Healthcare Blog

Archive for August, 2016

Ten Toxic Words: words we wish Webster would withdraw

Posted by capcityspeakers on August 25, 2016

by Bobbe White

Start with the worst first, shall we? Pretend these words are dysfunctional family members or friends in your home for dinner, seated around the table to upset our calm and confidence.

#1 Should is a dumb word. As in, “You should go visit your mother.” It’s worse when, ‘really’ is used too, “You REALLY should go visit your mother.” Stop it.
#2 Have has to go. Period. We’re told, “You have to do this; have to do that.” Our inner brat cranks up to retort, “I don’t HAVE to do anything.” And I don’t and won’t. Have is not welcome here. If you’re in customer service, the same goes for what you tell a customer he or she has to do.
#3 Should have Who invited this couple? My favorite, “I should’ve gone to the funeral visitation.” For some reason, you didn’t go. Not to be irreverent, but visitations are one-and-done; no do-overs. Stop beating yourself up when nothing can take you back in time. I’m curious, are the bereaved cognizant of your absence during visitation? Surely, not. (However, I do know people with a mental scorecard, doing their ‘check-off’. Another one is, “You should’ve come with us to the concert! Nice, huh? Stab my heart again.
# 4 Don’t. We’ve heard, “don’t” since we donned diapers: “Don’t do this! Don’t do that,” and the combo, “Don’t EVER do that again.” Excuse me, is that a threat? Don’t EVER tell me “don’t” again. I’m 60, not 6.
#5 Ought is Should’s kissin’ cousin. The word looks like it’s missing letters. Like bad teeth on Cousin Eddie. When you think, “I ought to do….”, don’t ought to do it, DO IT, if you can’t stop thinking about it.
#6 Didn’t you realize…? When something goes wrong, we’re asked if we realized such and such would happen, it prompts this reply, “Hey, if I’d realized it beforehand, would I have done it?” We feel bad enough. Stop pouring salt in that wound. Unless of course, if you did realize a possible outcome, and did it on purpose, you may be passive aggressive. And that is another blog post.
# 7 & #8 Wouldn’t /Couldn’t Another unwelcome table guest, which should be banned from our conversations. “Couldn’t you help me, just this once?” Move on, Martyr. Or, “Wouldn’t it make more sense to do it this way?” Yes, it might. Sounds better when phrased, “Let’s try it this way.”
#9 Absolutes. This is the “3 for 1” toxic offer. Never, Always & Ever, because nothing ever is always one way. Never, ever, ever. Lose these three.
#10 Guilt is not a toxic word, but is the babe and by-product of the above nine dinner guests. Guilt’s the guest who is a travel agent. She’s a frequent flier, inflicting guilt at every chance. If someone at your proverbial dinner table acts like a travel agent, sending you on guilt trip after guilt trip, send her packing!

Thanks to these ten toxic words, we question our decisions, actions and ideas, many of which were made with our best intentions, only to be undone by someone who thinks he or she knows better. No thanks. These words are harmful enough when said to us by others. They’re even more toxic when said in our heads. Confidence is making decisions and feeling good about them. If we let others knock us down with words, or insinuation, our confidence is destroyed. Does it make sense how words can be a lot like toxic friends or family members? Don’t tear yourself -or others-down with words.

Wouldn’t it be fun at future friends/family dinners, if the dog sitting under the table at our feet, could bite the ankles of people who make others feel crummy with toxic words? Grrrrrrrrrrrr! I love the idea.


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Why Did Healthcare Inflation Slow Down? Why Does It Matter?

Posted by capcityspeakers on August 11, 2016

by Joe Flower

The costs of healthcare turned a corner in 2009. You can see it on any graph of National Health Expenditures, whether by dollars or dollars per capita or percentage of the economy. There is a decided downward bend in the trend line between 2008 and 2009. The line then stays nearly flat, close to or below the increase in the general economy.

This Great Flattening is really interesting, but the reasons why it’s happening are even more interesting — because they tell us something about healthcare’s future.

Robert Woods Johnson Foundation just put out the latest report on this. The line blipped up a bit in 2014, the first year of the full implementation of Obamacare. According to the RWJF analysis, though, it then resumed its near-flat trajectory in 2015. The Great Flattening is not over.

Why is this happening?

Healthcare commentators have given three competing reasons for it. At first, most dismissed it as an epicycle of the Great Recession. Later others claimed that its continuation showed that Obamacare was working.

I and some others had a different idea: The Great Flattening, at least in part and increasingly as time went on, has been the first sign that structural changes in how we pay for healthcare are beginning to make a difference in how much we pay for healthcare.

Read the rest of this entry »

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