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Single Payer Health Care will Work

Health Care Reform

Here's why I want a ONE payer system. Just got a BCBS statement (explanation of benefits - wait for it, we will come back for this). It was for a general checkup, I got a tetanus shot (they really push them - like drugs) and a small 'skin-tag' removed from my underarm.

Itemized:
Office visit $221
Preventive Service $242
Surgery-Skin tag removal $176

on the second statement - completely separate envelope for the same visit:

Drugs $65
Vaccine Admin $30
Treatment Room $120
Laboratory $12
Laboratory $74
Laboratory $22
Laboratory $43

Yep that explains it!

Would any reasonable person believe that being charged an office visit and a treatment room for the same visit is NOT redundant double billing. A phone call to the provider Virginia Mason assures me that this is standard procedure.

So how does the double speak of EXPLANATION of BENEFITS sound now? I'm confused, and just believe that a single payer system will make my life better! Sure a lot of insurance claims admin people will lose there jobs - but they are really smart can work computer systems like no-body's business - they can find another job.
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David's notes on "Drive"

- "The Surprising Truth about what Motivates Us" by Dan Pink.

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What I notice first and really like is the subtle implication in the shadow of the "i" in Drive is a person taking one step in a running motion.  This brings to mind the old saying - "there is no I in TEAM".  There is however a ME in TEAM, and there is an I in DRIVE.  And when one talks about motivating a team or an individual - it all starts with - what's in it for me.

Introduction

Pink starts with an early experiment with monkeys on problem solving.  Seems the monkeys were much better problem solver's than the scientist thought they should be.  This 1949 experiment is explained as the early understanding of motivation.  At the time there were two main drivers of motivation:  biological & external influences.  Harry F. Harlow defines the third drive in a novel theory:  "The performance of the task provided intrinsic reward" (p 3).  This is Dan Pink's M…

Software Development terms applied to Home Construction

Let's Invert the typically wrong headed view of Software Development project management as a construction project.  We can map it the other way just to see if it works... to have some fun, to explore the meaning of phrases we toss around quite frequently.


Normally Project Management terms come from a construction domain.  We are going to apply the lexicon of modern software to the construction of a home.  We will follow the construction project and meet some of the people doing the work.

This is a very small (8 homes from $600,000 skyward) program in my 30-40 year old neighborhood.

About 6 months ago I saw the programs landing page go up.  It gives casual observers and some of the stakeholders a general idea of the intent of the program.  And most importantly who to contact for additional information if you happen to be interested in their products.

The Refuge program has 8 product projects and has them running independently.  Yet much of their DevOps infrastructure has already b…

Where is Shakespeare When We Need Him?

We are desperately searching for a term for people that connotes the best of human kind.  The creative, sensing, combinatorial synergistic, empathic solutioning persons that have yet to been labeled with a role name that works.

Some of the old terms:
Staff, Workforce, Human Resource, My Team, Army, Company

Shakespeare created 1700 words in his time.  He mutated verbs to nouns, and vice-a-versa, transformed verbs into adjectives, and formed words from whole cloth never before heard.  This skill is rare, but there is a poet that can create the term we need in the twenty-first century.

What should this term define?

21st Century Human Resource; the generalizing specialist.

Yes, but what more?  What less?

Suggest your poetry in the comments, let us see if we cannot do 1/1700 as well as The Bard.

By-the-way; who create the phrase "coin a word"?




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One Dark and Stormy during a Hurricane

I'm from the Carolina's where legend has it that our family commonly just hunkered down in the home on the coast and waterways than to head for inland shelter. Now that's from the old school days of barely improved (read paved) roads. They counted a storms severity by how high on the back porch steps (about 15 - top to ground) the water reached.  I don't recommend this action in todays world of long range forecast and transportation options.

I do recommend a drink or two in a hotel bar, far far away.

This is the week that Harvey came ashore in Texas.  I live on a hill in the little old town of Grapevine outside Dallas and Fort Worth.  And thank you all for letting me know that a storm is coming... I didn't get out and walk Malibu before the rain hit, so I grabbed a hat and we went anyway.  Much nicer walk with the drizzle, I'd say.

I'll raise a glass to you - if you were not smart enough to do the responsible thing, at the last responsible moment.

I do re…