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Paranoia: American as apple pie. And gunpowder.

By media commentary

Yesterday (Monday, April 2, 2012) the US Supreme Court handed down a 5-4 decision on the legality of strip searches in jails and prisons.

strip searchThe news is not good for anyone who gets arrested – guilty or not – and proves that the precept of “innocent until proven guilty” is sinking beneath the surf of paranoia that has marked the last decade, and has been a dark underbelly of the American character since Columbus landed all those moons ago.

Which leads me to reflect on the fact that it appears that the more open and social global society becomes, the more paranoid some sectors of society in turn become.

Look at the George Zimmerman/Trayvon Martin incident in Sanford, Florida. Would Martin have been in danger of being pursued and shot by a self-appointed neighborhood watch volunteer if it were not for some serious societal paranoia that drove Zimmerman to feel that he needed to wander the streets strapped with a 9 mil?

Full disclosure: I’m a gun owner. Additional full disclosure: if someone breaks into my house when I’m there, they run a risk of getting a face-full of lead. However, I don’t walk in paranoia when walking the streets of the city where I live. And I didn’t on the streets of New York City for the 27 years I walked there, even though I often found myself in dangerous places because of my work in TV news.

The Kinks song “Destroyer” says it all:

Silly boy you got so much to live for
So much to aim for, so much to try for
You blowing it all with paranoia
You’re so insecure you self-destroyer

Paranoia, the destroyer
Paranoia, the destroyer

As a culture, I think we need to take a long hard look at how we view our fellow citizens, and how we react to their presence in our vicinity. How do you tell if someone “belongs” in your community? Is it based on clothing, demeanor, skin color, language, the car they drive, what?

If your negative-perception radar is pinged simply because someone looks different than you, or different from what your definition of “normal” is, what does that mean about you? Does it mean you’ll shoot a dwarf who walks down your street because s/he is different?

Think about it. Your behavior could lead to a strip search … of you.

That’s my story, and I’m stickin’ to it …

Is it warm in here?

By cancer, e-patients

I’ve been quiet for a while. Been doing my one-armed paper-hanger imitation – in a good way – which has taken up too much of my time and attention.

She’s baaaaaaaaack!

And she’s almost 4 months overdue for her annual mammogram. Yep, a breast cancer survivor is late for her mammo – but it isn’t due to lack of effort on her part.

Here’s the challenge: I have the money in hand for a diagnostic mammogram. However, there is *not* enough money in hand for a specialist visit to order said mammogram. And since your (not so) faithful correspondent here has no health insurance – thank you, cancer, you rat bastard – that’s a wrap.

My frustration is magnified by my certain knowledge that the reason the mammogram has to be *ordered* is that said order means that the insurance company will pay for it when it’s billed.

Of course, since I have no insurance, that’s why *I’m* paying for the mammogram. But I can’t get a mammogram, since there’s no order for said mammogram to ensure insurance payment for same.

Crazy yet? Yep, me too. I’m also totally steamed … which is why it’s warm in here.

We have created a healthcare payment system in the US that flies in the face of logic. I’m not the only one who thinks so, either. My buddy e-Patient Dave is banging away at some of the same issues as he tries to be a responsible healthcare customer. I’m on record with what I think are some valid health payment reform suggestions over on Disruptive Women in Health Care.

And then there’s the ever-epic Jonathan Rauch article in National Journal that became an also-epic YouTube video exploring the issue “If Air Travel Worked Like Health Care”. All I have to say is … GAH!

On both the get-a-mammogram issue, and on healthcare in general. As the Supremes hear oral arguments on what’s called either Obamacare or the Patient Protection and Affordable Care Act (depending on whether you think health insurance is something we all *should* buy for ourselves), it might be time for all of us to face some hard facts.

The most basic of which is: until we start acting like customers instead of meat puppets, the healthcare delivery system in this country will be stacked against access and transparency.

With me? Think I’m nuts? Spill your guts in a comment!

Did Warren Buffett really say THAT?

By healthcare industry, healthcare price transparency, politics

Well, it turns out he did.

What did he say? Hang on. I’ll get there in a sec.

First, I’ve been silent here for a while (holy crap, I haven’t posted since Jan. 31!) – my only excuse is that I’ve started blogging for clients, and ran out of words. Not really, but that’s my story, and I’m stickin’ to it.

Back to our programming already in progress: Did Warren Buffett really say THAT?

WHAT DID HE SAY?

Well, he said this (on CNBC in July last year), kids:

“I could end the deficit in 5 minutes. You just pass a  law that says that anytime there is a deficit of more than 3% of  GDP, all sitting members of Congress are ineligible for re-election.”

no-labels-movement

No Labels. Not left. Not right. FORWARD.

Boo-yah! This is essentially what my buddies at No Labels have been saying since they released their 12-point plan to make Congress work back in December. #1-with-a-bullet of those 12 points is No Budget, No Pay. Which, by the way, had a subcommittee hearing earlier this month. Progress. It’s a game of inches, but we’re racking up those inches.

Speaking of fighting for inches, the healthcare reform act – or Obamacare, whatever your radio tells you that you should call the Patient Protection and Affordable Care Act – is in oral-arguments phase in front of the Supremes this week. I’m on record as thinking that this iteration of healthcare reform isn’t anything but an attempt at healthcare *payment* reform, but that’s not why I brought this up.

If you care about controlling healthcare costs – your own or anyone else’s – you must read e-Patient Dave deBronkart’s latest epic opus on what happens when a healthcare consumer tries to find out what something costs. The insurers don’t know, the hospitals sure as **** don’t know, so what’s a patient to do? Keep asking. Keep demanding answers. Keep it up until we all get healthcare to post its rates clearly, and in public.

I promise not to go quiet again. You can guarantee that by leaving a comment, or sharing this post.

Ready, set … GO!

FDA paranoia – who knew?

By politics, PR, technology

In its rigorous search for food & drug safety, the FDA added searching through the personal emails of agency employees who questioned FDA decisions.

That would be an oops – for both sides of that story.

fda titanic

(c) PBS | Frontline

Here’s the lowdown: on Sunday (Jan. 29, 2012) the Washington Post reported that the FDA was being sued by staffers – scientists and doctors charged with testing medical devices – for harassment and wrongful dismissal as a result of the agency’s surveillance of their personal email accounts. That email surveillance revealed that the FDA staffers were contacting Congressional staff with whistle-blower complaints about FDA approval of devices that the scientists and docs thought were a risk to patients.

Hue and cry! Bad FDA!

Actually, I agree that the snoopy surveilling of personal email accounts is creepy, even wrong.

However, here’s the rub: the FDA staffers were accessing their personal email using computers at work. At the FDA. Within the Federal government IT infrastructure. You know, the people that oversee other stuff like Echelon. And the Pentagon. Gee, FDA guys plotting whistle-blower campaigns on work computers – stupid much?

On the FDA side of the story, we have creepy fascist tactics deployed by an agency that should be all about making sure that no pharmaceutical, no medical device, no food product makes anyone sick. Or worse, dead.

The record there? Not so stellar. Can you say Vioxx?

On the outraged-former-employee side of the story, we have some folks who thought they were veryvery smart (scientists and MDs always think that, trust me), but who played veryvery stupid on the interwebz.

Accessing personal email on a computer that belongs to your employer is pretty dumb if you’re doing or saying anything that casts a shadow on the hand that feeds you. Yes, that means you become the bad dog, and that’s not a great role to play. Because “no-no-bad-dog!” translates to “your ass is fired” in this scenario.

Even if you’re on your own computer, and you’re using your employer’s network or VPN, you have no reasonable expectation of privacy.

It boils down to this: just like anything else on the web, don’t put anything on it/through it unless you’re willing to either have it on page 1, above the fold, of the WaPo or the New York Times. Or your boss’s desktop.

The saddest part of this story is that the FDA really does need a total tear-down. It’s become too obstructionist to what could really improve public health, and too easy-peasy for big-money players who want to make the system work for Citizen Corporate, not Mr./Ms. Every-patient.

This lawsuit could become quite the precedent-setter, if it gets past the lower courts with its plaintiffs intact.

Stay tuned for further developments. I sure will.

That’s my story, and I’m stickin’ to it …

It’s the education, stupid …

By media commentary, politics

The headline on this post is inspired by both the 1992 Clinton campaign meme, and by my personal belief – shared by many – that education in the U.S. is in trouble, and will sink us if we don’t act decisively and quickly to change a broken system.

State of Education infographc

(c) OnlineEducation.net

The infographic tells the story. You can click it to open up the source in a new tab, and get the full weight of the problem broken down pretty darn well.

Some high(low?)lights:

  • only 30% of U.S. students in K-12 are grade-proficient in math and reading
  • 70% (that’s SEVENTY PERCENT, my friends) of 8th graders can’t read at grade level
  • Every 26 seconds, an American kid drops out of school (can you say “brain drain”?)
  • There are only 50 million skilled workers in the U.S. – there are 123 million skilled job openings (still wonder why jobs get outsourced?)
  • In Finland, South Korea, and Singapore, teachers are drawn from the top 1/3 of college graduates. In the U.S. they’re typically from the bottom 1/3 of college graduates. Looks like the old cliché “those that can’t, teach” might be true?
  • Newly-minted lawyers in the U.S.  make, on average, $115,000 per year more than a newly-minted teacher here. Newly-minted engineers and lawyers earn less than teachers in South Korea and Singapore. Is that math you can understand?
  • The U.S. comes in at 30th in math, 23rd in science, and 17th in reading when stacked up against global competition.

Is the picture starting to become clear to you? We’re in trouble, not just right now, but our future’s looking pretty dim, too.

If we can’t educate our children at a level that makes them – and our society – competitive globally, we’re looking like Rome after the lead poisoning set in: bleedin’ dim, and getting dimmer.

Dim and dimmer, that’s us!

The fix should be to put more muscle – in time, in talent, in treasure – behind education. But you and I both know that our fiscal cupboard is bare, and there’s little will in Congress – or money floating around on K Street – for teachers when defense spending is so much more … fun. I mean, education money doesn’t buy sexy new fighter jets, or aircraft carriers to keep those Somali pirates in line. Boo yah!

Uh, guess what? We’ll run out of money to build fighter jets and aircraft carriers if we don’t educate our kids to figure out better ways to build them.

That’s just one industry: defense.

What about healthcare, the hottest topic of the last decade? Rising costs there are bankrupting families, and could bankrupt the country, if we don’t have the smarts to solve the problem

Our middle-tier rankings in science and math education spell doom there, too.

If government isn’t going to take up the challenge, due to budget constraints and broke-ass-ness, who will? Is it time to evaluate a non-public option, and invite American enterprise to invest in charter schools across the U.S. to help us get back to the top of the Best & Brightest List?

Weigh in now. It’s almost too late, kids.

That’s my story, and I’m stickin’ to it …

 

Does voting still matter in the wake of Citizens United?

By politics

It’s [still] the silly season – which seems like it’s been going on forever, even though it’s only been a little over a YEAR now – and the field of Republicans jockeying for the chance to run against Barack Obama in November is shrinking by the day.

Off the list are Tim Pawlenty, Gary Johnson, and Herman Cain, who all bailed before there was an actual voting opportunity. Michele Bachmann dropped out after coming in dead last in her home state’s caucuses, and Jon Huntsman drop-kicked himself today (Jan. 16, 2012) after a down-in-the-pack finish in Iowa and New Hampshire. Still in the hunt are Mitt Romney, Rick Santorum, Ron Paul, Newt Gingrich, and Rick Perry.

My question, driven by what seems to be a very short selection process:

voting imageDoes voting still matter?

I worry that the answer has drifted no-ward, particularly since the Bloviating Herd (so effectively tagged by Calvin Trillin as the Sabbath Gasbags) shove endless streams of drivel at us 24/7 about projected winners in the days, weeks, and months leading up to a primary or election. The fact that they then, day-of, become so very Caesar’s Wife about not calling anything until all the polls close is … laughable.

The actual citizens I hear talking about voting and candidates often say they vote their wallet. That’s a human reaction. My human reaction is to vote my humanity, not my pocketbook.

I’m sure that puts me in the Crazy as a Shithouse Rat column for many people, but here’s my reasoning: I’d rather vote with an eye on human history – past, present, future, all of the above – instead of for someone who solely promises to put more money in my hands. Or at least take less out of them.

Because the sad truth is they’ll all cost us money in the end, particularly at the national-office level. Whatever they say to achieve office, and whatever they say once they’re in office, I’m not so naive as to think that they’re actually serving citizens. They’re more interested in the Citizens United gold-rush cash that drives the political action committees (PACs) who buy more ad time than the campaigns themselves.

Which brings us back to my vote-human rule. My philosophy certainly puts me in the Don Quixote – or the shithouse-rat-crazy – column, since there’s no way I can outspend GE, or the Koch Bros., or Walmart. I can only participate in groups like No Labels (sanity! who knew?), and march to the polls every time to register my human choice.

And then watch as Citizen Corporate runs off with whoever wins, leaving me jilted. As usual.

That’s my story, and I’m stickin’ to it …

Throw bricks in the comments. Ready … set … GO.

Got succession planning?

By Uncategorized

If you’re over 55, you’ve been getting junk mail for at least a few years advising you to think ahead about what will happen when you’re gone.

passing-it-onPlain-speaking version: after you’re dead.

That’s a topic that every business owner, and business leader, needs to examine closely, too. What will happen when you’re gone? When you retire, when you cash out, when you deploy whatever your exit strategy turns out to be?

A key part of that exit strategy is making sure your exit doesn’t flatten all the tires on the bus of the business. Or worse, knock the wheels right off that bus.

If you’re running a successful business, you have to think of it as part of your legacy. However, you can’t just write a will saying “everything goes to [insert heir here]” without helping that heir understand all the ins and outs of the enterprise.

Who will take care of your clients? Who will keep production running? How will business development continue?

What’s the plan, Stan?

I’m prompted to think about this topic after losing a friend too young recently. Well, he wasn’t years-young, but he was dreams-young, and that made me think that everyone – doesn’t matter if you’re 25, 35, or 75 – who is responsible for the continuing health of an organization must make a fully-fleshed succession plan to guarantee the organization doesn’t die when s/he does.

Who can you groom to take the reins? Have you drawn up the “what if?” map of how your team will move forward if you’re not there to lead them? Have you consulted with an expert who can draw you the full map of a succession plan?

Talk to other CEOs that you trust. Ask them how they built their legacy plan. If they look at you like you’re speaking Martian, talk to the law firm that represents your company. Or simply Google “succession planning” and your city, state, or ZIP code.

If you’re in the US mid-Atlantic region, you can just start here: Assura Consulting. (Full disclosure: not a client. Just folks whose expertise I trust.)

Otherwise, the terrific enterprise tree you grew from a seedling might wind up ground to pulp.

That’s my story, and I’m stickin’ to it …

Mighty Mouth 5-Point Manifesto for 2012

By Uncategorized
manifesto image

(c) 2010 AllThingsSD.com

OK, I’ll admit that it’s highly hackneyed of me to publish a manifesto on New Year’s Eve. I’m not a fan of New Year’s resolutions – who even keeps the things into February? – and this is not a set of resolutions.

My inspiration(s) for this post are vast and varied. Some are between my ears, and will remain there. External inspiration includes

This list is a line in the sand. A statement, in public, of what I will and will not allow to exist in my self, in my work, or in my proximity. Some of these have taken decades to learn. Some are very recent epiphanies. I’m not going to indicate which are which … you figure it out for yourself, on your own behalf.

#1: Be yourself. Everyone else is taken.

One of the greatest skills anyone can learn is adaptability. I learned this at my mother’s knee as a 2nd-generation Navy daughter who was the New Kid almost every year K-12. I learned how to manage rampaging nuns determined to punish children because of their own sexual frustrations, how to handle playground bullies, how to show up even when the very idea of doing so scares the shit out of you.

Adaptability is a terrific tool. Taken to excess, though, it turns into approval-seeking. Since I’ve moved from one of the biggest cities on Earth to a small city that I’ve taken to calling Jimbobwe from time to time, I’ve been guilty of hiding my ferocity somewhat. Not all the time, but often enough that I don’t think I’ve served myself, or my purpose.

I will not hide my fierce. Neither will I use it as a weapon. If someone finds me too fierce, they’re not in my crew. We’ll part amicably. Nuff said.

#2: Get paid for your expertise (I call this one “move from town slut to town whore”)

Yes, the economy sucks. Yes, Wall Street has much to answer for, as does Capitol Hill. That does not mean that you should resort to either whiny-bitchery or yessuh-massah-ry. Grow a pair and GET PAID. This is particularly true if you’re a small business owner, but it’s also true if you’re working on someone’s payroll.

If you’ve got skills, exchange them for a fair price. If you’re not getting a living dollar for your work, ask yourself why not. Are you selling the wrong thing? Is your skill-set outdated? Are you simply rolling over in order not to be seen as demanding? Make this an ongoing strategy-fest for yourself. What’s your best sell, who’s your best customer base, is it sustainable. Lather, rinse, repeat.

Grrlz, this one is particularly important for you. If you’re not willing to embrace and empower your inner bitch, you’ll be eating leftovers for the rest of your life. I’m not advising you to go all Cruella DeVille on ever’body’s ass. Just don’t turn into the people-pleasing Good Girl who always serves herself last. Therein lies fiscal starvation. Take it from one who knows.

#3: Fail forward daily

Don’t let a day go by without shaking something up, even if it’s only the space between your own ears. Don’t sit passively when something you can fix presents itself. And most definitely don’t sit there clutching something that’s broken, or that needs to be kicked to the curb.

Anchors are great if you’re a ship. If you hang one around your neck, though, there’s always the risk that it, and you, will wind up falling overboard. The anchor won’t drown. It’s a damn anchor. You, however, will be most uncomfortable. Followed quickly by the aforementioned drowning. Anchoring yourself to anything but a solid set of ethical principles is crazy.

Decide. Do. If that leads to #fail, decide to move on and live to do another day. Do NOT stick with something just because it’s safe/yours/your friend’s/the-thing-you-sunk-3-years-in. Question and assess everything, every day. If it doesn’t serve you, serve it with an eviction notice.

And speaking of eviction notices …

#4: Give fear an eviction notice

I learned this in a very direct way this year, which I will forever refer to as the Year of Living Eviction-ously.

I started the year by getting an eviction notice in late January. I freaked out, and hyperventilated my way toward finding a solution. This kept up in February, and March, and April … you’re getting the drift, aren’t you? Every month turned into Panic City. Who does their best thinking in Panic City? Certainly not me.

One plus of getting monthly eviction notices is this: you get inured (look it up) to them. I did, and stopped panicking around May. It didn’t mean I wasn’t under pressure – I most certainly was – but it did mean that I stopped freaking out and started strategizing on solutions. The net-net is that I ended the Year of Living Eviction-ously without a perfect record. No eviction notice for Christmas, and it doesn’t look like there will be one  in January. See #2 if you have any questions about a working strategy here.

#5: Trust but verify. Even when it’s yourself.

You’ve spent [however long] getting yourself to where you are today. You did not do it alone, though, did you? You had help.

There are people you’ve trusted along the way to provide you with insight and advice, to help keep you on the path, to point you in the right direction if you found yourself in the weeds.

You now know it all, right? (If you just answered “yes” please stop reading. You’ve just failed the Stupid Test.)

If you think you know everything, you know nothing. You’re doomed without a kitchen cabinet of people you can trust to bitch slap you, with a 5 iron if necessary, to keep you from making a bad choice. Whether it’s a client or a mate.

Trust yourself enough to assemble that kitchen cabinet, and then vet your options with them whenever you need guidance.

That’s my Manifesto for 2012. What’s yours?

 

Make Congress work? I’m in!

By media commentary, politics

After spending [redacted] years in network news, covering every Presidential race from 1980 to 2004, my level of exhaustion and cynicism when it comes to politics is … epic. I vote in every election, because dammit-that’s-my-right-as-a-citizen, but often it’s a case of holding my nose and doing the best I can with the (rotten) choices I’m offered.

When I was invited to Capitol Hill last Tuesday, Dec. 13, to be in the room when a new Make Congress Work initiative was announced, I accepted with some of that exhaustion and cynicism. But like the old news warhorse I am, I saddled up and rode up I-95 to see what I could see.

What I saw made me feel like someone who’s been wandering in the wilderness for … ever, who stumbles upon a tidy little town that welcomes the weary wanderer with open arms. And gives her a job: help spread the news about the tidy little town. Help it grow into a big ol’ city.

So think of this as metaphorical political tourism. You can come along on the trip and enjoy the scenery with me.

Oh, come on, work with me, people. I’m a writer, and sometimes a comedian. I’ll bring this all home, I promise.

Here’s what happened: over 400 people showed up in the Caucus Room at the Cannon House Office Building to talk with, and listen to, a literal parade of bipartisan leaders from all points of the political compass.

The point? To break the chains of gridlock that have the folks we elected to represent us in a constant state of get-nothing-done.

That point was tidily contained in a 12-point plan to literally make Congress work. For its pay, for its privileges, and most importantly for the CITIZENS THAT ELECTED THEM TO OFFICE.

OK, I’ll stop shouting. I just get excited at the idea of those do-nothings actually doing something.

Here are the 12 points:

  1. No budget, no pay. [This is a personal favorite. If I don’t produce for my clients, I don’t get paid. Why should Congress?]
  2. Up-or-down vote on Presidential appointments. [Must vote within 90 days. No vote? Confirmed by default!]
  3. Fix the filibuster. [Sentimental memories of Jimmy Stewart in Mr. Smith Goes to Washington are Hollywood fiction. What really happens is a process hijacking. It has to end in order for the business of our country to move forward.]
  4. Empower the sensible majority. [Simply stated: don’t let the wing-nuts run away with the game.]
  5. Make members come to work. [Love this one. They quote Woody Allen: 90% of life is just showing up. So … SHOW UP.]
  6. Question time for the President. [Britain’s Parliament has Q&A sessions, in public, with the Prime Minister. As should the President and Congress. Just sayin’ … ]
  7. Fiscal report to Congress: Hear it. Read it. Sign it. [The Comptroller General should give a where-we’re-at report annually. With real numbers. What a concept.]
  8. No pledge but the oath of office. [LOVE THIS. Grover Norquist and his ilk can go sit down and shut up.]
  9. Monthly bi-partisan gatherings. [It’s harder to demonize or vilify someone you actually know. ‘Nuf said.]
  10. Bi-partisan seating. [Sitting next to a member of the opposition makes you a little less likely to call him/her a dirtbag. Really.]
  11. Bi-partisan Leadership Committee. [No more R or D pep rallies. Leadership means making progress, even when the going gets tough.]
  12. No negative campaigns against incumbents. [What this means is that Senator Whoever with an R after his/her name can’t campaign against Senator Whichever with a D after his/her name. Stop the attack-ad insanity.]

Want to come hang out in the tidy little town? Join the No Labels movement. Share the message on Facebook, Twitter, your blog, skywriting, cave painting, whatever.

Let’s make this tidy town a bustling city. And get Congress to work for US for a change.

That’s my story, and I’m stickin’ to it …

 

 

Year-end career-end in review

By PR

This year has seen some really stunning examples of how to completely screw oneself, and one’s career, in public. Here’s a review of some of my favorites:

  •  Anthony Weiner’s wiener: Do not take a picture of your package and post it on Twitter. This is a rule for everyone. If you do this, be prepared to watch the job you’ve had for 12 years disappear in a bright, shiny flash. And to become a never-ending joke in the process.
  • Aflac duck drowns in tsunami: Gilbert Gottfried managed to tank his career with some very ill-advised tweets in the days immediately after the Fukushima tsunami. Note to self: when hired to provide humor and comedy material for a client, insult comedy is the *wrong* approach.
  • GoDaddy CEO shoots elephant, wounds brand: Bob Parsons shot an elephant, and almost brought down the mastodon that is the GoDaddy brand in the process. When your business is high-profile, low-profile hobbies are a good bet. Take up golf. Much less likelihood of killing your brand with a 5-iron.
  • Ashton Kutcher is a no-talent jerk. Who knew? Well, actually, I think a lot of us knew. But when he leapt to Joe Paterno’s defense in the hours after the Penn State pederasty parade started up, he showed just how clueless and tone-deaf he is. Along with that total lack of talent. I almost felt sorry for Demi. Almost.

Some rules to live by: don’t do or say anything on social media that you wouldn’t want on the 1st page, above the fold, of the New York Times. Because that’s exactly what could happen, even if you’re not Anthony Weiner, Gilbert Gottfried, Bob Parsons, Ashton Kutcher, or countless other social media idiots.

That’s my story and I’m stickin’ to it …