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.

 

a glimpse of what a Trump win really looks like

May 5th, 2017

 

average check

 

I almost called this “confusing a win with simply checking a box on a to-do list.”

 

This is about yesterday’s American House of Representatives vote to repeal & replace Obamacare <albeit it doesn’t really repeal nor replace but rather try and fix in an absurdly negatively way>.

 

Anyway.

 

How you play the game is most likely in my top 3 important things in Life.

Anyone who reads enlightened conflict has most likely discerned this.

 

Yesterday we were able to gain a glimpse behind the curtain of what winning looks like in Donald J Trump’s eyes.

 

Do whatever it takes.

 

The only winner that counts is me.

 

As long as I can stand on the pedestal and say ‘I won’ <adding a bemused “I am president”> it is a win.

 

The American Healthcare system did not win yesterday.

The American citizen seeking good health and a good healthcare support system did not win yesterday.

The people who voted for a seriously flawed option did not win yesterday.

The Republicans did not win yesterday <although they may have breathed a sigh of relief in the moment for ‘having met a promise’>.

The Democrats did not win yesterday <although they may feel in some self serving way that they did>.

 

The only one who won was Donald J Trump <okay … health insurance trump complicated scarycompanies won today … they are back on the path to returning to doing business the way they had been doing business which, as I may remind everyone, we didn’t particularly enjoy back then and they made a shitload of money>.

 

Back to Trump.

He gave the appearance of ‘fulfilling a promise’ by making a transaction … okay … it wasn’t a transaction because nothing was exchanged between two parties.

 

Let’s say he won by “checking a box.”

 

Yeah.

We all need to remember this moving forward with regard to Trump wins.

 

Winning to Trump is like checking a box on a to do list.

 

Came in to oval office today and had picture taken. Check. <win>

 

Mentioned on news today. Check. <win>

 

Cut some regulation <which I really have no clue of the impact> so it appears like I am “freeing up business”. check. <win>

 

A yes vote on something I have no clue what the impact is on people who I am responsible for. Check. <win>

 

I can guarantee you that he has no idea of the possible consequences of this vote <a> to Republicans in the House or <b> to people. The only consequence that matters to him is the illusion of a win.

 

He is the NASCAR driver who has caused 3 crashes in a race he ends up winning and claims he is the best driver … because he won.

 

I am constantly amazed that there were so many people on a variety of level get your shit together kid to adultwho were resentful, angry, and unhappy enough to vote for someone who almost everyone recognized on some level is not really competent to be president as well as … well … just seems fundamentally “not quite right.”

 

I am constantly amazed by how easily so many people are accepting of “a hollow win” and a “hollow winner” with a seeming disregard for the fact that ‘blowing shit up’ <the country, institutions, other countries, healthcare, government> doesn’t have some consequences – some intended and some unintended.

I am constantly amazed that so many people have forgotten that how you win is significantly more important than the win in and of itself.

I am constantly amazed that there are so many people who have forgotten how rotten our healthcare system was before The Affordable Healthcare Act and how many people are blindly guiding us backwards toward what we know and hated.

 

I do not believe the country and the citizens are hollow but we have a president who is doing his absolute best to use his own hollowness to hollow us out.

 

Sigh.

 

As for healthcare.

 

I will pound away on this day in and day out until some politicians understands the economic & business view of a good healthcare system.

 

Maybe it would help them if they would think about what a “win” looks like.

 

It isn’t “accessible & affordable” <healthcare’s version of efficacy> it is a National non-Absenteeism day.

 

<whew … imagine if we actually had one day where everyone in America showed up for work, for class, in daycare, for whatever> and saw how productive Life, and America, could be>

 

A successful healthcare system from an economic point of view would be to have one day which every single worker in America showed up at work, on time, healthy and did a full day of work.

 

No one out sick.

 

No one out because someone in their family was sick and they needed to take care of them.

 

if only dreams wishesNo parent out because they had to take care of a sick child … or maybe even take care of their child because the daycare center supervisors were sick.

 

No child, our future generation of workers, misses school  and class.

 

No one out because senior dependents, or independently living seniors related to you, are healthy and receiving services they deserve.

 

No one out because the additional services , which far too often are described as ‘luxuries’ or entitlements, provide a support system which not only keeps someone working but healthy and less tired <rested: which translates into higher productivity when working>.

 

The consistency with regard to the way we miss the importance of health to a productive, happy economic powerhouse as a country is mind numbing to me. I do not disregard the moral imperative aspects but for all we talk about, over & over, the importance of freeing up businesses and economic growth and free market … the most powerful machine, invention and tool the American economy has is the people.

 

Shame on everyone for not discussing this.

 

While I love bashing Trump for his lack of understanding of what it takes to run a business let alone a country … this is a politician issue. I have never heard one, just one, politician ever make this point. This is basic ‘running a business 101.’

Stop talking about insuring healthcare to citizens of a country as a moral imperative <although it is> and start talking about the real tangible benefits of an effective healthcare system.

 

I can partially excuse Donald J Trump because he has never really run a business. His only business hands on experience was construction. In his mind, and experience, when 5 construction  workers didn’t show up one day he didn’t unhappy unsatisfied people life businesspay them and went to Home Depot and found 5 more workers. He had no additional expense and lost no productivity.

 

For the rest of us in the business world when we run a 300 person company and 5 people do not show up we still pay them and we have to decide whether we invest in bringing someone in and absorb the lost productivity of ‘lost labor’, less efficient labor and the machinations of dealing with an empty resource space. We lose productivity. We lose profit. We lose every time an employee is absent in a cascading way of consequences.

 

Sigh.

 

And, to be clear about a ‘free market’ concept, in general consumers do not win within the health insurance system. To point that out I will not take the lazy route of pointing out their hefty profits and ‘making money’ but rather point out HOW they make their money. Health insurance companies make their money by selling policies combined with filling as few claims as possible <and limiting the highest of those they are required to fulfill>. This translate into selling people things they don’t need or will never use, trying to avoid offering things they don’t particularly want to fulfill claim wise and charging a premium to someone who they believe will actually file a claim <this can either be a healthy person with a profile which indicates they are a ‘claim filer’ or a less-than-healthy person who will actually have needs>.

 

I point that out because health insurance companies are only in the “encourage attendance in Life” business as much as it encourages the non-filing of claims … not for any real economic productivity objective.

 

And … I point that out so small government people can get their head out of their asses on how government involvement can actually benefit people.

 

It is lazy to suggest the government shouldn’t be involved in health insurance for its citizens just as it is lazy to simply say the issue with health insurance companies is their profit motivation <it is more how they make their profits>.

 

 

republican healthcare repeal hurts

 

Regardless.

 

If this is winning the Trump way, I am already tired of winning.

 

 

if only republicans had a republican president leading

May 3rd, 2017

lead stand out color what matters

 

==========

 

“The price of greatness is responsibility.”

 

Winston Churchill

 

==============================

 

“In times like the present, men should utter nothing for which they would not willingly be responsible through time and eternity.”

 

Abraham Lincoln

 

===========

 

 

Well.

 

I have to imagine republicans wake up every morning dreading looking at their trump twitter stormsmartphones for the latest tweet and feeling a sense of despair that, in what should be their moment of triumph, they are faced with having a president who isn’t a leader.

 

Now.

 

I will not comment on whether Trump is a Republican or not … I will leave that to republicans to debate.

 

But I will comment on being a leader. Because if he were truly a Republican and he were truly a leader Trump would get the Republicans asses out of the healthcare bind they are in.

 

Any sane business leader with any business experience would view the current government American healthcare decision as one of two paths – fix it or kill it.

That same sane business leader would look at what is currently happening and say “oh shit, they are stuck in the wretched in-between trying to do a little of this and a little of that and ultimately creating a dead on the table Frankenstein.”

That same sane business leader would then decide it was time to step in, because that is what they get paid to do, and get everyone walking down one path and stop being in the Frankenstein building business .

 

Sure.

Politicians don’t think like business people. They don’t necessarily think like leaders. They more often think like middle managers in large organizations … “what can I do that doesn’t make too many people unhappy so I can keep my job.”

This means, more often than not, they build a lot of Frankensteins so they can cherry pick what they want to talk about to cover their ass and insure at least a part of everything they do is palatable to their constituents.

 

But here is the sling their ass is in right now. The only two viable paths that are possible for a good initiative are painful for Republicans.

Don’t kill it <don’t repeal> and they will get killed publicly.

Kill it <repeal> and they will get killed publicly.

 

It is quite possible that they don’t realize that even the wretched in-between, their Frankenstein, only offers getting killed too.

 

All I know is that a business person looking in at those inside this horrible situation would see that … well … they were in a horrible situation in which not only the decision makers were likely to get killed … but the people affected by the decision may not actually get the best decision because all the decision makers are getting squeezed.

 

All that said.

if only cloud

If the Republicans actually had a president who was truly a leader AND a republican … that leader would offer a path out <spoiler alert: I seriously doubt the current president is enough of a leader to do this>.

 

If I were a republican, and I were the president, I would walk over to the congress and tell congress to stop voting and stop talking with the press and , as a team, decide what the right thing to do was – whatever it was. And then I would tell them to give it to me and I would go on television <not twitter> and say “here is what we are going to do and why … this is my decision … this is my responsibility … this is what I believe will help make America great.”

I would place all the bloodbath on my shoulders … and take it off of my ‘kindred spirit’ Republicans shoulders.

 

Would I do this because I am a nice guy and I feel sorry for the bind that my fellow republicans put themselves in? Of course not.

 

I would do it because I am a leader and I know that presidents come and go but maintaining control of the congress is what really matters.

 

I would do it because, as a business person, I would see that my organization was stuck in a corner with no real good way out.

 

And … I would do it now because the earlier I do it the longer I have to manage the aftermath before the next election.

 

Now.

 

Donald J Trump is too much of a narcissistic idiot to see this pathway out.

And why do I add in the ‘idiot’?

 

Because this pathway out makes him a hero.

Contextually he has done nothing to date to show he can lead, that he can show contrition, that he can assume personal responsibility or that he can utter anything other than hyperbole & lies.

 

Therefore, to stand up and say “it doesn’t matter what you have heard over the past 8 years and who has said what … this is the situation and here is where we go from here” and articulate the choices, the decision, the rationale, the outcomes <good & bad> and the responsibility <with him and not the Republicans> would shelve almost all the past criticism because it was so far out of the existing character perceptions and he would get a ‘reset.’ In addition … it feeds into his desire to showcase ‘strong decision maker’ which seem burden responsibility those who haveimportant to him & his ego. And, lastly, I would assume every Republican in congress would owe him for getting their own ass out of the sling.

 

Some people call this “taking one for the team.”

 

I would call this “accepting the burden of responsibility.”

 

Republicans are screwed not because they put themselves in this horrible healthcare decision ‘non-win’ situation but because they now have a president who is not only not a republican <although they are stuck with the fact he chose to run under their banner> but is also not a leader.

 

All that said … here is the most disappointing aspect viewing this is a a business person. He is supposed to see things differently because he is a business person and not a politician. And he is failing everyone because he doesn’t seem capable of viewing this healthcare issue from a business perspective.

What do I mean?

 

  • the less absenteeism i have in my organization the more productive my business is.

 

  • the healthier my not-absentee employee base is the more productive they are <and, yes, someone with a pre-existing condition can be a highly productive healthy everyday employee>.

 

Trump claims to be a business guy and wants to make the economy grow … well … healthy people, healthy employees make businesses more productive, more happy, more profitable and more successful.

 

I offer daycare so that my employees are not distracted, show up to work on time, and can be fulfilled from a family perspective.

I offer family healthcare plans so my employees stay focused <because their children and spouses are healthier> and it decreases healthy employee absenteeism who may have had to leave to take care of family heath problems.

 

This is kind of business leader 101. This would seem to be ‘make America great again 101’. This would seem to prove that Trump is not only not a leader but doesn’t know shit about what is important in running an effective productive business.

 

Anyway. Here is what I do know.

 

Republicans are in a no win position and the only thing that really comes of that is that there will be no win for the people themselves.

 

Look.

 

America isn’t a business … it is more like a living organism. A president, while having some CEO-like qualities, doesn’t really have P&L objectives … more often it is “successfully breathing new life into the organism” objectives.

 

Trump wouldn’t understand a single thing I just said in that last paragraph. And while I have no particular love for what I think the Republicans are trying to do with healthcare I feel sorry for them that they finally got a ‘republican’ in the oval office and it is this person … one totally incapable of leading and being a leader. He is totally incapable of understanding the words of Churchill < The price of greatness is responsibility   > let alone embracing the behavior that embodies the words.

if only

Anyway.

 

Republicans have to be thinking … “<sigh> … if only.”

 

——

 

Author note:

 

I am not a republican, democrat or anything … I solely focus on what ideas would be good for America and its people.

I, personally, would fix The Affordable Healthcare program because I believe it is closer to being successful and ‘good for America’ then it is depicted in the political vitriol. However, if you choose to not ‘fix it’ you cannot have it both ways … you would have to kill it in order to eventually give what is best for the American people.

In the middle is a horrible place to be <with anything>.

 

I would remind everyone in congress of the words I opened with:

In times like the present, men should utter nothing for which they would not willingly be responsible through time and eternity.

—————————-

 

the Indian Wars Never Ended (and they are still getting screwed)

April 10th, 2017

do not use word i promise ligtly careful

====

“We ask for nothing more, and will accept nothing less, than the U.S. government keeping the promises made to Native Americans.”

 

John E. Echohawk

NARF Executive Director

 

=====

 

“All the problems we face in the United States today can be traced to an unenlightened immigration policy on the part of the American Indian.”

 

Pat Paulsen

 

=====

 

“To be continued.”

 

closing words on  Native American Rights Fund TV ad

 

======

 

Well.

 

indian map of usaOne of the first pieces I ever wrote on Enlightened conflict was “200 years later the American Indian may be partially unscrewed.”

 

 

I thought of what I wrote back in 2009 because I just read an article suggesting that 50% … yeah … 50 fucking percent … of native American Indians are homeless.

 

… a Brooklyn-sized housing crisis has languished in the 617 American Indian and Alaska Native tribal areas and 526 surrounding counties where 2.5 million of this land’s first peoples live. There, Native men, women and children occupy the most severely overcrowded and rundown homes in the United States.

 

The 11,000 members of the Northern Arapaho in Wyoming, for example, share just 230 reservation homes. A staggering 55% are considered homeless because they’re couch surfing. In the Navajo Nation, 18,000 homes or roughly 40% of total Navajo housing stock lack electricity or running water.

 

In the twilight of the Obama administration, the Department of Housing and Urban Development (HUD) estimated that these forgotten communities urgently needed 68,000 new housing units – 33,000 to eliminate overcrowding and 35,000 to replace deteriorated stock. This is a number similar in scale to total new construction called for in New York’s current 10-year housing plan.

 

But while New York’s housing crisis has occupied headlines and led to a plan of action, the indigenous housing crisis has remained invisible. HUD’s study is the first and only in-depth report on the subject.

american indians 1 american indians 2 american indians 3 american indians 4 american indians 5

 

I could just point out that this is simply unconscionable for a fully developed country but then I would have to point out how little conscious we have shown as we have consistently screwed the native American Indians since we got here.

 

I could point out how easily this could be resolved compared to the ongoing seemingly unsolvable things like balancing the federal budget, climate change and national healthcare initiatives but we seem to like avoiding the solvable because it most likely seems to ‘small.’

 

I could even point out that while we spend incredible amounts of time discussing meaningful issues like livable wages, equal economic opportunities and helping lift people out of poverty it seems like we shouldn’t ignore what I would consider the most basic of basics for every citizen in the united states … food, water & shelter.

 

This is crazy to me.

 

I am not a bleeding heart liberal nor am I a believer in monetary restitution for past discretion but I don’t believe just because I have screwed someone in the past and got away with it I should look the other way in their time of need <thereby screwing them through avoidance>.

 

Well.

 

I actually have one word for us in this moral less stance we seem to be tacking on this issue … a native American Indian word …  Majimanidoo.

 

It is the Chippewa Indians <or Ojibwe tribe if we want to be technically correct> for ‘evil spirit’.

It is an especially brutal word because by ‘evil spirit’ the Indian tribe means ‘someone born without a soul.’

 

This word embodies someone devoid of anything good.

 

You know what? I tend to believe Native American Indians sure could be thinking about using that word for us.

screwed sign

We screwed them by killing them off.

 

We screwed them by taking away their lands.

 

We screwed them by demanding they lose their culture and become … well … Christian Caucasians.

 

And then when we actually acknowledged we screwed them … we threw some money at them.

 

In Life we can all end up on some side of some pretty bad things. This surely seems like one of those bad things.

 

But this is fixable.

 

I cannot right a wrong and I cannot unscrew all the screwing … but I can certainly take some steps to insure the next generation is less screwed than the generations we gave screwed to date.

 

I stand by my suggestions I made back in 2009. I would not only insure they had proper food, water & shelter but I would also build programs that insured the children had a chance to break the cycle. http://brucemctague.com/200-years-later-the-american-indian-may-be-partially-unscrewed

 

Money does not solve everything and in this case I don’t want to give anyone money … I want to give them the opportunity to be … well … not just better than their parents <which is what all parents want for their kids> but rather I want them to be better than my parents, your parents and any parents. I want to give them the opportunity to be the best version of who and what they are as a person.

That’s what gets them out of this unfucking believable screwed up situation we created by screwing them.

 

Look.

 

Every once in a while I see an incredibly bad ad, for a very good cause — support justice for Native American tribes, organizations, and individuals – in television.

 

I’m not exactly sure what to make of this strange bad ad.

 

It seems like the purpose is to solicit donations … but I can’t imagine rapping that “…the Indian Wars never ended…” will make very many people sympathetic to what is a significantly underappreciated issue – societally & morally.

 

I would offer to do their marketing for free just because I believe they deserve better and the issue deserves national attention.

 

I imagine my issue with getting this free gig would be, if asked, I would tell them all I would do is show images throughout the history of time leading to indian war fuck columbusthe current situation with a voice over that said:

 

“we were happy … and then you came and screwed us … screwed us some more … figured out how to set up systems to ongoingly screw us … were kind enough to give us citizenship in 1924 <the last ‘minority’ to gain that … albeit we were the original Americans> … you were kind enough to give us some money not long ago to partially unscrew us … but we are still getting screwed. All we want is an opportunity to not get screwed.”  

 

 

<hence the reason I will not get this gig>

 

 

Anyway.

 

As for now … and the native America homeless?

 

=========

 

What’s remarkable about Indian Country’s massive and forgotten housing crisis is that it would not exist if our government and society simply cared enough to devote adequate resources to putting roofs over the heads of people who need and deserve them. The troubling reality is that unless that roof makes someone money, we simply don’t care.

Julian Brave NoiseCat

indians still here

============

 

At some point it would be nice if we could figure out a way to stop screwing the Native American Indians because they will always be here — it is their home.

 

That just doesn’t seem too much to ask.

 

health care in 2017 from a business perspective

March 22nd, 2017

take the extra time to do things right the first time

 

==========

If you don’t have time to do it right, when will you have time to do it over?

 

—-

John Wooden

===========

 

American healthcare is getting quite tiring. Shit … I have written about it in 2009 and even recently wrote about it <Healthscare > as recently as January 4th 2017.

it is complicated complex not simple Life world 

All you have to do is turn on the tv or maybe go to some politics driven website and you will see gobs of articles & pundits yapping about the upcoming vote on repealing the Affordable Healthcare Act <Obamacare>.

 

Suffice it to say the new plan is not being particularly well embraced by its own party as they plod their way toward the finish line vote tomorrow.

 

To me this whole discussion and action plan shows the lack of business leadership knowledge which exists in politics and government. And, yes, that includes the President <who should know better if he was truly a business person>.

 

Let me address some key issues from a business perspective.

 

 

Time.

 

30 days.

That’s about the amount of time this repeal plan of action has been discussed <just ignore the last 7 years which they should have been thinking about it … or even the additional month or so if you wanted to begin on inauguration slow down take time do rightday>.

 

30 days for something like this is insane.

 

Okay. It is just stupid.

 

This is unlike how the Affordable Care Act <ACA> was implemented, which – just to remind everyone — was debated for almost an entire year in both houses of Congress with 79 hearings in the House alone and a number of amendments incorporated in the process … and hospitals, associations and insurers were all brought in.

 

But you know what?

 

Any business person with half a brain would tell you trying to build a plan of action which would turn a company 180 degrees around <or at least something that would change maybe 20% of the entire revenue stream> and gain alignment is going to take more than 30 days.

 

Any business person with half a brain would tell you pushing through this kind of change without alignment, education and some aspects of agreement is not only foolish but deadly.

 

Any business person with half a brain would take a step back and say “lets take the time we need to get this right.”

 

Promises delivered.

 

I have noted before business leaders only have to learn this lesson once … a bad promise delivered is never remembered as a promise delivered … just  promise i something bad delivered.

 

Leaders get paid to make good decisions not deliver bad promises. I have made many ‘promises’ <more often ‘plans of action’ than promises> and yet still stood up in front of people and sucked it up and said “I did not know this then, I know this now, and we will not do the plan I said … but rather here is where we go from here” when I had to.

Why? Every business leader knows honesty wins more often than wasted energy.

 

Just doing something because you said you would do it is … well … stupid business.

 

Any business person with half a brain is very careful making promises but exponentially more careful about the promises you choose to fulfill <because one is just words and the other is action>.

 

 

Phased plans.

 

Speaker Ryan has said not to worry — there will be a “second” and “third” phase that will fix everything.

 

Uh oh.

Future plans. Need I remind everyone that the Affordable Healthcare Plan was a plan intended to adapt <have other ‘phases’> to the market and make adjustments to accommodate what happened when the plan actually hit the market?

Everyone should be reminded of this.

 

December 2009 I wrote my first thoughts on the affordable healthcare act and the thoughts remain exactly the way I believe …

 

Sure.

The way it’s conceived – all the weird aspects they had to build in upfront to try and make the system work from the get go,  the complex subsidy system that rocket scientists cannot even explain, odd benefit levels, an unwieldy sign up system, just to name a few, absolutely suck.

But, if we see the program as fluid <which any sane business would do> it will evolve until we settles into better solutions and better affect. As I said back in 2009 … the initial plan ain’t gonna be perfect <any business person worth a shit could have told them that>.

perfection progress

 

Obamacare would most likely be humming along quite nicely if Congress had made the necessary adjustments in real time <like any business person with half a brain would have>. Instead phase 2, 3 … or … well … any phase … never occurred as congress haggled over the plan itself.

 

All I can tell you is that if this American Healthcare Frankenstein of a plan is actually implemented everyone, Republicans & Democrats, better decide this time “in for a penny in for a pound.” That is where the Affordable Healthcare Act stumbled … not everyone invested in it once it was in market.

 

All I can tell you is that any business person with half a brain would be hesitant to offer a phased plan to an organization that has a history of getting stuck in phase one.

 

Look.

 

I certainly know that if you are a 100% free market healthcare believer that tweaking the current plan doesn’t have a lot of appeal to you. But we have a plan, flaws and all, that has a strong foundation which creates the potential for something better than what was <healthcare going into 2008 was shit>.

 

time to do it right do it overI certainly know that the ACA needs to be tweaked.

 

I certainly know that the ACA should have been tweaked years ago.

 

I certainly know that the ACA could be fixed fairly quickly and efficiently.

 

And I certainly know that any new plan will not be perfect and will also need tweaking.

 

But what I absolutely know is that the current plan is not good and any business person with half a brain would stop the insanity, step up to some microphone and outline a reason why giving the American people the best alternative takes time.

 

Slow down.

Stop.

 

Get this right … because this is NOT about keeping your job or eve keeping your promises … this is about people’s live and their healthcare.

 

 

Enlightened Conflict