Archive for the ‘economics’ Category

no money to be made

Monday, November 30th, 2009

health business cartoon

What angers me is the minds that sit around figuring out ways to make money off of our misfortunes.  There are boardrooms full of people trying to figure out how to pocket some cash.  I call them clipboard carriers.  Administrators are rewarded for making money rather than  for providing amazing results for the health of a community.  I worked with an occupational therapist who was so inspiring to me and others as we watched her bring smiles to the depressed and life to those ready to give up.  She was let go because she didn’t generate enough income for the little rural hospital.  Hospitals are not factories.  They don’t have assembly lines.  Hospitals are full of real people with real problems and sometimes fixing those problems just doesn’t make anyone any money.

Dr. William D. wrote a blog that made me think,  then again maybe they are factories?…

“. . . the life of the pig has moved out of view; when’s the last time you saw a pig in person? Meat comes from the grocery store, where it is cut and packaged to look as little like parts of animals as possible. The disappearance of animals from our lives has opened a space in which there’s no reality check on the sentiment or the brutality. . .”

The same disconnect has occurred in healthcare for the heart. The emotional distance thrust between the hospital-employed primary care physician, the procedure-driven cardiologist, the crammed-into-a-niche electrophysiologist (heart rhythm specialist) or cardiothoracic surgeon whose principal concerns are procedures—with an eye always towards litigation risk—mimics factory farms that now litter the landscape of the Midwest. The hospitals and doctors who deliver the process see us less as human beings and more as the next profit opportunity.

The “factory hospital” has allowed the subjugation of humans into the service of procedural volume, all in the name of fattening revenues. Never mind that people are not (usually) killed outright but subjected to a succession of life-disrupting procedures over many years. But whether livestock in a factory farm or humans in a factory hospital, the net result to the people controlling the process is identical: increased profits.

The system doesn’t grow to meet market demand, but to grow profits. The myth that allows this growth is perpetuated by the participants who stand to gain from that growth.

See hospitals for what they are: businesses. Despite most hospitals retaining “Saint” in their name, there is no longer anything saintly or charitable about these commercial operations. They are every bit as profit-seeking as GE, Enron, or Mobil.

http://www.wellsphere.com/heart-health-article/factory-hospitals/472314

I think most of us really do care about people and their individual health.  We just need to care less about profits.

miracle

A stamped envelope

Friday, October 30th, 2009

typewriter

Nana Ruth taught me to write letters.  Many years ago she encouraged me to write to companies after enjoying a product or a stay or an encounter;  more so than when I was disenchanted.  It makes you look for good, inquire of names,  and jot things down.  When your looking for good you find it.  I’ve enjoyed this lesson and have received free loaves of bread, smiles, and plain ole good karma.  I’m so glad she taught me to write letters.

We stayed at the Ritz Carlton in Naples Florida  for my birthday last year.  I felt like everyone who worked there was only interested in me enjoying my birthday.  I made a point of remembering the names of staff members who wished me a happy birthday greeting as we passed in the halls, or as we played ping pong provided more coffee, or brought us another towel by the pool.  They knew my name?!    I felt like a celebrity.

when I smile

There was a beastly woman with an older man by the pool. She was loud and rude to the pool attendant, who continued to accommodate her until she finally quieted down and settled into a spot that suited her.   I would have snatched the towel out from under her repugnant self and wrapped it around her neck, but, he remained kind and accommodating.  I wrote a letter and included his name and the names of other exceptional staff members, and received a printed response with a little hand written personal note stating that a copy of my letter had been given to each named staff member personally.

The Ritz made it very easy for me to do this.  In our room there was a stamped envelope with their address on it.  During my drive home I wrote the letter and filled out their form and mailed it back.  Of course there is an online version as well, but, I like the handwritten option.

Congressman Boozeman always writes me back a personal note in his own writing with a blue pen at the bottom of a pre-scripted printed page.  I don’t always agree with him, and that is usually what I am telling him, but I am impressed that he includes a personal note explaining his thinking. I bring it to work and share it so others can see his handwritten note and that it does make a difference to “write your congressman”.  Senators Lincoln and Pryor respond via e-mail — sometimes.

Dan and Chip Heath wrote In America alone, there are about 2.7 million call-center employees who are standing by ready to soothe you. That’s roughly the population of Kansas. But what if you’ve got joy in your heart? Good luck finding someone who cares.

That’s a tragedy on multiple levels, first for the employees who never receive your warm fuzzies. Pick any non-customer-service employee at random from your company. When was the last time that person received positive feedback directly from a customer? If the answer is “never,” that’s as cruel as an unwatered plant.

http://www.fastcompany.com/magazine/129/made-to-stick-i-love-you-now-what.html

I have worked as a travel nurse in various hospitals for several years.  One hospital in Boca Raton Florida stands out in my mind because patients wrote letters to the hospital telling them how wonderful we were.  Sometimes my name was included with the names of others and we each received a personal copy.  I saved them.  I was only there for six months, but, collected more letters of appreciation than all the other places combined.  I don’t think I was a better nurse there.   What is it about Boca Hospital that makes people write letters of appreciation?  Did the hospital make it easier for the patients to write compliments?  Were they given a stamped envelope?

Companies should pave the way to praise.  Maybe you appreciate the extra-deep cup holder in your Toyota, which holds your venti latte snugly. Where do you send the thank-you note?

One last little story.  Seth was working at an airline counter at Miami International Airport.  I had just arrived from Dallas after missing my flight to Ft Myers due to weather.  It was very important for me to be in Ft Myers that night because my son had been in a motorcycle accident and was on life support with multiple injuries including brain injury.  It was the worst 22 hours of my life just trying to get to him in a February snow storm.

Airline personnel just fell into a category of cold and uncaring that night, the more I cried, the more they didn’t care.  I’m sure they have listened to many sob stories and they weren’t moved by mine–> then I met Seth.  He was in their ranks until I quietly explained my situation without tears.   Seth arranged for a van to drive me to Ft Myers since no flights were leaving until the next morning.  During the ride over I wrote the airlines and told them what a Godsend Seth had been.  I don’t remember, now, what airline Seth worked for, they never responded; but,  I will always remember Seth.

my apologies

styrofoam

Wednesday, October 14th, 2009

After a free labor day meal, the polystyrene containers that filled the garbage cans were painful to see.  Their usefulness lasted for 1/2 hour and their time in the landfill (polystyrene isn’t recycled) will last for hundreds and perhaps thousands of years.

 

justsayno

Did you know styrofoam AKA polystyrene, AKA plastic #6 is manufactured using benzene, from coal; styrene, from petroleum; and ethylene, a “blowing agent”.  The main manufacturing route to styrene is the direct catalytic dehydrogenation of ethylbenzene: If you understand that and want more detail go to…
http://www.epa.gov/ttn/atw/hlthef/styrene.html

Long-term exposure to styrene in humans results in effects on the central nervous system (CNS), such as headache, fatigue, weakness, and depression, CNS dysfunction, hearing loss, and peripheral neuropathy. This only happens after long term exposure, so if you live long enough you’ll be a deaf, unbalanced, dummyhead with tremors and restless leg syndrome. Know anyone like that?

You might think to yourself…  “Somethings gotta kill me, I’m not gonna worry about monomers of styrene”.  Try thinking of this.  It takes 500 years for the chemical components of polystyrene to dissolve and it’s foreverness accounts for 25% of landfill waste.

While polystyrene is recyclable, most recycling programs don’t.  Burning polystyrene releases all the stuff it is made of into the air;  including dioxin, and carbon monoxide. Dioxins are highly toxic and can cause reproductive and developmental problems, damage the immune system, interfere with hormones and also cause cancer. Prevention or reduction of human exposure is best done via source-directed measures, i.e. strict control of industrial processes to reduce formation of dioxins as much as possible. That is from WHO, as in the World Health Organization. http://www.who.int/mediacentre/factsheets/fs225/en/

There are some positive things we can do with the Styrofoam/polystyrene that already exists.  If you mix it with cement and make building blocks out of it, the result is strong enough to withstand earthquakes.  If the building burns we’re screwed so make sure there is a good sprinkler system installed.

A concern was espressed that if California does away with all polystyrene containers for food use — jobs will be lost.  Those plants that are currently making polystyrene containers for food consumption are in China.  Hong Kong has a study of the impacts of polystyrene. http://www.way-to-go.org/doc/PolystyreneFactSheets.pdf

The legislature (Of Hawaii) finds that it is in the interest of protecting the public health and safety to prohibit the use of polystyrene food containers by restaurants and take-out food operations. http://www.capitol.hawaii.gov/session2008/Bills/SB2629_.htm

The market is bursting with alternatives including polylactic acid (PLA), which is generated using corn instead of petroleum. Many of these substitutes can be commercially composted after use.

Another great product I read about is Angela Morris’ Woolcool… http://business.timesonline.co.uk/tol/business/industry_sectors/natural_resources/article5949979.ece

 

 

 

 

 

 

 

 

 

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A very smart lady named Margarita Calafell is using enzymes to make a super product to replace polystyrene.  Hope she can make it waterproof so we can use if for take out. http://www.engineersedge.com/technology_news/posts/794.html

Hopefully polystyrene will go away as will asbestos.

What page are they on?

Sunday, October 4th, 2009

It has been about a month since I originally posted Hospitals are not factories.  I wanted to add a post I read from The Weekly Updates.

…we have all of the NEGATIVE effects of “socialized” health care without actually having equal health care for all. Arguments against socialized health care, include the people not wanting the few to pay for the masses. But that is exactly what’s happening here.

I work 2 jobs, pay my taxes, barely make enough to keep a roof over my head and food on the plates of my family, do not get such luxuries. An ER visit typically runs me $2,000+, which I must pay or else what’s left of credit will disappear. I cannot afford health care, and with the economy today, my employers do not offer me any benefits as they won’t let me work full-time. This HAS to change.

http://www.theweeklyupdates.com/our-life/orange-county-medical-service-flawed/

This is an example of a hardworking American taxpayer who is having to go without, due to the current healthcare system.  Not to repeat myself, but, it isn’t a system.  It is a big pile of crap and when you stir up crap you realize how much it stinks.

Now — Let me share with you this exchange I had recently with a young man I know.  He is usually witty and makes funky videos so I sent him Barack Obama’s video challenge.  His response and that of his friend throws off the hope for change.  These boys are in college, so, don’t think they are uneducated knobs.

Also, Whenever you try to talk reasonably about healthcare reform it is easy to find the opposition–>they are the ones  pounding their fists on the table or resorting to foulness.


Me
Source: my.barackobama.com
A panel of celebrity judges will review your videos and choose their favorites. Then the public will vote, and we’ll run the winning ad on national television. Millions of people will see the final videos and your message could help push reform over the top.

Yes please expand the government so I can lose even more freedom.
September 27 at 3:17am
NHA
hmm. while those celebrity judges are busy smelling their own asses and picking their favorite sob story maybe i should make an advertisement full of the real people who want universal health care… not the ones hand picked by the people selling this bullshit to us.


Me
If you are attending a university or college then you are involved in government funded education. What freedom is healthcare reform going to take from you?
September 28 at 12:16pm
Great idea, let’s make a video of a bunch of people who are really lazy and don’t want to have to work hard for their healthcare.  My parents and I were taxed to support this school, if taxes would have been lowered I’m sure I could have afforded to go to a better university.
September 29 at 3:18pm
not everyone who gets sick is lazy.
September 29 at 3:58pm
Im simply saying that personally I’ve noticed that people in favor of universal health care are largely behind it for personal gain when they could be acting in the best interest of our country. I don’t think that all sick people are lazy. But i do believe that many illnesses (not all) are a result of the behavior one engages in. smoking causes lung cancer. Failure to wear a seat belt can cause an injury. Drinking to excess and walking down stairs may lead to broken bones. These are reasons why some people need insurance in the first place and I don’t think that our society as a whole should be forced to pay for the mistakes of a few. It doesn’t seem progressive to me. More like a ball and chain.
September 29 at 9:18pm
I know a good man, self employed, no insurance, who drinks plenty of water and lives a good life providing for his family he had a massive stroke. I know a boy, who worked hard. who lived a good life and got knocked off his motorcycle on a freeway on the way home from work –>brain injury. I know a waitress, single, works three jobs, got a kidney stone requiring surgery –>debilitated her finances. All of us can have anything happen at anytime. It is the brothers keeper thing — not personal gain
September 29 at 9:33pm
Everyone get’s sick, but I don’t care if they die or not, (What?!) have you ever tried anal sex? (What?! again) Because people who smoke, eat fast foods, have buttsecks, and live otherwise dangerous lifestyles are going to benefit from this plan more than me. All I know is that socialized medicine bankrupts every country or state that enacts it.  (our country is so financially stable with our current healthcare eh?)
September 29 at 11:14pm
Me

Ok I’ll go away now
September 30 at 7:57am
It’s good to discuss these things when we’re all on the same page.
September 30 at 7:54pm
Just an example of the oppositions mind.  I wasn’t sure how to contest any further. By the way, How do you get in to college without knowing how to spell buttsex?  And, what page are they on?

the health business
http://www.blackcommentator.com/cartoons.html

Here is a good page to go to

http://factsaboutreform.org/myth.html

My smart friend Fred

Saturday, September 26th, 2009

explain the economy
http://imgfave.com/view/80764

I never really understood economics and whenever I try to I go to my smart friend Fred.  He has a way of putting things in terms I understand.   So I was asking him about some claims on the internet.  They claim that if you really want to be wealthy you subscribe to their read and they will show you how President Obama and Washington are undermining our ability to have wealth.

http://www.moneynews.com/streettalk/laffer_depression/2009/09/24/264142.html?s=al&promo_code=8A63-1

I forwarded it to my smart friend Fred and this was his response.

Money has no intrinsic value. It is a medium of exchange and a temporary store of value. Emphasize “temporary”.
If you hold money you lose value as it inflates, which it almost always does because government can’t resist using inflation to pay for its excesses of spending over its ability to tax. Remember the Bush tax cuts when waging an expensive war.

Too bad the government ran a deficit when the economy was booming. Now we need a bigger deficit to stimulate a bad economy. This is inflationary and we will see our money buying less in the future.

Don’t hold money. Hold items with intrinsic value like real estate, stocks, and even gold, though this does not earn a return.

Don’t pay attention to this crap. It’s just scare tactics to get you to buy a useless book.

Fred

So the federal government does with our money like what we did with our equity of our homes?  Imaginary income that we used to buy new carpet, or a pool.  They use imaginary income, be it inflation or equity, and buy stuff — like wars or healthcare.

I suppose “imaginary income” is one way of putting it, and yes, there is a similarity.  However inflation is a little different than the bubble of inflating home prices.  With a bubble the price of one thing (a durable item) goes up faster than the price of everything else; usually because people believe it will keep going up.  Eventually the bubble bursts, the price falls, and the people holding the item lose wealth.

Inflation is where the money price of everything rises because money is worth less. People holding money lose, which is virtually all of us. It isn’t so bad unless inflation gets so high people run from money.  In some countries, Germany
in early 20th century,  people were paid wages twice a day and given time off in mid day so they could go spend it before it lost too much value. Are you kidding me?

I shouldn’t date myself this way, but when I was a kid the price for a loaf of bread, a pack of cigarettes and a gallon of gas were all 25 cents. A big wad of bubble gum was a penny.  Prices are now about ten times for these things except for cigarettes which the government has taxed much higher than the other items. The one-tenth value of the dollar has been so gradual that we didn’t notice it much, except in the late 60′s and 70′s when the government took steps to control inflation.

As a kid I recall people (my father often), saying ‘I remember when a dollar was worth a dollar.’ So now I say, I remember when a dollar was worth 50 cents.  Today that makes it worth about 5 cents.

I don’t mind if you use the exchange on your blog.  I’ll try to keep it clean.

Fred
happy Fred

So OK I understand that economics is about the value of money.  My GOP friends don’t want reforms from Washington because they are afraid it will tap in to their own personal wealth.   Personal wealth is the money you hold and the stuff (items with  intrinsic value) you own.  What should be done differently?  Maybe we need to change our value system.

Another explanation that I could understand regarding economics today in this country was from Bill Maher.
How about this for a New Rule:  Not everything in America has to make a profit. It used to be that there were some services and institutions so vital to our nation that they were exempt from market pressures.

Some things we just didn’t do for money. The United States always defined capitalism, but it didn’t used to define us.

http://www.huffingtonpost.com/bill-maher/new-rule-not-everything-i_b_244050.html

I also received a response from Stacey Derbinshire at

and am including her link as it was helpful to me

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