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 country of dwarfs

June 30th, 2017

 donald trump cracked smart phone twitter

 

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

 

“If each of us hires people who are smaller than we are, we shall become a company of dwarfs.

But if each of us hires people who are bigger than we are, we shall become a company of giants”.

 

 David Ogilvy

 

<political correctness caveat:

Mr. Ogilvy said this in the 1950’s as a vivid metaphor for the importance of hiring the best and not suggesting dwarfs are incapable of bigness, in fact, he hired a number of short people who were intellectual & creative giants>

 

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

 

“Never write and advertisement you wouldn’t want your own family to read.

You wouldn’t tell lies to your own wife.

Don’t tell them to mine.”

 

——

David Ogilvy

 

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

 

“It seems to me that we can observe the same set of facts yet some of us see the tragedy of the human comedy while other see the comedy of the human tragedy.”

 

————–

<Google couldn’t tell me who said this>

 

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

 

 

So.

 

Yesterday was the first time I worried that America is running the risk of becoming a country of dwarfs.

 

Forget greatness … I am thinking ‘littleness.’

 

trump twitter storm

 

Little intellectually, little integrity, little dignity, little respect and little honor.

 

This worry came to me yesterday as a couple of Donald J Trump’s tweets popped up on my computer and I sat back and said “WTF … what is fucking wrong with him.”

 

 

Needless to say … this was not the first time I have said that to myself <or yelled at the TV> but yesterday … one in which he not only utilized his mastery of immature grade school name calling but he also diminished a successful woman’s intelligence <low IQ>, her mental state <crazy> and appearance <blood flowing from face lift> … I found myself thinking this is truly horrible.

 

 

diminishing women Trump immature

This is horrible in that in one tweet Donald J asshat delivered the diminishing trifecta against all women everywhere <albeit he directed it to one woman>.

 

 

And this is not just horrible from my perspective … or even from a “dignity of the Presidential position” perspective … but just horrible from anyone’s perspective <father, parent, brother, human>.
That said.

 

I have now reached a point where I have a method in evaluating what the President tweets and says because while I know very little he says is anything I would ever say, or believe is appropriate to say, I am willing to admit I may be biased in judging this incompetent intellectual dwarf.

 

Here is what I do.

 

First.

Jury of US President peers. How would I feel if Merkel, Macron, May, Xi or even Putin & Erdogan said this? Would I be outraged or simply nod my head sagely?

These, by the way, regardless of their physical stature are the intellectual and leadership giants of the world <some are also moral giants>.

 

 

Second.

Jury of Business peers. How would I feel if the CEO of Amazon, GE, Ford, Goldman Sachs or even the president of your local chamber of commerce, city’s largest pest control company or the head of the School Board said this? <and would they most likely get fired?>

These, by the way, regardless of their physical stature are the economic & social giants, or aspiring giants, of the world <some are also moral giants>.

 

trump behavior guide challenges

Third.

Jury of parents. How likely do I think a parent would go out of their way to tell their child “see this … this is exactly the way you should handle it!” For example … how many homes do I believe a father said to his son “Donald Jr., this is exactly what I would tweet your mother if she ever said anything bad about me to the Moose Lodge!”

These, by the way, regardless of their stature are the nurturers of the future giants of the world.

 

 

Fourth.

Jury of the young. How would I feel if I saw this comment or thought said by one teen to another … or if I saw my son send this to a classmate … or if I ever saw any young person send this message out to 33 million people? Heck. How would they feel if their girlfriend, or any friend, received a message like this? <although I will note that back in March 2016 I did suggest Teens celebrated Trump as one of them — from a maturity perspective>.

 

These, by the way, regardless of their stature will most likely be the giants of the world <and our fates will be in their hands>.

 

 

Fifth.

Jury of the trolls. How would the statement and words look if I placed them below any viable article in any viable online publication next to the slew of online trolls spewing their hateful bile?

These, by the way, are the intellectual and moral dwarfs of the world.

 

All that said.

 

More and more often I am finding Donald J Trump dwelling in the comfortable abode of the intellectual and moral dwarfs.

 

Regardless.

 

Ogilvy was, and is, right.

 

Hiring people smaller than you insures your company will never be a giant … but what if the hirer himself is a dwarf?

 

Sigh.company of dwarfs little people giants business

 

I cannot fire Donald J Trump. You cannot fire Donald J Trump. He is our president <that still hurts to type> and I have to start thinking not just about what policies he may actually someday implement but also how his actions, as THE leader of the country, affect the size, economically, morally and dignity, of the country … in other words … will we be a country of giants or dwarfs with his leadership?

 

Well.

 

We actually have two paths thanks to our mental dwarf of a President.

 

choices-path-shopping-direction-decisionsThe first is to accept his behavior as normal and permit it to become more normal outside the purview of the oval office and on our tween/teen smartphones, in the classrooms, on softball and soccer fields, in the bars and in the office.

This path has one destination … a country of dwarfs.

 

 

The second is to not accept this behavior as normal, or acceptable, or even good, and create a counter culture in which we recreate the foundation of civil discourse, respect, dignity and an increased valuation of maturity not bullying <under the guise of ‘fighter’>.

This path has several destinations but one certainly is a country of giants.

 

This choice may seem easy at first glance but the truth is that I do know, having run a business, maintaining an organization of giants takes leadership. And if your leader is a dwarf the path to becoming giants becomes more difficult.

 

Look.

 

I wrote recently that Donald J struggles with ‘staying above’ but I would be remiss to not point out that in the business world it takes a special manager to maximize people’s potential <even if it means outstripping your own ability & potential> AND keep your job AND keep your status as a leader.

I will admit that it takes a little bit of self-courage, a shitload of conviction and even some craftiness in your own responsibilities.

 

That said <now that I have given him an excuse>.

 

little trump pouting tweeting

……… little Trump pouting …….

 

I think what will help America overcome the intellectual and moral dwarf we current have in office is that the majority of people truly want to be a country of giants and we would prefer leaders who foster the attitude.

 

I can honestly say that I don’t care what generation you are <millennial, boomer, Xer, etc> or what your upbringing was or even what attitudes you may have … I can guarantee one behavior … and I will guarantee it.

 

The guarantee? Give us a giant as a boss and we will run thru walls.

 

And therein lies my larger call out. In my small corner of the world I will never be a giant <although I like to think giant integrity-like thoughts> but there are those out there who can do something bigger … and they should look in the mirror and start thinking like a giant, acting like a frickin’ giant and maybe all those people casting about for some guidance will take giant steps for the giants who stand up to lead.

 

Wow.

 

That would a giant leap of faith to attempt that.

 

Surprisingly, great organizations take giant leaps sometimes.

That is what makes them giant.

 

Correspondingly, great countries take giant leaps sometimes.

That is what makes them giant.

 

Sigh.

trump soul behavior tweet reveal

 

I would be naïve to not understand that we can observe the same set of facts yet some of us see the tragedy of the human comedy while other see the comedy of the human tragedy.

 

I can only hope that as the facts accumulate more and more people will see that USA has an intellectual and moral dwarf as president and he isn’t making America greater he is making it smaller.

 

Personally, I want to live in a country of giants. But that’s me.

 

Enlightened Conflict