George Conway has nailed it with this pledge to the President, including gems like these:
I believe the president wants to release his taxes but has not because he’s under audit, which is why he has fought all the way to the Supreme Court not to disclose them.
. . .
I believe former national security adviser John Bolton has no relevant testimony because he didn’t leave the White House on good terms.
This morning I attended a conference titled “Disruption and Innovation in Healthcare 2.0“ at Washington University in St. Louis. I was humbled at how well informed and nuanced the speakers were. They included Alex Gorsky (CEO of Johnson and Johnson), I certainly learned a lot. My main concern is that the ability to understand the complexity of the health care system is well beyond the ability of most people. The simplistic positions of our politicians are a great disservice to our country. For example, it is absolutely clear that our health care system is NOT a functional market, meaning that the Ayn Rand/Free-Market conservatives are deceiving us when they claim that all we need to do is “get government off our backs” to fix healthcare. I admire that progressive politicians are calling for universal access (something that almost all developed countries have, but not the U.S.). That said, how do we square that universal access with the need to incentivize future innovations, in addition to ongoing care? Any big changes to the current system could have disasterous ramifications.
The stakes could not be higher. To the extent we are tempted to implement broad new changes, we need to keep in mind (as one of today’s speakers said), “This is not a dress rehearsal. It’s the real deal.”
[On the right] Johnson and Johnson CEO, Alex Gorsky
The speakers somberly delivered the following shocking information: There is currently no payment model for many current (and anticipated) extremely expensive curative therapies. Thus, people who can be CURED of horrific diseases will languish under the status quo because we can’t figure out how to give them more than palliative treatment, even when palliative treatment is sometimes more expensive in the long run. I dare you to read previous sentence a few times and then shrug and try to convince yourself that we, as a country cannot do better.
Here’s another fact was mentioned several times today: 75% of our health care budget is the result of bad choices made in early life by individual Americans. Preaching at people to get their act together shouldn’t offend reasonable people. For instance, urging that children should eat healthier food should be applauded, even though some conservatives ridicule Michelle Obama’s urgings in that direction. But what about more? To what extent should we, must we, put some skin in the game for people who are actively self-destructing their bodies? I think we need to seriously look at some low-hanging fruit and make some people uncomfortable for their own well being and for the greater good of the United States. The overall health of the United States is most definitely a public good. The ill-health of any of us affects all of us.
These issues are ultra-complex, highly nuanced, in addition to being critical important. Anyone pretending otherwise should be promptly yanked off the political stage.
Here’s more information about this event. It was being video-recorded and hope that it will be made available to anyone interested in these issues. “2nd Annual Olin Business School Healthcare Symposium: 'Disruption and Innovation in Healthcare 2.0'
Everyone out there has good stories and lessons to share. It is my faith that it is one of our highest duties as human beings to reach out to connect with other human beings to identify and share those treasures within each other without exception and without judgment. Sometimes it's not easy and it takes some deep breathing to get past crusty exteriors of ourselves and others.
Over the past year I've reached out to have coffee with several local FB Friends who had bristled at my political views (and vice versa). In each case, over a couple hours of conversation we found common concerns and common dreams along with that willingness to connect. Later this week I'm going to join one of those men for coffee again. Aside from his staunch views that many would consider gun-loving libertarian/conservative, he is also a dog lover, brought almost to tears by the thought of dogs who suffer. He is also a dedicated family man, a cancer survivor and a man who, many years ago, pulled himself up (with unfathomable hard work) from a place that would seem to most of us to be an impossibility.
Over the past couple of months, I also reached out to a woman who (I'm certain) gets indigestion when I speak of things like single payor health care. She is a dedicated nurse who, over several decades, worked her way through a dozen challenges that might have crushed many of us. She generously gave me the gift of hours on the phone, during which she invited me to lean hard on her to help me process a situation that felt like an emotional bludgeoning. [More . . . ]
Last night I made a few acrylic poured paintings. It's mostly fun and takes very little artistic ability. The patterns develop as you cause the paint to slide around the canvas by slanting the canvas after you pour your own customized concoction of paint (and Floetrol, water and a few drops of silicon) out of a cup. And then you get to stand back and watch more patterns and "cells" emerge on their own. If you are interested in trying this, just Google acrylic pour painting and you'll find numerous tutorials/demos.
On FB, a friend commented: "An uncanny resemblance to some rocks I've seen some guy posting lately."
My response: There is a parallel to rock tumbling. Very little need for talent, yet sometimes stunning results. These activities are both fun and relaxing and they work well as a counter-balance to the intense abstract time-driven work I do as an attorney. Or maybe I'm simply regressing to my childhood . .
There are so many cognitive biases that it is difficult to keep track of them. This article provides a chart of 50 well documented cognitive biases. Maybe I'll print out this chart and put it on my refrigerator for easy access . . .