Write A Nasty-Gram [on saturday morning smack-dab.]

Here we are. Knock-knock-knocking on Medicare’s door.

First, I want to know who designed Medicare. I use the word “designed” loosely since this hot-mess-of-a-system is purposefully fragmented and filled with landmines meant to trip older people. It’s probably designed by the same team that orchestrated the tax codes. Daedalus, designer of the labyrinth that held the Minotaur captive, might have created something so stupidly complex. In government-program-design-school there must be a course entitled Over-Complicating Simple Systems.

Of course, the Supremes, in eliminating Affirmative Action, suggested that we already enjoy equal access under the law [insert eye-roll]. So, I want access to the same health program as Congress. I want to pay the same percentage of tax as the 1%. Or, I want them to pay the same percentage that I pay.

I’d write a nasty gram but I know there’s also a senior level course in government-program-design-school entitled, Tipping The Scales For The Few. You have to take it in conjunction with the class called Dumbfounding The Citizenry.

read Kerri’s more-pleasant-less-ranty smack-dab post.

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Get Some Perspective [on Not So Flawed Wednesday]

“Oh, god…I feel a fit of moralizing coming on….” ~ Words to myself, uttered just a moment ago.

This would seem like a no-duh: perspective requires distance. Said another way: to see the mountain, one cannot be standing atop of the mountain.

Much to Kerri’s dismay, I think out loud about these things. A lot. She has to listen to my ruminating. Marriage requires her to be in the same space with me and I talk endlessly about the things rattling through my mind. Just ask her. Let’s just say she has no distance from my incessant blather so she lacks perspective. Or, her capacity to ignore my noise is the result of experience which provides her solid perspective. Don’t ask me. I am not in the position to offer an opinion.

When you dip your mind into the pool of information technology as I have, it’s nearly impossible to NOT think about the absence of perspective. Actually, if you read or listen to the news-of-the-day or take a swim in the social media cesspool, and are able to step back from it (thereby creating some distance), you’ll find that meaningful perspective has long ago fled the building.

For years I’ve been reading about the pace of change. At some point – and we’ve arrived at that point – the event horizon (that which enables perspective) is no longer in front of us. We sit on top of it. Information comes too fast and without pause. And, often without substance. Without perspective, the context of our lives is as fleeting and changeable as “Breaking News” or the latest posts on social media. Since the algorithms are driven by the most “likes” not the most relevant, the ugliest and loudest noise-makers garner the most attention and dominate the air-time (thank goodness for cute pet posts providing some humor in the onslaught).

Attention-getting is not known for its grounding in solid perspective. Just ask the boy who cried wolf.

As we know, crying wolf works well – for a while. Attention-getting is addictive. Once hooked, people will do or say anything to keep their buzz going. Sitting directly atop the event horizon, the only way to keep the attention is, of course, to scream louder and louder. Escalate the outrage. A news cycle churns as fast as the social media stream. Remember: the algorithms are not based on meaningful substance but on the ability to grab attention. Louder/uglier wins the day.

Without perspective, escalating outrage – the loudest and nastiest train wreck – will always win the attention grab. It’s human nature. We sort to the negative. It’s why we share complaints with anyone who will listen but dribble-out the good news to a select few.

There is an important disappearance that accompanies the loss of perspective: crap-detecting. Awash as we are in a raucous bluster of vapidness, the only hope we have is to take a step back and question. To descend from the event horizon and ask, “Is this or that assertion true?” Or, is it meant to make me mad, fuel my anger? Is it tailor-made for my perspective-less bubble?

Stepping back, gaining perspective, asking relevant questions. Crap-detecting. If a better world is what we desire to create, dedicated crap-detecting is the necessary first step in being-the-change we wish to make.

read Kerri’s blogpost on PERSPECTIVE

Get Serious [on Merely A Thought Monday]

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Looking back on the experience, I see a map of choices.

Kerri fell. Both wrists were painful. We knew it was bad. In the ski patrol hut, the medic’s advice was to go get x-rays. Choice #1: To get x-rays or to not get x-rays? We had a conversation in all seriousness with the medics, that, given the nature of healthcare in America, it might be a valid option to skip it. To go home. To ignore it and let it heal as it will. The problem with ignoring it: the loss of motion that comes with ignoring what might be broken or torn in her wrists.

So the choice was not actually to get x-rays or to not get x-rays. The choice, the real choice, was financial ruin or loss of motion. Kerri is a pianist. It is her livelihood and her life. So, choice made: financial ruin.

We pulled into the medical center and saw a sign. To the right was the emergency room. To the left was the urgent care center. We sat in the truck and debated the option. While Kerri writhed in pain, in all seriousness, we sat in an idling truck and discussed the merits [or lack thereof] of our insurance policy. If we chose the right hand path, we would meet the vast, gaping deductible. Like Evel Knieval attempting to jump his motorcycle over the Grand Canyon, we’d have to gun our engine and run at the edge. No parachute. So, we chose the left hand path. We went to the desk of the urgent care and asked if they did x-rays.

Choice #2 was not, in truth, the emergency room versus the urgent care. The choice was which canyon did we have the best chance of surviving?

A few days later. An appointment with a great orthopedic doctor. She, in all seriousness, told us that she ignores the part of the patient file that speaks to their health insurance. She explained that there is dilemma that doctors face: do I advise my patient to do what is best for their health or do I advise them to do the thing that might keep them out of bankruptcy? She ignores the file because she wants her patients to hear what is best for them. She told us that she needs to keep herself blind to the financial reality that her best advice might necessitate. “Yet another untenable choice,” I thought.

Our choices reminded me of an experience we had a few years ago. We were shopping for a new washing machine. The salesman, an older man, was embarrassed by the products he was selling. He, in all seriousness, took us down the aisle of appliances and told us what was wrong with each machine. He was convincing us NOT to buy his appliances. Mostly, he told us, they were designed to fail. He said, “We used to know how to make things in this country. Now we make crap on purpose.”

The healthcare in the richest country on earth is just like the appliances sold in the richest country on earth: Designed to fail. Making crap on purpose. The way I am certain that I see clearly? Sit with your wife, a world-class pianist, who has just broken both wrists, and listen to the choices you are considering. Clarity, in all seriousness, comes when the crisis hits.

As we shake our increasingly obese and unhealthy bellies, wave our angry signs and shout about making America great again, it seems we are falling further and further behind. We saw it this week in our senate, did we not? At least our capacity for denial of the truth [in our post-fact, low-information frenzy] is running in front of the rest of the world. I can only hope, as a nation, we break our collective wrists sooner rather than later. In our pain, perhaps we will look at the sign and have a real conversation, in all seriousness, about our choices, about what we can and cannot survive.

 

Read Kerri’s blog post [written with a cast and a splint!] on CHOICES

 

 

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