Review: Critical

America's Healthcare Mess and Its Possible Solution

This is a broad overview of the state of American healthcare that is perfectly accessible to someone like myself that doesn’t have much background in the area.

Daschle starts off by rattling off statistic after tragedy after heartbreaking story of how American healthcare is unreliable, not comprehensive, and hugely over priced. He really drives home how many people are left out, and how “the best health care in the world” only applies to the richest among us and even middle class Americans are at risk of being stuck with fairly awful coverage.

He moves on to describe efforts to reform the healthcare system stretching back almost a century, focusing the most attention on the Clinton administration’s attempt in the 1990’s. He details what went wrong with these efforts and why they failed.

Finally, he lays out a possible solution to the problem. He suggests expanding the FEHBP (Federal Employees Health Benefits Program) to allow non-governmental employers and individuals to participate, as well as installing the healthcare equivalent of the Federal Reserve Board to oversee it.

(Side note: I am told by DC INSIDERS that this is Daschle’s bid for HHS secretary, as he is apparently BFFs with Obama.)

If you have any interest at all in American healthcare, this is a great, quick overview.

Review: A Whole New Mind

Why Right-Brainers Will Rule the Future

Daniel Pink’s A Whole New Mind makes many excellent points. Unfortunately, it suffers from an awkward and unconvincing metaphorical framework.

Chapter 1: Right Brain Rising

Pink starts out explaining about the brain’s left and right hemispheres, and how each side is responsible for different cognitive activities – the left hemisphere tends to be responsible for sequential logic, analysis, and language; the right hemisphere for holistic reasoning, pattern recognition, emotions and body language. So far, so good. Pink is careful to point out, over and over again, that the terms “left-brained” and “right-brained” are misnomers; that you need both hemispheres to be completely functional, and that they certainly don’t work independently of each other. He emphasizes (again and again) that “left-brained” and “right-brained” are “powerful metaphor[s] for how individuals and organizations navigate their lives.” That’s all well and good, but in the rest of the book the “left-brained” functions or “L-Directed thinking” end up left in the dust. It says right on the cover “Why Right-Brainers Will Rule the Future” — a claim made nowhere in the book. That just screams “GIMMICK!” to me. Will people with “whole minds” rule the future, or people who are right-brained? If the title can’t get it’s story straight, I don’t have much faith in the entire book.

Chapter 2: Abundance, Asia, and Automation

I suppose alliteration is an R-Directed thing. This chapter talks about the many choices and options that American consumers are faced with, overseas outsourcing, and technology, and how these three things have either eliminated a lot of jobs and significantly raised the bar on others. The “abundance” and “automation” sections are quite good, but he drops the ball on Asia. He doesn’t discuss global economics at all, and one almost gets the sense that India is some sort of economic enemy to battle against. I don’t think he meant it that way, but it was irritating. Pink doesn’t address why what he thinks of as R-Directed jobs are going to be safe against India while L-Directed jobs are threatened. I heard a story on NPR not long ago about how localized, creative advertising campaigns are starting to be outsourced — complete with local culture training. Unless global inequities are addressed, jobs are going to continue to trickle downward to the cheapest labor.

Chapter 3: High Concept, High Touch

 This chapter talks about the demand for “knowledge workers” diminishing and the demand for “creators and empathizers” growing, and about how MFA programs are harder to get into than MBA programs. I think this is more reflective of a glut of MBA programs and applicants than anything else — something called supply and demand, perhaps, or is that too L-Directed?

Part Two

Part Two discusses what Pink calls “The Six Senses” which … whatever. They’re more “sensibilities” than “senses,” but I’ll go along with the clumsy neuroscience metaphor. Getting past that, Pink actually makes a great case for “design,” “story,” “symphony,” “empathy,” and “play” that I wish Slightly Evil, LLP would be receptive to. (It won’t.) Each chapter comes with a “Portfolio” section that includes lots of resources and exercises for improving your skills in each area. None of these “senses” seem to be things that people in India can’t handle, though.

Chapter Nine, the final “sense,” is meaning. As an atheist and an empiricist, I consider “meaning” exceptionally important to my life since I believe we must create it for ourselves, and not rely on some One else to bestow it upon us. Pink’s “meaning” seems to be a vague, feel-good mix between “happiness” and “spirituality” and dizziness. It was a bad way to end a book that had just started to pick up a little.

Overall…

First of all, this book is aimed exclusively at middle-class white collar workers. It is certainly not a comprehensive look at the “new” American economy.

Secondly, I didn’t learn anything new from this book. Pink relies heavily on anecdotes and less on L-Directed… facts. The book doesn’t say anything that my father didn’t tell me when he sat down with me and gave me the “what you should be when you grow up” speech. He told me that “The people who make the most money are not the people who know how to do stuff. They are the ones who know how to tell those people what to do.” (I was ten, he had to dumb it down a little.) I think that’s how I ended up in this L/R crossover career called information design.

In summation, what Pink calls having “a whole mind” is what I learned was called “being intelligent.” And I really wish that Steven Johnson had written this book instead.

RIP Splinter, Day 8

RIP Splinter, Day 8

RIP Splinter, Day 8,
originally uploaded by suedoc.

I missed days 6 and 7, during which time there was a lot of heat and a lot of rain. Splinter is pretty much a pelt and some mush at this point.

RIP Splinter, Day 5

RIP Splinter, Day 5

RIP Splinter, Day 5,
originally uploaded by suedoc.

I think there’s not much left now but skin and bones, literally. Not much has changed.

I’ve been told that my little photo project is sick, twisted, and disturbing. I don’t really see how, myself. Is it gross? Yes, definitely. But twisted? Things — animals — people — die all the time. Death is all around us. I don’t see how just owning up to it and observing it is unhealthy — quite the opposite, in fact.

For the record, I’ve never caused the death of any animal larger than a mouse (and that one was in our kitchen, and I felt really bad about it, apologized to the mouse before killing him, and cried for half an hour).

RIP Splinter, Day 4

RIP Splinter, Day 4


RIP Splinter, Day 4,
originally uploaded by suedoc.

Well, it’s still identifiably a rat, but that’s about all you can say for it. There is a crushed Steel Reserve can right by his tail now, which I find slightly disturbing.

The body has been moved quite a bit — it’s moved a little every night. GK tells me that bloated corpses can explode and move the body around a little, but that can’t have happened every single night.

RIP Splinter, day 3.

RIP Splinter, day 3.

RIP Splinter, day 3.,
originally uploaded by suedoc.

In case you don’t obsessively check my flickr photostream (how could you not?!), I am on day 3 of photojournaling the decomposition of Splinter. Last night the body was moved, presumably by a stray cat. The flies are hard to work.

A new rat, somewhat smaller than ol’ Splinter, has moved into the space under the dumpster. His name is Templeton.

R.I.P. Splinter!!!

R.I.P. Splinter!!!

R.I.P. Splinter!!!,
originally uploaded by suedoc.

Splinter, our friendly neighborhood gravity-defying ninja rat, passed away last night under suspicious circumstances. I found him in the alley covered with flies this morning as I walked to the bus stop. It seems like just last week he was skittering across the backyard, scaling the brick wall of the apartment building, and crawling around in the dumpster and scaring me when I threw a trash bag in. Wait, it was last week.

I snapped a picture with my cameraphone. After uploading to Flickr and tagging it “dead rat,” my curiosity got the better of me — how many photos on Flickr are tagged “dead rat”?

A surprising amount, it turns out. 201, in fact, and those are just the public ones. Some of them are absolutely amazing… does that make me sick and twisted? I like to think I have only the normal amount of fascination with the morbid. After the jump… photos not for the faint of heart!

Continue reading