Decidedly

Musings on decisions and factors that drive them.

Health Care Reform as weapon

The subject of Health Care Reform, no matter what one's personal views on it, has provided us with depressing insight into a greater issue that faces our nation: A divided culture that is compelled in all matters to take "sides." A situation in which a real and serious issue becomes but a ruse for advancing underlying disharmony. A culture in which "winning" is more important than advancing quality of life for, and as, a people. A climate in which victory, even Pyrrhic, seems to be sought for the momentary satisfaction of watching someone else being "defeated." A milieu in which a victory for one's "side" will justify whatever means are employed to achieve it . Where "spin" is more important than truth. It all seems a very far cry from the ideals of the Founding Fathers.

Rather than railing at each other, rather than fanning flames of discontent, rather than spending resources and energy in trying to prove that one view is "right" and all others are "wrong," it is possible to take a more systematic and disciplined approach to discussion and planning. A means of honoring and respecting diversity of opinion and needs.

Each key constituency should identify the essential qualities of a health care system that it is seeking, and separately list its concerns. It is typical to find at least a few items on each constituency's list that are similar to items identified on others' lists. Some items would be unique to each constituency. That is absolutely as it should be. Each constituency should independently ascertain the relative importance, for them, of the items on their own lists. Any judgment of other constituencies as to the merit of their lists, or their resultant weighting should be politely withheld. Differing values, and differences of opinion, are to be respected, not attacked. (Something cable news and talk radio have yet to learn.) Reaching common ground is neither a matter of convincing nor coercion. The best solutions evolve from listening, and a mindset of respectful willingness to understand, while perhaps still disagreeing.

Once each constituency's individual judgment "structure" has been created, each potential option for a health care reform plan should be listed and weighted, again by each constituency on their own, against their own criteria.

Finally, the results of all constituencies' weightings can be integrated into one graphic picture. It is entirely likely that results will not be as far apart as we have been led to believe. It may even surprise some people. The disciplined integration of independently structured viewpoints would further allow discussions of differences in a way that allows meaningful and cooperative resolution.

Applied to the health care reform issue, it is possible to resolve the key issues in a civilized, respectful, cooperative manner... which, I am told, is exactly why such a method probably would not be adopted. Health care reform is currently being savored as but a means to sabotage the other "side." As an issue deeply affecting everyone in the country, health care reform has become too great a temptation to use as the tool to foment outrage for self-serving ends.

As Pogo said decades ago, "We have met the enemy, and he is us."

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Needed: new rationale

Yet again, we are being hit with news stories geared to practically nurture public outrage. Once again, the subject: executive bonuses. This time the recipient in question is Andrew Hall, head of Philbro, up for a bonus in the millions. I don't know which is more irritating: the large amounts in question, or the fact that these stories are becoming all too familiar both in stylistic construction and content. Big bonus. "Talent flight." Connections to "bail out" dollars. John Q. Public foots the bill.

If we are to move beyond outrage to acceptable solutions, more comprehensive thought about this compensation issue is necessary, if not by journalists, at least by the Pay Czar. Lack of clarity as to criteria for how "merit" is determined is typically at the core of any outrage related to compensation. If the public were given more than "talent flight" as the sole reason for bonuses, it would be a good place to start.

More reasons than one determine worthiness. These reasons have a relative importance. In addition, the Pay Czar must understand the full set of concerns from the public view. He must delve into the below-the-surface reasoning that drives the perceived point at which a sum of money given as pay or as a bonus switches from being reasonable to being considered "obscene" or morally reprehensible. These perceptions and concerns, too, have relative perceived levels of impact or pain.

Each potential recipient, now and in the future, should be assessed against the established criteria. The assessment must, with transparency, drive the amount granted. Additionally, integration of that merit assessment with the analysis of public perception will make decisions have a better chance of being deemed "reasonable." They will be defensible.

Without this discipline, the public will create their own myriad sets of criteria for judgment, not only for compensation granted, but for judging the Czar himself. We can then expect the focus of outrage, the topics of the articles, to shift from amounts of compensation to the capabilities of the person making the decision, in this case the Czar. And have we not heard and read similar stories in the past as well?
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After the fires are out...being ready

It is impressive to see the financially pinched world of non-profits offering the commercial sector some valuable, spot-on thinking expertise, as found in a commentary on how the arts are surviving this current economic crisis. I particularly resonated with the description of "crisis thinking" leading to organizations becoming "even sicker."

An economist acquaintance of mine from Europe used to remind me that economic recessions were a time of cleaning house, making things leaner and better. A time of innovation. Of finding new and better ways to survive, in the long-term.

During tough economic times, the first things to be cut in many large businesses are personnel, training and travel. Also, though not often revealed, is the fact that activities related to long-term planning, are typically postponed or dispensed with entirely. The rationalization has been that these activities are "expendable" at a time when there is "serious fire-fighting" underway "just to survive." Contrary to the sage advice I was given, this "crisis thinking" does not bode well for innovation, or becoming leaner or better. What truly are the chances for survival following multiple cycle swings if this type of thinking dominates?

Economic cycles are reality. Tough times will continue to occur. Long-term planning, if done correctly, accounts for survival during present and future tough times. Tactics pursued for immediate survival, however, don't necessarily position for the long term.

Short-term thinking, because it is a problem-solving mindset, is typically reactive. Long-term thinking incorporates both reactions and proactive actions. It can be about survival, but it is also about positioning. If one's competition maintains this long-term view, it is the competition that will be ahead at the end of each downturn, when one is only regrouping and starting to "plan again."

Therefore, critical to the decisions one makes is a perspective in terms of time. Is one judging one's options in the context of the short-term or the long-term? The simple act of framing a decision in terms of time, would elevate the quality of judgments being made. Finding solutions that satisfy the short-term as well as benefitting the long-term position are better than those serving only immediate survival. And a separate exercise to think in this manner is not required.
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In gratitude...

A few months ago, the internet carried quite a few angry reactions to Comcast's ongoing program of "enhancement" to their delivery of cable television services, one that requires yet more equipment. Some, while spot on, were also entertaining, such as Runner Girl Knits' blog. She wrote:
"I also don't believe that your company [Comcast] has seen any televisions lately. Calling this huge piece of equipment a 'set-top box' is ridiculous. The top of my television is about 3" deep. Trying to balance a 'set-top box' might be good for an initial giggle, but impossible to do."
On the other hand, TV news coverage, expectedly, decided to frame the issue as one in which "seniors" just don't understand the ins and outs of high tech, the "digital revolution" or how to put together assorted pieces of electronic equipment. But, this is not about high tech. Nor about confused seniors. It's about a business decision to make more money. And it's about a clearly successful marketing campaign. The Federally-mandated transition to all-digital broadcasting was merely a convenient and timely catalyst for change. It has nothing to do with this "enhancement." Nor this "enhancement" with it.

From all the articles and brochures I've now read, it appears that Comcast's "enhancement" strategy starts with the removal of access to cable channels currently available. Comcast offers a "free" box so that one can then receive these now-scrambled channels. While unscrambling, the box degrades signals from all channels, including those broadcasting in high definition (HD), to standard definition. If one wants to see what is being broadcast in HD (currently possible without the box if one has an HD TV), one now must acquire, for a fee, a different signal converter box. Additionally, one must subscribe to the more expensive "upgrade" to Comcast's "high definition" offering. Additional costs will also be incurred as one tries to overcome the introduced inability to record shows without first getting other new equipment.

I confess I've always felt a little captive in having to accept the incremental increases to my cable bill over the years. I once looked into satellite TV, but discovered I am "treed out." So, I must thank Comcast for creating a significant enough disruption [something all robust strategies must consider] to cause me to pause and think about what is important to me. I decided to examine my options. I thought, at first, in terms of which television package would be best for me. In all our decision work with our clients, the better starting point is to state the context, the purpose for doing something. One has to get beyond statements about the activity itself, such as "selecting a great TV service," to thinking about what selecting a great TV service would do for one. If I had the best TV service in the world, what would be different about my life? OK. It was a bit of a struggle. What was the reason I even had a TV? So my purpose, after a good deal of thought, was "to enhance the quality of my life." (For those of you who are also exhausted by reality TV, please don't laugh just yet.)

I then wrote down statements of qualities that enhance life for me. Broad brush stroke statements. What were the characteristics of things that have made my life richer, more meaningful? I went on to determine their relative importance to me.

After that, I put down all sorts of options that I was considering, expanding the list to include more than just TV service packages. I ranked all these options in terms of how much they satisfied each of the things in life that enhance its quality for me.

In the end, TV service, no matter which type, fell far short of the other options I had put down. (Of course, each person doing this exercise, would have their own qualities, and their own ranking.)

In looking at my results, I wondered how much Comcast has examined the role of the Internet as a threat to their own video offering. And would Comcast care that adopting a stray pussycat would be better in my life than any of their TV service offerings? Probably not. Maybe they would care if a substantial number of people also cancelled the video portion of their cable service, keeping only the Internet. In that case, what are the chances we'll see some sort of "enhancement" to that offering?
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8-ball fortunes

The old fortune-telling "8-balls" invented in 1946 and widely popular during the 1950s have come back to mind. These toys, when rotated, would display random and often vague answers to posed questions, answers such as "Reply hazy. Ask again." How appropriate they seem today.

The US budget deficit made headlines by hitting $1 trillion on Monday. A number that is nearly incomprehensible. One wonders how long it will be before such a figure will become commonplace. Have we just seen the economic equivalent of the Roger Bannister 4-minute mile?

In response to this news the NYSE was up 185.16 points and the S&P up 21.92. This could, of course, swing wildly in the other direction tomorrow. "Outlook good."

The unpredictability of leading economic indicators, as well as their general disconnect with more tangible daily realities, increases one's reluctance to make investments with any remains of decimated funds. With futures fraught with uncertainty, options that once seemed wise or safe remain dismal. Interest rates certainly don't inspire one to put one's savings in a bank. For many baby-boomers key financial decisions must be made soon. They do not have the luxury of time to heal their economic wounds. Yet, no entity or person seems trustworthy or reliable enough to consign with one's future. How can one trust in what one does not find sane or at least moderately predictable?

Larger economic recovery solutions must address the varying needs and anxieties of multiple constituencies so that all can survive (if not thrive). Viewpoints differ, depending on one's age, education, personal comfort and economic position. If one is younger than 50, if one has training in economics, if one has a stable and sufficiently generous salary, then the volatile market and the burgeoning deficit might not seem quite as despairing as they are to persons well beyond fifty, facing retirement, confronted with little chance of recovering nest eggs built over decades, compounded by the potential loss of the so-called safety net of social security.

It is not that one view is right and one is wrong. Solutions just are, and always will be, assessed from different angles. Each perspective has its own reality. More robust solutions will account for this fact. Finding common ground is essential to selecting solutions affecting a broad range of constituents. Understanding and honoring the differing values of each constituency is critical. "Yes."
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Feeding the nanny state on the Fourth

I'm not a real fan of the Fourth of July. Not since my university days when I worked evenings and weekends in a big city hospital ER to earn tuition money. A parade of disasters would occur each and every Fourth. Facial injuries, burns, blindness. A great many were self-inflicted injuries. But not all. Most resulted from the "it-won't-happen-to-me" mentality of not just children, but more reprehensibly, of adults who insisted on showing off with fireworks. It's been decades since my ER days, but my general attitude towards fireworks handled by amateurs hasn't changed a whole lot. Perhaps the only significant shift is my viewpoint. I worry more about the persons on the receiving end of others' negligence or bravado.

Nine houses were set ablaze in the Seattle area this Fourth due to mishandling of fireworks. Last year there were two houses near my neighborhood that caught on fire. In this region, some types of fireworks (much more explosive than sparklers or Roman candles) are "legal." And, legal or not, they can be deadly if mishandled. TV coverage of this past weekend's tragedies indicated that this "legality" somehow excused those who set off the fireworks from any responsibility for the injuries to others and their property. [I don't know how true this is. We drive cars, which are legal. But when we drive irresponsibly, we are liable for our manner of handling the car, i.e. the legal item.]

Many argue the "remedy" to these Fourth of July debacles is simply to ban fireworks. While initially inclined to support this direction, I also wondered why we must always pass a law, a regulation, or a fine to instill a sense of responsibility in persons for their actions. My English friends refer to this as "the nanny state."

We come round to the overarching purpose of what is hoped to be achieved by our actions. If this purpose is not the purpose of all those involved or affected, then actions pursued or suggested will not be "owned" or respected. It is imperative to integrate differing viewpoints into a simple, clear framework for discussion of possible options. Hence, we combine "to allow festive pyrotechnic enjoyment" with "while ensuring the safety of persons and property." A ban is but one suggested solution. A ban on unlicensed pyrotechnical amateurs could be another possible solution. Penalties for mishandling fireworks is another. Stiffer penalties for purchasing illegal fireworks. Penalties on persons manufacturing and selling illegal fireworks. Training in the proper handling of pyrotechnics. Working a few shifts in a big city ER. There are more possible solutions and there could be a combination of actions providing an even better approach. But it all starts with working on the overarching framework for the decision. Then one would weigh the options in terms of how well they address the purpose. It many not altogether prevent our becoming a "nanny state," but there will at least be some thought to selection of more viable "nanny" actions.

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