Category Archives: Comments

About a year ago I read a blog about how to best manage time while working on ambitious projects or tasks.  The entire article was interesting, but how the author defined  Ambition has stuck with me.  I can not remember what the blog is where I read it, which is why I can not provide a link to it, and which is why I am paraphrasing here, but essentially what the author wrote was that working on an ambitious project, by definition, means that we are working to the very limit of our current abilities.  Over the past several months I have been working on multiple ambitious projects, both for work and personal interest, and it has prompted me to create the following graphic.

The inner circle represents what we Know.  It’s our cumulative knowledge to date – our comfort zone.  This Circle of Knowledge grows as we take on new tasks and duties in our life.

The outer, darker circle is the Unknown.  These are things we have not done or tried before.

Then there’s the zone of Ambition.  This is the edge of our abilities where we stretch our knowledge and skills by tackling new things.  Every time we enter into this zone it results in our Circle of Knowledge expanding.

The interesting thing about this graphic is that it can apply to any part of one’s life.  A baby who is learning to walk, a child starting at a new school, learning to drive, getting married, a new job – all of these things are new to us as we grow, and they’re all testing our abilities.  These aren’t necessarily always Ambitious items, but they do grow our circle of knowledge.  This graph also works on a smaller level, say someone who is learning how to use some new software, or creating new software.  All of it pushes the limits of what we know.

An ambitious person will spend more time in that transitionary zone of Ambition, growing their circle of knowledge.  I find that as the Known circle grows, the zone of Ambition is ever more challenging, thus requiring a greater ambition and effort to expand into the unknown.

So I am attempting to take this web page in a slightly new direction.  I am now experimenting with hosting on WordPress.com in an effort to make updating and maintaing my webpage easier.

For the past 5 years I have been using RapidWeaver to create my website.  For the most part, this software has worked well for me.  But over the course of time, as my needs and situation have changed, I am finding this software to be less useful for me.  Following are some of the issues that have driven me to try something new.

RapidWeaver uses absolute paths instead of relative paths.  What this means is that when the application looks for a file it starts at the top level of the system starting with the hard drive name.  If the software used a relative path it would begin searching for files in it’s own file folder and then go into sub-folders from there.  This has created multiple issues for me over the years.  The first of which was when I wanted to start updating my site while at work or traveling.  In order to do this I had to move my source files to my work computer.  When I did this I ended up having to rebuild all of the pages with media on them as the software couldn’t find any of the resources since it was on a different system with a different name.  That was a pain, especially because I had to select each item individually instead of the software realizing that all of the missing assets where in the same folder.

This became an issue again recently when my work computer was recently migrated to a new server, and the user system folder relocated on the hard drive.  Again, RapidWeaver lost the ability to connect to all of the assets.  File permissions have also been messed up in this recent change to my work computer, and I can no longer save the files I’m working on, instead having to choose Save As… every time I want to save what I am working on.  This is especially annoying as I tend to to save my work frequently while working on it as opposed to just once when I’ve finished.

So for these reasons my current way of maintaining a website is in need of a change.  I do not expect to be able to replicate my old site exactly, nor do I want to.  I am hoping I can get my old site more or less migrated to this new system relatively quickly (a month, maybe) and that it will enable me to make more frequent updates.  The old website still exists, and I will keep a link to it in the sidebar for the foreseeable future.

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“The world has lost a visionary. And there may be no greater tribute to Steve’s success than the fact that much of the world learned of his passing on a device he invented.”

-US President Barack Obama

I learned of the passing of Steve Jobs through texts on my iPhone.

Steve Jobs wanted to change the world, which he did many more times than any one person deserves to. It’s ironic that his passing seems to have changed the world once again, if only for a moment.

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Ok, I’m about to embark on what some (many?) consider to be a touchy subject, but because of some recent experiences I think it’s appropriate to discuss my point of view.

As you probably know, my daughter recently went through major heart surgery. In the months following we have been receiving billing statements that list what the cost of this procedure was. Everything from the actual surgery to consultations & medications. The total for all of this modern medicine has amounted to something north of $100,000. Crazy big money. Second mortgage money. More-than-I-can-afford money.

But our family has medical insurance, so our total out of pocket cost has been around $3000. I think that many would agree that is a bargain. Many in the US that is, but almost no one in any other developed country would agree. Why? Because they have socialized medicine. They would pay nothing out of pocket.

Okay, I may be losing some people here because they view the idea of socialized medicine, or government run health care as aberrant, which it is. It is different. We have become accustomed to the US healthcare system and something different is strange and sometimes scary. (Look at how all of the government workers and teachers in Wisconsin responded when the governor essentially dismantled the employment model that was the only thing many of them have ever known. I don’t necessarily disagree with what he was trying to do, but I think the way he has gone about it was a little heavy handed. But that’s a different story, and my point here is that drastic change can be disconcerting to anybody, no matter your political stance or beliefs).

Now here is why I am writing this now. I was recently in Greece for some business. While there I was working with a woman from the United Kingdom (England, really, but she’s proud). We got to talking and children came up and I mentioned to her how our daughter had surgery this summer. She was completely flabbergasted at how much we had to pay for this critical procedure. I found this completely ironic. Here I am thinking I’m getting off easy with a bill of $3000, and she is dumbfounded at the cost.

Of course this is because in the UK they have state medicine. Everybody living in their country (and many other developed nations) has complete, free, medical coverage their entire lives. We then got to talking about my weekly contributions for the privilege of having health insurance. Somewhere around $80 a week gives my family medical, dental, and vision (for me) coverage. That works out to over $300 a month for a total of $4,160 a year. That’s a lot of money, but because it comes out of my check each week before I see it, it doesn’t really effect me too much. That is, as long as I don’t think about it too often.

In the UK everyone pays into the system as a form of tax (Ooooo! Scary! a Tax!) that is about 10 pounds a month, or the equivalent of $15 a month. For that they get full medical coverage. For life. (I think, however, that it does not cover vision or dental, which would explain a lot about the Brits teeth, but I digress). That’s some bargain. Do you know what she pays for visits to the doctor? Nothing. No co-pay. None, zero, zilch, nada. Prescriptions cost a onetime payment of 7 pounds, about $10.

Now I know that a lot of these medical plans in Europe and other countries are having problems sustaining the model. I get that, and understand the system isn’t perfect, but it sure seems like it’s a lot better then what we have in the US. $15 a month? Can you imagine if everyone in the US paid $50 a month into the system? I’d be thrilled with kind of payment? Is it sustainable? I don’t know, that’s for smarter people than me to figure out, but I believe it is.

Which brings me to the Health Care Reform that has recently been written into law in the US (more commonly, and wrongly, known as Obamacare. Honestly, if you want to have an intelligent discussion about a topic please know what it is really called and not just refer to it with an incendiary term).

I know the Health Care Reform act has a lot of people in a tizzy. I agree it’s not the best plan – there are a lot of flaws with it. But there are a lot of good things in the law, and I also think that our current model is broken, and that something has to be done. Health insurance costs have far outpaced inflation over the past decade or more, and this may just be the first step in the right direction. It’s got to be better than doing nothing.

Here’s a chart that shows health care spending per person by country and the average life expectancy. It’s a couple of years old, but still relevant. It’s striking how much more health care costs in the US compared to nearly every other developed country in the world. (click on the chart for a larger view)

This chart was published at the National Geographic website. You may notice that some countries are not listed, but if you read some of the comments about the chart you find a response from the chart’s creator, Oliver Uberti, who explains the omissions this way:

As the graphic indicates, all 30 OECD countries were not shown. Because many countries like Germany and Italy had similar numbers that overlapped on the chart, I left some off to make the graphic easier to read. Also, a few countries did not have data for annual doctor visits. Here’s how the nine omitted countries measure up:

HEALTH CARE SPENDING (per person in U.S. dollars) 
Norway: $4,763 
Netherlands: 3,837 
Belgium: 3,595 
Germany: 3,588 
Ireland: 3,424 
Iceland: 3,319 
————-(OECD average: $2,986) 
Greece: 2,727 
Italy: 2,686 
Turkey: 618 

LIFE EXPECTANCY 
Italy: 81.2 
Iceland: 81.2 
Norway: 80.6 
Netherlands: 80.2 
Germany: 79.8 
Ireland: 79.7 
Belgium: 79.5 
Greece: 79.5 
————-(OECD average: 79.2) 
Turkey: 72.1 

DOCTOR VISITS A YEAR 
Belgium: 7.6 
Germany: 7.5 
Iceland: 6.5 
Netherlands: 5.7 
Turkey: 5.6 
Italy: no data 
Norway: no data 
Ireland: no data 
Greece: no data

Here’e the point I want to make. Imagine my wife and I had just had our little girl, and we didn’t have health insurance, for whatever reason (I had been laid off, my position didn’t include healthcare (Hello 90’s Walmart), or I was self-employed and the economy was tanking. Know anybody like that?). Now after dealing with the medical costs of actually having our baby we are faced with the knowledge of this heart defect. This isn’t cancer or MS or any other of a multitude of possible childhood illnesses that parents less fortunate than us have to deal with everyday. This is a treatable condition. But I don’t have insurance, nor do I have $100k. (And if I did get a job with healthcare, would they cover my daughter with her pre-existing condition?) What do we do? We probably don’t have the surgery for our daughter. She grows up apparently normal in every way, but in our minds we know it’s only a matter of time. Her heart is a bomb waiting to go off. We may never see any symptoms before it fails, but more likely we will see little signs, like shortness of breath and fatigue after climbing some steps. Teenagers shouldn’t become fatigued going up a flight of stairs to their room.

But we will not have to experience that. We are lucky. Others, I imagine, are not.

So why is a change to our healthcare system so scary? Well as I mentioned above, change is unnerving for people. It’s just human nature. We like what’s comfortable. But the opposition to a change in the system is very vocal. I know a lot of it is brought on by the need to rouse the rabble of the base by claiming fallacious things (Death Panels!), but there is also some serious financial implications for many US industries.

This is where I think the real opposition comes in. Insurance and pharmaceutical companies and other businesses in the medical field in general seem strongly opposed to any kind of socialized medicine in the US. They all see their profits diminishing or fading away. This is probably true in some respect, especially for the insurance companies. Profits over people. But you know what? Businesses fail all of the time. Look at the newspaper industry. Once so powerful, now struggling to survive. Not because of anything mandated, but just in the way that people now receive and consume their information. It’s a social, global sea-change.

But I want to take issue with some of the medical industries, specifically some of the pharmaceutical companies. I work at a pharmaceutical company, and I hear a lot of the company leaders speak on a lot of different topics. Here are two items that come up a lot:

1 – The new Health Care Bill is going to hurt us. It’s already cost us $X hundred million this year in revenue and will cost us the same next year.
2 – We are a global company and we are growing in expanding, international markets. The US is just a part of our global business.

Okay, what’s wrong with this picture? Here’s the part that doesn’t add up – if profits are strong in the global emerging markets which are largely socialized medicine, why are drug companies so opposed to having a similar plan in the US? I know that governments negotiate with the companies to get the drugs and treatments at a lower cost, but because more people are going to doctors more people are getting treated for all kinds of conditions. The cost per treatment may be less in other countries, but the volume is enormous. (I have no idea what the percentage increase is, but it would have to be enough to make up the difference of the lower cost treatments to be profitable, yes?)

Alright, I’ve said my piece. Let me just sum up with this – I don’t know what the right solution for the US is, but I sure wish that the conversation (especially from the right) wasn’t so inflammatory. A social sea-change in healthcare is what the United States needs.