Enlightened Conflict

Health care in 2017 from a business perspective

March 22nd, 2017

take the extra time to do things right the first time

 

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

 

—-

John Wooden

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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.

 

 

ignored truths for temporary happiness

March 13th, 2017

temporary fleeting g

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“Who in the world am I?

Ah, that’s the great puzzle.”

 

Alice in Wonderland

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  “We ignored truths for temporary happiness.

 

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six word story

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“Most people do not realize that thinking about something is inviting the essence of that something into their experience.”

 

Abraham Hicks

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presentist 1Ok.

 

One of the most difficult things to figure out is what to do ‘now’ when given a choice … particularly if that ‘now decision’ would appear to provide some happiness.

 

I mean … WTF … who would pass on happiness?

 

We have a tendency to either not think long term when facing happiness … or maybe we weight happiness to such an extent it appears to have a higher value then it may actually have.

 

Fortunately for us … we actually have an inner scale.

 

This scale makes this decision a fairly easy one.  That inner scale is the “I know who in the world you are’ scale.

 

If you know that your happiness assessment glasses are clear, not smudgy and provide you at least fairly good vision … well … you have a better than even chance of actually figuring out whether it represents temporary happiness or ongoing happiness.

 

Regardless.

 

The desire or seeking of Happiness cloaks everything. Even truth. And maybe exponentially so for truth.truth people hate

Truth is tricky.

 

We confuse it with common sense, intuition & instinct.

All of which suggest the real truth about … well … truth without actually being true.

None of those things truly reflect truth … just a characteristic of truth.

 

The characteristic? Glimpses. Glimpses of truth are temporary. That isn’t to suggest truth is not everlasting or steadfast but rather our viewing of truth comes in glimpses.

 

That said … I will offer a word to everyone on temporary … a word, if you take some time and consider it a little, which partially explains ignoring truth – evanescent.

 

Evanescent refers to that which almost vanishes as soon as it appears, implying that a thing is ‘tenuous, delicate or unsubstantial ‘ as part of its nature <an evanescent glimpse of the truth>

 

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“If you put your happiness in temporary things – your happiness will be temporary.

 

 

Nick Vujicic

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last haven evanescent temporary glimpseI chose evanescent to make a point … I could have used momentary, passing or fleeing.

All synonyms of temporary.

 

I could have used transient or transitory … both of which stress brevity and impermanence and the fact it will not endure.

Both synonyms of temporary.

 

I could have even used ephemera which denotes that which changes aspect rapidly and continuously.

Another synonym of temporary.

 

I could have even focused on temporary which is a nice general term that implies measurable but of limited duration.

 

But I didn’t.

I didn’t because truth, more often than not, can vanish just as quickly as it appears.

 

Let me explain why.

 

Truth is rarely simple and is even more rarely a “it just is” factoid. Instead it is more likely represented in a disparate range of factoids and fragments. They all swirl around this truth and most often we, seeking simplicity & happiness, ignore all the fragments and put our arms around the easier happiness.

 

The danger in this is that we then have no depth of understanding. We are not forced to assess the fragments and think. We don’t because , in our heads, truth should be simple, clear and obvious <hence the reason we far too often confuse it with common sense>.

 

This is where evanescent comes back into the conversation.

As noted earlier truth is most often represented in a big blob of swirling disparate fragments … and, yet, on occasion if we look at just the right time all the fragments align … and truth appears.wow excited astonish no

 

Some may call this an “ah ha” moment. I would suggest t is simply a moment of clarity.

 

It is a moment in which you truly become a conduit of truth.

 

It is a moment where everything is aligned and Truth stands there … right in front of you … still amidst the swirl & chaos of Life.

 

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“Liberty of thought is the life of the soul.”

 

Voltaire

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Of course … you actually have to be paying attention.

Of course … you actually have to not be distracted by happiness.

 

Of course … you actually hate having to do both of what I just wrote.

I mean, c’mon, to have the opportunity to be wrapped in a nice cozy blanket of happiness for the rest of our existence <because that is what we hope every time happiness snuggles up against us … that this is the time it lasts forever>?

 

Uhm.

 

What a fucking fairy tale.

That is like basing truth & happiness on unicorn farts.

 

Here is what everyone needs to remember as they ponder ignoring truth for happiness.

 

Everlasting happiness is a myth.

 

Shit.

 

Everlasting truth is a myth.

 

Whew. How ironic is that?

 

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“I have lived with a sense of irony and cold curiosity.”

 

——

Friedrich Nietzsche

 

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Two of the most valued things in Life are myths.

 

Well.

 

It sure sucks to think that.

 

bad decisions for temporary happiness

Anyway.

 

Here is the most basic truth of all <a non temporary truth but an everlasting one>.

 

Truth will always be truth … but it will never be easy … easy to gather, to understand and to believe.

 

And because it is not easy … and we would much prefer happiness <even temporary happiness> we will accept being right sometimes … wrong sometimes … and at all times believe things on insufficient evidence.

 

Yeah.

We should just face the fact that even on the things we believe, and claim we understand, we are doing so often in an incomplete way <even if we are correct>.

 

I believe my smartphone works … but I have no clue how.

 

I believe … well … full in your own “black box belief” here … things you just assume will work and assume we understand how to make it work but certainly do not understand the ins & outs of its workings.

 

This is the economy.

This is effective government.

This is climate change.

This is finance.

 

This is most of the big stuff in Life.

 

Which brings me to my conclusion … something little … evanescent.

The glimpse of truth.

The moment when all the disparate fragments align and truth stands in front of you.

 

It is the moment when … well … things are sufficient enough to understand and believe.

 

It is the moment we should not ignore truth for either temporary happiness or the temptation of what may appear to be everlasting happiness.

 

It is the moment when we have the opportunity to … well … “see who I am” and yes or no importanceplace an important piece of the puzzle in place.

 

Wow.

 

That sounds like an important moment, doesn’t it?

 

You bet.

Pay attention for it.

Pay very very close attention.

Pay attention … because the glimpse of truth is evanescent.

 

Pay attention … because the last haven of truth often resides in the evanescent.

shifting gears professionally

March 8th, 2017

 

gears working elite blue collar people experience

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“Don’t dwell on what went wrong.

Instead, focus on what to do next. Spend your energies on moving forward toward finding the answer.”

 

Denis Waitley

 

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“You are always a student, never a master.

You have to keep moving forward. “

 

Conrad Hall

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So.

 

This is about shifting gears professionally.

watch-your-step

What made me think about this?

 

I recently watched a professional acquaintance who shifted gears.

 

Oh.

 

To be clear.

He shifted up.

 

He had a good business, good business model and a good business sense. In my eyes he was cruising along in maybe 2nd or 3rd gear <good … not bad … and not great> … and then … well … he found another gear.

 

To be clear.

 

When I first saw his business he was maybe in 2nd gear … not really rocking the boat or rocking the world but steady consistent and moving forward and solid business.

 

Looking from the outside in I never saw spectacular but I saw steady. I saw … well … 2nd gear.

 

He didn’t know it but, behind the scenes, I would never hesitate to recommend him, maybe not typically for those who needed to shake the etch a sketch,  but 100% for those who just needed a good engine tune up. Over the years he steadily shifted up to maybe 3rd gear … always steady and solid <good, maybe very good, just not that extra little great>.

 

But then that changed.

formula success steps

One day I saw his business newsletter and … well … I sat up a little straighter and read it a little closer.

 

And read it again.

 

It felt like he had shifted gears.

It now felt like 5th gear stuff.

 

I got the next newsletter.

Definitely 5th gear.

 

He had shifted gears professionally.

 

I tend to believe this happens a lot as you get older.

 

We shift gears.

We reach a point professionally where you have it pretty good, you have some good experiences which have taught you a shitload of different things … and you sit back and scan it all <comparing it to what you have done>.

 

This is where the shift occurs.

 

Some decide to downshift.

 

Some decide to shift up.

 

shift up or downNow.

 

To be clear.

 

There is a huge swath of people in the business world who simply go in to earn a paycheck, their only gear is the one that does their job <mostly well or well enough> and their career progresses in that one and only gear.

I would note, just for the record, day to day business relies on these essential people and their steady gear attitude <so stop giving them shit or look down on them in any way>.

 

This is not about them.

 

This is about the business people who want more. They want to use another gear then other employees … and for the most part throughout their career … they do.

 

Inevitably these people reach a point, maybe some success, maybe a title, maybe it is just some more good experience where they … well … decide to shift gears.

 

up or down shift gearsAnd, yes, this is where some shift down.

 

These ‘shift downers’ have decided they have been working hard and they see the other relatively happy one gear people and say “I am going to slow down.”

 

Some people call it selling out.

Younger people look at these older people as ‘wasted space.’

 

I just call them people who believe they deserve to down shift <so stop giving them shit or look down on them and look to maximize their experience>.

 

This is not about them.

 

This is more about the business people who wanted more … and then see that maybe they could actually “be more.”

 

These are the business people who shift up.

 

And you know what? Shifting gear seems like the appropriate metaphor here because ‘the analogy of ‘shifting gears’ is used to identify and explain the key factors (agents) involved in driving career formation, and describe the level of interconnectedness between these drivers.’

 

To shift up … in order to respond to the pressure … the gears have to be in sync, work simultaneously and coordinate the rest of the body around them.

 

And that is what happens. You have accumulated a lot of knowledge, expertise and experiences <practical functional stuff> and then you decide to incorporate some personal clarity to the horsepower.

 

It is almost like you find some clarity … in yourself professionally which permits you to better identify the largest and most influential parts in the gear box.

And then … you shift gears.

 

I feel qualified to write about this because I did it. I shifted gears up.

And I have seen others in my generation shift up … and down.

 

expectations outcome disappointment 1I will admit that it has taken me awhile to not have disdain for people who down shift … mostly because it is so far out of my DNA I, frankly, couldn’t understand it.

 

But I do now.

I certainly see the value of ‘down shifters’ and believe any organization would benefit from having a mix of good, qualified, experienced, downshifters.

 

As for shifting gears up?

 

Whew.

Seeing someone in my business generation do it is … well … a joy.

Mostly because, in general, the shift is tied to a decision that our generation may have not always been the best for the business world and possibly injected some flawed thinking with regard to business acumen & principles. This means that most ‘shifting up’ is tied to trying to address those ‘wrongs’ or at least try and inject some ‘righter thinking.’

 

I get some shit from people because I am hard on my entire business generation … everyone.

 

Look.follow heart brain tupac

 

I think more of us should be.

To be clear.

 

I don’t expect everyone in my generation to decide to shift gears up but I would like more of my generation to at least understand some of the consequences of our behaviors & principles.

 

And for those who decide to shift gears upwards? I hope they get a chance to implement their new horsepower because today’s business world can make it pretty difficult for people in my generation, who truly have something to offer and are willing to not be attached to the old ways of doing things to actually get to do what they truly offer.

 

value ourselves as more than just an image

March 2nd, 2017

 

a-better-reality-false-hope

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“At the end of the day, we have to value ourselves as more than just an image.

 

 An image is just an image.

If you want more, look deeper within.

 

Are you a good friend? A kind companion?

How do you treat others?

 

Those are the things that are a better definition of beauty.’

 

—-

Sara Ramirez

 

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I imagine all of us want to be seen by everyone as ‘something.’

 

they must be giants fake lies right lifeTo me … this ‘something’ isn’t famous or with some high falutin’ title or rich … but rather be recognized characteristically as something.

And not something shallow … but something a little deeper that defines you.

 

I say that but reality is that the driving ‘something’ for us is far too often fairly innocuous … and, yeah, it will vary from person to person … but a shitload of us want to be seen as smart, or well rounded, or beautiful, or funny, or … well … pick your personal poison.

I could suggest that is kind of a shallow something.

Okay.

I will.

That is a shallow ‘something.’

 

And what makes that shallow worse is that by making that a fairly significant portion of how we choose to define ourselves we spend an inordinate amount of time & energy planning for ‘someday’ when that ‘something’ is played back to us as our defining characteristic.

uhm what did you say really

Uhm.

 

Well.

 

If you are not careful … someday stealthily sneaks up on you as ‘today … and then yesterday … and then day by day it just becomes your Life.

 

Unfortunately Life is not just an image.

Unfortunately Life is ultimately not that shallow.

 

Unfortunately you have to leave the shallow end of the pool at some point and venture into the deep end in order to find … well … value.

 

Despite what marketing & advertising & branding folk may suggest … image is not everything and image does not equal any meaningful value.

 

Image without substance is simply a façade … a mask.

And I can unequivocally state that the number of people who can maintain an entire life behind a mask is minuscule.it is extremely difficult to maintain that façade for an entire Life. It is like trying to play out an act … forever. Someone can do it for a while and fewer can figure out how to build the trappings which can hold the act together … but to hold all of that together for a Lifetime takes some luck, some clever skills, some bravado to appease the cynics & skeptics and, ultimately, some ability to keep the lack of substance out of the spotlight & questioning.

Suffice it to say … it takes a lot of work to wear a mask an entire Life.

 

intent help flaws self bestAnd maybe that is my larger point.

 

We all want to eventually be seen as ‘something.’

 

And we all would prefer that something be of value to those who recognize it and of value to our self-worth.

 

That means.

If you are not careful you can spend a significant portion of your Life chasing some definition … some ‘something’ you are recognized by … that has little or no real value to oneself.

 

By the way. I am not suggesting this is easy. Society encourages shallowness. It can do so in a variety of ways but the main way is simple – measurement.

The shallowest ‘somethings’ are easy to see, easy to assess and easy to measure versus either society standards or versus others.

 

The deepest ‘somethings’ … good, soul, character, integrity … shit like that … are difficult to measure and, frankly, the definition is earned over time and with consistent behavior. You cannot expect instant gratification … at least external gratification … if you pursue a ‘deeper something.’

 

Sigh.

 

Well.

 

Here is what I know:

 

“At the end of the day, we have to value ourselves as more than just an image.

 An image is just an image.

If you want more, look deeper within.

 

Image is just an image.

 

How about this.

 

Image is like masturbation.

 

A deeper something is like making love.hard to planyou are more

 

I tend to believe we all want more.

 

We all want that kind of self-value that is deeper.

We all want more than just an image.

 

It is a Life truth that Image is seductive.

 

The good news?

It is a Life truth that if you want more than image, and look deeper within for that ‘something’, you will find a better definition of yourself.

Enlightened Conflict