Archive for Storytelling
Why is business expected to pay for healthcare in the US?
Posted by: | CommentsI’ve asked this question frequently over the years, starting in the ’80s, continuing to today … and I’ll keep it up until someone realizes that it’s a failed paradigm.
What we have here, kidz, is what happens when a society decides that socialism is anathema, but doesn’t empower and educate its citizens about how to take responsibility for themselves in ways that will keep them healthy, productive community members.
Business started picking up the tab for healthcare during World War II, when stiff wage controls made it impossible for defense plants to give their employees raises. In place of more money, they started to pay for health insurance – which state and federal government were more than happy to turn into mandated employee benefits over the next 20 years.
What happened then was predictable: three generations have been out of touch with the true cost of healthcare, and the true cost of their choices about their health. If you’re a good little American consumer, you do whatever your television tells you to do: eat this. Buy that. Otherwise the terrorists win!
Three generations of disconnection from the real costs of our medical care have delivered us an epidemic of obesity – thanks to plentiful empty calories, courtesy of agri-business, and our willingness to beach ourselves on our sofas, in our SUVs, or at our computers, the better to receive more messages about what we should buy and eat.
Health insurance costs have skyrocketed as we’ve become a nation of couch potatoes. Companies are scaling back their employee health benefits as those costs continue to rise, putting more and more people in the un-insured or under-insured bucket.
Here’s a suggestion: sell health insurance like auto, home, and life insurance are sold. Put consumers in charge of shopping for, and purchasing, their own insurance. Let business help their employees, if they choose to do so, as a true benefit rather than a mandate. Help every consumer set up a Health Savings Account for their healthcare expenses. And stop the state-by-state divvy-up that lets health insurers essentially gerrymander the health insurance marketplace.
Put consumers fully in charge of their insurance, and their care. Turn the health insurance market into a car-insurance model. People can buy minimum levels of insurance, and assume the risk of that choice. They can opt out completely, and assume all the risk for their healthcare costs. Make it a true marketplace, rather than the giant mess that we currently call health insurance.
Radical? Perhaps. Necessary? I’d say it’s essential.
Until we’re put in touch with the costs of our healthcare, we won’t be encouraged/empowered to take control of our health. As long as we’re using other people’s money to pay for healthcare, we’re stuck where we are.
Which is a very bad place to be.
That’s my story, and I’m stickin’ to it …
Healthcare: It’s time for us to #arabspring this b*tch
Posted by: | Comments
I had the opportunity to speak at a digital pharma marketing conference – DTC Perspectives’ Marketing to the Digital Consumer – last week. “DTC” is Direct To Consumer, by the way. I was representing the patient voice, at the invitation of my friends at the health activist community WEGO Health.
It was terrific for several reasons – connecting with other healthcare social media peeps in pharma, meeting and mingling with some powerful voices in pharma leadership, learning more about the regulatory environment that pharma marketers work in – but the biggest “wow!” that day happened between my ears.
I realized that pharma – and healthcare in toto – is desperate for its own #arabspring. A complete re-alignment of the entire system, driven from the bottom up, that will benefit all players: pharma, health systems, clinicians, researchers, patients … people. All of us.
This epiphany arrived courtesy of a combination of factors.
First, I felt a little like a zoo animal, since I was the only one at the conference wearing an Official Patient sign. I found that amusing, since everyone in the room is a patient at some level, even if they’re only seeing a doc once a year for a check-up. I’m not even a pharma consumer who’s on a buffet of drugs, although I do take a fat handful of supplements every morning. Why are patients seen as exotic creatures by pharma, and by most of the healthcare industry?
Patients = people, people. Treat us like … people.
Second, since I also wear a PR/media/content-creator hat, I saw that they were making a real effort to understand how they could take advantage of social media as a direct-marketing tool. They were approaching this as an industry with a huge regulatory oversight burden, from the FDA to the US Patent & Trade Commission to the host of regulatory bodies in other countries where these companies sell pharma products to doctors or direct to consumers.
Some of the regulatory step-on they’re struggling with they brought on themselves with “me-too” drug formulation and disease-mongering (“restless leg syndrome”? Really?). In conversation with a couple of high-level folks from big pharma, I learned that they routinely hear “we’ll have to run this past sales” when they want to try a new approach to communicating with their market. Why does sales drive communication? If pharma wonders why they’re seen as a scrum of hucksters, look no further than “running it past sales” when it comes to new ideas.
That combination of being seen as an exotic because I was a patient, and recognizing that, as an industry, pharma is an inverted pyramid crushing itself under the weight of heavy regulation caused, and continued, by a run-it-by-sales communication model, led me to the idea that people (a/k/a “patients”) need to #arabspring this b*tch.
People – patients – need to examine their relationship(s) with healthcare, and pharma, and ask what value they are getting from those relationships. Tell those that help how they’re doing, and tell those that aren’t to either clean up their act or take a hike.
Don’t fall for disease-mongering.
Don’t settle for less-than-full disclosure from any of your healthcare providers – in other words, ask why your doctor is prescribing a name drug, if a generic is available.
Act as if your health is YOUR responsibility. Get off the couch, call a halt to drive-through nutrition, examine your habits and ditch what doesn’t serve you, and your health.
Engage with pharma companies who provide you or your family with drugs that work, and tell them so.
Rabble-rouse the FDA to stop standing on innovation, and to start freeing up both farm AND pharm to help us eat better, and help researchers bring new drugs that actually help to market.
Take to the the streets by visiting your local farmer’s market and buying/cooking local. Boycott processed cr*p disguised as food.
The presentation deck I used at the conference, with added narration, is linked here.
I welcome comments, arguments, suggestions.
I recommend that you read my buddy Phil Baumann’s take on “we are all patients”. (He’s right, BTW – which is why I say patients = PEOPLE, people.)
That’s my story, and I’m stickin’ to it …
Dear kids: school is your job. Act accordingly.
Posted by: | CommentsIt has become accepted wisdom that public schools in the US are failing their students.
I confess to believing some of that conventional wisdom: I think we’re losing generation after generation of inner-city and rural kids with sub-par schools and technology. I also think that inner-city schools have become both a dumping ground for teachers who shouldn’t be teaching, and a road to exhaustion and defeat for teachers who arrive fired up and get ground under the wheels of budget shortfalls, bureaucracy, and bullsh*t.
But I digress.
The Washington Post Answer Sheet blog shared a post by Will Fitzhugh, editor of the Concord Review – the world’s only English-language quarterly review for history academic papers by high school students (smart kids + smart teachers = intellectual advancement for all!) – that puts the blame for poor student performance at the feet of … students. The title of the post: “Teachers Not Enough? Who Knew?”
And he’s 110% right there.
I’m now going to sound like the geezer I’m becoming, but just roll with me for a minute here. When I was in school, my job was to go to school, do my work, and learn. That was my job. The one that would set the stage for all the jobs coming after, the one without successful completion thereof I would be stamped with the storied “L on my forehead” and consigned to the career-and-success scrap heap. It was up to me to learn as much as I could, and use that knowledge to forge my way in the world.
Am I nuts, or does it seem as though students in K-12 now believe it’s the responsibility of the school to pry open their brains and pour in knowledge without much in the way of student effort? And that expectation is being driven by parents, and the community at large?
I watched the documentary Waiting for Superman recently, and found it compelling. However, something nagged at me as I watched it, and after, that only became clear when I read Fitzhugh’s Concord Review post: the film left the viewer with the impression that schools, parents, and the community were responsible for the entire education cycle. What was left out was the obligation for students to work to learn.
I’m not saying that a kid in a failing inner-city school who fails to learn is solely at fault for his/her lack of academic progress. As a society, we must make sure that each of our kids has the chance to learn as much, and go as far, as s/he possibly can in life. Charter schools can be a terrific answer for places where public schools are letting down the kids who try to learn there … but they’re not the only, or even the first, answer.
That first answer is: kids, school is your job. Act accordingly. Pay attention, do your work, do not expect to have learning pass through your ears and into your brain without any effort on your part. Life requires that you be present, pay attention, and act to further your own progress. You will not be borne through life on Cleopatra’s barge, much as your helicopter parents might have led you to believe that was your destiny.
Work. It’s what makes things happen. So go do some.
That’s my story, and I’m stickin’ to it …
Raising Cain … then lowering him. 3 tips to avoid that mistake.
Posted by: Mighty Casey | Comments (0)photo credit: Toby Harnden|Daily Telegraph
The quadrennial silly season known as the US Presidential race has been in full cry on the Republican side for about six months now, with some highly entertaining spectacle already on display. Unfortunately, a popular favorite, Herman Cain, who had built up quite a head of steam as a leading contender, has been somewhat sidelined by accusations that have put his campaign in PR-crisis-management mode.
First, let me make it clear that I have no dog in this fight. I’m still waiting for the Logic Party to form, and meanwhile am a member of the No Labels movement – in other words, I’m apolitical outside the voting booth. Inside the voting booth, I hold my nose and do the best I can under the circumstances.
My purpose here is to point out the three simple, yet critical, steps Cain and his campaign communications team should have taken to, if not 100% avoid this epic mud-fest, at least keep it at small-mud-puddle level.
I feel for the guy. I covered every Presidential race from 1980 to 2004. As I put it in my bio: I covered wars, Presidential campaigns, and Presidential campaigns that turned into wars. Politics is a rough, nasty, no-holds-barred business – the higher the office, the sharper the knives and the bigger the guns you’ll be up against.
Failing to recognize that, and failing to get in front of any negative information in your past by revealing it yourself first, guarantees painful war wounds.
That’s my story, and I’m stickin’ to it …