Friday, February 22, 2008

How to Solve Problems

It can be reasonably stated that my profession is one of problem solving. On a nearly daily basis I talk with clients about what they need and help find ways to meet the need in their use of software.

As a professional problem solver, I know intimately the cardinal rule of problem-solving. The problem cannot be solved unless or until it is well understood. In other words, before I can actually solve a problem, I must first understand what the problem is, why it is a problem, and how it became a problem.

Which brings us to one of my most frustrating political issues as demagogued by the Democrats in their presidential debate. There's a pretty major problem in our country's healthcare "system". Democrats promise to "solve" the problem through "Universal Healthcare". What frustrates me about Democrats is their inability to find a solution to any problem that doesn't involve a Federal Government taxpayer funded program.

Not that the Republicans don't also frustrate me in this area. Their solutions include some decent ideas, but would make very little difference in addressing the underlying problems.

I met a physician on my flight this week and had an interesting conversation. This individual is a surgeon and has never been hit with a malpractice suit. Even so, the malpractice insurance premiums ate one-third of total income from the practice. The doctor suggested that nobody should go into the profession if they are motivated by money; in addition to malpractice insurance, whatever comes in has to go toward maintaining medical records and insurance filing and collection efforts from the insurance companies or individuals. Add to this the spiraling incidence of uninsured patients who do not pay their bills, and it all adds up to the profession as a losing proposition.

Where physicians make their money is through business savvy. Many invest in high-tech equipment and diagnostic labs. The six-figure student loan debts nearly all of them have coming out of medical school have to be paid somehow.

Why can't we find leaders capable of understanding the problem and proposing solutions that are sensible? Because everybody's got to have the millions of dollars it takes to run the campaigns. And their best contributors are those who most want to keep the status quo.

So the problem won't be solved. I think Hillary or Barack (most likely Barack at this point) are more likely to make it worse. But they won't solve the problem, either because they don't understand it or because they want to gain and keep power for themselves more than they want to solve a problem for the people of the country.

Then there is the long-shot McCain candidate. If he's elected by some miracle, it doesn't appear that healthcare is close enough to the top of his list for anything other than one or two of the small steps would happen. Although there will certainly be enough Dems in congress to make sure nothing happens anyway.

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