Category Archives: Media

Newspapers

When I was growing up,  it seemed that every city had several newspapers—often a morning paper and an evening paper. In Toledo, they were owned by the same company, so there was not a lot of divergence of opinion—the biggest diversity was in the comics.

In the 70s and 80s, many cities began to lose newspapers, only offering one. (I remember reading Sherlock Holmes—written during my grandparents’ lifetimes—in which there were multiple editions of multiple newspapers. Wow!)

Over time, in many places, local reporting waned and most of what they printed came from the news services to cut costs. (Sorry Peter Parker and Clark Kent, we’re not hiring.)

The number of news services dwindled as Associated Press overtook and bought part of United Press International. Today, much of what you read in the morning newspaper you already read online.

Newspapers got smaller, and the cycle continues.

Is it better or worse than when I was young? Probably neither—just different. However, I appreciate a well-written article. After it was written, the author probably re-read it and made some changes. An editor tweaked it—or sent it back to the author for another rewrite. Written news is polished, at least a little. It took a significant event to “Stop the presses!” and change the headline—an expensive operation.

A news video, on the other hand, has no style and certainly no cachet. It’s kind of thrown together, with too many stories labeled as “Breaking News.” To add insult to injury, the talking head’s intro, repartee, and smile, of course, is as much a part of the story as the content.

More’s the pity.

I think I’ll go listen to Don Henley’s “Get Over It.”

It’s Good to Be the Tsar!

putin

Vladimir Putin, according to reports, is wealthier than the next two richest people combined with a net worth of $200 billion. Pretty good for someone who grew up as Communist with enough commitment to work for the KGB.

His career with the KGB was unremarkable (his highest rank was lieutenant colonel), but once he got into politics, he found his niche. Trained as a lawyer, he adopted the Don Corleone business model (“One lawyer with a briefcase can steal more money than 100 men with guns.”–The Godfather). When the Soviet Union fell, various Russians began to acquire wealth. Putin apparently made many of them an offer they couldn’t refuse.

It might be good to keep that in mind before considering doing business with Putin.

Swearing Off

Over the years, I have sworn off various things. Actually, it was more of a worn off than sworn off. Television programs lost quality, although there was a vast increase in quantity thanks(?) to cable. Too many choices, not have enough time to actually follow a series, so now it’s the occasional Netflix.

I do watch the morning news for the weather forecast and traffic report. Unfortunately it seems to be 80 percent commercials, so I have to pay strict attention while shaving or else I miss it.

I used to love computers, which led to a fascination with the internet. Most of what is available online is best left alone. Let’s just say that it’s a bit worse than a naked stroll through a tick infested patch of poison ivy complete with brown recluse spiders and venomous snakes. I admit that I deny reality and look for decent content. Unfortunately, the best I find are things like YouTube videos showing me how to adjust the carburetor on my weed eater.

So, what does that leave? Reading, writing, experimenting, ham radio, guitar, drums, or puttering around the house.

All things considered, much better choices.

REPEAT, Repeat, repeat, Reboot

As a writer, I try to come up with something different every time I write. Given my education, experience and persona, that still is going to be quite limited. Nevertheless, I feel that I am doing a better job than the pros.

How many King Kong movies have there been? How many Dracula movies? Unless there is a near-rabid fan base (Star Trek, Star Wars, Harry Potter, etc.) remakes, reboots, or recycles just don’t seem to work. Hollywood seems content to dust off an old script, update the slang, change the cast, and expect it to be a hit.

Baywatch, the Movie?

Ghostbusters III?

So, if some of my posts seem less than perfect, at least I’m trying to think up something different.

Fixing Healthcare in America

First in a series

To correct healthcare and get costs under control, we must first acknowledge, then change the healthcare industry’s unique and outrageously dysfunctional business model.

  1. Physicians and other practitioners who decide which resources will be used in a hospital are often neither the direct provider, the one who pays, nor the beneficiary of the service. Basic economic rules, therefore do not apply. Medical tests, which are intended to provide information that will in some way impact the patient’s course of treatment, don’t. Many test and other procedures are ordered even when the outcome of the test will in no way affect the treatment of the patient or its results.
  2. Medical products and services are priced without any rationale. Often, prices are set artificially high in order to allow large discounts to insurance companies. This means that patients without insurance can be charged list price; eighty dollars for an aspirin or $100 for a BandAid®. Hospitals, which were once a ministry, stewardship, or public service have changed their priority to the bottom line. Some hospitals now own and operate their own collection agencies augmented by a small army of lawyers to guarantee that they collect what they have billed. This is why it is not uncommon for a small-town hospital to have millions of dollars in the bank—and still retain their not-for-profit status.
  3. And the insurance companies that get those big discounts? The hospital needs a staff of trained bureaucrats to generate the paperwork that is sent to the insurance company in order to receive payment. Payments may not be received for several months (for the MBAs out there—remember the first rule of finance—a bird [dollar] in the hand is worth two in the bush [accounts receivable]). When payment does arrive, administrative staff must reconcile the payments and file additional paperwork as necessary. All this adds to the hospital’s costs without adding any value. The insurance companies, on the other hand, are usually quite profitable, even after spending a lot of money on lobbyists. But just like Don Corleone said, “It’s nothing personal, it’s strictly business.”

So, what do we do?

First, it would be valuable to have the physicians evaluate how tests really affect the outcome for their patients and develop appropriate protocols. Malcolm Gladwell relates an excellent example in his book, Blink. The cardiology staff at Cook County Hospital was able to reduce tests while simultaneously improving patient outcomes.

[Gladwell, Malcolm (2005). Blink: The Power of Thinking Without Thinking. New York: Little, Brown.  ISBN 0-316-17232-4 (Especially the chapter on Cook County Hospital Cardiologists)]

Second, revise medical pricing so that it reflects reality—and that must include adequate margin to offset costs for necessary but expensive services. Emergency rooms are expensive to operate while an intensive care unit for patients suffering from burns is actually cost prohibitive. However, hospitals have an obligation to the community to provide necessary services—either directly or by affiliation—to the community. The community, in turn, must ensure the hospital is resourced to provide a wide range of services. If hospital prices reflected cost plus a reasonable margin to offset other costs, and everyone paid the same price—patient or insurance company, it might lead to more rational decisions—outcomes first, but economics as a consideration. If Grandpa—God love him—is a 96-year-old heavy smoker with high cholesterol and other morbidity factors who was hospitalized because of a stroke, a battery of tests that will not affect his quality of life or his longevity are not appropriate, and the insurer should not be expected to provide carte blanche payments. However, if the prices are realistic, the family may decide that they would be willing to pay for those additional procedures on their own.

Third, emphasize cooperation over competition. Is there any other business, other than hospitals, that would allow someone to work in their facility AND directly compete with it? Radiologists have their competing imaging centers, surgeons may have their private surgery centers, etc. Should specialty practitioners be entitled to benefit from the hospital’s patients and compete with the hospital for those same patients? It should be the practitioners’ choice—one or the other, but not both.

Two excellent resources for these issues are:

Brill, Steven (2015), America’s Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix Our Broken Healthcare System. New York. Random House. ISBN 978-0812996951

Rosenthal, Dr. Elisabeth (2017). An American Sickness, New York: Penguin Press. ISBN 9781594206757

If you want to fix American healthcare, pass this along to your friends, neighbors, doctor, etc. I’ll get a lot of hate mail, but we need to have the discussion.

More to follow.

Undocumented Features

explo

Former Washing Machine Photo Daily Mail

Among software types there’s an old joke that programs never have bugs—merely undocumented features.

Hardware I catching up:

  • Airbags that spontaneously deploy and throw shrapnel at the car’s occupants,
  • Cars that adjust the engine to run one way during emission testing and another for regular driving,
  • Smartphones that burst into flames,
  • AND, my personal favorite—washing machines that explode

People today don’t realize how good they have it. When I was a kid, you had to do all these kinds of things the hard way—by hand. It was tough. If you wanted to blow up the washing machine, first you had to stuff the tub with a $#!+load of firecrackers with the fuses connected. There was always enough moisture left inside the washing machine so that half of them would get soggy. Still, once you lit the fuse, you had to run like hell to get out of the way. If the fuse fizzled out, you never knew how long to wait to go back and try to relight it without accidently blowing yourself up. We worked for results, and when we blew up a washing machine, we were proud!

Today, people just expect these things to happen all by themselves.

Inspiration from the Movies

Indiana Jones and the Last Crusade

Indiana Jones and the Last Crusade

I love movies, although I no longer have the time to devote to watching as many of them as I’d like. In a few years, when I retire, I hope to correct that problem.

Movies aim to elicit feelings, not thoughts, but sometimes feelings actually lead to critical thoughts. Take, for example, the Indiana Jones movies; while “The Search for the Lost Ark” was wonderful, the “Last Crusade” was important. It touched on some lessons that we don’t teach in schools, but are critical nevertheless.

Indian Jones, a fictional archeologist from the time when archaeologists were more “pot hunters” than scientists, seeks the Holy Grail—the cup Jesus drank from at His last meal. To reach the grail, he must pass three challenges:

  • The Breath of God – “Only the penitent man will pass.”
  • The Word of God – “Only in the footsteps of God will he proceed.”
  • The Path of God – “Only in the leap from the lion’s head will he prove his worth.”

    (http://indianajones.wikia.com/wiki/Temple_of_the_Sun)

What can we learn?

“Only the penitent man will pass.”—None of us are perfect, and we must be sorry for how we’ve hurt one another.

“Only in the footsteps of God will he proceed.”—God has given us direction through so many means, all of which come down to, “Love God above all things, and love your neighbor as yourself.”

“Only in the leap from the lion’s head will he prove his worth.”—It takes faith to live, grow, and do good in this world. Logic alone is not enough; logic applies only to this world, while faith touches the next.

God, in his infinite wisdom, touches us through scripture, religious communities, and even the movies. But then, since He is God, why wouldn’t He?