Act Now and Save $15 Trillion ($15,000,000,000,000)

Let us forget, for just a moment, the debate about the Affordable Care Act or, as most of us would call it, the Obamacare Act, and focus, instead, on the issue of providing universal healthcare (translated to mean comprehensive healthcare for all American citizens and legal aliens).
No matter how we feel about Obamacare, we certainly would agree that the Affordable Care Act will not provide access to healthcare for every single American. The absolute most the Affordable Care Act will do is to make it easier for more Americans to purchase health insurance coverage. There also seem to be few illusions that Obamacare is going to cost less than what healthcare in America cost before implementation of the Affordable Care Act. Many will suggest that it will, in fact, cost more than what we have spent in years past.
The real question we should be asking, however, is “why are we unable to provide comprehensive healthcare and prescription drugs to every single American Citizen and legal alien?” In other words, why are we unable to provide universal healthcare?
For the moment, I want to forget about all of the altruistic reasons as to why the richest and most powerful nation in the world should have a healthcare system that meets the needs of all Americans, like virtually every other developed nation? I want to forget about these things because no one really seems to care.
We seem more concerned with rejecting the concept of socialized medicine than we care about all of the men, women, and children in the United States who are unable to gain access to and afford the medical care they require.
The fact is that the vast majority of Americans are unable to distinguish between the concepts of universal healthcare and socialized medicine. These to concepts are, in the minds of these people, synonymous. I suggest to you that it is this inability to differentiate the concept of universal healthcare and socialized medicine that is at the root of the entire problems with the American healthcare system.
Since no one seems to care about the suffering that so many Americans are made to endure, let us focus on the one issue about which everyone seems to care and that is the cost of health care in America.
From 2001 through 2011, the total annual healthcare expenditures of the U.S. grew from $1.2 Trillion to $2.8 Trillion. This represents an average increase of 8.8 percent per year. If that trend continues from 2012 to 2022, our annual healthcare expenditures will increase from $2.8 Trillion in 2011 to just under $7.1 Trillion in 2022. For the eleven calendar-year period from the end of 2011 until the end of 2022, we will have spent just under $56 Trillion on healthcare. Mind boggling, is it not?
In 2001, I wrote a book entitled, Radical Surgery: Reconstructing the American Health Care System, in which I proposed a healthcare solution that would provide universal healthcare without socialized medicine. In other words, I wrote that we could provide comprehensive healthcare and prescription drugs to all Americans and legal aliens without relying on government. Let me say it differently in order to alleviate any confusion. I proposed a way in which we could give every American access to whatever healthcare they required but that would involve neither federal nor state government in the healthcare delivery or decision-making process.
One of the features of this new system was a mechanism that would allow us to control the increases in the cost of care so that costs would rise no faster than increases in the Consumer Price Index (CPI). At that time I projected that the CPI would grow at a rate of 5 percent per year. At that rate, I suggested that healthcare expenditures would have risen to $1.86 Trillion by 2010. Had we been able to hold the increase in annual healthcare costs to 5 percent per year we would have saved an aggregate amount of $3 Trillion over the ten year period. Pretty significant savings, wouldn’t you say?
In fact, the actuall CPI growth during that same period was an average of 2.7 percent per year. Had we been able to control the rise in healthcare expenditures to actual inflation rates, costs would have grown only to $1.55 Trillion resulting in an aggregate savings over the decade of just under $4.5 Trillion. Even more impressive, don’t you think.
Now, let us assume that the actual rate of increase in healthcare costs between now and 2022 would remain the same as the previous ten year period (8.8 percent). In that case healthcare costs will rise to a staggering $7.086 Trillion by the end of 2022.
If, however, we were to implement the healthcare proposal presented in Radical Surgery: Reconstructing the American Health Care System, and inflation would continue to increase at the rate of 2.7 percent per year as it did over the last decade, our annual healthcare expenditures would rise to only $3.9 Trillion. Under this scenario, the aggregate saving in healthcare costs over the ten year period from 2013 to 2022, compared with the projected 8.8 percent per year increase, would be $14.9 Trillion dollars.
Forget altruism, just give me the money!
The question for the reader is a simple one. Can the American people afford to spend an extra $15 Trillion over the next decade for a healthcare system that will continue to leave a significant percentage of the American population with inadequate access to healthcare?

Disenfranchisement and Hopelessness

What does it mean to be disenfranchised? What does disenfranchisement have to do with Hopelessness?

The most common use of the term disenfranchised has been associated with the right to vote. People who are disenfranchised are not permitted to participate in their own governance. More generally, it could refer to the loss or denial of any of the civil liberties to which a free people are entitled, under the law. Typically, when we say that someone is disenfranchised we are talking about people from whom something has been taken away.

We have chosen to expand the term to include people who have essentially disenfranchised themselves. These are individuals who no longer believe that what they do, think, or say matters to their community, their nation, or society. In this case, disenfranchisement is a voluntary abdication of one’s responsibility to participate in one’s own governance. This type of disenfranchisement flows from hopelessness.

Human beings experience hopelessness when they no longer believe they have control over their own destiny or over the outcomes in their lives. Literally tens of millions of people, in this great nation of ours, have lost hope. They no longer believe that the American people, as a whole, care about them. They no longer believe that anyone is interested in listening to their complaints of woe let alone take action to address those complaints. They no longer believe in the “American Dream.”

It is easy for the rest of us to shout out in pious righteousness that these people need to do something for themselves but, literally, these people do not see anything they can do. That’s what it means to be powerless. Hopelessness and powerlessness are so closely intertwined that it is almost impossible to distinguish one from the other.

We tell them to get a job, but there are no jobs for them that will enable them to support their families. They can work somewhere for minimum wage but no employer is going to give them a sufficient number of hours per week that would obligate the employer to offer benefits. They can make a better living on Welfare. The argument that Welfare offers no advancement opportunities is meaningless to people who cannot envision something better. We must be able to envision if we are to believe.

When faced with serious injury or illness of a family member, the disenfranchised know that the American people are prepared to let them suffer. They know that every other developed nation in the world, apart from “the land of the free and the brave,” has addressed this issue of access to healthcare. Americans, however, steadfastly refuse to provide healthcare to all Americans. Even when the President of the United States has pushed through healthcare reform legislation in the form of the Patient Protection and Affordable Care Act (PPACA), however imperfect, the opposition attacks it relentlessly. The message that the disenfranchised hear, loudly and clearly, is that the majority of Americans “do not want us to have quality medical care for our families nor are they willing to pay for that care.”

Mainstream Americans are frustrated that so many people have become dependent on the government for welfare, food stamps, and Medicaid. We cry out, “What more do you want?” We do not understand why these people express resentment rather than gratitude.

When, in the face of our staggering national debt, all the disenfranchised hear from those in power are proposals to cut food stamps, welfare benefits, or other entitlement programs; why would they feel anything other than resentment?

What Americans need to wake up to is the idea that this reality with which we are confronted is a consequence of decisions we have made over the last seventy years. We created this monster called welfare. It was intended to make sure that poor mothers could care for their children but the reality is that it succeeded only in trapping huge populations of Americans in a reality that is little more than second-class citizenship.

It used to be that even the poorest of the poor would see an education as a ticket out of poverty and as a stepping stone to the American Dream. In most urban communities, the disenfranchised no longer believe in education as a ticket to anywhere other than free day care. What they know is that huge percentages of their children are failing in a school system that is also second class. When we offer voucher programs to help families put their children in better schools we are sending a subtle but powerful message that America has given up on urban public schools.

The fact is that the only parents that take advantage of vouchers are people who still cling to hope and some vestige of the American Dream. The other significant fact is that unless the parents who opt to take advantage of vouchers are also willing to accept responsibility as partners in the education of their children and ferociously encourage their sons and daughters to work hard at school these kids will be no more successful in their new schools than they were in their old ones. Many “charter schools” and other schools that admit “voucher children” to their classrooms are finding this out as they see their school’s declining scores on state competency exams.

So, let’s think about this for a moment. We have an expanding population of poor Americans who:
• Are third- or fourth-generation beneficiaries of welfare
• Cannot gain access to anything more than the minimal level of healthcare for their children and little or no healthcare for themselves,
• Who cannot find jobs that pay better than minimum wage and that offers enough hours to qualify for benefits,
• Who see their children fall so far behind in school that “failure” seems inevitable, and
• Who hear elected officials and policy makers demand that we cut entitlement programs rather than increase taxes paid by the wealthy and the middle class.

Why in the world would we expect these men and women to believe in an American Dream that is nothing more than an illusion for them and an empty promise for their children?

Welfare and other programs that teach people to be dependent rather than independent and interdependent are a cancer that is eating away the heart and soul of our nation.

We must acknowledge, as we move further into the Twenty-first Century, that the policies that got us into this mess are incapable of getting us out. We desperately need new ideas and new solutions. We need to think exponentially and challenge all of our assumptions about the way our society provides for the poor, takes care of the sick, and educates our children.

How much longer can we expect working men and women of our nation to continue to carry the burden of a burgeoning population of poor and disenfranchised people on one end of the productivity continuum, and population of retirees that is growing at an unprecedented rate on the other? What happens to our status as the leader of the free world when our economy buckles under the oppressive weight of the retired and the dispossessed?

In a few weeks, I will be introducing my latest book entitled, Re-inventing Education, Hope, and the American Dream: The Challenge of the Twenty-First Century. It is a book that offers a strategic action plan to address major components of the dilemma in which we find ourselves. In this book, I suggest that our systems of education, both public and private, offer the best hope for attacking the problems we face as a society and for bringing the disenfranchised back into a game in which their contributions are desperately needed.

My book Radical Surgery: Reconstructing the American Health Care System, published in 2002, already offers a solution for providing universal healthcare and prescription drugs at a price that we can afford; and, in a way that relies on free market forces, not government, to drive quality, cost, and accountability.

Many people have branded Radical Surgery, sight unseen, as just another proposal for socialized medicine. If they would set aside their prejudices and open the book they would learn that Radical Surgery rejects socialized medicine and offers another alternative. It is an alternative, however, that requires that we open our minds to a whole new way of thinking about healthcare.

Implementation of the very specific strategies offered in these two books, Re-Inventing Education, Hope, and the American Dream and Radical Surgery, will provide a realistic opportunity to re-engage the disengaged members of our community. The consequence of seeing this population continue to grow will be nothing short of apocalyptic, which is what my novel, Light and Transient Causes, has been written to illustrate.

A Call To Action!

As a result of decisions we have made as a society, since the end of World War II, a society of second class citizens has emerged. These Americans are not full participants in American enterprise. It would be accurate to say that they withdraw far more value than they contribute. Many of these men and women have effectively
disenfranchised themselves and why should we be surprised by this. These are Americans who receive a lousy education from a system of public education that is unable to meet their needs; have little or no access to healthcare to attend to their own medical needs as well as the needs of their families; and, if they are employed at all, they have low paying jobs with no eligibility for benefits and no opportunities for advancement.

This population is like a cancer growing in our body, sapping away our strength and vitality. There is a tipping point at which our nation will begin an irrevocable and unalterable decline.

That there is an equally large and growing population of retirees who are checking out of the game at an age from which they are likely to live another quarter of a century, adds greatly to this burden. It does not matter that these retiring men and women have worked hard for their entire lives to earn their Social Security, Medicare and pensions. These facts do not change the economic dynamics that make this population a burden to the Americans in the middle who must work harder to pay the bills. Fortunately, many of these men and women have invested well and their money is working for us even if they are not. The majority of these Americans, however, are dependent on Social Security and Medicare for their survival.

While both of these populations, on opposite ends of the age/productivity continuum create special challenges it is the first group of Americans about which we must be most immediately concerned.

We can neither continue to support this dependent population nor can we continue to enable their dependency and entitlement mentality. Neither can we ignore them; pretend they will disappear; deport them; or, otherwise rid ourselves of them.

The only answer, therefore, is to bring them back into the game as full functioning and productive members of our team, of American Society. Yes, I understand that this will not be an easy challenge to meet or goal to accomplish. The truth, however, is that if we do not find a way to shrink this population and pull them back into the game as contributing members, they will destroy us. The bottom line, then, is that we have no choice but to find a way to win them over to our side.

We can do this by:
1. Reinventing and re-selling the American Dream, and
2. Giving these Americans men and women realistic hopes that the dream can be real for them or, at least for their children.

We accomplish the first by using our unsurpassed talent for marketing and selling products and services. Only this time, we will be selling an idea in which people can believe and to which they can subscribe.
To achieve the second objective, we must re-invent our systems of education in such a way that we not only offer pertinent subject matter but also teach children how to succeed. We are not talking, here, about incremental reforms rather we are talking about a transformation. We must also transform our healthcare system to one that provides high quality, comprehensive healthcare and prescription drugs to all Americans at a price that we can not only afford but that will save trillions of dollars over the next decade.

Impossible, you say?

Accomplishing these things is not only possible it is imminently doable if only we use our imaginations to think exponentially and open our minds to the reality that anything we can imagine, we can do.

Given the extent to which China, Europe, Japan, India, and other developing nations are challenging our supremacy in the international marketplace, we have not a nanosecond to spare. This is clearly the categorical imperative of our time. We cannot continue to trudge down the dry and dusty paths of political dogma, conventional wisdom, or business as usual. We must demand that our elected representatives cease their paralyzing bickering and begin working together in what is a conflict of historical proportions in which the very survival of our nation and way of life is at risk. Never has our very survival as a nation been at greater risk.

You are urged to take this threat seriously and to make a commitment to change the direction our nation is taking. This blog, THE LEADerThinking Exponentially: Leadership, Education, and the American Dream, is here to serve as a catalyst to get people like you involved and to overcome the inertia that keeps people from doing what they know is right. This blog can support you but it is your leadership that will make a difference.

We will also offer articles on healthcare and education both of which, because of the minimal access to the former and the low quality of the latter, contribute significantly to the disenfranchisement of those whom we describe as virtual second-class citizens. Improving the quality of education and the quality, access, and cost of healthcare provide the best point of attack in bringing back this population of men and women who have lost their faith in the American Dream. We cannot invite them back on the basis of empty promises. We must give them real and demonstrable changes.

My book, Radical Surgery: Reconstructing the American Health Care System, published in 2002, addresses the challenges of healthcare and offers an achievable solution that is the antithesis of socialized medicine and that can save the American people trillions of dollars over the next decade.

My book, The Difference Is You: Power Through Positive Leadership will show the reader how every man and woman can be apply the power of positive leadership to bring about changes in the world in which they live and interact.

My book, Re-Inventing Education, Hope, and the American Dream, scheduled for release in a few weeks, recommends a very specific plan of action to re-invent education and to increase the level of commitment of parents to become partners in the education of their children. Changing these things will bring about dramatic changes in the motivation of our children to learn as much as they are able, as quickly as they can, according to each child’s innate abilities and interests.

My novel, Light and Transient Causes, is a story of just one possibility of what could happen in the U.S. if we are unable to address these issues effectively.

Please join me in this campaign by:
-Subscribing to this Blogs RSS feed.
-Following me on Twitter and LinkedIN,
-Encouraging your family, friends and associates to join you in this effort, and
-By applying the principles of positive leadership to help bring about a transformation of American society.

Remember the words of Jane Goodall:
“The most important thing you can do for the future of the world is to realize that what you do matters.”