Article 3 – The Plague of Myths – Myth 2: Healthcare, It’s Good for What Ails You!

We don't really have a healthcare system and its killing any reform.

We don’t really have a healthcare system and its killing any reform.

“This is the third of a series of articles that will be published over the coming days and weeks. The series of articles will define the problems, at a higher level, that we have in what we call our healthcare system, why they are important and how they have conspired to foil our various attempts to “fix” healthcare. Each article will encapsulate one, or more, related issues, describe the problem and its effect today, how it historically developed and describe the framework of the solution(s). The final article will summarize the solutions and describe their intrinsic benefits.
(If you would like a more detailed read you may go directly to the draft Whitepaper titled, HEALTHCARE REFORM 2.0: Beyond the Partisan Divide Lies Pragmatic Solutions currently version 1.1)”

List of Articles:

  1. Introduction to Healthcare reform: What’s next
  2. Article 1 – Introduction to the Real HealthCare System
  3. Article 2 – The Plague of Myths: Myth 1 Healthcare Costs Too Much
  4. Article 3 – The Plague of Myths: Myth 2 Healthcare, It’s Good for What Ails You!
  5. Article 4 – The Plague of Myths: Myth 3 We Can, and We Should, Live Forever!

Do our expectations of Healthcare match reality?

We have a large number of myths that govern our beliefs about our current Healthcare system – or non-system to be more accurate.  One of the larger set of myths that drive our perceptions of both the positives and negatives of our healthcare system are our beliefs and expectations as to what we should get from healthcare and the underlying medicine.  We believe, that modern medicine has cures for almost anything we face.  We believe that the continual research and discovery that has occupied much of the past 164 years has led to a firm and almost complete understanding of the science of disease, injury, and treatment.  We believe that there is little difference in cost between the things we need for survival and the things that we want to improve our lives.  We believe that the current methods of treatment and the discoveries we have made over the past 80 years are making us a stronger more robust species.  We believe that the doctor is typically the best and most qualified person to deliver the care we need. And we believe that in most cases going to the doctor is safe and leads to improvements in our health. These are just a few of the myths and misconceptions we have about the current state of medicine and what we should expect from our healthcare system. Continue reading

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Article 2 – The Plague of Myths: Myth 1 Healthcare Costs Too Much

We don't really have a healthcare system and its killing any reform.

We don’t really have a healthcare system and its killing any reform.

“This is the second of a series of articles that will be published over the coming days and weeks. The series of articles will define the problems, at a higher level, that we have in what we call our healthcare system, why they are important and how they have conspired to foil our various attempts to “fix” healthcare. Each article will encapsulate one, or more, related issues, describe the problem and its effect today, how it historically developed and describe the framework of the solution(s). The final article will summarize the solutions and describe their intrinsic benefits.
(If you would like a more detailed read you may go directly to the draft Whitepaper titled, HEALTHCARE REFORM 2.0: Beyond the Partisan Divide Lies Pragmatic Solutions currently version 1.1)”

List of Articles:

  1. Introduction to Healthcare reform: What’s next
  2. Article 1 – Introduction to the Real HealthCare System
  3. Article 2 – The Plague of Myths: Myth 1 Healthcare Costs Too Much
  4. Article 3 – The Plague of Myths: Myth 2 Healthcare, It’s Good for What Ails You!
  5. Article 4 – The Plague of Myths: Myth 3 We Can, and We Should, Live Forever!

The Plague of Myths

There are many myths that pervade our beliefs and therefore underlying assumption about our so called healthcare system. We believe that;

  • We have a healthcare system,
  • We believe that we already have, or are very near to having, cures for almost everything,
  • We believe what is good for us as individuals is good for the human species,
  • When it comes to healthcare we think that what we want is the same as what we need,
  • We either believe only government should have the role of providing care or we believe that government should have no role at all,
  • We believe that America can afford it – whatever it is,
  • We believe that Employer Sponsored Insurance has been a good thing,
  • We believe Co-Pays and Deductibles have helped lower costs and reduce consumption, and
  • We believe many, many others myths as well.
  • We also believe that American Healthcare costs too much! Continue reading

What’s next for our Healthcare System: Leading to real fixes or total collapse?

A new approach is needed

It is now crystal clear that the methods, some would say madness, that we have promulgated over the past 200 years to define the mechanisms we needed in order to provide healthcare to Americans have worked both spectacularly, and miserably, depending on your perspective and measures.  America’s healthcare system has become a collection of practices, methods, and mechanisms that neither integrate nor properly manage the efficient, effective and appropriate level of care that citizens need nor does it provide an appropriate method to deliver the care we want.

How we got to this point

Tolerance-RealCompromiseDuring the same 200 years, our overall understanding of America and our expectations of services have materially shifted.  We now expect significantly more from our country – and by extension its governmental structures: federal, states and commonwealths – than we did at its founding. We no longer value the role of tolerance in compromise as we once did. This has led to a frozen governmental structure where we are trapped between two ideological extremes. Everything we now attempt to do becomes locked in an all or nothing outcome based approach. The latest healthcare legislation, and more recent proposals, can be seen as the culmination of this dysfunctional approach.

For a variety of historical reasons, all seemingly reasonable and appropriate at the time, we have adopted a series of changes, often in the form of rules and laws, to try to affect corrections to one part of this non-system or another.  All of these approaches, in the parlance of medicine, have affected the symptoms of the disease but they have not cured the underlying fundamental problems.

We must identify and agree on the fundamental problems

In order to correctly define an effective, cost efficient, and appropriate healthcare system for all Americans, we must first address the fundamental issues, disconnects, and problems of our historical non-system.  In order to begin to actually address the needed fundamental fixes – therefore deal with the disease not the symptoms – we need to first identify and agree on what the fundamental problems are.

Clearly, America is caught in this crossroads. Since we are now trapped between two ideological positions. It is because neither party can find ground for compromise because we have lost the art of tolerance that I often say, “The only thing that we, as Americans, tolerate today is intolerance!” The principal of tolerance was a key characteristic that made America the leader of the free world it became.

A series of articles

What follows over the next few days to weeks will be a series of articles in which we will lay out a set of principles, that encapsulate solutions for the issues and goals that have been laid out by both sides of this debate repeatedly over the past seven years, beginning with the authors first encounter with a major Senate bill in 2007, and as identified in the authors reading of every formative bill from each committee whose work ultimately contributed to, or argued against, the final legislation for better or worse since then.

For those of you that would like to cut to the chase and read the more academic whitepaper it is available here: HealthCare Reform – Beyond Partisan Divide Ver 1

There is a solution

The solution will require quite a bit of work, much debate and a healthy dose of tolerance. In the end, we believe we can find compromise that will yield a much Continue reading

Tomb of the Unknown Soldier: A moving essay by Kristina Howell

Tomb of the Unknown Soldier
Photo by Thomas Loker Photography

Intro by Thomas Loker
Sometimes, as we go through our lives, and if we keep our eyes open, we will find remarkable young people that will touch our hearts and give us hope for our future. Recently, at the dinner party of one of my closest friends just such a remarkable young person was revealed before me. As she was born within a few months of my 13 year old son, I have observed this remarkable young woman all her life and have watched as she has grown to become a lovely young woman.
As Kristina herself points out; we often keep moving forward with life and take things, and those around us for granted. Like most, while I have seen her grow, I have never really known her, other than to observe that she has been a good, considerate, and helpful child. But I have not really known what she was made of, of her character, of her strong feelings, of the beautiful spirit that she has become inside. This only revealed itself because her father let me read something she recently wrote.

Kristina Howell in now in the 8th grade at Dartmouth Middle School in San Jose, I have always known she was an avid reader, but up until she recently took up a challenge to submit an essay in a voluntary writing contest prior to a class trip to Washington, D.C. I was not aware that she was also a skilled writer. More importantly, reading what she wrote reminded me that we need to really know our youth better, they are our future and they represent our best hope for a just and strong nation.

Kristina researched and wrote a very compelling piece and won the contest. Along with her win she also received the privilege of laying the wreath at the Tomb of the Unknown Soldier at Arlington National Cemetery. This accolade will likely become the first of many in her life. She proudly represented her classmates, family, and country in the laying of the wreath but she brought honor to all of us with her winning essay, “Tomb of the Unknown Soldier.”

Essay contest winner, Kristina Howell, 13, from San Jose, Ca., places wreath at the Tomb of the Unknown Soldier

Tomb of the Unknown Soldier

Does anybody ever stop to think about those who sacrificed themselves for us? Even when this sort of thing is brought to our attention, we tend to keep moving forward with life, always taking freedom for granted. We’re always wallowing in our own depression, never realizing how great our lives truly are. There are a few rare people who know that it won’t last forever. They risk everything to ensure that we keep it. They decide to fight our battles for us, because they love their country. These people are soldiers.

Soldiers have, and always will, stand as a role model for me. Their bravery is something many can only hope to possess. When we hear about the sacrifices they made, it really makes us appreciate the little things in life that ordinarily wouldn’t make a difference. It seems to briefly snap us back into a brutal reality. For a moment, we stop seeing everything as safe, when there’s war all around us, and nowhere to run.

When a war victim dies, it makes me wonder who they really were. Even if they’re unidentifiable, they still meant something to someone. I wonder if there was anything they wish they’d done differently, anything they wished they’d said? As they lay dying, were they filled with regret for never saying goodbye? Did their heart break, just before it stopped beating, because they never said “I’m sorry” or “I love you”? Did their spouse or parents cry because they realized their loved one was gone? Did their children finally realize that Mommy or Daddy was never coming home? Both war heroes and their families have to be strong, even if their heart is breaking inside. The reason I want to be a part of the group to lay down the wreath, is that I want to show all those unspoken words, strength, and bravery. I want to represent all those “I’m sorry’s,” or “I love you’s” that the soldier never got to say. But most of all, for the soldier, I want to be the one to say goodbye.

I hope after you read this piece you will post a comment to Kristina here and tell her how her essay touched you, and that you will pass along the link to this story so that others can learn of what a truly remarkable person Kristina is and help encourage her gifts and talents! Perhaps Kristina’s wisdom and insight can re-inspire patriotism along with the appreciation of hard work and great sacrifice that much of our youth seem to have lost over recent years. Maybe, along the way, her essay will help us inspire, find, and recognize more like Kristina, a truly remarkable young woman!

234 Years Ago: Patriotism revisited

Christmas dinner 1777 was a horrible affair for one of our countries greatest patriots. Not because the fare for himself and his military family consisted of a frugal collation of mutton, potatoes, cabbage and crusts of bread accompanied by poor water. Nor was it simply the incessant grumbling of the officers due to the shortage of any liquor. Washington’s horror was due to desperate and hideous state of his men.

His Continental army was quite truly shattering from the cold and lack of provisions. Remarking that its soldiers more properly resembled a hoard of unkempt beggars, Dr. Albigence Waldo of Connecticut wrote,

Dec. 14th ., Prisoners & Deserters are continually coming in. The Army who have been surprisingly healthy hitherto, now begin to grow sickly from the continued fatigues they have suffered this Campaign. Yet they still show spirit of Alacrity & Contentment not to be expected frown so young Troops. I am Sick, discontented, and out of humour. Poor food, hard lodging, Cold Weather, fatigue, Nasty Cloaths, nasty Cookery, Vomit half my time, smoak’d out of my senses, the Devil’s in’t, I can’t Endure it, Why are we sent here to starve and freeze, What sweet Felicities have I left at home;, A charming Wife , pretty Children, Good Beds, good food, good Cookery, all agreeable, all harmonious. Here, all Confusion, smoke Cold, hunger & filthyness, A pox on my bad luck. Here comes a bowl of beef soup, full of burnt leaves and dirt, sickish enough to make a hector spue,, away with it Boys, I’ll live like the Chameleon upon Air. Poh ! Poh ! crys Patience within me, you talk like a fool. Your being sick Covers your mind with a Melanchollic Gloom, which makes every thing about you appear gloomy. See the poor Soldier, when in health , with what chearfullness he meets his foes and encounters every hardship, if barefoot, he labours thro’ the Mud & Cold with a Song in his mouth extolling War & Washington, if his food be bad, he eats it notwithstanding with seeming content, blesses God for a good Stomach , and Whis[t]les it into digestion. But harkee Patience, a moment, There comes a Soldier His bare feet are seen thro’ his worn out Shoes , his legs nearly naked from the tatter’d remains of an only pair of stockings, his Breeches not sufficient to cover his Nakedness, his Shirt hanging in Strings, his hair disheveled, his face meagre, his whole appearance pictures a person forsaken & discouraged. He comes, and crys with an air of wretchedness & dispair — I am Sick, my feet lame , my legs are sore, my body cover’d with this tormenting Itch, my Cloaths are worn out, my Constitution is broken, my former Activity is exhausted by fatigue, hunger & Cold, I fail fast I shall soon be no more ! and all the reward I shall get will be, ” Poor Will is dead.” .

But it was not just the misery of his soldiers and their lack of provisions. Washington was abhorrent of the lack of dignity provided for his men. Many were almost completely naked and some were often simply without any clothes at all resorting to straw and blankets for whatever cover they had. What made this abuse more blisteringly intolerable was the selfishness of the citizenry. Many seemed to value their purse much higher than freedom or patriotic commitment. When he established his winter fort at Valley Forge he had correctly understood that the surrounding countryside was rich with provisions. What he had not counted on was that the local farmers would hide their crops and animals and also sell them for cash to the British encamped in Philadelphia.

Sitting in this sorry state, surrounded by the complicity of man, General Washington, our rising revolutionary leader, found in his patriotic heart the ability to write the following…

“We must take the passions of men as nature has given them… I do not mean to exclude altogether the idea of patriotism. I know it exists, and I know it has done much in the present contest. But I will venture to assert, that a great and lasting war can never be supported on this principle alone. It must be aided by a prospect of interest, or some reward.”

So as we prepare for our own Christmas of 2011, should we not cast our eyes back at the time of the founding of out country. and seek the character of a man who rose with his peers to reject the injustices done to them by the organized government of the few professional politicians. Those on that far island, who in attempting to rule a nation found that a rag tag, under-provisioned, unprofessional gaggle or patriots could overthrow their invincible might and jettison the shackles of subjugation for the lofty air of freedom!

While it may seem recently we have been robbed of our glorious history, it is still there for all of us to see if we choose to look. We may try to hide these feats in fancy rhetoric, and partisan diatribe but in the end we will once again unite in a desperate cause to rise above the crush of abstract ideals for a pragmatic recognition that our reality and existence is rooted in tolerance and personal responsibility. That their are times when it is not the loudest cacophony that must be heard by our leaders but the providential voice of what is right and just must rise to the decision. That all of our power comes from a united people. And in every clash through history we have found a leader who can deny self interest in favor of self sacrifice–a leader who knows that the right decision may not be the most popular one, or the most convenient. We have always found leaders that have accepted the burden of the citizen politician–who have led–not prospered–and in the end it is they who have helped us create something great. This was because, in the end the power did not flow from them–but through them and they recognized that it was the power of the people and divine providence that gave them the wisdom to both yield it and then give it up when it was time to do so.

So let us all look back at the Christmas in Valley Forge in 1777 and remember that it was not one man, but one idea that united us in this endeavor, and that patriots are never born of convenience!