Archive for the ‘MY WRITING’ Category

CONVENIENCE

January 17, 2015

Two days ago, when I got into the car, it wouldn’t start.  It was dead.  No click, nothing.  I had two choices:  one, get the car jumped, drive to an auto parts store, remove the battery, buy a similar one, install it there, then drive home.  I could have paid less. The issue would have been only if I happened to stall on the way to the auto parts store, or if the problem were not the battery but a faulty starter, which sometimes will still allow the car to be jumped.

Instead, I called AAA, using my membership, under $100 annually, and in 20 minutes someone came over, tested the battery, said that indeed I had a battery problem, and sold me another battery for $116, including installation.

During past battery self-installations, I have lost screws and once dropped two wrenches into the heat shield of the car, where eventually they fell out as I turned a corner one day. I may have paid more than I could have, but having AAA come over and take care of my problem in 45 minutes was convenient.  It was worth it.  I didn’t get upset, I didn’t have to look at batteries, I got what I needed, and I got it installed.  If I happened to love cars, I would have enjoyed the work.  I don’t enjoy putting in batteries.  How much is the convenience worth?  I don’t know.  But it is worth something, and the older I get , the more worth I ascribe to convenience.

Convenience matters.  We left money on the table when we sold our house.  It was worth it. Not having to worry about the house when we left Tucson was worth a lot.  How much?  I don’t know.  I don’t really care.  It was one less major stress.

It costs me to have somebody clean the gutters.  I can do it myself.  I also can fall off the ladder.  Don’t laugh.  My wife, a radiologist, has told me countless stories of X-Rays she has read of people who fell off ladders.  The stories are gruesome—severe head injuries, dislocated ankles, hemothorax, or blood in the chest.  My father fell off a ladder when he was 77; his shoulder was never again the same.

Convenience stores are called that for a reason.  One pays for it.  If one needs a loaf of bread at 2 a.m., one pays a little more and gets it.  All insurance is a convenience.  I can put away money in case my house burns down.  Or, I can pay something and not have to worry whether I am putting away enough.

Urgent Care is a convenience, too.  One pays more for care there than with one’s personal physician, but if I have a bad cough on the weekend, and am concerned about pneumonia, I can get the answer then, not wait until I can be seen by my physician.  Yes, it costs more.  Being hospitalized for pneumonia that might have been prevented is costly, too.

With all of this in mind, when should one take Social Security, when they are 62, 66 (or the current “normal” age), or 70?

Virtually every financial advisor, including Suze Orman (who has changed her mind on the issue) says one should delay as long as possible.  The longer one delays, the more one gets, increasing approximately 8% per year.

A New York Times columnist says he has gotten many spreadsheets from people saying why taking Social Security earlier is better.  He doesn’t agree with them.  He’s right, from a purely financial, logical standpoint.  If one looks out to age 77 or beyond, taking Social Security later turns out to be significantly better, assuming one can predict inflation and one’s longevity.  If inflation stays low, and one lives long, without a doubt, starting Social Security later will be a better choice, if it is a matter of money only.

The issue with finance, however, and indeed with investors, is that we are neither logical nor rational when it comes to money, and that is not necessarily bad.  I haven’t heard “convenience” in any discussion about Social Security, since like many things in the world that have value (love, friendship, caring, kindness; pollution, degraded views, ugliness) convenience is often construed not to have value.  It does have value, but the individual has to decide how much.

So, what was convenient about collecting Social Security at 62?  At the time, I was retired and appreciated receiving money monthly.  It was a psychological boost, pure and simple.  I like to think that I enjoyed the money more at 62 than I will at 72 and 82, assuming I live that long.  Indeed, I’ve received money for the last 50 months, rather than not getting any by waiting.  Does that matter?  It depends upon one’s circumstances, inflation, and taxes.  How important is the psychological factor? I don’t know, but I think it is significant.  Four years into this, I have no regrets.

If it takes me until I am 78 until I start to lose money, or even earlier, I’m not going to be upset.  For 16 years, even 10 or 12, I was ahead of those who waited.  After that, they will have received more money from Social Security than I. I hope they enjoy it; I hope they use it well and are happy.

When should one take Social Security?  If one purely wants to maximize income, wait until age 70.  One gets about 80% more per month than at 62, but one also needs several years to make up the initial difference.  For many others, wait until 67.  The table shows it clearly.  There is no right or wrong answer, if one factors in convenience and psychology to the financial picture.  I believe that convenience matters.  If having the money now, even if less, to deal with the present is important, then taking Social Security early is the best move.  If getting more money later is more important, taking it later is the better strategy.

BORN 1943-54:                Age 62=75;     Age 66=100;   Age 70=132

BORN 1957                        Age 62=72.5;  Age 66=96.7;  Age 70=128

BORN 1960 OR AFTER        Age 62=70;    Age 66=93.3;  Age 70=124

I don’t underestimate the worth of those things that either cannot be or are not measurable.  If we factored our Middle Eastern policy into the cost of gasoline, we would now drive cars getting 150 miles per gallon, if they even used gas.  If we factored into the cost of food pesticides, transport, waste, and environmental destruction, we would be eating differently.  Economics often deals with things that can be clearly measured, using nice mathematical formulae, too often assuming those variables, and only those variables, are all that matter.  They don’t. We are emotional beings who think we are rational.

Life is not as simple as we would like it to be.

CROTCHETY MAN BITES BACK

January 11, 2015

“Do you want to be called Mike or Michael?” said the young woman, a third my age, cheerfully, as she led me to the dentist’s chair.  I mumbled, “It doesn’t matter” and sat down.

I wasn’t looking forward to the visit, since it was my first dental exam in a new city.  Being called by my first name by strangers much younger than I, without my permission, wasn’t a good start, either.  I find it a little rude.  I realize my feelings may not be the norm.  Many might say, “Get a life” or “suck it up,” which is why I didn’t tell the woman anything.  I was brought up to be polite to elders, and sometimes being quiet is the best behavior.  I was also in the military, quickly learning to call superiors “Sir”.  Few of the young have had that experience.

I practiced medicine for 20 years, calling very few patients by their first name.  I just didn’t do it.  I didn’t mind when nurses called me by my first name, or if they called me, “Dr. Mike,” which I found endearing, because it simultaneously showed both respect and informality.  I used “Sir” to answer lawyers, and it devastated their ability to get my goat.  It’s difficult to argue with somebody who keeps saying “Sir.”

One needs to develop a sense for whom informality is appropriate. My next door neighbor is 21 years my senior, but I use her first name.  The chief of neurology, when I was a resident, is about her age, but I have never once called him by his first name, nor would I, should I ever see him again.  I don’t think he would mind; I would.

Online, first name basis is the norm, and many take advantage of it, saying things they might not say face to face to an older adult.  Or maybe they would, since today, young is good and old is….well, not so good.  I’m crotchety, I guess, but I think since English doesn’t use the informal second person pronoun, we need to show respect in other ways.

I received a survey after the initial evaluation, since virtually everybody in the service industry surveys these days.  It was not anonymous, making me more reluctant to respond.  Surveys I like have three questions:  Did you like the care?  (Yes/No)  Would you recommend us to a friend?  (Yes/No).  What can we do to be better? These are fundamental questions, easy to answer, and offer a chance to receive good suggestions.  They are neither a census nor randomly generated, so one must still be cautious in interpreting the numbers.

I was going to blow the whole thing off, but the way I had been addressed still grated on me, so I decided to express my thoughts—politely—on the issue.  It is never wrong to call adults “Mr.”, “Ms.”, “Mrs.” or “Dr.”.  It is appreciated, and if the individual feels you are too formal, they will tell you to use their first name.  Unfortunately, the survey required an answer to every question in order to be submitted.  So, I had to give a number of stars to everybody, fill out another box for comments, and…..whether I was on Facebook.  You see, they wanted to post my comments anonymously or with my name on Facebook.  

I must be getting stodgy, because the idea of a dentist, or any physician, using Facebook for posting patient evaluations seems weird, especially given privacy regulations.  When I received the survey, I had only digital X-Rays, gum probing, and an estimate of what I needed, a screen view of every one of my 24 teeth and the itemized bill, visible without leaving the chair.  I was glad to be sitting when I saw the bill, in four figures, double what I have paid for dental work in the last decade, including a root canal.

Because I hadn’t filled out every box, I still had the choice to quit or finish.  I suspected that all the stars I had to put for each individual involved would be averaged, and that bothers me.  I’m a crotchety old guy.  Stars are ordinal data: 1 star and 5 stars should not be averaged to get 3 stars, unless the stars stand for interval data, like temperature, money, or speed.  Love and caring are not interval.  I then added something I had forgotten.  Prior to the appointment, I had received 3 e-mails, a call (6 days earlier), which I had to acknowledge by calling back, and an SMS the day of the appointment.  That is over the line.  In my day, even calling patients to remind them wasn’t done.  I now think that is a good idea:  One call is reasonable, without requiring a call back to acknowledge.  A statement that one may be billed for a no show is entirely appropriate.  Professionals shouldn’t have their time wasted.  Really, an SMS?

Why didn’t I have dental insurance?  Good question.  Three-quarters of people over 65 do not have it.  Twenty-five per cent have lost all their teeth, 40% if poor.  About 60% have significant periodontal disease.  My dental costs per year for the last decade were minor, and I had been doing well.  I had no reason to think matters were suddenly going to change.  Bad decision.  Dental insurance has pre-existing exclusions, and now that I have been examined, I have them.  What I find interesting and disturbing is that AARP, which bombarded me about medical plans, was more silent about dental.  There is a one year waiting period for a crown and periodontal disease, and coverage is about 50% of the cost.  That’s crummy.

More than half of Americans have some sort of dental disease.  For the elderly, it is yet another cost to have insurance, although chronic periodontal disease can cause systemic problems, which increase medical costs.  Since the Affordable Health Care Act is under fire, don’t count on dental coverage in the near future. Many elderly can’t afford four figure costs for dental care, so they do without, dealing with the worst thing first, hoping something else bad doesn’t happen.  This is how many Americans deal with medical issues.  This is how many Americans deal with financial issues.

If you are young and in the service industry, call older people “Mr.” “Ms.” “Sir” or “Ma’am” as a default.  They may not like the bill, but at least they may be addressed appropriately.

Twenty-two days before my next appointment, and I just got an SMS and an e-mail, reminding me.  I’m waiting for Viber and WhatsApp to sound off.  Fortunately, I don’t have Twitter.

FIDUCIARY RESPONSIBILITY

January 4, 2015

Years ago, my wife was on the Blue Cross Advisory Committee advising them whether certain procedures qualified for coverage and payment.  Reduction mammoplasty was discussed one night, where excessive breast tissue, a significant problem for some women, is removed.  A lot of men don’t understand the issue, but large breasts require a woman’s back and neck to compensate for the torque, causing pain. Skin rubbing against skin causes redness and infection.  There are women who benefit greatly from this surgery, and my wife argued that it ought to be covered by insurance.

Others commented that some physicians would use this coverage as a way to do plastic surgery on women who wanted their breasts reshaped, not true reduction mammoplasty.  This is “gaming the system” or “cheating.”  To my wife, the issue was whether Blue Cross would deny the procedure to women who were suffering because of cheaters, or cover it anyway.  Nearly all of us have suffered because of a few bad apples ruining it for everybody, with the flagrant exception of guns, where virtually no restrictions apply.

Reduction mammoplasty was paid for.  It was one of my wife’s quiet triumphs; she doesn’t brag about them.

**************************************

We should have walked out of the mall on New Years’ Eve without going by the Sprint counter.  Between that and the endless cold I’ve had with laryngitis, it was another crappy holiday season.

We have two carriers for two phones.  AT&T works well in cities, but it doesn’t work in most wild places.  I accept that.  My wife uses Sprint; her phone works in Arizona but not in the house in Eugene, a reasonable-sized city.  If her phone rings, she makes a beeline to the bathroom, where the reception is best, before the call drops.  She has been to the Sprint counter three times, and got a quote from another carrier that she liked, but she needed the phone “unlocked”.  That will be legal in February, finally, but may be difficult for Sprint phones.

At the counter, we went through the same discussion about her phone with a different person.  Time passed, and we should have just told him we had already discussed this.  Neither my voice nor my mood was improving.  We heard about how bad other companies were; well, Sprint wasn’t working for us.  Finally, we were offered a booster device for free; prior to this, we were told we had to buy it.  We had heard at a computer store if one got insistent with Sprint, one could get the device for free.  I find that dishonest.

We finally saw three employees huddling in a corner near the kiosk, I guess trying to discuss what to do with this old couple who clearly weren’t happy.   Later, one told me that 3 bars was all he got, and the number of bars doesn’t matter.  Actually, it does, and I drew a exponential graph, showing that 1-2 bars is pretty much the same, 3 is a little more, and 4 or 5 are significant.  I may not know much about the various CDMA and GSM technologies, what bands the carriers run on, and the various models of iPhones.  I do know something about dropped calls and people who can’t hear me.

I finally told my wife, “15 more minutes,” because we weren’t making progress, wasting yet more time in my life, in which I have wasted enough.  The second guy was still on the phone with customer support, “because your call is important to us.”  In any case, at this point, a slightly older man, number three, probably the manager, started to talk to us.  He should have been called right away, when it was noted we had been here before, and we had a difficult problem.  That is what managers get called and paid for.

He asked a good question:  “What would make you happy?”  My wife said that a working phone in the house would help.  He then started going through the same fixes we had heard about three times—or was it four?— to the point where I just walked away.  When I returned, he was still going, time was passing, and when he said, “usually” referring to getting a free booster, I walked away for good.

The booster is so simple, we were told it just had to be “plugged in”.  Well, not exactly.  There was a 5+ minute video on YouTube which involved a lot of unplugging and plugging, followed by a cord to run a GPS to a closed window.  That wasn’t going to work for us.

I don’t like the telecommunications industry, and it goes back to the ATT deregulation of 1984.  It ruined phone service.  For years after, I was shouting into most phones, often claiming we had a third world telephone service, well before cell phones.  Don’t laugh.  I’ve texted home from central Kenya better than I could text from my driveway when I lived in Tucson.  The companies now have us hostage to our phones or vice versa.  Take your pick.  Where is fiduciary responsibility in America today?

When I practiced medicine, my job was my patient’s welfare, concomitantly recognizing that resource use affected all patients, and I had to be a steward of society’s resources, too.  I got up in the middle of the night, was yelled at, spat upon, threatened, in order to treat patients, many of whom didn’t pay me ($30,000 worth of unpaid bills every year), could sue me if I were wrong, but had the right to the best care I could give them.  I didn’t do unnecessary tests to pad my wallet.  I did what I thought I needed, charged fair prices, often discounted them if the condition were simple, like a spontaneous facial paralysis (Bell’s Palsy).  This is fiduciary responsibility.  The patient’s needs come first.

I expect my financial advisor to act in MY best interest, not his.  I dropped one because he recommended only his company’s products.  Health insurance companies in my view have a fiduciary responsibility to cover what should be covered and not covering what shouldn’t be. I remember how upset many were when bone marrow transplants for breast cancer were not covered.  They were not proven to work.  Not paying for it is not the same as saying the person can’t have it.  The procedure was eventually abandoned.  Reduction mammoplasties are covered.

I’m a naive, old, retired physician.  I had a fiduciary responsibility for my patients.  It took so much out of me that I eventually quit practice.  Companies have fiduciary responsibility to stockholders and to their customers.  It’s a balance:  do-gooders can go out of business for not collecting money.  Others run highly profitable margins at the expense of their customers.  The rules in medicine were different.  We took care of people first.

I did not have a sign in my office saying, “Payment is expected at the time of service.”  Silly me.

HOW TO KEEP….AND LOSE VOLUNTEERS

January 2, 2015

I was thrilled when I discovered the solution:  the student had forgotten to cube both numerator and denominator constants when she inverted 1/[(sec x)^2] to (cos x^2).  Two other tutors hadn’t seen it, and I haven’t done trig calculus in years.

When I first looked online at Lane Community College to become a volunteer math tutor, it appeared that I needed to take an 18 hour course in how to teach.  I was a bit miffed; I have taught math for years.  When I arrived in Eugene, I went to the downtown office and was given a number to call, but that didn’t help, either.  I waited, since it was summer.

In September, I called the college and this time given the e-mail address of a person whom I should contact.  To my surprise, she e-mailed me right back and said I could come over to talk at the end of September.  I did that, met her, and learned how the system worked.  She asked me when I wanted to work.  I set up some times and went to work.

The system at Lane is good, interesting, and my hours are flexible.  I often go when I have free time, for there is always a need.  The tutors have desks along the wall with a computer to look up things.  Students study in the room; if they need help, they go to one of the tutors.  If all are busy, the student waits in one of the chairs along the wall until somebody is available.  I get every math issue I can imagine, from men and women, young and beautiful; old, with a lot of miles on them; tattooed, body piercing and hair color I can’t believe.  One, 76, was recently released from prison after four years.  All are there to learn; all deserve help and respect.  Some come to me if I’m the only one free, preferring other tutors.  I don’t care. I help all comers, and if I don’t know something, I look it up quickly online.  I’m good, not perfect, but when I can explain basic algebra to somebody, lining up equal signs, balancing equations, what can and can’t be cancelled, showing short cuts, trying multiple approaches, completing squares, they are appreciative.

I’ve handled math from subtracting fractions to integral calculus.  The latter has been difficult, but I am amazed at what I have pulled out of the air.  I am the go-to person for statistics, since I have a master’s in it.  The other day, I helped a guy use a compass to make a 30-60-90 triangle.  One of the tutors asked me if I knew how.  I didn’t, but quickly figured it out.  Tutors help each other.

Every day, when I leave, I am thanked for doing what I love.  Amazing.  It works; one day I was told twice, “I saved the day” by showing up. The week before finals, I went four days in a row.  I have worked solidly for five hours.  I bring material to read and it stays unread, for I am busy. I like what I do, I am helping people, I am appreciated, I am making a difference.  I look forward to tutor day at Lane.

I also volunteer at a reading program for first and second graders.  Reading to children is important.  They need to hear the sound of words, the rhythm of the language, and discuss the book.  They begin to learn pronunciation.  They need to discover that books can take them places they can’t even imagine, and allow them to see the world without leaving a house.  I taught myself to read when I was 3.  I read the newspaper, sitting on my father’s lap.

I signed up at an elementary school that needed volunteers and was within walking distance of my house.  I was a little leery, because several years ago, I tried to teach a 35 year-old how to read, and it was extraordinarily difficult.

The school doesn’t fully buy-in to the program.  I know that as soon as I walk in the door.  I sign in at the front office and get my name tag.  Nobody greets me.  The coordinator left for another job, and nobody told me or the other readers that was going to happen.  A volunteer took it over, but she is a volunteer, not a school employee.  We start at 11, a bad time, because we may only read during lunch and recess, not at all good for students, but that is what the school wants.

I have to go to 3 rooms, get the children, who should be ready immediately, but aren’t.  Then we walk down the hall to the cafeteria, and when we should be beginning to read, we are waiting for the dietary personnel to open up the serving line, which they always do, a few minutes late.  The children go slowly through the line, then get silverware, napkins and salad dressing, FINALLY walking outdoors 50 yards, with their trays, eventually arriving at the reading room.

By the time we choose a book to read, we are 10 minutes or more late. I try to read to a child who is hungry….or not….eating, or not…., looking out the window at recess, and paying attention…. or not.  When we finish, they go to recess, we get the next group and repeat the process.  What was supposed to be an hour is an hour and a half.  Reading to kids while they should be at recess and are eating is sub-optimal, messy, with dropped food, and because the child is eating, he cannot fully concentrate.

I leave, glad I’m done, and walk home.  I don’t think I have accomplished anything, except setting a new record for the duration of a cold.  I was originally told my commitment was half a year; now I am told it is a year. When a couple suddenly left for a month because of the birth of a grandchild, I was told to read to their students, not mine, which I thought not fair to either me or my charges.

It’s a bad fit for me.  I believe in reading to children.  I believe adults should do it, and the parents should, if there are parents.  Having children brings the responsibility to read to them.  I was not put in front of a TV when I was a child. I was read to. I had to write book reports, too.  I learned to look up every word I didn’t know, to improve my vocabulary.  That’s what students need to do. I’m concerned whether computer screen reading is as effective; I know how easy it is to be interrupted on line.

I think we need those with means and time to volunteer in schools before or after classes, nights and weekends. The schools need to welcome volunteers with good systems in place to use them effectively.  Parents and the community must be involved.  This should be easy, but in my experience in high schools, it is not happening.  Why? Teaching to tests isn’t new. I grew up in the Sputnik era, however, when the world changed, and America got a dash of cold water in the face.

I tutor math where I am wanted and make the subject come alive.  For now, I read to kids who are hungry and distracted at a place where it doesn’t seem to matter.  It should.

A lot.

 

 

GOBS OF MONEY

December 29, 2014

In 2002, I discovered  to my chagrin that I wasn’t going to get served a meal on a four hour flight.  That was an annoyance, but it was only a minor harbinger of the future.

A recent spate of articles in The New Yorker has alluded to the difficulties the average traveler has flying.  Those who fly frequently pay for certain conveniences: $85 for TSA pre-check, faster and friendlier, and not in stocking feet, $25 per bag check-in, so I go carry-on with a day pack crammed with everything I may need, and early boarding (Zone 2), which is a $89 annual fee on a credit card for which I can get a free flight in maybe a decade.  Zone 2 allows me to put my carry on in the overhead early, before it is full.  There are $6 “snacks” and $6 Internet, too.  I now bring a lunch.

First Class round trip from LAX to Australia is $13,000, and people pay it, either with their money, or corporate money, which is all of our money, since “corporate” got it by selling somebody something, and probably got a tax break on it, too.  Fly from Seattle to Amsterdam round-trip costs about $1200;  another $7000, you go first class.  I paid $7000 to take a course on quality in medicine that changed my life, although I never got rich from it.  I’m retired, should survive, but I can’t comprehend paying $7000 to sit in a different seat.  My wife says, “If you have gobs of money, why not?”  She’s right.  Economy seats have shrunk; the largest seats are about the same size as the smaller ones two decades ago. Why sit in the back if you can afford to sleep lying down up front, if you got the dough and you’re old?  It just seems ostentatious to me.  I know several not for profits who would be thrilled to have that $7000.  It would be life changing to seven students at a community college I support, if each of them got $1000.  I know.  I’ve read their letters.

Jet Blue finally bit the bullet, the last airline not to charge for what were once called “frills,” giving the airlines a huge profit.  What is not surprising is that fares have not recently declined, despite the fact that the single biggest cost—fuel—has become far cheaper.  But as soon as there is a rise in the price of crude, it is immediately translated into increased prices.  It was like the price of silver and film years ago.  When silver became expensive, so did film, immediately.  When silver became cheaper, well…….

The only thing that still hasn’t changed is that we economy folks get to the same place at the same time.  Now, we don’t get inside that place at the same time, but the arrival is still equal.

Gobs of money.  That’s the term.  There are people with gobs of money.  Not $3650, which puts one in the richest half of humanity, but gobs.  The richest one percent in the US own more wealth than the bottom 90%.  The top 1% make $519K, the top 1.5% make $250K.  The richest 1% pay 24% of federal income taxes, and they state that isn’t fair.  I counter with Willie Sutton’s Law:  When asked why he robbed banks, Sutton replied, “That’s where the money is.”

Wealth management pays well.  I was turned down for a trust company because my net worth hadn’t reached their minimum.  They mentioned (and they had no business saying it) that one of their clients had a net worth of $350 million. That is gobs of money.  It is incomprehensible, I don’t know who makes that kind of money, but to me that screams “charges too much,” “ought to be giving a lot to support poorer people, public education, scholarships” “ought to be taxed on it,” “drugs?” and other socialistic statements.  Really, $350 million?

High end stores survive recessions well, because there are always those with gobs of money.  Five thousand of these folks got more than $1 million in bonuses in 2009, ($20 billion total were paid in bonuses) after the economic disaster they created starting in 2005 came home to roost.  What has changed is that many have become more ostentatious with their houses, cars, and the right schools.  I’m not talking about a good college, I’m referring to the right kindergarten.   When I practiced neurology, we had to make a rule that only four times a year could somebody take their salary early, because some of those earning $400,000 a year were asking for it because of “needs”.  The day we discussed that topic, I thought I was on Mars.

“I earned my income,” I could say.  “I studied hard through high school, college, medical school, and residency.  I did it myself.”  Well, yes and no.  I lived in a country that gave me free public education, good teachers, cheap medical care, infrastructure, subsidized college education, both by alumni and by the government, paid for defense (and I had to serve), and had a progressive tax code.  That’s all gone now.  Most of these people are white, male, and have connections.  I had two out of three.  The rest often work just as hard and aren’t as lucky.  The people on the bench spend just as much time working as the starters.

There is something wrong with a country where employees need food stamps and health insurance, while their employers have $125 billion ($125,000,000,000) net worth.  There is something wrong when 20% of the homeless are veterans.  There is something wrong when people traveling with children can’t board before first class passengers, where an airline is going to proffer “economy minus” seating (stay tuned), where Germany offers tuition-free education, while our students are saddled with huge loans, and the outgoing (read: fired) president of the University of Oregon got nearly a $1 million severance package for his subpar leadership.  Personally, I would have been embarrassed to take it, slinking away quietly.

There is something wrong in a country where quarterly earnings matter more than long term thinking, where hitting financial targets are more important than public health targets: reduction of teen pregnancy, domestic violence, gun violence, obesity, smoking, and numbers of uninsured, to name a few.  There is something wrong in a country where the CEO/worker pay ratio was 20 when I was in college, 60 in 1990, now well over 200.

There is something wrong with a country where we have $1.1 trillion in student loan debt, not dischargeable through bankruptcy, has 11% default, changes what jobs people get, and is a tremendous burden.  A 0.125% tax on all stock trades ($1.25 per $1000) would generate enough money by 2026 to pay off current student loan debt.  That’s the America I’d like to see.

There is something terribly wrong in a country where the political party that brought Civil Rights (and African-American sports stars) loses almost every election in the South. There is something wrong when trying to insure a few million more people medically was met with devastating defeats in both chambers of Congress, where the other side has offered nothing.

America gave the world three gifts, all in danger:  liberty, the national parks, and public education.  There is a fourth gift, also in danger: a large middle class losing faith in the system.  Gobs of money are not trickling down, and they never have.  The direction of the trickle is upward, defying both gravity and logic.

YOU CAN’T EAT DEDICATION

December 22, 2014

As I rode the bus yesterday, I happened to hear the driver say starting pay was $17 an hour, about $34,000 a year.  This is a job where one has to drive a large vehicle in traffic, keep a schedule, load disabled people and strap them in, keep order, deal with the general public, who are not generally well off, often with mental disabilities, in a place with wet, icy roads.  In short, the pay is not commensurate with the responsibility.

We don’t pay teachers well, either, a similar starting salary here in Eugene.  Sure, experienced teachers and bus drivers get more, but they top out about double their starting salary, well below six figures.  Teachers have a lot of responsibility, too.  They are educating the next generation.  They have to deal behavior problems, be surrogate parents, deal with parents, and teach to standards.  I have been a substitute, where I got paid $75 a day to teach statistics, keep order, holding my bladder 6 hours, and wolfing down my lunch in 2 minutes.  I’m literal. It was 2 minutes.

Now I read that the Business Roundtable wants to delay full Social Security from 67 to 70. They wouldn’t have this affect those over 55, but if I were 50, and I had been counting on getting SSI, I would be upset.  Indeed, far too many elderly require SSI to survive, which was never the intent, but medical and other costs don’t go away.  The group wants to decrease COLA, the cost of living adjustment, as well.

The Business Group is a bunch of super rich CEOs, many of whom have annual bonuses greater than the lifetime earnings of the bus driver, the teacher, and me.  Certainly, this is often the case with financiers, who got huge bonuses for destroying the world’s economy in 2008.  Mr. Obama oversaw the recovery, which has been remarkable, but just not fast enough for people, which is not surprising, given the total lack of Republican support, and the party of deregulation is now back in power.  If we paid teachers better, more math majors might have gone into teaching, rather than Wall Street, where they created models using the assumption housing prices would never fall.

I’d bet many of the Roundtable folks say that the climate isn’t changing, too, despite CO2 levels we haven’t seen in 600,000 years.  Yet, they will say the stock market always goes up, with 80 years’ data.

The Roundtable says that personal savings should be increased.  I agree, but it’s difficult to save when one has student loans to pay off (to become a teacher, for example).   Granted, many don’t manage money well, which these rich folks count on, so they can sell stuff at higher cost, get higher interest rates on credit cards, the fine print of which most can’t understand, and push debt instruments that practically nobody understands.  You don’t believe me, watch Suze Orman sometime.  Oh, if you don’t know what the Rule of 72 is*, you have just proven my case.

I’d like to see Common Core deal with financial management.  A hundred billion dollars a year is borrowed by students.  The amount is unsustainable and must decrease.  Here are my ideas:  one, mandatory national service (not religious) required which discharges federal student debt.  Second, no cap on withholding SSI deductions. Third, stop giving people like me SSI.  I end up donating much of it in one way or another, but if you make six figures for 10 years, you delay taking SSI for 10 years.  That is forced saving.  I’m flexible on the amount.  What we must not do is make it more difficult for the working men and women, the ones who teach our children, drive our busses, pick up our garbage, clean our buildings, to retire with less.  We find another way. If others disagree, no problem.  But I don’t want “Damned liberal socialists are stupid” comments. I want specific ideas, written with good grammar, with dollar savings, and how it deals with the poor, needy, those with bad fortune, like leukemia, or accidents.  I have been fortunate, in large part because of America, and in lesser part because who I am and my work ethic.  The idea that  people are totally self-made goes against what American government has done.

The Roundtable had the audacity to want to raise Medicare eligibility to 70, not 65, which only shifts costs to somebody else.  If you are born after the mid-60s, you are SOL.  Looked at insurance premiums on Blue Cross for a healthy 65 year-old lately?  About $2K a month. We currently have the Affordable Care Act, but that could easily be gutted by Congress.  Medical costs increase dramatically with age; medical debts are a major cause of bankruptcy.  We increase the age groups that can get Medicare, not decrease it.  Where’s the money coming from?  Why from those who make over $2 million a year, with high marginal rates on bonuses.  Tell me, please, why a football coach should make $7 million with a low marginal tax rate?  He brings money to the school by using players who get paid nothing including no degree.

The Roundtable thinks “efficient” medical care will cut health care costs.  I heard about “seamless” care 20 years ago; we still don’t have it.  I espoused quality in medicine 35 years ago, because it was better and saved money, but we still don’t have good indicators. If we did, we’d easily know the number of annual deaths due to medical errors with a reasonable margin of error.  Yes, easily.  I understand sampling.

What need to expand Medicare to include the whole country, but I’d accept age groups as a start.  This approach won’t bankrupt the country or the people; indeed, Medicare is one of the best run programs we have.  The Roundtable think we ought to have competition, because “well-informed seniors” will make the right choices.

Have any of them read the Part D drug manual from Humana?  Medicare is fine; I have issues with the number of insurance companies who generate more paper than a Douglas Fir Forest in Lane County.  Well informed?  By whom?  Brokers?  The one I had steered me in the wrong direction.  TV ads?  By whom?  I am a college educated 66 year-old former physician.  I have trouble understanding the rules.  What about the poor black woman in Arkansas who turns 65?  Or an 85 year-old with dementia, an elderly person who can’t see well, can’t think as clearly as Paul Ryan thinks he can, and doesn’t have technical skills?  Do they really think “market forces” will work?

Oh, the Roundtable is in favor of healthy lifestyles, but they object to the EPA’s reducing ozone in the air.  That is hypocrisy. They are against regulations on food, water, or emissions.  Deal with obesity?  Five years ago, I measured the number of obese 6th graders in one school district in Tucson.  The results OF THE 1100 were astoundingly depressing.  We could have obtained data for the whole county, 32,000, FOR FREE.  Nothing happened. Why aren’t we using elderly volunteers more?

We need a strong middle class.  It’s time to deal with outrageous incomes that have produced no significant value.  The Waltons have $30 billion net worths on the backs of poor people working without adequate insurance. We need a major increase in the marginal income tax rate, we need a tax on investments, higher on capital gains, which are not earned income, and a buy-sell tax of 0.125%, which would generate $1 trillion by 2024.  We need a tougher means test for SSI and Medicare than we currently have.  We don’t take down Medicare or SSI for those who need it most.

The Roundtable wants better teachers, but they somehow think that certification requirements will do it, when increased pay will lead to better teachers. Increased pay works for better CEOs, I’m told, better coaches, better university presidents, so why should it be different for teachers?

My father, who went from a high school science teacher to superintendent of schools, once told me the argument “teachers were dedicated” was the reason their pay was so low.  That would be fine, he continued, “except you can’t eat dedication.”

The Roundtable ought to see if they can compute the area of their table.  If they can’t, then maybe they ought to stay silent on matters of numbers and how to save money, when not everything comes with a dollar sign.  That is the America I want and serve today.

*Rule of 72:  The time for doubling (year) is 72/rate of increase (measured in %).  Credit card interest at 24% doubles debt in three years (72/24 = 3)

Proof:  P=Po (exp)^rt, where P is the new principal, Po the original, exp=e or 2.71828, r the rate in decimal form, and t=time in years.  [1+(1/n)]^n = e = [1 + n}^(1/n)

(P/Po)= (exp) ^ rt; ln (P/Po)= rt.  (P/Po)=2 for doubling and ln 2=0.693.

Therefore 0.693=rt.  Change rate to per cent  and 69.3=rt.  72 is easier to work with.  so t=72/r.

Tripling time is 110/r.   This is done on aTI-83 by LN, 72/rate you choose.  It is easy.  This should be in common core.

LESSONS IN THE CUMMINS CREEK WILDERNESS

December 18, 2014

“Well,” the woman commented in an moderately annoyed voice, “that wasn’t much of a lunch.”

We were at the eastern end of the Cummins Creek Wilderness trail, an east-west out and back of about six and a quarter miles.  I led the trip with six others, all of us members of the Obsidians, a local hiking group.  There is a similar group in Salem and one in Portland.  Non-members are welcome; they pay $5; members pay $1.  We carpool; the driver gets 9 cents a mile from each rider.  I like to drive; many don’t and sleep on the way back from the trail.

After three hikes as a non-member, one may become a member.  One of the more active members, seven years my senior, pushed for me to become a leader of a hike. I wasn’t really sure I wanted to do it, but I did about 35 hikes on my own, learning the country, and led my first one 4 months ago into the Obsidian Loop, a beautiful Cascade hike.

I solo hiked the Cummins Creek Wilderness last June and saw nobody on the 12.5 mile out and back trip.  It climbs 1300 feet net, and another 400 feet of descent during the hike has to be re-climbed, so it ranks as a “moderate” hike by Obsidian standards.

It was the holiday season, so I didn’t expect many to sign up, especially since this was a hike without views of either the mountains or the coast.  Still, there were seven of us who were on the trail by 9:45, on the central Oregon Coast, just below 1000 feet elevation.

The group split up quickly.  There was only one minor trail junction, so I stopped to make sure everybody went the right direction.  I gave people “free rein,” to go at their own pace.  It soon became obvious that we were strung out over about a mile of the trail. I wasn’t too concerned, other than the fact some would wait at the turn around point, and others might have less of a break, since days are short in Oregon in December, and we wanted to drive back while still light.

The weather was cooler than expected, with a brisk east wind.  We all carry day packs with the “10 essentials”.  None of us expect to camp out, but bad things can happen.

I got to the turnaround point just before noon.  I had waited on the way about 10 minutes to see the next person behind me.  I was third to arrive; the other two had been waiting for about 10 minutes.  I knew lunch would be brief for the last pair; since we had to hike back it would be at least 2 hours’ walk.  I told the two there and the next arrival to start eating lunch if they wished.  Ten minutes later, everybody had arrived, and we started eating lunch.

Cummins Creek Wilderness in June 2014

Cummins Creek Wilderness in June 2014

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Old forest service road that is being allowed to grow back. Cummins Creek Wilderness; June 2014.

Five minutes later, the person who arrived first announced that he was going to “start back.” This was fine; we are pretty informal, and I am a new leader, leading my fifth hike.  Four others, becoming cold, since the low sun had disappeared into a cloud bank, decided they would start back as well.  It was then I got the comment about the short lunch.  Reluctantly, the commenter got up and began hiking.  I waited, looked around for anything left behind, and started back.  I don’t have to be last on a hike.  If I know a person is experienced, knows the trail, I have no problem leaving them.  On this hike, however, I wanted to be “the sweep,” so if somebody had trouble, I would be available.  My GPS had read 3.2 mph underway on the way out, and I was looking to arrive at the cars about 2:30 or even 3, depending upon the person in front of me, who was disappointed about the lunch time.

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Field of Sword Ferns, looking down from the spine of the ridge

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View of the Oregon Coast from Cummins Ridge Wilderness, near the transition zone from Sitka Spruce to Douglas Firs.

Quickly, I started closing the gap.  Nearing her, I stopped, took some pictures, since I neither wanted to pass nor hike at her pace.  She disappeared from sight, but I closed the gap again, and did the same.  On a previous hike near this area last week, she had stayed with the group.  I wasn’t sure what was going on, but I wasn’t going to say anything, either.  Why was she going so slowly?

I remained silent, often sitting for 3 minutes by the clock, allowing her to get further ahead.  As I sat, I discovered that while there were no “views,” I noticed more, a a huge field of sword ferns, Oregon Ash and a few Western Cedars at 2000 foot elevation.   I continued hiking, stopping again, until we got to the half way point back.  As I stopped, I started noticing the subtle change in the forest, as we approached the coast.  There was a remarkably sharp transition zone into water loving, wind tolerant Sitka Spruce and sun loving Douglas Firs. Both were huge, but clearly there were all Sitkas at one end of the trail and all “Dougs” at the other end.  An hour into the return, I looked at my GPS.

She was making 2.9 mph good.  She wasn’t at all slow.  She wasn’t holding anybody up.  The others were walking a lot faster.  I said aloud, “I’m with a bunch of rabbits.”  Indeed, my underway speed was 3.4 mph.  This translated to a 30-plus minute difference in finishing, and the person who left early not only was ahead on that basis, he was walking fast.

I had thought for an hour that the woman was slow.  I was wrong. Facts proved me wrong.  Two miles from the end, I passed her, knowing now it was safe.  Ten minutes later, I encountered others on the hike, reaching the car 2 hours after leaving the east trailhead.  The fastest person was sitting in his vehicle.  By 2:45, we were on the road back to Eugene.  We had a partly sunny day on the coast; in Eugene, the fog never did clear.

I saw a lot more of the forest than I expected to, each time I sat down for a few minutes and let the woman go ahead.  I was alone among the trees and the wind, in one of the special areas in this country—wilderness.  I also learned something:  just because somebody lags behind doesn’t mean they are slow.  The woman had 30 more minutes in the wilderness than the man who walked back fast and sat in the car.  Hopefully, both were happy with the outcome.  Perhaps the man thought the hike was too slow; the woman felt the lunch break was too short.

What I do know is that I showed six others a part of Oregon they hadn’t seen, which I now have seen twice.  How they viewed it was their business.  How I viewed it taught me something about the Cummins Creek Wilderness, speed, and not being too quick to judge somebody who appears to be too slow.  Maybe the others are excessively fast.

It’s all about relativity.  And getting the facts.

IRINA

December 16, 2014

They just keep on a comin’, surveys about my latest purchase, its packaging, its delivery.  But enough about Amazon—for now.  Even medical and veterinary practices survey these days.

I received an automated phone call the other day, and as soon as I realized it was from a doctor’s office—a physician whom I had just seen—the ugly S-word, survey, popped into my mind.  “The survey would only take a few minutes….”  Later, the voice told me they needed “just a few moments” of my time.

Let me be clear:  a few minutes is no more than four.  A few moments is a lot less.  The two are not equivalent, and I am the most time conscious person I know. I can quickly quote my age in billions of seconds and days to the nearest 5%.  I love numbers.

Because I liked the doctor, I decided to stick around to take the survey, my eye on the second hand in the kitchen clock, which had moved a quarter a way around the dial (more than a few moments) before I heard a new voice, computer-generated, a poor sound, which turned me off.  Sure, it saves money, but it is a bit tacky.  I made a honest mistake, pressed the wrong button, and the survey disappeared.  That was good, although I missed a potential learning experience from a computer-generated phone survey, and my doctor missed hearing something, too.  Alas, I’m not paid for “a few moments” of my time these days.

It’s unfortunate, because what would have worked for me would have been a nice cheerful young woman’s calling me.  Trust me, you could find one at any Dutch Brothers kiosk in Eugene, and for $15 an hour, you would have a person making good money using her personality skills AND get a better survey.  The conversation might go like this:

“Mr. Smith (Dr. Smith would have me send her flowers), this is Irina at  xxxx’s office. We wanted to thank you for your visit and ask if all your questions were answered, or if there was anything we could have done better.”  Notice the lack of  “survey,” which has become a big red flag for many, “just a few moments,” the use of “thank you” and the emphasis on “anything,” because that gets people, otherwise reluctant to comment, to say something.

“No, everything went well.  I really liked the doctor.  He explained everything and spent a lot of time with me.”

“Oh, that is so nice to hear.  If we can be of help, please give us a call.  Thank you so much for your time.”  (She acknowledges the time using only the possessive adjective).

That took 22 seconds.  Your time may vary.

Now, the bean counters and the spreadsheet folks aren’t going to like the data, because it is not numerical.  Let me be again clear.  I am the most numerical person I know.  But, this isn’t about numbers.  It is about patient satisfaction, post-visit questions, feedback and discovering potential problems in practices.  Not only that, the doctor would have my feedback three days after I saw him.  Why, I might even tell Irina the specifics of the visit I liked.  She got a response, and I bet she would get a census—every response—if she asked the question to others the way I just posed it.

Instead, they got nothing.  Actually it was worse, because I pushed a “1” on ease of scheduling an appointment, which was the wrong number.  I figured “please press 1” was coming, and I didn’t wait.  Shameful.  The computer-generated voice didn’t know what to do.  Irina never would have done that.

I understand the need for companies to get customer’s opinions.  In the old days, we wrote letters, usually complaining about something that went wrong.  When I cleaned out my late father’s things, I discovered copies of letters I never would have sent, excoriating people. It didn’t bother him.  I have sent positive letters, like to the guy at Delta who brought out something I left on the plane and gave it to me.  Good companies know how to respond to complaints.  I still have one from 43 years ago, when my wife and I, on our honeymoon, were late getting back to Woods Hole, because the ferry turned around and returned to Nantucket to drop off a workman who forgot to disembark while docked at Nantucket.  They inconvenienced several hundred people for a jerk.  The CEO told me that.  He didn’t waffle, say “we regret the inconvenience.”  If I remember correctly, he said that he had a shouting match with the Captain, and the Captain lost.  Now, that is a good, honest response to a complaint.  Don’t get many of those today.

Waiting time?  The front desk person can easily figure that out.  They know the time of the appointment and when you are taken back to the office. You don’t need to survey to get it.

People aren’t going to pick up the phone to take a survey.  Better to have an old fashioned suggestion box at the front door, with plenty of paper and a pen.  Label it “Suggestion Box”.  If it doesn’t work, then remove it.  See what happens, first.

Personalized calling is much better business.  If you use a veterinarian, notice how they call the day after a non-routine visit, to make sure everything was fine, asking if there are any questions.  Such a call shows personal interest, especially when the pet’s name is mentioned.

Doctor’s offices can do this, too.  My doctor’s day would have been made, had he heard the things I would have said.  Everybody loves a compliment.  And if something went wrong, people need to hear it sooner, rather than later, or not at all, when the patient disappears—and tells others the bad experience.

For those who want phone surveys, hire an Irina, and skip the S-word.  Jeff Bezos has a net worth of nearly $28 billion.  I suspect if 20 people a day got a call saying, “This is Irina from Jeff Bezos’s office at Amazon.  Has our service met your standards?”  Mr. Bezos would learn a lot.  Admittedly, it’s old fashioned, unlike the e-mail bombardment one gets after a purchase.  But there is an old-fashioned term given when the front office calls an customer: “courtesy.”  Jeff ought to make a few calls himself.  Wow, that would make waves in the B-schools.

Strange thing is….such a call is not at all innovative.  It used to be the norm.

 

 

SLAMMING AND BEING SLAMMED

December 2, 2014

Sometimes on social media, one writes something and gets slammed.  Last week, I was both slammer and slamme.  When a woman likened the riots in Ferguson as having to do with liberals.  I took offense, replying that as a liberal, I believed in the rule of law.  If one does not like a law, one must work to change it.  I said the freeway near her house was paid by our taxes, a liberal concept that we need government to pay for things too big for individuals to handle themselves.  I suspected I paid more taxes than she.  I threw in my being a veteran as well, since some think that liberals don’t serve in the military.  Dick Cheney didn’t.

I didn’t know all the facts.  Sadly, her husband had been laid off.  While trying to hunt deer for meat, since they needed food, people drove by shooting off guns to scare deer away.  I don’t like hunting, but most hunters are conservationists, and we share a deep love of the land.  Subsistence hunting is different from trophy hunting.  Hunters must buy Duck Stamps, which every environmentalist should, too.  The woman apologized, and I accepted it.  She’s having a rough time, and I hope she gets back on her feet soon.  I did not levy any more cheap shots; I didn’t comment that unemployment insurance was a liberal idea.  I don’t kick people who are down.

This week, I got slammed on My Stealthy Freedom page, for a comment I thought fairly innocuous.  It bummed me out for a couple of days, and I was puzzled by the behavior of the commenter.  I eventually let it go, but I will comment far less; I don’t like being slammed.

I never, however, expected to get slammed by my older brother, who occasionally writes me, usually on my birthday.  But he weighed in the other day, when I posted that it happened to be the 140th anniversary of the birth of Sir Winston Churchill, who is my hero.

I know full well that Sir Winston was an imperfect man.  All of us are.  I am imperfect as hell, and frankly, so is my brother.  Sir Winston drank, had a streak of nastiness in him, but was one of the great writers and orators of the 20th century, and an absolute master of the English language.

I begin with my favorite quotation, because it shows both sarcasm and nastiness, two of my major flaws:

“Sir Winston, if you were my husband, I’d give you poison.”

“Lady Astor, if you were my wife, I’d drink it.”

But let’s get serious:  Churchill was prescient.  He knew war was coming, well before others, and when things went south in a hurry, he came forth with leadership, knowledge, speeches evoking the stunning beauty of the English language, and predicted closely what would happen.  “Wars are not won by evacuations,” called attention to the luck and leadership that kept Dunkirk from becoming a major disaster.  Many of his words, his incredible words, still ring in my head today.  The forward, “Their Finest Hour,” the second of six volumes about the war:  “How the English people held on, alone, until those who had hitherto been half blind, were half ready.”  If there has been a better use of the word “hitherto” in the English language, I have yet to see it.  “So if the British Empire lasts for a thousand years, men will still say ‘This….was their finest hour.’ “

On the invasion of North Africa:  “This is not the end.  This is not the beginning of the end.  It is, perhaps, the end of the beginning.”  The Italian campaign in 1943:  “The fate of this part of the world is being decided by some things called LSTs.”  I, too, was a Navy man.  Absolutely spot on.  Churchill pushed for invasion of southern Europe, which had it been done, would likely have kept much of Eastern Europe out of the Soviet sphere of influence.  It would have been a different world.

To be fair, I need to quote my brother directly:

Serious? Sure, he was a great leader in WWII, but he needed that war as much as it needed him. One definitely gets the idea that if there had been no war, he would have tried to start one, just so he could earn personal glory. That was basically what happened in Gallipoli in WWI.   My point was that Churchill would have been a historical nobody had he died before he was 65.  He lived past 65, however, when history gave him an opportunity to take the leading role on the world’s stage.

I have little doubt he would have dropped the bomb had he been in Truman’s shoes.   I never knew that my brother felt that way about the Bomb (My sarcasm comes forth here; it is “Bomb,” not “bomb.”).  I would have dropped the Bomb, too.  I’ve seen Pearl Harbor, the tunnels at Corregidor, Bataan, Kwajalein, Kagoshima, where the attack on Pearl Harbor was planned, the Memorial Cemetery at Manila, the jail there where American prisoners drowned at hide tide, the guns facing the wrong way in Singapore, and Eniwetok.  The fire bombing of Tokyo in May, 1944, killed far more people than Hiroshima, horribly so, through burning.   Estimates of casualties on the American side, had we invaded the Japanese Home Islands, would have been a million.  I respect those who disagree with me.  But my shoes have walked upon hallowed ground abroad.

He just happened to be in the right place at the right time, when his belligerent nature could be put to good use.  Exactly, dear brother.  He was in the right place at the right time; he knew what to do and how to do it.  Some of us in our lives may be fortunate enough to inhabit those two dimensions simultaneously, but we don’t achieve greatness.  Churchill was absolutely the right man for the job.   It wasn’t happenstance that he said, “We are waiting for the invasion.  So are the fishes.” That is one of the few perfect uses of the -es plural for “fish” outside of the Bible.

Churchill remains my hero, because he led through words, spoken and written, as well as deeds.  His ability to perfectly command the English language makes me proud to be part of the English speaking peoples (his wrote another four volume set, “The History of the English Speaking Peoples”).  He became great when he was older than 65.  He was imperfect and nasty, but made correct predictions far ahead of his time.  Those last three traits are part of my personality.  I am imperfect, often nasty, but have been far ahead of my time in medicine.  I am no Churchill; I can neither write nor speak English as well:  “If Hitler invaded hell, I would at least make a favorable reference to the Devil in the House of Commons.”

Churchill made exact predictions after the war, too. His final volume, “Triumph and Tragedy” had its forward: “How the great Democracies triumphed, and in doing so were able to resume the practices that so nearly cost them their existence.”

I may have been slightly inaccurate in my quotations, for I deliberately chose not to look them up.  They are burned into my mind.

CEMETERY THINKING

December 1, 2014

We could learn from Floyd, one of my cats.  Every night, when I fall asleep, Floyd lies against me, but not so hard that I am uncomfortable or have to move.  Four hours later, I awaken, shoved over to one side of the bed.  Floyd is an incrementalist.  He pushes slowly, consolidates his gains, and pushes a little more slowly.  I move.

Mr. Obama’s decision to act on immigration has angered people on both sides of the issue.  That to me is the hallmark of a good decision.   One may look at it as “we didn’t get what we wanted, so it is no good” or “we got some of what we wanted, and we will strive to get more.”  The first is perfectionist thinking, which brought us George W. Bush.  The second was incremental thinking, and it brought us Medicare, which didn’t fix medical care costs, but got us a lot closer to that goal.  Bear with me:  I won’t forget cemetery thinking.

The idea that a president can act unilaterally is not new.  Herbert Hoover blocked immigration, lasting 5 years until FDR started taking in Jews’ fleeing Nazi Germany.

On Facebook, I know people on both sides of immigration, and they are angry.  To both sides, I have two words:  GROW UP.  Two more words:  NO WAY in a country of 310 million will each of us get what we want, when and how we want it.  The President is trying to ADDRESS the issue, not make it perfect. NOBODY CAN.  Indeed, the Senate passed an immigration bill upon which the House of Representatives refused to act, because Mr. Boehner, a Republican, not some liberal like me, chose not to act on the bill.  Minority leaders: Tea Party—didn’t want it.

Mr. Boehner wants to run out the clock on Obama.  Indeed, if you are winning, and there is not a lot of time left, you want to use as much of as you can when you are in control.  Conventional wisdom called Mr. Obama a lame duck.  Instead, he acted the way I did when I was a “short timer” in the Navy.  I wasn’t going to be there much longer; when my happiness quotient (time served/time left to serve) was 3, similar to Mr. Obama’s, I started doing what I thought I should, not worrying what somebody would do to me.  Mind you, I wasn’t a jerk, but I spoke up when I thought people were wrong, and they were stuck.  I accomplished a lot; I asked for what I really wanted, another cat ploy, realizing the worst thing that could happen was somebody would say “No.”

You see, back then, the worst thing for a doctor was to be was in the military, on a ship, and deployed.  I was all three.  What could they do to me?  Take away my birthday?  And what is the House going to do to Mr. Obama?  He transformed himself from being a lame duck to a pterodactyl.  He acted, and the Republicans must respond.  Given the complexity of immigration, the suddenness and timeliness of the action (although it was predictable), before the annual 6 week shutdown of America called the “holidays,” a big lump of carbon landed in a lot of stockings.

Get real, folks.  Immigration reform won’t please everybody.  We have to have some sort of secure border, we can’t take in the world, we shouldn’t split up families, and we shouldn’t be hiring workers who are here illegally.  That is only part of the problem.  I want something DONE, see what happens, and then modify it.  The status quo isn’t working.  If both sides get something, wouldn’t that be better?  Most rational adults would say yes. Mr. Obama is governing, and this isn’t fun.  But avoiding the issue is even worse, sort of like climate change, but that is for another time.

Mr. Obama apparently decided it was time to quit playing safe, trying to please everybody, and run the country as best as he saw fit, since nobody else was willing to, and he had the power.  He issued an Executive Order, one of about 190 so far, and Washington howled.  How dare he?  Well, Mr. Reagan issued nearly 400, and the previous president, who brought divisiveness and two unnecessary wars not paid for with a war tax, the doughnut hole costing $135 billion more than predicted, and wanted to privatize Social Security, which given the recession that followed, would have been disastrous, issued 291.

Here at home, Sen. Ron Wyden’s bill to deal with increasing timber harvest, yet putting controls on it and adding wilderness areas has been hammered from both sides.  I’m a life member of the Sierra Club, but I try to be a life member of the reality club. Given my druthers, I’d ban logging, stop poisoning the land after clear cuts, since the poison is getting into the water and into the bodies of people in this state, and have a lot more wilderness.  Well, I’m not going to get my wish.  Period.  We aren’t going to stop logging in Oregon.  We can, however, add some wilderness to a state which has one of the lowest percentages in the west. Eugene has no wilderness within 40 miles.

When you have two disparate groups arguing, you have four choices: one, keep arguing and doing nothing; two, give it to one side, which creates a lot of enmity; three, compromise that gives both sides something; four, find an out of the box, creative solution that never occurred to anybody.  I’ve pretty much given up on the last, although there are a lot of creative thinkers in this country, but we need to listen to them, not ask for their money, or recycle yet another governor, senator, or general, who really ought to retire and volunteer somewhere.  America can fix problems.  When both sides dig in, both lose.  Being angrily dug in to a position usually ends up burying a lot of good ideas.  And I call that cemetery thinking.

I don’t have a problem with the Sierra Club’s wanting more.  That’s fine.  But take what you can get, people, because at some point…..hmmmm, right now for example, the next few years are not going to be very good for wilderness, politically.   Having sensible actions, even imperfect ones, to make more wilderness, even at the cost of other areas, might work.  Then you work for more.

Health care reform?  I’m an incrementalist.  Ideally, I’d expand Medicare to the whole society.  That isn’t going to happen.  Realistically, expanding it to 55 and older is one option; another is expanding it to pregnancy, labor, delivery, and the first 10 years of life.  Put in measures that would serve to show what does and does not happen, good and bad.  I believe it would cover many poor women and children, and at the same time force abortion foes to make good on what pro-life really means. I ask, how can one be against a program that helps women and children?  Easy.

By being a cemetery thinker.