

Combine that with the fact the gap between longer life expectancy counties and lower life expectancy counties is actually growing and, well, I am gonna start truly believing that the elites & establishment do not really care.

 

 

“There’s no sign of the gap closing. In fact, it appears to be widening. Between 1980 and 2014, the gap between the highest and lowest life spans increased by about two years.

 

“With every passing year, inequality — however you measure it — has been widening over the last 34 years. And so next year, we can reliably expect it’ll be even more than 20.”

 

“That is probably the most alarming part of the analysis.”

 

———–

Christopher Murray:  Institute for Health Metrics and Evaluation

 

So.

 

Having attended this rodeo before, I know I can count on getting a number of intellectual sounding emails pointing out the inevitable flaws in my thinking and conclusions. My suggestion to those people is please hit ‘unsend’ and get off your intellectual high horse and think about this.

 

Flawed logic or not … if I am in a county dying off at early ages I am more likely to be thinking I live in India and not in America. And if I even perceive that, if I even have a sense of that, I am gonna start wishing for what I thought America was again.

 

Parse out the flawed aspects behind my ‘America was again’ thought if you want but on the surface this is a no brainer thought. Dying can make you wish for a shitload of things that intellectually can seem less than logical but are actually well intended thoughts – because, uhm, this pertains to life & death.

 

All of this permits me to circle back to healthcare.

 

Maybe print out the map of life expectancy and put it beside your computer while you read this part.

 

health is wealth illness expensiveWe talk about putting healthcare in the hands of people.

 

We talk about subsidies for health insurance companies.

 

We talk about inordinate bureaucracy for … well … physicians, hospitals and patients.

 

We talk about high premiums, high deductibles and high falutin’ reasons why healthcare works and doesn’t work.

 

It’s all talk.

 

And it’s all bullshit.

 

Important bullshit in terms of actually getting something done but unimportant bullshit in terms of we are not getting something done.

 

Just because someone lives somewhere doesn’t mean they should have a lower life expectancy than someone who lives somewhere else … at least if they live in America <other countries deal with their own problems>.

 

Is health insurance the only reason for this?

Of course not <so keep your snarky emails to yourself>.

 

But health is certainly a reason for this.angry but open our minds tupac

 

At the core of life expectancy is … well … health. And I don’t really care how much you earn, what kind of education you have had, what kind of job you have, or do not have, but it seems like if you live in county X you should be offered equal health opportunities to those received in county Y.

 

There is more than enough inequality haunting the United States these days without having health services & insurance inequality.

 

There is more than enough inequality haunting the United State these days without having life expectancy inequality.

 

power concedes nothing unless demanded to do so

July 26th, 2017

 dynamics-of-power

 

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 “Power concedes nothing without a demand, it never has and it never will.”

 

—–

Frederick Douglass

 

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“Next to the assumption of power is the responsibility of relinquishing it.”

 

Benjamin Disraeli

 

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Well.

 

We don’t talk about power and people often beyond the tripe about how power power authority leadcorrupts people <as I have written … only people can corrupt themselves>.

 

So let me talk about the dynamics of power in business in a non-corrupting way. What I mean by that is … well … responsibility & authority. Whether anyone really admits it or not once you attain a senior position in a business you have gained power. Now.

 

This power is most often not embodied in any nefarious way but rather it is simply a reflection of responsibility & authority.

 

You have power over decisions.

 

You have power over people.

 

You have power over funds and their allocation.

 

You even have power over ideas … which ones die and which ones live.

 

Most of us do not see this as some all empowering power or even eye it with an power-within-corrupt-strongauthoritarian belief. We do not view it as some “center of power” but rather we see it is actually more like a linear tool <or hammer> selectively used.

 

Now.

 

Wielded well … power can look like a central source of authority but ‘wielded well’ is actually a flurry of linear tools, like playing whack-a-mole, applied to establish selective moments of desired behavior and progress <and this flurry actually creates the sense that there is a larger centralized power>.

 

But here is the thing.

 

Once you have gained authority you are extremely hesitant to concede the ‘power.’ This hesitancy actually shifts into full-on “hold on with ragged claws” if you have mastered <or you feel like you have mastered it> the ‘useful flurry of power’ in appropriate ways.

 

Partially I think this is the allure of … well … owning the initiative – or having some power over initiatives. This shouldn’t be undersold. It is exhilarating and … well … powerful. In business while we measure results and report ad nausea the most satisfaction most leaders get is not in measuring parts & pieces but rather the totality of what they do.  and once you taste that satifation you have no desire to conceded anything that could keep you from possibly attaining that satiscation again.

 

Is that holding onto power? Sure. I guess.

But I tend to believe it is more “I know how to do my shit and I want to keep ding that shit” attitude than any ral bad ‘power trip’ type attitude.

 

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“Never relinquish the initiative.”

 

—–

Charles de Gaulle

 

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Unfortunately … people on the outside just don’t see it that way.

 

And it is understandable they may not see it the right way because I believe it speaking Power of Words 577x600was Geoffrey O’Brien who said ‘history unfolds as always in the midst of distraction, misunderstanding, and partially obscured sight-lines.’

 

That is how the authority version of power works. It unfolds in the midst of distraction and partially obscured sight lines.

 

That is how authority works. It unfolds in the midst of a flurry of choices, decisions, delegations and doing <all blurry and, yet, creating a sense of central power>.

 

Regardless of what it is … or what it looks like … once attained we tend to not want to relinquish it – we do not want to concede it.

 

It must be demanded to be relinquished.

 

And here is where it gets tricky. Because even if there is a demand to relinquish, and you do have to relinquish <you get fired and have to take a ‘lesser authority job’ or you get demoted or you simply shift jobs with a different authority level> … we hate to concede it.

 

I mention that because that is one reason why older senior people who decide to take a lower titled job <even with the best intentions and capability to actually ‘do the job’> can struggle or just be a pain in the ass.

 

It’s not that they truly are a pain in the ass it is simply … well … they have felt the satisfaction of authority and dislike the loss of that authority.

 

All that said.

 

Power concedes nothing <unless the power owner is stupid, foolish or arrogant> … but as someone smarter than I said once … it always reveals.

 

Authority reveals.

 

And maybe what I am suggesting today is that authority can actually reveal character and ability. And once you have seen what you can do, what you are capable of doing and what you like to do … well … it is not an easy thing to conceded or relinquish.

 

And, let me be clear, you can actually be good with authority and effective with use of power and can still be demanded to relinquish it.

 

It is a falsity to suggest that being good at something means you will always be able to do it <or someone will always seek to have you do it>. you can be forced to relinquish authority, even if you are good at it, for a variety of reasons in business <ranging from well-intended to absurd>.

 

It is natural to want it again if you were demanded to relinquish it.

 

Anyway.perspective common sense justice good people

 

I say this so that maybe you take a second before you rush to claim someone is ‘power hungry’ or ‘protective of their power’ … and mean it in a bad way. Having authority and enjoying authority and wielding authority well is addictive <or maybe just like having ‘the perfect buzz’>.

Is it wrong to be hungry for that? Whew. Sure doesn’t seem wrong.

 

I say this so that maybe you take a second before you rush to judge a person who has had a senior role and has decided to assume a position with lesser responsibility & authority because … well … once you have had authority it is really really hard to relinquish it.

 

While power concedes nothing I would suggest that the feeling of authority used well tends to not want to concede anything.

 

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“Life has many ways of testing a person’s will, either by having nothing happen at all or by having everything happen all at once.”

 

Paulo Coelho

 

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Enlightened Conflict