THE BRYCE IS RIGHT!

Software for the finest computer – The Mind

Archive for the ‘Healthcare’ Category

THE SOCIAL CHANGES FROM CORONAVIRUS

Posted by Tim Bryce on April 7, 2020

BRYCE ON LIFE

– Is there a silver lining to this panic?

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

I have found the social changes resulting from the coronavirus (COVID-19) to be fascinating. Most people appear to be staying home, minding their own business, and avoiding human contact either by choice or forced to do so by government regulations. As evidence, there is a groundswell in home improvement projects (just ask the hardware super stores whose profits are soaring). Other people are learning new cooking recipes, surfing the Internet, playing computer games, and watching a ton of television. My brother-in-law tackled a thousand piece jigsaw puzzle while sipping on some rather fine bourbon, and others are getting caught up on their reading. There are even fewer cars on the road, at least down here in Florida. Life has definitely changed since the panic began and the social ramifications are eye-opening.

The people who were asked to work from home or have been furloughed are bored, frustrated, and chomping on the bit to get back to work. When our doors finally re-open, we will likely witness a productivity boom the likes of which we haven’t seen since World War II. Likewise, children are restless and want to return to school. It is interesting to watch Americans react to the shutdown. No, this is certainly not a vacation or holiday as people are sensitive to their ability to generate income and have become rather restless.

One area I found particularly noticeable in neighborhoods is the need for human interaction. First, I have never seen so many people walking or bicycling around the neighborhood, be it alone, as a couple, or with kids and pets. I didn’t realize how many dogs there were in my neighborhood. I also see people walking around who I haven’t seen in a number of years, and frankly, I thought they had moved out of the neighborhood.

Most interesting is how people do not hesitate to stop and talk with their neighbors, usually at the end of a driveway or in a front yard. The virus has caused us to become more neighborly, to ask about each other, if everything is okay, and to lend a helping hand when necessary. Kindness and consideration seems to be the order of the day and a renewed sense of neighborly responsibility.

Since the restaurants and bars are closed, we are seeing people get-together, not in large parties, but simple get-togethers to talk and even play cards. Maybe bridge and pinochle will finally make a come back. Needless to say, the consumption of alcohol has increased and the stores are doing brisk business. People may not be able to get a drink at night, but if government regulators ever close liquor stores, there would doubtless be an open rebellion.

This phenomenon of neighbors becoming reacquainted with their neighbors is healthy for communities as Americans do better when they pull together in times of crisis. This reminds me of the classic 1941 Frank Capra movie, “Meet John Doe,” starring Gary Cooper and Barbara Stanwyk, whereby Cooper’s character goes on the radio to promote the concept of “love thy neighbor.” This results in a social movement whereby people renew friendships with their neighbors and help one and other. This becomes the basis for forming “John Doe Clubs” across the nation. It’s an entertaining film with an important message. It’s also vintage Capra.

Yes, I am aware we are suppose to practice “social distancing,” and I believe my neighbors understand this. I just find it interesting how the virus has forced people out of hiding and caused them to think about their neighbors, to lend a hand, to pick up and deliver supplies, or some small menial task. It is refreshing to watch. Maybe there is a silver lining to this panic after all.

Keep the Faith!

P.S. – Also, I have a NEW book, “Before You Vote: Know How Your Government Works”, What American youth should know about government, available in Printed, PDF and eBook form. DON’T FORGET GRADUATION DAY. This is the perfect gift!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is an author, freelance writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb1557@gmail.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2020 by Tim Bryce. All rights reserved.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Advertisement

Posted in Healthcare, Life | Tagged: , , , , , | 5 Comments »

WHAT WE CAN EXPECT AFTER THE CORONAVIRUS

Posted by Tim Bryce on March 26, 2020

BRYCE ON THE VIRUS

– Coming attractions.

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

By the time the coronavirus (COVID-19) has run its course, what can we expect from the fall-out? Hopefully, we will learn from this episode and make changes to address future epidemics, and believe me, this will not be the end of it as the media has discovered such disasters are bigger business than mere politics. What can we expect though from this episode and what awaits us in the months ahead?

First, this will be on everyone’s mind as we head to the voting booths in November. As of now, President Trump has been getting favorable poll ratings for his handling of the problem, so this shouldn’t effect him in a negative way. However, the key will be to see how the economy bounces back. It will undoubtedly take a dip in the Spring, but when the panic is over and life begins to return to normal, will another bull market emerge? If not, this could present a serious problem for the Republicans. As of now, the American public doesn’t blame President Trump for the declining stock markets, but when this is over, they will want to see it come roaring back.

Now that stocks are down, shrewd investors will be picking up some bargain stocks and making a killing. Transportations may be slow to rebound, but others should come back faster, such as electronics and food related companies. One of the biggest surprises during the panic was our attachment to paper products. Who would have thought toilet paper, paper towels, and tissues would be so much in demand? Companies such as Scott Paper, Kimberly-Clark, and Procter & Gamble should be sitting pretty following the panic.

Likewise, pharmacies have taken a noticeable upturn and will continue to grow.

Supply chains will need to be re-evaluated and improved in order to prevent another product shortage in the future. Freight truck sales are booming and will continue to do so to help in this regard. Freight trains should also do well.

People have learned the need for maintaining emergency supplies on hand. Look for increased sales in refrigerators and freezers to accommodate this. Shelving, storage and security items should also do well.

The service industry should prosper substantially; “Sit down” restaurants will eventually recover but there will be an explosion in “To Go” ordering, something people have become used to during the panic and has altered our eating habits. Look for a revolution in home delivery. Walmart, Amazon, and the major Supermarkets have been moving in this direction for a long time, but the panic clearly demonstrated its viability.

The tobacco industry will take a hit as we were once again reminded of the ill-effects of tobacco. Not surprising, liquor sales held strong as people got together in impromptu groups and enjoyed libations to pass the time of day.

As much as we hate the politically correct expression, “Social Distancing,” it will become a part of life from now on as it has become a habit. There will be fewer handshakes and hugs, people will keep their distance, and there will still be fewer group activities, including nonprofits and church meetings. Also watch for surgical masks to become more commonplace, as well as the re-introduction of gloves at group events.

Perhaps the most noticeable coming attraction will be a baby boom in December. As people went into hibernation during the panic, as requested by government, they had to find ways to entertain themselves. Hence, we are on the verge of a major baby boom, the likes of which will make the old New York blackouts seem pale by comparison. Inevitably, even more paper products will be needed to accommodate the influx of infants.

Should there be another virus like this, it is hoped we will be better prepared. Personally, I would like to see someone take the news media to task, but this will likely never happen. And I certainly hope a panic such as this never happens again during an election year. This was too much of a coincidence for my liking.

By the way, Rod Serling couldn’t have written a better script than what the coronavirus politicians and media did.

Keep the Faith!

P.S. – Also, I have a NEW book, “Before You Vote: Know How Your Government Works”, What American youth should know about government, available in Printed, PDF and eBook form. DON’T FORGET GRADUATION DAY. This is the perfect gift!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is an author, freelance writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb1557@gmail.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2020 by Tim Bryce. All rights reserved.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Healthcare, Politics | Tagged: , , , , , | 3 Comments »

THE SHOW MUST GO ON!

Posted by Tim Bryce on March 24, 2020

BRYCE ON THE VIRUS

– “Break a Leg!”

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

I think it is time I weighed in on the coronavirus panic choking our country. Currently, we are a nation suffocating in a depressing doom and gloom; where the media seems to take delight in telling us how bad things are, all in the name of improved ratings. Frankly, they haven’t hit a bonanza like this in a long time, even in spite of their sloppy reporting. This has been exacerbated by lawyers, accountants, politicians, and a greedy media who will not be happy until the country is ground to a halt. Frankly, this is one American who has had enough.

In show business, the expression, “The Show Must Go On!”, means we must go forward even in the face of adversity. It is time for this country to do likewise in lieu of the panic. Currently, we are experiencing a domino effect whereby restaurants and businesses are closing, as are schools, the travel industry is tanking, people are working from home or are being let go, people are hoarding toilet paper (of all things), we are rationing food, etc., thereby causing the economy to tremble. The new politically correct concept of “Social Distancing” is forcing people to turn inwards to home, and avoid human contact, not just group activities such as sporting events, church meetings, schools, going to the beach, or a drink at the local tavern. Terrified of the virus, people are hiding out until the all-clear siren is sounded. There is one problem with this, we cannot afford to bring the country to a standstill as exemplified by the movie, “The Day the Earth Stood Still.” Our choice is simple: We can either resign ourselves to a fate of destruction or pick up the pieces and move forward. I choose the latter.

Some claim we have never seen anything like this virus (COVID-19). This is simply not true. The 2009-2010 Swine Flu Pandemic saw upwards to 1.4 billion cases, with deaths estimated between 150,000–575,000. Today, we are nowhere near these numbers. I am not doubting the legitimacy of the coronavirus, but I am questioning the panic that has ensued. It reminds me of how we handle hurricanes in Florida. It used to be, the public was alerted about an approaching storm, we took the necessary precautions (such as replenishing supplies and boarding up homes) and then rode it out. However, when Hurricane Irma appeared in 2017, Floridians were panicked by the media, forcing the closure of restaurants and businesses, and the stoppage of water, gasoline, and electricity in some areas. Frankly, it turned out to be a rather lame storm here in Florida by comparison to other hurricanes, but the public was panicked into a frenzy by the media, not too dissimilar to what we are experiencing today. The point is, something is horribly wrong in how the media is communicating with the public these days.

What we are witnessing is an interesting social experiment. It proves people can be easily manipulated by the media and politicians. It also demonstrates people prefer operating on autopilot, and when it is switched off, they do not know how to improvise, adapt and overcome, and this is what is perhaps most disturbing about the panic.

There are, of course, some things beyond our control, such as financial markets, government regulations, etc., and I am certainly not advocating disobeying the law, but we need to challenge our politicians and hold them accountable, as well as the media. It also means we have to learn to think for ourselves and become proactive as opposed to reactive. In other words, we need to think differently, break old habits, and replace them with new ones. Remember the old maxim, “In confusion there is profits.”

We need to begin by changing our perspective to believe the glass is half full, not half empty as the media suggests. In other words, let’s think positive, not negative. Now is the time for innovation in the workplace, to think smarter, and introduce new ideas to get the job done. There are opportunities out there waiting to be exploited, we just have to find them.

So, should we place our faith in the hands of our politicians and the media? As for me, I will put my trust in common sense instead.

By the way, perhaps the biggest difference between the 2009-2010 Swine Flu Pandemic and the 2020 COVID-19 panic is that 2009-2010 was not a presidential election year. Hmm, must be nothing more than a coincidence, right?

Another stage related expression is “Break a Leg,” representing a wish for good luck to a performer. It’s an old expression reflecting an ancient superstition that wishing someone “good luck” was considered somewhat of a jinx.

Since I am from the South, I will leave you with…

Break a Leg (Y’all)!

Keep the Faith!

P.S. – Also, I have a NEW book, “Before You Vote: Know How Your Government Works”, What American youth should know about government, available in Printed, PDF and eBook form. DON’T FORGET GRADUATION DAY. This is the perfect gift!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is an author, freelance writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb1557@gmail.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2020 by Tim Bryce. All rights reserved.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Government, Healthcare, Media | Tagged: , , , , , | 2 Comments »

DON’T YOU FEEL BETTER?

Posted by Tim Bryce on October 19, 2018

BRYCE ON LIFE

– Stop asking. It’s annoying.

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

Some of you will remember a few years ago, I started to clean up my act. This usually happens in your sixties as you start to notice your friends beginning to pass away. I’ve been on this trip for at least three years now. Inevitably, people ask me how I feel. Well, I’ll tell you…

CIGARS

I stopped smoking cigars three years ago as I found I wasn’t really enjoying them anymore. It was an expensive habit which caused me to think about my health. People gave me a lot of “atta boy” compliments at the time as they admired my fortitude to quit. Recently though, somebody asked me if I felt better for staying off cigars for so long. Frankly, No, I didn’t feel any better or worse for it. Shortly thereafter I quietly had a smoke with a friend and felt no different afterwards. I do not smoke as regularly as before, but I will sneak one now and then.

EXERCISE

I’ve been going to the gym regularly now for two years as part of my effort to reduce weight and improve myself physically. I’m still fairly strong but when I’m asked afterwards if I feel better for exercising, I most emphatically answer, “No.” True, my muscle tone is better but I still feel the wear and tear of osteoarthritis, so I certainly do not come out of the gym dancing.

ALCOHOL

I knocked my sugar levels down by cutting fruit juices and soft drinks out of my diet, but I also gave up alcohol in the process. This is perhaps the biggest reason for my loss of weight. I imbibed in a glass of Scotch whiskey now and then as there is no sugar in it, but I certainly missed a quiet beer at the end of the day. Again, I’ve been asked, “Don’t you feel better?” No, not really. My sugar numbers are excellent now, so once in awhile I’ll treat myself to an ice cold Lite beer. I had forgotten how good it tasted.

FOOD

Based on my doctor’s advice, I learned to avoid bread, pasta and sweets. It didn’t bother me to drop the pasta and sweets, but I missed the bread. I haven’t had a Publix sub in probably two years, and I eat mostly protein. I still stick to this regimen, but do I feel any better? Of course not.

WEIGHT

Between the exercise, change in diet and less alcohol, I dropped a significant amount of weight. Do I feel any better from losing the weight? Yes, but I sure do miss the Publix subs. The only problem I encountered along the way was my relatives who started to say I looked too skinny and sickly. You have to remember, these are the same people who encouraged me to lose the weight in the beginning. The lesson here is simple, you cannot win, no matter what you do.

Net, net, net, do I really feel better? Not really. I could keep on knocking myself out concentrating on my health, but I would probably miss the little things in life that make it enjoyable, such as an occasional cigar, a cold libation, and something decent to eat. I guess it is all a matter of moderation.

Now stop asking.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb1557@gmail.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2018 by Tim Bryce. All rights reserved.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Healthcare, Life | Tagged: , , , , | 2 Comments »

DOING WHAT IS RIGHT WILL KILL YOU

Posted by Tim Bryce on February 14, 2018

BRYCE ON HEALTH

– File this under “The Nuances of Life.”

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

I am convinced if you did everything people told you to do to maintain a healthy lifestyle you would never get anything done. For example, exercise consumes a lot of time, whether it is performed in your house or offsite at a gym. Since I elect to go to the gym, I find I must change clothes, travel to it’s location, work out, return home, clean up and change clothes. No matter how I try to expedite the process, it’s an easy hour shot.

Playing a round of golf, going for a walk or a ride on a bicycle may be fun, but it also chews up time and zaps your energy. I recently took a sauna, something I haven’t done in a long time. It was refreshing, but I had to change clothes and wait for the unit to warm up. Afterwards I had to take a shower, my second of the day, to clean myself properly before going out for the evening. Again, another hour shot.

Buying and consuming certain groceries and vitamin pills consumes time as well. We’re admonished to eat organically. As much as we would like to avoid preservatives, fatty foods, breads and pastas, and sweets, it can become challenging to find new and creative ways to make meals. Shopping takes longer, as does cooking.

You try to avoid the boob tube and do some reading, but interferences seem to get in the way. Consequently, it seems to take longer to read a book.

Smoking and alcohol can take up quite a lot of time. As I no longer smoke or consume much alcohol, except for the occasional Scotch, I would like to think I have more free time to relax. Instead, I find myself spending more time outside pruning bushes or digging up a garden.

I’ve been so good lately in terms of watching what I eat and drink, I’m ready to scream, rip off my clothes, pound down a case of beer and eat a dozen Twinkies. Doing the right thing all the time can drive you stark raving mad. And if I did so, I would probably get a lot done as opposed to worrying about the idiosyncrasies of my health.

My luck is such that if I remain incredibly healthy, from exercise and diet, I’m more likely to be run over by a truck. At my funeral I’m sure they’ll say, “Well, at least he looks good, but he should have laid off the red meat.” You can’t win.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2018 by Tim Bryce. All rights reserved.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Healthcare, humor | Tagged: , , , , | Leave a Comment »

FIGHTING DIABETES

Posted by Tim Bryce on May 1, 2017

BRYCE ON LIFE

– One man’s fight against Type 2 Diabetes.

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

I recently announced on Facebook I had worked my way off of Diabetes medication, having been able to lower my blood sugar levels over a four month period. This resulted in a landslide of congratulatory messages from friends on achieving this goal, of which I give thanks. In doing so, it made me realize how sensitive people are becoming to Type 2 Diabetes and that maybe my story could benefit others.

Following a physical exam last Fall, I took a blood test which revealed elevated blood sugar levels (333 + 10.5). Frankly, I wasn’t surprised as I knew I had developed an addiction to low-carb sports drinks, apple juice and orange juice. The carbs were low but I wasn’t paying attention to the sugar content. My father also suffered with Diabetes, so when my doctor informed me of the problem, I paid attention. He said I could either address the problem myself or take a pill. At first, I decided to address it myself.

I immediately implemented a cease and desist on all of the drinks I had been consuming, along with alcohol. I was told to also eliminate bread, pasta, and sweets from my diet, which presented no problem to me, and I concentrated on protein. I do not normally enjoy a lot of sweets, but I discovered sugar-free Popsicles satisfied my occasional craving.

As to alcohol, I missed my end of the day beer or glass of wine, but I figured if I could conquer smoking, as I did two years ago, I could also set aside booze. Only once during the next few months did I surrender to a lite beer, but this made me feel physically bad and instinctively realized I couldn’t pursue it any longer. By January, my numbers had dropped to 250 + 9, and by February it was 198 + 8. This didn’t satisfy my doctor who recommended I try a pill to accelerate the reduction, specifically Metformin.

Also around this time, I joined a gym and began to exercise regularly (you may remember my column on “My Trip to the Gym”). In addition, I was taking a fat burning pill available from the drug store, Lipozene. Between the exercise, my new diet, lack of alcohol, and the diet pill, the pounds melted off rather quickly. So much so, I am now faced with having to buy new clothes.

During the two months while I was on Metformin, I began to experience some strange side-effects, such as muscle aches and pains, overly sensitive to cold, nausea, trouble breathing, uneven heart rate, and dizziness. The net result was I experienced difficulty in sleeping, causing me to stay awake as late as 3:00am or 4:00am. This made me feel like a zombie during the day and my family noticed a decline in attitude and well being.

In late March, I complained to my doctor about my situation and he ordered another blood test. Remarkably, my numbers were down to 149 + 7, within normal range. Noting my symptoms, he ordered me off the Metformin, which represented an Independence Day of sorts for me. I want to note here that Metformin may be a good drug for combating Type 2 Diabetes for some people, but it didn’t sit well with me personally. Over the next few days, my symptoms abated and I began to catch up on my sleep.

In researching this article I was alarmed by the number of people affected by Type 2 Diabetes (aka, diabetes mellitus). According to the National Institute of Health, it “is now fast emerging as one of the biggest health catastrophes the world has ever witnessed. Almost 6% of the world’s adult population now live with diabetes (Sicree et al, 2003; International Federation of Diabetes, 2006). It has been predicted that the total number of people with diabetes will rise to 366 million in less than 30 years if preventative action is not taken.” The consciousness of the people is swiftly rising in regards to this, which probably explains why I had so many well wishers send me congratulations.

I wanted to celebrate my achieving “normalcy,” but I realized I am now a man in his sixties who cannot live as he did back in his twenties or thirties. Consequently, I haven’t given up on my exercise, diet, or fat burning pill, at least not until I am confident I am stable. As far as soft drinks go, I primarily enjoy Diet Mountain Dew as it has both zero calories and zero sugar (plus it reminds me of my youth when Pepsi-Cola rolled it out in the mid-1960’s as a Hillbilly drink, e.g, “Yahoo, Mountain Dew; It’ll tickle your innards!”).

Although I won’t go back to beer, wine, or certain other sugar based spirits, I allow myself an occasional glass of Scotch whiskey which uses no sugar. I figure since I can no longer smoke or have a beer (I never indulged in recreational drugs), I needed at least one vice to get me through life. Otherwise, it is time for a Viking funeral where I fire up the Kingsford.

One last note, I am indebted to my doctor and old friend, David Lindberg, for guiding me through this difficult period. He listened patiently to me, diagnosed my problems, and was smart enough to know when to back me off the Metformin.

As the Stones said, “What a drag it is getting old…”

Also published in The Huffington Post.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2017 by Tim Bryce. All rights reserved.

Also read Tim’s columns in the THE HUFFINGTON POST

NEXT UP:  JOB ENTITLEMENTS – Who says you are entitled to it?

LAST TIME:  HOME IS WHERE THE HEART IS  – Be it ever so humble…

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; KIT-AM (1280) in Yakima, Washington “The Morning News” with hosts Dave Ettl & Lance Tormey (weekdays. 6:00-9:00am Pacific). Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Healthcare, Life | Tagged: , , , , | 3 Comments »

THE AMERICAN HEALTH CARE ACT; HERE WE GO AGAIN

Posted by Tim Bryce on April 10, 2017

BRYCE ON POLITICS

– It looks like history is going to repeat itself.

Click for AUDIO VERSION.
To use this segment in a Radio broadcast or Podcast, send TIM a request.

NOTE: This column was originally published in late March, prior to withdrawing the legislation. The point remains valid.

I have some grave reservations about the pending American Health Care Act, not because of political or health care reasons, but for management. Eight years ago I wrote about the outrage I had in how Mr. Obama’s Affordable Care Act was concocted behind closed doors and written by lawyers. Any company embarking on such a huge undertaking would have first developed a Feasibility Study in order to make a proper business decision. This would have included a Project Scope specifying the limitations of the project, a Current Systems Analysis describing the strengths and weaknesses of the current system, Requirements to define the specifications for the new product, a System Approach to satisfy the requirements (with consideration given to proposed alternatives), a System Evaluation to enumerate the costs, schedule and financing of the System Approach, and finally a Review with participants signing off on the project.

This did not happen back in 2009 and it is not happening in 2017. Despite their best intentions, the Republicans are approaching this in the same manner as the Democrats. Today’s American Health Care Act may be much smaller (123 pages) than what Mr. Obama offered, but it is still written with legal blather. Click to download a PDF version of the document.

I would have liked to have seen a Feasibility Study built in a Congressional Committee with input from both parties, not just one. A frank and open discussion would be one way to de-politicize the bill and build consensus, something we haven’t seen in our nation’s capitol for quite some time. Wouldn’t it be interesting to read an accurate description of the strengths and weaknesses of the current system? In addition, I would have also liked to have seen someone think beyond mere insurance and consider such things as Tort Reform and the nightmare medical systems now in place, but such is not the case.

As I wrote in 2009, “If our Congress went through the motions of building a true Feasibility Study, it would promote cooperation through effective communications, thereby eliminating partisan sniping; it would produce a proper solution for the right set of problems, and; it would go a long way to improving the trust in the government by the American people, simply by assuring them that the “T’s” were crossed and the “I’s” were dotted (that it has been thoroughly thought through).”

Politicians will read this and claim it’s nice, but “We don’t have time to do it right.” Translation: “We have plenty of time to do it wrong.” This is the same excuse I commonly hear from programmers who practice “Fire, Aim, Ready,” as opposed to “Ready, Aim, Fire.”

Consider this, had we performed a proper Feasibility Study back in 2009, we wouldn’t have this discussion now and we would have implemented a system we all are proud of, not a partisan pile of legal gibberish. Regrettably, it appears history is going to repeat itself.

Related article: WHY THE AMERICAN PEOPLE HATE OBAMACARE

Also published in The Huffington Post.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 40 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:   timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2017 by Tim Bryce. All rights reserved.

Also read Tim’s columns in the THE HUFFINGTON POST

NEXT UP:  THE STATE OF I.T. IN BUSINESS – Have we really made progress?

LAST TIME:  EXPLAINING JACK BENNY  – And his lesson of teamwork.

Listen to Tim on WZIG-FM (104.1) in Palm Harbor,FL; KIT-AM (1280) in Yakima, Washington “The Morning News” with hosts Dave Ettl & Lance Tormey (weekdays. 6:00-9:00am Pacific). Or tune-in to Tim’s channel on YouTube. Click for TIM’S LIBRARY OF AUDIO CLIPS.

 

Posted in Healthcare, Politics | Tagged: , , , , | 2 Comments »

MORE PROBLEMS IN DOCTOR OFFICES

Posted by Tim Bryce on December 9, 2013

BRYCE ON HEALTH CARE

– Poorly designed systems, as dictated by the federal government, are strangling physicians.

(Click for AUDIO VERSION)
To use this segment in a Radio broadcast or Podcast, send TIM a request.

In the past, you have heard me talk about system snafus in Doctor offices, both systems and their inordinate dependence on fax machines. Suffice it to say, doctor offices are perhaps the most barbaric from an administrative point of view, not because they want to run this way, but because the federal government is forcing them to. Now, it appears it is going to go from bad to worse, thereby stretching their patience to the breaking point.

As I’ve written earlier, the government is forcing doctors to prepare extensive electronic records on their patients. This means doctors and nurses are spending more time performing data entry and less time caring for people. I might understand if the data is assembled according to standards, thereby providing the means to easily transfer it from one system to another. Unfortunately, it doesn’t which explains why doctors are so dependent on fax machines to transfer patient data, a horribly primitive approach in this day and age.

According to my doctor friends, more trouble is brewing. On October 1, 2014, all medical diagnosis coding will convert from ICD 9 to ICD 10 codes. The number of codes will increase from 17,000 to 141,000. The codes are supposed to be very specific so that disease processes can be narrowly described with one code number. Here are some examples:

W59.22 Struck by turtle
W59.22XA … initial encounter
W59.22XD … subsequent encounter
W59.22XS … sequela
W59.29 Other contact with turtle
W59.29XA … initial encounter
W59.29XD … subsequent encounter
W59.29XS … sequela

V96.01 Balloon crash injuring occupant
V96.01XA … initial encounter
V96.01XD … subsequent encounter
V96.01XS … sequela
V96.02 Forced landing of balloon injuring occupant
V96.02XA … initial encounter
V96.02XD … subsequent encounter
V96.02XS … sequela
V96.03 Balloon collision injuring occupant
V96.03XA … initial encounter
V96.03XD … subsequent encounter
V96.03XS … sequela
V96.04 Balloon fire injuring occupant
V96.04XA … initial encounter
V96.04XD … subsequent encounter
V96.04XS … sequela
V96.05 Balloon explosion injuring occupant
V96.05XA … initial encounter
V96.05XD … subsequent encounter
V96.05XS … sequela

V91.05 Burn due to canoe or kayak on fire
V91.05XA … initial encounter
V91.05XD … subsequent encounter
V91.05XS … sequela
V91.06 Burn due to (nonpowered) inflatable craft on fire
V91.06XA … initial encounter
V91.06XD … subsequent encounter
V91.06XS … sequela
V91.07 Burn due to water-skis on fire
V91.07XA … initial encounter
V91.07XD … subsequent encounter
V91.07XS … sequela
V91.08 Burn due to other unpowered watercraft on fire
V91.08XA … initial encounter
V91.08XD … subsequent encounter
V91.08XS … sequela
V91.09 Burn due to unspecified watercraft on fire
V91.09XA … initial encounter
V91.09XD … subsequent encounter
V91.09XS … sequela

Seems kind of silly doesn’t it?

For each injury or symptom, the physician will be required to enter one of these codes into the electronic patient records, from a list of 141,000. Hopefully, there will be some on-line help to point doctors in the right direction, but more likely they will have to reference a paper manual in order to look-up the proper entry.

In systems parlance, the code itself is referred to as a “group” data element, meaning it is a concatenation of data elements. We can find examples of “group” data elements in such things as a telephone number (area code-exchange-number), credit card numbers (financial institution-branchID-account-number), check numbers, power company numbers, and many more. It is simply a way to uniquely assign numbers in order to prevent redundancy.

In the example above, the code is probably decomposed accordingly:
First character (alphabetic) – Type of condition
Positions 2+3, Accidents/Conditions by general category
Position 4 – a decimal (presumably to delineate categories from treatment of conditions)
Positions 5+6 – Specific accident/condition
Positions 7+8 – Treatment

In other words, it’s a taxonomy for specifying a specific medical action. The government’s solution though is to force medical personnel to memorize these codes or look them up in a voluminous document or on-line help. A simpler way would be to provide a series of simple prompts to guide people through the taxonomy and assign the proper code.

One doctor friend claims he was told the new coding system will be very difficult to implement, such that insurance claims submitted will not likely be processed because of “computer glitches” in accepting the claims. Errors in uploading and downloading the encrypted codes are likely. So much so, the government is encouraging physicians to secure a six month line of credit to ensure their practices can remain open while the claims fiasco is corrected. He claims this is described by the government and mentioned on Medicare websites in many states.

I have dealt with a lot of information systems over the years, but I’m beginning to think we no longer know how to build them. Obamacare is as glaring an example as I can think of, this is another.

Currently, physicians are spending as much as 2-3 hours each day on meaningless computer work to satisfy government regulations. Time which does not improve the care of patients. Unfortunately, as of next October 1st, it will get worse and we’ll likely see many experienced doctors finally throw in the towel.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 30 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:
timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2013 by Tim Bryce. All rights reserved.

NEXT UP:  SUPPORT YOUR LOCAL ENTREPRENEUR – How a Mister Sparky franchise is changing things.

LAST TIME:  THE INVASION OF THE MAINTENANCE WORKERS – Does your neighborhood turn into a factory during the day? Mine does.

Listen to Tim on WJTN-AM (News Talk 1240) “The Town Square” with host John Siggins (Mon, Wed, Fri, 12:30-3:00pm Eastern), KGAB-AM 650 “The Morning Zone” with host Dave Chaffin (weekdays, 6:00-10:00am Mountain), and KIT-AM 1280 in Yakima, Washington,  “The Morning News” with hosts Dave Ettl & Lance Tormey (weekdays. 6:00-9:00am Pacific). Or tune-in to Tim’s channel on YouTube.

Posted in Doctors, Government, Healthcare, Systems | Tagged: , , , , | 6 Comments »

WHY THE AMERICAN PEOPLE HATE OBAMACARE

Posted by Tim Bryce on November 6, 2013

BRYCE ON POLITICS

– It certainly wasn’t “transparent,” was it?

(Click for AUDIO VERSION)
To use this segment in a Radio broadcast or Podcast, send TIM a request.

The 2010 Affordable Care Act (aka “Obamacare”) has been the object of our attention for the last three years. It remains controversial to this day as polls show Americans disapprove of it. Of course, this is what led to the ugly standoff between the House of Representatives and the President. Even early supporters of the legislation, such as unions, realize it suffers from deficiencies and needs to be changed.

The bill was voluminous making it doubtful the Congress knew what they were voting for at the time. As Nancy Pelosi said, who was then Speaker of the House, “But we have to pass the bill so that you can find out what is in it.” And herein lies the problem. Since it was signed into law, the details have been slowly emerging much to the consternation of the American public; e.g., exemptions for Congress and big business, that it triggered a flood of companies to turn employees into part-time workers, that companies are laying off workers as they cannot afford it, that young people will be faced with escalating policy costs and elect to pay the penalty instead, that the IRS will enforce it (who has also been granted an exemption), and that it is plain and simply bad for the economy. According to a Gallup Poll, almost half of the American people believe the law will make the healthcare situation in the United States worse.

Bottom-line, the American people do not trust the Affordable Care Act as it represents something concocted in a back-room by one party. It was certainly not something considered “transparent” as promised by the president:

“My Administration is committed to creating an unprecedented level of openness in Government. We will work together to ensure the public trust and establish a system of transparency, public participation, and collaboration. Openness will strengthen our democracy and promote efficiency and effectiveness in Government.”
– President Obama via White House web site

This is hardly what happened with the Affordable Care Act.

This is not how business would devise such a solution. Instead, they would implement a Feasibility Study whereby the current system would be defined, complete with strengths and weaknesses, requirements would be specified, alternatives considered based upon a cost/benefit analysis, and a suitable solution selected. By going through this process, nothing is hidden and everyone understands what is going on. More importantly, it leads to an intelligent business decision. This didn’t happen though, did it?

Some people argue the preparation of a Feasibility Study would have been too laborious and time consuming. Maybe, but when you consider the chaos we are currently embroiled in, a Feasibility Study would have made a lot more sense than the way the Affordable Care Act was drafted and implemented.

The fact remains, we enacted a law that looks like it will do more damage than good. So, what should we do, throw the baby out with the bathwater? Hardly. We have learned a lot from this exercise already, but I would still delay or repeal it until such time as we do a proper Feasibility Study.

Years ago, when I served as a baseball umpire, I learned the importance of getting the call right. As much as I didn’t want to back down from a call, I had to do what was best for the game. Fortunately, I didn’t have to do this too often, but I did have occasion where I had to swallow my pride and reverse my decision. I had to do this for the kids. Now we have to do it for the country.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 30 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:
timbryce.com

Like the article? TELL A FRIEND.

Copyright © 2013 by Tim Bryce. All rights reserved.

NEXT UP:  THE GOLDEN AGE OF CHILDREN’S TV – What shaped the Baby Boomers?

LAST TIME:  TAKING QUALITY FOR GRANTED – Quality must be built into the product during design, not inspected in afterwards.

Listen to Tim on WJTN-AM (News Talk 1240) “The Town Square” with host John Siggins (Mon, Wed, Fri, 12:30-3:00pm Eastern), KGAB-AM 650 “The Morning Zone” with host Dave Chaffin (weekdays, 6:00-10:00am Mountain), and KIT-AM 1280 in Yakima, Washington “The Morning News” with hosts Lance Tormey & Brian Teegarden (weekdays. 6:00-9:00am Pacific). Or tune-in to Tim’s channel on YouTube.

Posted in Healthcare, Politics | Tagged: , , , , | 7 Comments »

WHAT EVER HAPPENED TO OBAMACARE?

Posted by Tim Bryce on October 11, 2010

Shortly after the Obama Health Insurance Bill (aka “Obamacare”) passed the Congress last March 21st, Democratic spin doctors crowed over its passage and claimed it would be an asset to incumbent Democrats in their bid for reelection in November. This, of course, never happened. Here we are just three weeks away from the mid-term elections on November 2nd and I have yet to hear anyone triumphantly gloat over the passage of Obamacare. Maybe this is because nobody has ever taken the time to read the massive document cover-to-cover, prior to voting for its passage (or afterwards for that matter). All of the signers of the bill (see list below) have basically kept quiet and hoped nobody would notice them, thereby allowing them to quietly slip back into office. The bill is being treated like the plague, Democratic politicians running for re-election refuse to make the slightest mention of it on their web sites.

Obamacare is so politically charged right now that even the state sponsored litigation against it attracts little press as it awaits the outcome of the November elections. Nonetheless, the American public remains overwhelmingly against the bill.

I for one have not forgotten about it. So much so, I wish to remind voters of the people who supported it. Below is the list of the 219 Congressmen who voted for its passage. Is your Congressman represented?

CONGRESSMEN WHO VOTED “YES” TO H.R. BILL 3590
Patient Protection and Affordable Care Act (H.R. 3590) Bill
(passed 219 to 212)

Names Alphabetically (State District)

Gary L. Ackerman (NY 5)

Rick Larsen (WA 2)

Robert E. Andrews (NJ 1)

John B. Larson (CT 1)

Joe Baca (CA 43)

Barbara Lee (CA 9)

Brian Baird (WA 3)

Sander M. Levin (MI 12)

Tammy Baldwin (WI 2)

John Lewis (GA 5)

Melissa Bean (IL 8)

Dave Loebsack (IA 2)

Xavier Becerra (CA 31)

Zoe Lofgren (CA 16)

Shelley Berkley (NV 1)

Nita M. Lowey (NY 18)

Howard L. Berman (CA 28)

Ben Ray Lujan (NM 3)

Timothy H. Bishop (NY 1)

Dan Maffei (NY 25)

Sanford D. Bishop Jr. (GA 2)

Carolyn B. Maloney (NY 14)

Earl Blumenauer (OR 3)

Betsy Markey (CO 4)

John Boccieri (OH 16)

Edward J. Markey (MA 7)

Leonard L. Boswell (IA 3)

Doris Matsui (CA 5)

Allen Boyd (FL 2)

Carolyn McCarthy (NY 4)

Robert A. Brady (PA 1)

Betty McCollum (MN 4)

Bruce Braley (IA 1)

Jim McDermott (WA 7)

Corrine Brown (FL 3)

Jim McGovern (MA 3)

G. K. Butterfield (NC 1)

Jerry McNerney (CA 11)

Lois Capps (CA 23)

Kendrick B. Meek (FL 17)

Michael E. Capuano (MA 8)

Gregory W. Meeks (NY 6)

Dennis Cardoza (CA 18)

Michael H. Michaud (ME 2)

Russ Carnahan (MO 3)

George Miller (CA 7)

Christopher Carney (PA 10)

Brad Miller (NC 13)

André Carson (IN 7)

Harry E. Mitchell (AZ 5)

Kathy Castor (FL 11)

Alan B. Mollohan (WV 1)

Judy Chu (CA 32)

Dennis Moore (KS 3)

Yvette Clarke (NY 11)

Gwen Moore (WI 4)

William Lacy Clay (MO 1)

James P. Moran (VA 8)

Emanuel Cleaver II (MO 5)

Scott Murphy (NY 20)

James E. Clyburn (SC 6)

Christopher S. Murphy (CT 5)

Steve Cohen (TN 9)

Patrick J. Murphy (PA 8)

Gerald E. Connolly (VA 11)

Jerrold Nadler (NY 8)

John Conyers Jr. (MI 14)

Grace F. Napolitano (CA 38)

Jim Cooper (TN 5)

Richard E. Neal (MA 2)

Jim Costa (CA 20)

James L. Oberstar (MN 8)

Jerry F. Costello (IL 12)

David R. Obey (WI 7)

Joe Courtney (CT 2)

John W. Olver (MA 1)

Joseph Crowley (NY 7)

Solomon P. Ortiz (TX 27)

Henry Cuellar (TX 28)

Bill Owens (NY 23)

Elijah E. Cummings (MD 7)

Frank Pallone (NJ 6)

Kathy Dahlkemper (PA 3)

Bill Pascrell Jr. (NJ 8)

Susan A. Davis (CA 53)

Ed Pastor (AZ 4)

Danny K. Davis (IL 7)

Donald M. Payne (NJ 10)

Peter A. DeFazio (OR 4)

Nancy Pelosi (CA 8)

Diana DeGette (CO 1)

Ed Perlmutter (CO 7)

Bill Delahunt (MA 10)

Tom Perriello (VA 5)

Rosa DeLauro (CT 3)

Gary Peters (MI 9)

Norman D. Dicks (WA 6)

Chellie Pingree (ME 1)

John D. Dingell (MI 15)

Jared Polis (CO 2)

Lloyd Doggett (TX 25)

Earl Pomeroy (ND At Large)

Joe Donnelly (IN 2)

David E. Price (NC 4)

Mike Doyle (PA 14)

Mike Quigley (IL 5)

Steve Driehaus (OH 1)

Nick J. Rahall II (WV 3)

Donna Edwards (MD 4)

Charles B. Rangel (NY 15)

Keith Ellison (MN 5)

Silvestre Reyes (TX 16)

Brad Ellsworth (IN 8)

Laura Richardson (CA 37)

Eliot L. Engel (NY 17)

Ciro D. Rodriguez (TX 23)

Anna G. Eshoo (CA 14)

Steven R. Rothman (NJ 9)

Bob Etheridge (NC 2)

Lucille Roybal-Allard (CA 34)

Sam Farr (CA 17)

C.A. Dutch Ruppersberger (MD 2)

Chaka Fattah (PA 2)

Bobby L. Rush (IL 1)

Bob Filner (CA 51)

Tim Ryan (OH 17)

Bill Foster (IL 14)

John Salazar (CO 3)

Barney Frank (MA 4)

Linda T. Sanchez (CA 39)

Marcia L. Fudge (OH 11)

Loretta Sanchez (CA 47)

John Garamendi (CA 10)

John Sarbanes (MD 3)

Gabrielle Giffords (AZ 8)

Jan Schakowsky (IL 9)

Charlie Gonzalez (TX 20)

Mark Schauer (MI 7)

Bart Gordon (TN 6)

Adam B. Schiff (CA 29)

Alan Grayson (FL 8)

Kurt Schrader (OR 5)

Al Green (TX 9)

Allyson Y. Schwartz (PA 13)

Gene Green (TX 29)

David Scott (GA 13)

Raúl M. Grijalva (AZ 7)

Robert C. Scott (VA 3)

Luis V. Gutierrez (IL 4)

José E. Serrano (NY 16)

John Hall (NY 19)

Joe Sestak (PA 7)

Debbie Halvorson (IL 11)

Carol Shea-Porter (NH 1)

Phil Hare (IL 17)

Brad Sherman (CA 27)

Jane Harman (CA 36)

Albio Sires (NJ 13)

Alcee L. Hastings (FL 23)

Louise M. Slaughter (NY 28)

Martin Heinrich (NM 1)

Adam Smith (WA 9)

Brian Higgins (NY 27)

Vic Snyder (AR 2)

Baron P. Hill (IN 9)

Jackie Speier (CA 12)

Jim Himes (CT 4)

John M. Spratt Jr. (SC 5)

Maurice D. Hinchey (NY 22)

Pete Stark (CA 13)

Rubén Hinojosa (TX 15)

Bart Stupak (MI 1)

Mazie K. Hirono (HI 2)

Betty Sutton (OH 13)

Paul W. Hodes (NH 2)

Mike Thompson (CA 1)

Rush Holt (NJ 12)

Bennie Thompson (MS 2)

Michael M. Honda (CA 15)

John F. Tierney (MA 6)

Steny H. Hoyer (MD 5)

Dina Titus (NV 3)

Jay Inslee (WA 1)

Paul Tonko (NY 21)

Steve Israel (NY 2)

Edolphus Towns (NY 10)

Jesse L. Jackson Jr. (IL 2)

Niki Tsongas (MA 5)

Sheila Jackson-Lee (TX 18)

Chris Van Hollen (MD 8)

Hank Johnson (GA 4)

Nydia M. Velázquez (NY 12)

Eddie Bernice Johnson (TX 30)

Peter J. Visclosky (IN 1)

Steve Kagen (WI 8)

Tim Walz (MN 1)

Paul E. Kanjorski (PA 11)

Debbie Wasserman Schultz (FL 20)

Marcy Kaptur (OH 9)

Maxine Waters (CA 35)

Patrick J. Kennedy (RI 1)

Diane Watson (CA 33)

Dale E. Kildee (MI 5)

Melvin Watt (NC 12)

Carolyn Cheeks Kilpatrick (MI 13)

Henry A. Waxman (CA 30)

Mary Jo Kilroy (OH 15)

Anthony Weiner (NY 9)

Ron Kind (WI 3)

Peter Welch (VT)

Ann Kirkpatrick (AZ 1)

Charlie Wilson (OH 6)

Ron Klein (FL 22)

Lynn Woolsey (CA 6)

Suzanne Kosmas (FL 24)

David Wu (OR 1)

Dennis J. Kucinich (OH 10)

John Yarmuth (KY 3)

Jim Langevin (RI 2)

 

I haven’t forgotten. Will you?

Vote November 2nd.

Keep the Faith!

Note: All trademarks both marked and unmarked belong to their respective companies.

Tim Bryce is a writer and the Managing Director of M. Bryce & Associates (MBA) of Palm Harbor, Florida and has over 30 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com

For Tim’s columns, see:
http://www.phmainstreet.com/timbryce.htm

Like the article? TELL A FRIEND.

Tune into Tim’s THE BRYCE IS RIGHT! podcast Mondays-Fridays, 11:30am (Eastern).

Copyright © 2010 by Tim Bryce. All rights reserved.

Posted in Healthcare, Politics | Tagged: , , , , , | Leave a Comment »