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.

 

believing in something is powerful enough

July 7th, 2017

 

ideas dream make fly people think believe imagine educate

 

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

 

“We are tossed about by external causes in many ways, and like waves driven by contrary winds, we waver and are unconscious of the issue and our fate.’

 

We think we are most ourselves when we are most passionate, whereas it is then we are most passive, caught in some ancestral torrent of impulse or feeling, and swept on to a precipitate reaction which meets only part of the situation because without thought only part of a situation can be perceived.”

 

Will Durant

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

 

“Trust yourself. Create the kind of self that you will be happy to live with all your life.

Make the most of yourself by fanning the tiny, inner sparks of possibility into flames of achievement.”

 

—-

Golda Meir

 

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

 

So.

 

good bad idea battle for path businessIt would be an understatement to say that the number of ways a leader can lead are so numerous it would most likely take a book to explain them all <and people have certainly tried>. Trying to simplistically suggest “this is the way to lead” is … well … simplistic tripe.

 

It would be an understatement to say that the number of ways a leader can articulate an idea for people to rally around and follow are so numerous it would most likely take a book to explain them all <and people have certainly tried>. Trying to simplistically suggest “this is the way to share ideas in a meaningful way” is … well … simplistic tripe.

 

That said.

 

Today I will talk about leaders and ideas and articulating ideas … let’s call it “the business idea” leadership challenge.

 

For those of us who have had the fortune, or misfortune, of walking the halls of management in business we have all crossed paths with all the scary tactics and rhetoric associated with leaders who cannot articulate an idea if they actually tried <and most do try>.

 

These are the leaders who do not really have the ability to articulate an idea well enough for the idea to gain traction and be implemented.

 

it exists truth example life ideas business

……………….. the idea ………………….

I sometimes believe what makes a good leader is the ability to articulate an idea so that <a> people can grasp it, <b> people can envision it as “something” tangible enough to want to hold it and <c> people can attach some emotional connection to it <ranging from ‘I believe’ to ‘passion’>. But many leaders just struggle with idea articulation and use a variety of tricks to present an idea in a way that encourages people to … well … believe in the idea.

 

To be clear.

This is more a discussion of the psychology of managing employees … let’s call it “believing management” more so than motivating employees.

 

This is more about unlocking employees – unlocking potential. I mention potential because that is what ideas do … they are like a powerful chip inserted into people which energizes, focuses and drives individuals <and inevitably the organization itself>.

 

And because of all of what I just said there are a variety of ways to create some energy behind ‘believing’ in an idea.

 

Us versus them.

War analogies wherein those who don’t believe in our idea are ‘enemies.’

The narrative behind the idea always seems to have a “good versus evil” aspect.

 

 

Two thoughts on that.

 

  1. Selective tactical ‘good versus evil’ leadership is appropriate. Sometimes you need to give an organization some “oomph” <a technical organizational behavior term> and this is an easy way to create some energy around the idea.

 

 

  1. Being reliant on “us versus them” narrative is lazy leadership. Yes. Counterpoints always provide some contrast which permits some clarity, however, an idea should be able to stand on a blank page in a blinding spotlight and create enough ‘belief’ in that idea that people will want to fill the blank white space simply because they want to … they choose to … not because they ‘have to.’

 

 

people crowd ideas together friends waitbutwhyBad leaders misunderstand leading with an idea.

 

They always feel like they have to have an enemy which the idea has to slay. Or they feel like they have to divide so that their idea looks bigger.

They have it wrong. And dangerously wrong.

 

Good ideas power up on their own. Good ideas have a size to stand up to … well … any size idea out there.

 

Good ideas encourage people to go out and evangelize not destroy or kill or attack. The belief in the idea, in and of itself, is enough to make people go out … sometimes attack bad ideas, more often defend the idea and all the time presents the idea as some desirable thing that anyone in their right mind should want.

 

I have always believed that if you have a good idea, and you have people who believe in that good idea, you shouldn’t worry about competition or naysayers & doubters but rather focus all your energy on … well … showcasing the energy of the idea.

 

Now.

To be sure.

 

If you talk with enough people who have managed groups & companies and you will notice that at some point someone will bring up “I have to be a psychologist.”

 

To be clear.

 

Do business managers have to be psychologists to be effective? No. not really.

But playing the psychologist role on occasion certainly doesn’t hurt.

 

I am chuckling. I am fairly sure what I am discussing has some high falutin’ organizational behavior ‘management principles’ published and formal white papers with long esoteric discussions on employee personality types and some personality testing voodoo and lots of ‘how to energize organizations’ crap.

 

Anyway.

 

Most good managers clearly understand that different people are motivated by different things and that different things can inhibit the potential of each employee.

 

Suffice it to say, in my mind, once you move past trying to motivate a specific individual one-on-one it really all comes down to one basic management principle: the idea.

intangibe idea yet to be future business

 

 

Simplistically every leader’s objective is always to free your employee to be their best and do their best. But sometimes this means stripping something away … and sometimes this means adding something … and it always means giving them something to believe in <not just do or ‘fight’>.

 

More often than not while you are leading your organization you invest gobs of energy focused on the pragmatic ‘here is what you need to do’ underpinnings crap which keeps everybody focused on the shit that keeps the doors open in the business every day.

 

But, at some point, you have to energize the attitude.

And that is where “idea” comes in. This isn’t really a vision … this is the idea of who and what the company is and the ‘belief’ which is kind of the unseen glue which makes “one, out of many.”

 

This idea is a heuristic management tool because while leading people certainly can contain some aspects of ‘enthusiasm management’ one of the most basic leader self-survival techniques you learn <or you will die> is how to manage without too much investment of self. Therefore I have always viewed “the idea” strategy think anger angry business ideas filteras the compass AND engine for the true potential of the organization.

 

Yeah.

 

As a manager you always hunker down on the pragmatic aspects of what needs to be done first.

 

Always.

 

It is kind of your heuristic trick to assess any attitudinal challenges to getting the frickin’ pragmatic aspect done.

 

But you always keep an eye, and an ear, open during the pragmatic ‘whether the shit will actually get done … and done as well as it can be done’ for the employee’s, and organization’s, idea ‘belief factor.’

 

And while Belief can come in all shapes & sizes & behaviors one thing remains constant … make the idea tangible and anyone can see it <rather than have it be some nebulous thing they have to define in their own heads>.

 

And it can get even tricky.

 

Tricky because the same employee who was bursting with blind belief one day will be the same employee sitting in front of you the next day discussing a completely different project or task … semi-frozen in ‘belief doubt’ or ‘belief confusion.’

 

Look.

 

The fundamentals of effective management are pretty much the same everywhere.

 

But, ‘idea belief management’ can, unfortunately, sometimes take a fine subtle touch … and most of us everyday leader schmucks aren’t always subtle.

Therefore, we tend to lean on “us versus them” and “we are at war” to create some sense of “we must defend this idea” rather than instilling the idea, of the idea itself, as thoughtful rabbit idea quick slowhaving value even in times of ‘non-war.’

 

Ok.

 

I imagine I wrote this not to offer any “how to” guide to anyone. I wrote it because I just saw someone aggressively and darkly outline a world in which the business idea was under attack and attempted to drive belief in the idea through ‘threat’ rather than ‘inner belief.’

 

And as I watched I thought “this person has no idea how to articulate an idea in a way that the idea itself exudes energy in and of itself.”

 

As I watched I thought “this person doesn’t understand that ideas don’t need enemies to be meaningful and powerful … believing in something is power in and of itself.”

 

Look.

 

I have different expectations for different levels of leaders and I certainly understand that when presenting or communicating things you gotta deal with what is in front of you and get shit done and get the best out of your employees. And sometimes you do whatever it takes in the context of the situation.

 

But.

And this is a big but.

 

A business cannot always be at war in order to justify, and formalize, the idea it idea think explode expandbelieves in. The idea, in and of itself, should be good enough … and articulated well enough … to be powerful enough for people to just believe in it.

 

I am not suggesting this is easy … but that is what separates a good leader from a crappy leader …the ability to make the most of an idea by fanning the tiny, inner sparks of possibility into flames of achievement.”

 

I imagine my real point is we should all be wary of the leader who can only articulate an idea through an ‘us versus them narrative’ or a divisive tone.

Why?

 

Because they are either lazy or they don’t know their shit.

 

Enlightened Conflict