Saturday, September 19, 2009

Reducing risk: Your family's health

I wrote in my last post about Risk Management and health reform. Since that post I've been thinking... I wrote this:

So how can you deal with risk?



1) You can assume the risk.
2) You can get rid of the risk.
3) You can transfer (insure) the risk.

When I wrote that, I was at a loss at how to use #2 to eliminate risk as regards to health. If you're alive, you are at risk. Certainly I don't want to stop living just to "get rid of the risk."

But as I pondered, I realized that "getting rid of the risk" does not have to be an "all or nothing," it can happen in degrees.

A better questions for addressing #2 is: How can I reduce the risk?

How can I reduce the monetary risks of poor health? (Not that's a good question.)

Several years ago, my wife's dentist referred her to an periodontist to address some receding gum issues. Some surgery took place and more loomed on the horizon, but... instead of dealing with the results of poor gum health, we found a way to improve the health. In doing so we reduced the monetary risks of additional surgeries.

The improvement in monetary risk was a by-product, not the goal. In fact, our solution cost us and extra $75 a year. That's the cost of one more trip to the dental hygienist for a non-covered cleaning. Our dental insurance covers two cleanings a year, we assumed the cost of the third, and gum health has improved.

My point is we reduced risks by improving health (wellness) and lessening illness.



What illnesses cost us the most? (A mathematician named Parelli discovered that a principle called the 80/20 rule, or the Parelli principle.)

If I wrote down and ranked 10 of the main factors that put my health at risk, and I fixed the top two, my health risk could be reduced by 80%. (Thanks Parelli!)

Can I eliminate my health risk? No.
Can I significantly reduce it? Yes.

This is one of the reasons health insurance companies sponsor weight control programs and smoking cessation programs.

Some years ago I was 300% more likely to have a heart attack than the average. After trying unsuccessfully for two years to control blood pressure and cholesterol on my own, I bowed to the wishes of my doctor and went on prescription drugs. (A health care cost that was the result of my obesity.)



Two years later, I successfully lost 30 pounds, reduced my risk, and eliminated the need for prescription drugs. Now I'm less likely than average to suffer a heart attack, and the resulting losses.

I took ownership of my health issues, persisted, and lessened my risks.

Health.com reports, "Almost 10 Percent of U.S. Medical Costs Tied to Obesity."

What's the #1 cause of premature death (more than 400,000 per year)?

Smoking.

The hidden costs of smoking are shared by individuals, families, and society. Who pays?

"These are costs we all pay in higher taxes to fund government health care programs, like Medicare, and in higher health insurance premiums," said John R. Seffrin, PhD, Chief Executive Officer of the American Cancer Society.

What's my point?

Risk management on health issues isn't just about the cost of transferring the risk via insurance. It's also about reducing risks by investing in your family's wellness.



Nutrition, exercise, sleep, hydration, clean air...

Improving health and reducing health costs are like a teeter-totter. You reduce health risks, and you add healthy habits.

You can tip the balance in your favor and thus manage your risk.

You haven't eliminated the risks, but the actuaries will tell you, you've improved your chances of living a long and healthy life.

Whatever route the government takes on health care, I can chart my own. So can you.

Saturday, September 12, 2009

Dealing with risk: health insurance? health care reform?




My profile on this blog says I've had lots of jobs "growing up," two of them were in the insurance industry. I worked for several years for Kemper Insurance in a claims office. I also worked in the Risk Management Department of Santa Fe International, an energy company. Besides the on-the-job training, I also took company offered classes, especially at Kemper. (Currently I serve as a member on my school district's Health Benefits Committee.)

So what? (So health-care reform.)

Today, there is a lot of debate about improving health care in the US. I'm surprised how much of that talk surrounds health insurance, as if insurance is going to solve our health crisis. (We need a large dose of wellness: diet and exercise. But I digress.)

Insurance is one way of dealing with risk. It is one of three ways to manage risk. Risk is inevitable, but we have choices in how to manage it. (Life is risky, whether we are talking cars, appliances, life, or health.)

So how can you deal with risk?

1) You can assume the risk.
2) You can get rid of the risk.
3) You can transfer (insure) the risk.

Option 1) After my first wife died, I took a severance package and "retired" for several years. I became a Mr. Mom in order to give stability to my kids. I was offered a COBRA but declined it. It was too expensive. (I could have had more money if I'd filed for unemployment. But I didn't file because I wasn't looking for a job. I was insured, but I wasn't going to lie to get the money.) I assumed the risk of family health problems for about two years. (And nothing big happened.)I also assumed the risks (and consequences) of not having an income for two years. (We survived; however, my retirement (401K) took a major hit.)

In the "old" days, people assumed a lot of risks. And they survived. So did I.

Option 2) You can get rid of the risk. This works better on a car or house than it does on medical expense insurance. You can sell your car or house. Then you don't need insurance. My youngest daughter sold her car to lower her monthly expenses. I don't have renter's insurance; I have home owner's insurance. I got rid of my apartment. (When I lived in an apartment, I assumed the risk. I didn't have much to lose.)

Option 3) You can transfer (insure) the risk. My cars are insured: that's required in California. My house is insured. My life is insured. My appliances are not: they break, I suffer the loss. I just replaced my dishwasher. It died and I didn't have appliance insurance. I went without a dishwasher for a year. Then I bought a new one.



My dad and mom used to warn me about families that were insurance poor. They used too much month-to-month income transferring risks and paying a premium. (I read last week that of the $6,000 dollars that a doctor charges these days for pre-natal care and the birth procedure, $2,000 is to pay his malpractice premium. (Tort reform anyone?)

In my opinion, too many people want to transfer the risks of life without paying the premiums. They want Cadillac coverage at rock bottom prices. It doesn't work that way. Some really good mathematicians (called actuaries) calculate the projected costs to be shared by a pool of premium payers to cover projected losses.

The types of losses covered are predefined. The caps (the most they'll pay) are predefined. Who can get into the premium paying pool is predefined. If losses are to be shared, then these definitions must be in place.



If you change what losses are covered (like pre-existing conditions), or if you remove the caps that must be paid out of the collected premiums, or you change who can get into the pool... then the math requires that more premiums be collected.

You can't have more for less. The math precludes it.

It's all about managing risk and making choices.

Once I chose to change jobs, not lie about my wife's pregnancy (she'd been to the doctor once), and I assumed the risk of my son's birth: cost? $3,000. Sense of well-being from being honest? Priceless.

Later I chose not to change jobs after my first wife was diagnosed with cancer. The medical cost risk was too great. I wanted to keep that risk transferred. (My insurance didn't cover some of the experimental aspects of one therapy. I made a choice, assumed that risk, and paid for the treatment: for over four years.)

Life is full of risks, including health risks. Sometimes you assume the risk, sometimes you get rid of the risk, and sometimes you transfer the risk by purchasing insurance.

Being grown-up means that I take responsibility for making the choices. Being grown-up means I need to educate myself to know what my options are.



If we, the American people, want to transfer all our health risks to a government run plan, it will come at a cost. (And just like some of the families my parents warned me about, we might become insurance poor. As a nation, we could use too much month-to-month income transferring risks and paying a premium.)

Personally, I'd rather manage my own health risks. It's part of growing up. (Besides, I'm pretty good at math, and I know a bit about Risk Management.)

Wednesday, September 9, 2009

A Mental Map for Teacher Success


"As a man thinks, so is he..."

So what kind of a teacher do I want to be this year? What are my personal goals, my guiding principles, the mental targets I want automatically steer towards?

I have eight:

I choose to find it easy to greet staff members and students by name.
I choose to invent schedules, curriculum, and routines to support Special Education.
I choose to successfully utilize my aide to assist the learning of students.
I choose to find it easy to get ready for IEPs ahead of time.
I choose to feel as if parents and staff like me and appreciate what I do.
I choose to cleverly incorporate memory improvement lessons into my curriculum.
I choose to have fun doing my own memory improvement projects.
I choose to find satisfying ways to balance work and home.

It's hard to hit a target if you don't know what you're aiming for. But if you consistently remind yourself who you are, then you become that image.



I have some pretty good ideas of who I am and who I want to become.

Have your created your own mental map for personal success? Can you bring that map into focus?



If you can't picture the target... chances are...
If you can picture the tartet... chance are...

What are your chances?

Sunday, September 6, 2009

Why I blog? People like Chase!

Today I went to a Welcome Home party. One of the blogs I follow is the Taiwan Drift. Chase has authored this blog while he was a teacher on temporary assignment on the island nation of Taiwan. Chase is from Southern California. He came home last night after spending a year in Taiwan.

His family had a Welcome Home Party and I was invited.



As much as I love people, I was a bit hesitant to go. It was not the 30 mile journey south to his parents home that made me hesitate. I thought I might be out of place. But I went.

Why?

Because I was invited.

Generally people invite you to things because they'd like you to come. It's really not that complex. Most of the time, people say what they mean and mean what they say. No need to over think things.



Although Chase was the only one I knew, and I "only" knew him from his blog. It turns out that I was warmly welcomed by his family. I felt that I knew some of them from "listening" to Chase's blog. They also felt like they knew me from my comments on Chase's blog. (Some have visited my blog too.)

It was a fun time, in fact it was memorable.



The party was an open house, and I stayed for an hour or so. I met his mom, dad, sisters, and brother. (Plus his grandma, aunt, and family dog.)

The Girl Scout song has it right: "Make new friends, but keep the old: one is silver and the other is gold."

As I was leaving, Chase's mom stopped me. Her plan was to capture the attendees on "film." I had taken my camera, so I also had them take a picture of Chase and me together. Chase's mom said, "I'll look for it on your blog!" (So here it is.)



I keep blogging because of the friends I've made online. Once in a blue moon, you might get a chance to meet in "real life." Today was one of those times.

"When you get the chance to sit it out or dance: I hope you dance."

Today I danced. Why?



Because I ignored my doubts, trusted my heart, and I responded to an invitation. I've spent a year making a new friend. I wanted to add my face and voice among his family and friends as we all joined hearts to say, "Welcome home Chase."

Because, ultimately, it's not about us... it's about others.

Saturday, September 5, 2009

Why I blog: 200 posts later...

My Blogger Dashboard is slighty ahead of my Blog's counter, but I sense that I'm passing a milestone here: 200+ posts. Woo hoo!

I began this blog after my oldest daughter, Joanna, began one of her own. I didn't want to crowd her with my comments on her blog, so I began my own. Little did I know how much I would enjoy blogging.



Readers of my blog know that I use personal affirmations to help move myself towards goals that are important to me. I have three affirmations/choices that tie closely to why I blog.

1) I choose to find delight in interacting with my wife, family, friends.
2) I choose to write to inspire and to instruct. It gives me satisfaction.
3) I enjoy the feedback my readers provide. I feel their love and care.

I work hard to be genuine. I detest hypocrisy. As an educator, I often teach writing. My master's thesis in education explored the question: Does my writing teacher write? I discovered that blogging gave me a forum for practicing the craft of genuine writing.

Blogging provides me with and opportunity to interact with my readers. I love your comments. (I also love the insights offered on your blogs. It's a two-way street.)



Blogging helps me distill out of my life those things that have inspired and instructed me. I discover what I believe through the writing process. Through blogging I've discovered a like-minded community of caring, thoughtful people.

I also enjoy the sense of unknown influence. I began my blog in October of 2008. In December, I started using Google's Analytics to track visitors. (Joanna taught me how.) Here are some statistics regarding my blog that Analytics has compiled since December of 2008:

1,058 unique visitors
5,608 page-views
2,374 visits from 60 countries. (Top 5: US, UK, Taiwan, Canada, India)
1,820 visits from the US (47 states -- just missing S. Dakota, W. Virginia, and New Jersey)



Analytics provides me with a sense of involvement in the blog-o-sphere, but it is my regular readers and comment-ers who motivate me to blog. You are the ones who inspire me share my musings and miscellaneous thoughts. Thanks for your friendship and involvement.

Happy Saturday!

Wednesday, September 2, 2009

My vacations is ending... let the holidays begin!




Today was the last day of my summer vacation. It's was a long summer break this year, and I thoroughly enjoyed all eleven weeks or so.

The final three days of summer, I started getting up a bit earlier, and I worked (for free) five or six hours each day. Not only does my body get ready for the earlier rising time, but I'm prepared enough to relax and enjoy the first holiday of the school year: Labor Day!



We work two days without students, take a three day weekend, and the students show up Tuesday. Many or most of the teachers at the elementary school have been busy getting their classrooms ready. The others, I suspect, will be working (for free) over the Labor Day Weekend.

I'm ready and able to relax because I'm weeks ahead of where I was last year at this time. Last year was my first working at a new school and new grade levels. Apprehensions of last year were mostly imaginary, this year, I know what's ahead: the unexpected!



That's right: what lies ahead is the unexpected. I have a better idea this year about the actual challenges of the job, but life always has the unexpected.

But the unexpected isn't always bad. My #1 affirmation/choice is: "I choose to achieve my goals, with the surprising help of God and others."

Who says all things unexpected are negative. As I left today, I found out that one of my neediest, most challenging students, moved. That was unexpected.

Another upgraded affirmation/choice of mine is: "I choose to make a positive difference wherever I go. I let it be easy."

I'm going to let this year be easy. "I choose to be calm and confident."



Often, you find what you're looking for. I'm looking for surprising help, unforced efforts, positive results, and poise.

I wonder what I'll find?

Saturday, August 29, 2009

Summer fades to Fall



This is my final weekend before I report back to work (next Thursday).

So what am I doing special?

Not much.

Why not?

Because I like my life. I've had a great summer vacation. I think it's been one of my best ever. Those of you who follow this blog will know that I've not done anything particularly spectacular. So what made it so good?

Because I like my life. If "Happiness is not a destination, but a way of travel," as I heard from my Grand-pa, then life should be full of happy times. My summer has been.



The summer hasn't been all golden moments, but the scene's have been more pastels than dark browns.

One of the labels on this blog is "Navigating Through Life." That's what I've been trying to learn, and what I've learned, I try to pass on. (Hence this blog.)



Summer is now fading into Fall. At first I didn't believe it. I heard it from other bloggers, mostly those who live further north. I've learned a lot this last year as I've "listened" to the voices of fellow bloggers musing on their weather, their lives, and their locations. I've come to see my own weather, life, and location differently.





The local American Elms confirm that summer is fading to fall. They are starting to lose leaves. Other trees disagree, they are putting out blossoms. (Welcome to Southern California.) The temperatures have been climbing, not falling. Late August and early September are some of our hottest times. (My son, when a student in Maine, saw his breath, at noon, in September! Shocking!)



My dog is going to miss me when I return to the work-a-day world, so I took her on a nice walk. Fullerton has horse trails and bike trails. Heidi and I took a nice walk on one. She didn't know it, but it was my going away present to her. (We took pictures!)



Before the heat came, we had a few cool days: we even had cloud cover til noonish. I took advantage of the cool to wax my two cars. I'd been putting off the task, because I remember the day when car waxes required a lot of buffing. Thanks to Turtle Wax Ice, and such products, those days are gone. (I was hoping they were, but I din't know.)

This summer I had the time and inclination to change TV carriers (now I have DVR), refinance my car to a better rate, out-fox my cats and save my sofas, book a half dozen mini-vacations for the next 12 months, fix some lawn sprinklers, and do some writing on my blog and letters to friends. (And that was just highlights from week one of my eleven week summer break.)



Nothing Earth-shattering, just organizing my life, just fulfilling one of my affirmations: My life is an enjoyable POOGI (Process Of On Going Improvement). Sustainable, enjoyable, involvement with life: That's been my summer.

Of course, in many ways, that's what I'll be doing this Fall and Winter. Another personal affirmation/choice is this: "I choose to make a positive difference wherever I go. I let it be easy." That's my intent and expectation.

That's my life. And I like it.



Last Christmas, my oldest daughter and her family were visiting from Illinois. At one meal, my youngest grand-daughter (2) looked up to her dad and joyfully shared her personal epiphany , "Daddy, I'm happy."

Me too.