Enlightened Conflict

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 have aspiring to 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 earn 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.

 

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 now 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.

 

 

executive coaching and solving obliviousness

February 24th, 2017

 

either madness or brilliance

==========

“… life coaching is quickly becoming one of the leading tools that successful people use to live extraordinary lives.”

 

some Life coach

 

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

 

“WTF.”

 

Bruce

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

 

Well.

 

Back in 2013 I asked the question ‘what did we do before life coaching’ … used life coachthe quotes above … and basically stated I thought Life coaching was a bullshit profession.

 

And while I received a great comment, which highlighted some good points on what coaching should & should not be, basically scolding me with regard to what I said … any ‘coaching’ isn’t really about telling someone what to do but rather providing an outside perspective attempting to show insights to help someone get to where they want to go.

To me it seems to me that all Life, and Executive, coaching does is to assist in steps to insure … well … accountability … personal & managerial. And it seems to me that all this coaching does is make an attempt to better control one’s destiny <which I imagine is anyone’s real objective not just some executive>.

 

I know I could never be a coach mostly because I don’t think I am that positive nor can I use the words these coaches seem to love “world wants to give you everything you desire” … “your uniqueness is a pleasant gift you can give to the world” ….  “takes courage to follow the path you believe in”“positive energy always attracts positive outcomes”.

I know I could never be a coach because I do believe there are limits to someone’s ability … in other words … everyone has a ceiling. That doesn’t mean you cannot improve sideways or build some depth to improve or fill in some cracks in your ability … just that we do have a reality ‘stop sign’ with regard to our abilities.

 

Regardless.

 

I am just not that motivational.

It just seems like bullshit to me and all I want to do is to “talk about getting shit done the way you want to get it done using a good moral compass to guide it all.”

 

That would be my coaching selling point.

Kinda “blah.”

Kinda no bullshit.

 

And, you know what?

I talk with dozens of CEO’s and business owners on a random basis and they don’t need coaching … they just need some new perspectives to get them out of where they are mentally and step out for a fresh view on a topic, issue or problem. And they mostly don’t need any motivational bullshit, or any bullshit for that matter, or buzzword crap.

 

I still believe Life coaching <and I do toss ‘executive coaching’ in that segment … although most I have crossed paths with are less ‘faux psychologists’ and more ‘pragmatic measuring milestones’ advisors> as mostly bullshit.

 

But.

And this is a big but.

 

If I could ever point to a case in which I believe executive coaching, or Life coaching, may actually be useful … it would be with Donald J. Trump. I am fairly sure I have never seen a business leader with worse organizational leadership instincts and as poor inspirational, vision and communications leader skills.

 

===========

“The crowning fortune of a man is to be born to some pursuit which finds him employment and happiness, whether it be to make baskets, or broadswords, or canals, or statues, or songs.”

 

Ralph Waldo Emerson

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

obvious oblivious confuse blind lead

I am fairly sure we would have less than zero chance of convincing good ole Donald J to accept some coaching because I think he is oblivious to the fact he is not loved by all, he is not respected by all, he is not followed by all <because he attained the title> or that he is not perceived as a great business person by all.

 

He seems oblivious to the fact he actually has to ‘win over’ the skeptics <which every newly promoted leader knows you have to do> and that he actually has to ‘win over’ basic approval <which he is sorely lagging in>.

 

  • Donald J is not only oblivious I would suggest if he read what I just wrote he wouldn’t understand one aspect of it.

 

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

 

“There was no answer, except the general answer life gives to all the most complex and insoluble questions.

That answer is: one must live for the needs of the day, in other words, become oblivious.”

 

Leo Tolstoy, Anna Karenina

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

 

While people can debate his appropriate approval ratings <most agree it is dismal> a new CBS study broke down the range of President Trump’s potential support by showing people separated, by themselves, into four groups:

 

  • The Believers. the strongest of Trump backers those backing him but waiting for him to deliver. Believers (22%)] are the president’s strongest backers, who like what he’s doing and how he’s doing it; defend him against his critics, and see him as defending the country against threats.

CBS oblivious Trump skeptics view organization

 

  • The Conditionals. Those quai-supporting him for now but waiting to see some results. Conditionals (22%)] will remove their support if he doesn’t ‘fix the economy’ for them. They’re also concerned about safety, but aren’t as all-in with everything Mr. Trump does, especially in terms of style. A quarter don’t like the tweets.

 

 

  • The Curious. The curious (21%) oppose Mr. Trump at the moment but ‘would reconsider’ supporting him if he does a good job. They’re looking for more than just results, though – they want Mr. Trump to reach out to them, and they want respect.

 

 

  • The Resistors. those who seem immovably, firmly opposed: The Resistors (35%). They want the Democrats to oppose Mr. Trump on many more things, rather than try to work with him; demographically, they are much more likely to be either African-American or Hispanic and young.

 

 

I would assume this is the specific type of information a leader, seeking to lead, would love to have. And if he/she <Donald J> chose to be oblivious to it … I would assume this is the specific type of information an Executive coach would love to have.

 

To ignore this type of information would not only be leadership malpractice but poor organizational awareness.

 

I wrote back in January that being aware that ‘converting Skepticals is always the key to organizationally unity‘.  No … it is not breeding excitement among the fewer believers nor is it attempting to placate the non-believers … getting an organization going is almost always about ‘the skeptical.’

 

Skepticals reside in the Promised Land for a leader. One foot in hopeful promise and one foot in practical promise.

I say that because 43% of America <Conditionals & Curious> are the Skepticals to Trump.

 

comfort talk face in the eye

……………… coaching Donald J. …………………

If I were coaching Donald J I would be focusing on that 43% day in and day out because … well … while I could argue it is the potential pathway to alignment … they actually reflect ‘effectiveness.’

 

If I were coaching Donald J I would tell him to be very concerned with the “resistors’ because … well … 35% is a ‘yuge’ number … as in massive. It is the kind of number that would keep any sane CEO awake at night.

 

If I were coaching Donald J I would also point out that if he would solve the Skeptical group they will inevitably drag a good % of the Resistors out of steadfast resistant into a ‘reluctant cooperator’ status <which is okay>.

 

  • Donald J is not only oblivious I would suggest if he read what I just wrote he wouldn’t understand one aspect of it.

 

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

“I wasn’t sure what was worse: being oblivious or living within reality.”

 

Shannon A. Thompson

 

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

 

I admit.

It seems crazy to me to have to be writing this shit.

 

Like I said earlier … I speak with dozens of CEO types and know even more personally.  Not one … zero … would need this type of advice.

And why I can say that is simple.

 

Of the 200 people promoted to their 1st manager position … 200 of them will make rookie mistakes. They will not have ‘coaches’ but they will have mentors & bosses and they will do some shit by trial & error and figure it out.

 

Of the 200 people promoted to their senior level manager position … 200 of them will make some mistake … but only about 20 of them will make a mistake that reflects some obliviousness to what reality is.

 

Of the 200 people promoted to their CEO/business owner position … 198 of them will make some mistakes … but the mistakes they make will not be organizational type crap but rather “what to do first & how to do things” type missteps … and maybe 2 of them will remain oblivious to reality.

 

I am sure Executive Coaches can help out on the “what to do first & how to do things” type missteps and that is why that profession exists … but what the hell do you do with the 2?

<which I am tempted to suggest Donald J fits into>

 

Anyway.

 

Lastly.

 

I would coach Donald J. on the “yuge” difference between confidence & optimism.

Trump oblivious curious organizationI could view the numbers I showed earlier as well as some other attitudinal polls and get a nice sense that a larger group of my organization had a strong thread of optimism for a variety of meaningful things.

If I were the CEO, I would like that.

 

I could also view the numbers I showed earlier as well as some other attitudinal polls and get an uncomfortable sense that a larger group of my organization wasn’t exactly confident — with regard to me & my behavior as well as attaining the desired results.

 

To be honest. The situation could be worse. If I were that CEO I wouldn’t be euphoric but on the other hand I would recognize that, if managed wisely, I could close the gap between optimism & confidence and make it a ‘yuge’ win for the organization.

 

  • Donald J is not only oblivious I would suggest if he read what I just wrote he wouldn’t understand one aspect of it.

 

Sigh.oblivious do not want to hear

 

I honestly do not know what you do with regard to coaching a CEO who is either oblivious to the reality of his or her organization … or worse … believes it is irrelevant.

 

But maybe that is why I am not an Executive Coach. I wouldn’t know what to do to coach him.

 

What I do know is that because of Trump … I am actually rethinking my views on the value of Life coaching and Executive coaching.

 

 

Trump voters deserve some dignity too

February 9th, 2017

pew survey america

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

 

Walt Whitman wouldn’t have forgotten them …

He knew that the fate of each one of us is inextricably linked to the fate of all.

 

The notion that the fate of each one of is tied to the fate of all is the essence of democracy.

 

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

 

“Dignity is as essential to human life as water, food, and oxygen. The stubborn retention of it, even in the face of extreme physical hardship, can hold a man’s soul in his body long past the point at which the body should have surrendered it.”

 

Laura Hillenbrand

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

 

“Every life deserves a certain amount of dignity, no matter how poor or damaged the shell that carries it.”

 

Rick Bragg

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

 

So.

 

american handsI have been unequivocal on this issue from day one … people who vote, and voted, for Trump are no more, and no less, than anyone who didn’t. They are not ‘more stupid’, ‘more ignorant’ or more anything other than more for Trump than many of the other people.

 

Yes.

Trump is an unequivocal asshat.

 

Yes.

Some, and I mean a small sliver, of those who support Trump are asshats <let’s call them Deplorables>.

 

Yes.

As we watch Trump supporters twist themselves into pretzels trying to defend immature lack of leadership and some misguided behavior <with scraps of good ideas being wasted within> some of us want to smirk and say “I told you so” … or say worse.

 

That said.

 

Yes.

Most people who took the time to vote, who took the time to look around and think about their world, the world around them and maybe the world in a bigger sense <be that just America or global> deserve some respect. And they absolutely deserve human dignity … which anyone, regardless of who you voted for, should protect and recognize as one of the things that unites people in a democracy <albeit it oddly divides us at exactly the same time>.

 

Yes.

 

While I think Donald Trump is a moron … I cringe every time I hear someone describe the people showing support for him as ‘uneducated’ or focus the dignity prouddescription on “no college education.”

 

This implies they are stupid.

 

And it also implies everyone with a college education is not stupid.

Trump voters, as with 99% of any country’s population, are not stupid <and, I would note, people with a college education may actually own the market of stupidity>.

 

His supporters are real people with real worries and real lives … and are not stupid.

 

I wrote this in ‘calling of the trumpets’ back in January 2016:

 

In the end he is selling a false ‘us versus them’ narrative and he is selling empty promises by offering past glory which he will somehow craft as a phoenix from the fire.

It all sounds good.

Well.

It sounds safe … and ‘safe’ always sounds good when you view the future and see … well … fog and not a clear horizon.

 

But the future never … let me repeat … never resides in the past.

 

And people, including Trump followers, know that in their heart of hearts but when no one but a bombastic blowhard is offering what appears to be a viable alternative … some people, some smart people, with anger of feeling marginalized and concern for their way of life will follow even an empty promise.

 

But, once again, that doesn’t make them stupid. In fact … as I read what I have written I am surprised more people haven’t flocked to this asshole. Because asshole or not … if someone thinks he can deliver on ‘winning so much you will get tired of it’ and ‘being great again’ being an asshole can be overlooked.

 

We need to recognize Trump followers not as the ‘unwashed uneducated’ but rather as people, listen to them, debate and disagree with respect. And maybe, just maybe, we can convince them that the best version of them resides in the future which most likely will not look an awful lot like the past but be just as good if not better.

 

Trump is a moron but the people who are currently following Trump are anything but morons. They are thirsty and he is offering water. I may personally not want his version of water but I think it is up to me, and us, to show why the water I would offer tastes better than the water he offers.

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

 

Yes.

President Trump deserves the respect of the position … but he also deserves the criticism associated with how he assumes the responsibility of the position.

To date he has only earned the moniker of ‘moron.’

 

 

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

“As democracy is perfected, the office of president represents, more and more closely, the inner soul of the people.

On some great and glorious day the plain folks of the land will reach their heart’s desire at last and the White House will be adorned by a downright moron.”

 

—–

H.L. Mencken

 

==========

 

But that does not make people who invited their hopes in him as morons. If we were to make such a link then … well … that would be a crowded room because how many of us have invested in some misguided hope at some point in our lives? <answer: 99% of us>

 

Now.

 

Google ‘why Trump won” and you will get about “160 million results in .6 seconds.”

The theories run from insightfully intellectually complex to scary simplistic drivel.

 

I would suggest that everyone take a second and go back to the “One Recession, Two Americas” study PewResearch offered us back in 2010. have have nots 2 americas

 

You would end up seeing that about 55% of America “lost ground”, encountering real difficulties & consequences, and the other 45% of the country “held their own” — the recession was largely free of major difficulties.

 

That 55% not only ‘lost ground’ but they feel marginalized economically, personally <as a citizen>, American-ly <they feel America is being marginalized> and politically.

And because they ‘lost ground’ they became increasingly concerned about their country, their economic state, their families, their jobs and their future as well as the future of their kids

 

For that 55% their world view looks better, and very different, than the world that currently exists.

 

Where you live also is associated with how well you fared during hard times: Easterners are significantly more likely than residents of the South, West or Midwest to have better weathered the economic storm.

I should also note that a college diploma is a strong shield against hard times: nearly six-in-ten college graduates count themselves among the 45% who experienced fewer difficulties during the recession, compared with 38% of those whose educational attainment was a high school diploma or less.

 

Suffice it to say that for about 55% of the country the recession either stopped your progress or ground it to a stuttering progress. And that was in 2010.

 

Which means for a good 6 years those who “lost ground” have had to look around and watch celebrated wins <of which most did not participate in>, watch America social progress happen <of which often didn’t look like the kind of meaningful progress they cared about> and watch a government continue to make promises that only seemed to come to Life for … well … not the Lost Grounds.

And all the while they kept hearing people say “the lost grounders” lives are improving <and they wondered ‘who the hell are those people talking’ and ‘who the hell are the people improving’>.

 

I don’t need to make any high falutin’ intellectually complex argument with regard to why someone voted for Trump … I can go back to this one piece of research and say “here is where the 40some million people who voted for Trump resides.” They are the “lost ground” 55% of America all the way back in 2010.

 

And you know what?

They deserve dignity in Life and, it would seem to me, that ‘losing ground’ in any form or fashion … real or perceived … dents a person’s dignity <among other things> and that is just not that difficult for even my pea-like brain to understand.

 

In the end.

 

I want to be clear that simply because we may learn to understand and empathize with the issues other people, including Trump voters, may have that we shouldn’t maintain a constant vigil for HOW the issues are being addressed … to protect our rights, freedoms and … well soul.

And I mention the soul because debates between two people grounded in ‘here is what I think’ very often grinds its way down into a very practical and pragmatic argument … one in which important things like ‘soul’ get left out.

 

where no hope incumbent on us inventIt is incumbent upon us to maintain steadfast vigil over who and what we want to be “when we grow up” as we grind away over issues in the here & now.

 

It is incumbent upon us to take on divisiveness of ideas, minds and desires with respect.

 

But.

 

It is also incumbent upon us to remain vigilant with regard to the Trump administration and how it addresses ‘de-normalizing’ some of our American ideals that have remained steadfast for centuries.

 

It is incumbent upon us to recognize that the worst of Trump, & the administration, simply plays to the worst that is within some people … and it is incumbent upon us to state, simply & clearly & unequivocally, there is something better than the worst.

 

It is incumbent upon us, all of us, to recognize that Trump is an instrument of awareness.

Good bad, beautiful and ugly … his blunt childish simplistic rhetoric bares some of the truths we all have to deal with. But I would suggest it is incumbent upon all of us to not allow him to be judge & jury, nor should we be judge & jury for each other <Trump voters & non-Trump voters> … but instead we should encourage every individual, whether they voted for Trump or not, to look in the mirror for the judge & jury.

 

Look.

 

I don’t get it.

I struggle to find a real valid reason that anyone took a risk on a choice like Trump for America <present & future America> … regardless of how deep in a shithole you may think we are.

 

But.

As noted in my opening quote … the fate of each one of us is inextricably linked to the fate of all. I am they and they are me … and that is just the way it is. patriotism Trump voter freedom responsibility

 

I will listen and debate and treat them with the dignity they deserve … they are no more, or less, a patriot than I.

 

I cannot judge the Trump voter and I do believe they deserve the dignity of their opinion, their thoughts … and their issues that in some way made them believe  Trump offered some hope in resolving.

 

What I do know is that I can judge Trump, and I will, and I will do so vociferously to Trump voters as well as to the world at large … mostly because I know I don’t want someone like me to be president … I want someone better than me.

 

=======

 

meladoodle:

 

why do trump supporters say they like trump cause he ‘says whats on his mind’… like no shit man, i have people in my tumblr inbox who say whats on their mind all the time. i had a guy send me a message that said “vape on my dick”. thats whats on their mind and they said it. i’m not like “oh man… dude… lead us…”

 

=====

 

Enlightened Conflict