Health Care Solutions

I am a big believer in free-market solutions. However, I’m not a big believer in Wild West capitalism. Government plays a vital role in helping us prevent capitalistic abuse. But what’s the right role of government in health care?

I found that both John Stossel’s 20/20 “Sick in America” and a recent report from Safeway give brilliant insight into the situation and possible solutions. Enjoy!

Sick in America Part 2
Sick in America Part 3
Sick in America Part 4
Sick in America Part 5
Sick in America Part 6

How Safeway Is Cutting Health-Care Costs from the Wall Street Journal

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  • Hornswoggle & Happiness

    Since we now know that happiness is contagious and that a happy friend is worth $20,000, I figured I’d provide a practical means of infecting you with some mild levels of joy so you could increase your value. Hey, who needs stinking bionics to become the million-dollar man?

    Have you ever noticed that using some words elevates your mood?

    No?

    Trust me. Words do have power. And I am sure researchers could prove that if you used a certain number of words like “schlub,” “smithereens,” and “diddly” each day, you could raise your happiness level by some statistically significant amount.  And even if they couldn’t demonstrate this, that would only prove that some scientists are made of styrofoam. But we knew that already. The point is that there are some words that are so delicious, goofy, or beautiful they must be preserved at all costs. If only for their happy-making ability. And in that light, I present to you “hornswoggle.”

    (HORN-swog-uhl)
    MEANING: verb tr.: To cheat, hoax, or deceive someone.

    Hornswoggle.

    USAGE: “Now, however, some special interests are out to hornswoggle residents, and they’re stooping low to do it.” Lauren Ritchie; But Doctor, Your Name is on the Mailer; The Orlando Sentinel (Florida); Oct 4, 2006.

    Aaaah, I’m feeling better already.

    You can use this too. See: “Son, don’t try to hornswoggle me,” “That dude’s a hornswoggler,” “Joe’s auto-body is a hornswoggling den of mechanical iniquity.”

    Now add to that skedaddle, discombobulate, and flummadiddle. (If you want definitions, just visit this list from wordsmith.org.)

    Take them home with you. Use them. Spread the happiness around.

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    I want to be Scott Westerfield

    Laura Miller at Salon.com has it all wrong when she says promoting books with movie-style trailers is a silly idea.

    Here, watch this book trailer for Scott Westerfield’s Leviathan.

    Yeah, I know you want to–go ahead, watch it again.

    Miller looks at book trailers, sees that the vast majority of them are lame, lame, lame (actually, this is the FIRST I’ve seen that’s any good). Sees that they reach no markets and then concludes that all trailers are silly. It’s true: lame trailers ARE a waste of time and money. But ANY advertisement (print, video, audio, whatever) that’s lame is a waste of time and money. Making killer trailers that nobody sees is an even bigger waste of time and money. But that’s true of ANY killer advertisement that nobody sees.  

    Look. I’ve never read Westerfield. Don’t know much about him or his books. But I saw that clip and now want to read that book. Hum, trailer worked for me. I AM a reptoid mutant, but I suspect there are others out there like me. I mean, come on. Good gravy, woman–“Do you oil your war machines? Or do you feed them?” Killer!

    Movie trailers, book trailers–any advertisement–isn’t about delivering what the person is going to experience on the spot. If that were the case, then you’d never show a print ad of a meal at Olive Garden because it doesn’t deliver the goods right there on page 10 of Woman’s Day. Nope, all you’d do is go around giving out samples in places with Italian mood.

    Miller’s error is not understanding the difference between making an offer and delivering on one. What an ad is supposed to do is make the offer. Let you know this thing is available. Because you’re not delivering the actual experience,  you can make the offer via all sorts of media. Now, if you can give them a taste, that’s great. But you don’t need to deliver the full deal right there.

    So what do you need in an offer? You need the offer to say, “Hey, I’ll deliver this type of experience.” It needs to call to some action, either directly or by implication–“buy this” or “be here.” You also need it to say, “You can trust this will be worth it” and make the consumer believe that’s likely to be true. It communicates this last bit by being a quality piece of work.

    Making an offer is exactly what book covers do–they make the offer and give the consumer a little taste. And book covers matter. This has been proven over and over. Just like most people, when I see a cool cover, I pick up the book and check it out. When I see a lame one, or one that offers something I’m not interested in, you’re going to have to threaten me to pick that book up. Or it better dang well have some righteous word of mouth. It’s that simple. We all judge books by their covers because the cover is making an offer. And lame offers don’t get very many takers.

    Book trailers are nothing more than deluxe book covers. The cool thing about them is the cool thing about movie trailers–you can make the offer by providing a little taste. You do that by giving the audience the story situation, the pitch. You do it by communicating the feel of the experience and raising curiosity. You do it by making it a pro job. The good  ones make you laugh, say cool!, or raise curiosity and expectation.

    And that Westerfield trailer does that.

    Dang, “Do you oil your machines? Or do you feed them?”

    Run that on TV. Run it on the radio. Put it up on sites where people are likely to see and click. Confirm it in print. Make the offer to real people. Get it infront of young readers. I’ll stake my eyebrows that ad can sell as many books as a good movie trailer can sell movie tickets.

    Crimeny, now I want to be Scott Westerfield.

    Edit, I lied

    I have seen another book trailer that’s as good as Westerfield’s. Do you remember this: http://thesecret.tv/movie/trailer.html ?

    Very effective advertising for the book. I think the content of the book is crap, but that trailer made me pick it up just to see what it was all about.

    Do you notice that this one and the Westerfield one combine extreme professionalism AND they make the pitch in a clear and grabbing way? The pitch for both was what the book was about. For fiction it’s the concept. For non-fiction how to it’s the promise.

    So many of the book trailers lack one or more of those things. For example, look at the book award finalist for THE FALLEN: http://www.youtube.com/watch?v=vsLE6bNaIrk. I don’t know what the heck the book is even about after a long 2 minutes. They’re trying to make a movie.

    Something else. On both of these you have a voice over PITCHING the book to you just as someone might do it in person or to an editor. It’s a powerful method, I think.

    Notice also how short the Westerfield one is. Just over a minute. Westerfield’s really is like a query pitch or cover copy–in just a few lines tell me what your story is about. We get genre, setting, character, and the story problem or concept.

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  • Dawn of the Pirate

    So reads the headline at Drudge.

    Here is Abdul Hassan, 39. A Somali pirate nicknamed “the one who never sleeps.” Hassan is part of a pirate group called the Central Regional Coast Guard. It was formed three years ago, has 350 men in its ranks and about 100 speedboats.

    Zing, zing, zing, zing, zing!

    There are some wonderful stories waiting to be told about this. Sure, there is the terrorist angle. But what about the angle of someone of value they stumble across on the ship? What about the kid who knows these pirates and decides to make a buck turning them in? What about the guys sent in to find out who the heck is backing these guys?

    What about Hassan himself? Somali is so poor. With one job he made $350,000. Here are some great articles.

    A fascinating MUST READ pictorial of Somali pirates. 

    A map of pirate attacks in 2008.

    An article about a tanker just taken by pirates.

    An article indicating just how much money pirates are making (more than $100m just this year) by taking ships and demanding ransoms.

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  • AIG bailout, risk, and writing

    With the current financial “crisis” I kept wondering what went wrong. Read this article on the AIG mess from the guys at the Motley Fool. That explaination of the AIG mess is very interesting. The other part of this current financial mess, the loaning-of-money-to-people-who-were-idiotic-credit-risks and the making-me-foot-the-bill-for-someone-else’s-assumption-of-ridiculous-risk, those two parts torque me.

    So why am I posting this in the Zing and Writers categories?

    Because it IS zing to me. You could write a high-finance thriller about this. You could write about a character who leveraged himself silly and is about to lose it all–in a smaller sense. You could write, hey, wait a minute. I just read a book about something similar–THE CHAIRMAN by Stephen Frey. It’s a 2.5/5 star book. Good enough that I had to finish it. Although not good enough to make my recommendation list. 

    The point is that stories are about problems and conflicts. And this understanding of the insurance industry provides some fertile ideas for both problems and conflicts.

    And since I can’t get the blasted link to work, here’s the full deal.

    AIG’s Failure Is So Much Bigger Than Enron
    By Andrew Sullivan, CFA
    September 17, 2008 Comment (54) Recommend (124)
    Enron — reviled, fraudulent Enron — destroyed more than $60 billion of shareholder value.

    AIG (NYSE: AIG), which the government just took over, has destroyed $180 billion already — and it almost brought down our entire financial system.

    We don’t know money
    Which is ironic, given AIG’s old television commercials, in which the giant letters “A I G” displayed on the screen while text flashed underneath that culminated in the following phrase — all in capital letters:

    WE KNOW MONEY

    There were no smiling couples, young children at play, or lounging retirees. No, AIG was above that — it was better than that.

    But here’s a news flash, AIG: You don’t know money.

    If you did, you’d have realized a few things. Insurance is terribly simple, as long as you follow the Three Rules:

    Price your risk correctly.
    Invest conservatively so you can pay out claims when they come due.
    Don’t do anything else.
    Sit back and collect the spread. That’s it, folks.

    Seriously, that is it. Ask Warren Buffett, and he’ll probably tell you that if you follow those three rules, you’ll be fine. You won’t be the biggest or fastest grower, but you’ll be absolutely fine.

    The problems come when you get greedy and aren’t satisfied with the spread. And your greed can lead to certain actions that aren’t stated anywhere in the rules, including:

    Diversifying into fast-money proprietary trading.
    Leveraging your company 11-to-1.
    Neither of these is a goal of a well-run insurance company, yet AIG embraced both with open arms.

    Diworsifying
    But AIG self-destructed not because it screwed up in its insurance business. It didn’t fall into the trap of mispricing risk, as so many other insurers over the years have done. It also invested premiums fairly conservatively. So it followed Rules 1 and 2.

    Where it slipped up was in Rule 3. See, the folks at AIG thought they were so smart at insurance that they could start other capital-markets businesses … including proprietary asset management in things such as commodities, currencies, energy, interest rates, and the selling of default swaps on collateralized debt obligations (CDOs).

    This strategy worked beautifully — for a while. AIG created a separate business segment called Financial Services to trade in the aforementioned assets. This business had $204 billion in assets at year-end 2007, up from $60 billion in 1998.

    Operating income surged from $900 million in 1998 to $4.4 billion in 2005. Some of the moves it made were brilliant, such as the purchase of ILFC, an aircraft-leasing business. But the other trading businesses were the Medusa that turned the whole company to stone.

    Let me make one thing clear: Proprietary trading isn’t bad, in and of itself. Warren Buffett engages in it. But just like atomic weapons in the wrong hands, proprietary trading can do a lot of damage. The problem is when you start to get aggressive and don’t heed proper risk — when you start to speculate instead of invest.

    And there’s one other critical ingredient for disaster.

    The “L” word
    As in “leverage,” the sharp knife in corporate seppuku dramas. Leverage is, by my estimation, the No. 1 reason why companies fail.

    And compared with its peers, AIG had one of the sharpest knives around. Here’s how its leverage (assets to equity) stacked up against other insurance operations as of December 2007:

    AIG: 11 to 1.
    Markel (NYSE: MKL): 4 to 1.
    Berkshire Hathaway (NYSE: BRK-B): 2 to 1.
    Montpelier Re (NYSE: MRH): 2 to 1.
    Travelers (NYSE: TRV): 4 to 1.
    White Mountains Insurance (NYSE: WTM): 4 to 1.
    Chubb (NYSE: CB): 4 to 1.
    I would love it if someone gave me a rational, believable explanation of why leveraging your equity 11-to-1 is a good thing for an insurer. The sole job of an insurance CEO is to ensure that his or her company stays in business; the CEO’s job has nothing — absolutely nothing — to do with growing profits every year in a steady, smooth line.

    Surprises in insurance are almost always negative, so simply staying solvent is the overriding priority. A company can do just that by following the Three Rules.

    Two years ago, a few of my Fool colleagues had an interesting conversation with Chris Harris, the chief investment officer at reinsurer Montpelier Re. Harris noted that Montpelier invested its float primarily in U.S. Treasuries, Fannie and Freddie bonds (back when they were considered safe), and the like.

    When asked why he didn’t invest more aggressively, Harris said the company believed that it got all the risk it could handle on the other side of the fence, insuring against megacatastrophes.

    Even if you disagree, as an investor you have to recognize the judiciousness in this way of managing one’s business. An insurer that has to pay big claims from hurricanes Ike and Gustav and Typhoon Sinlaku — and additionally worry about the rapid decline in its investment portfolio as a result of the higher level of risks it has taken on — has a big problem.

    That insurer, folks, is AIG. And that big problem is now yours and mine.

    This really is bigger than Enron
    The edifice Hank Greenberg built has all come crashing down. Apparently, AIG didn’t realize that almost 40 years of 15% growth multiplied by a big fat zero equals just that: zero. It didn’t consider that its leverage left it exposed to a liquidity crisis, and it didn’t consider that its non-insurance businesses could bring down the whole company.

    In all fairness, management did not realize how much exposure it had to CDOs backed by subprime loans. This may or may not be true, but Buffett has famously stated that each one of these prospectuses has something like 15,000 pages, so it’s unlikely they were gone through in any great detail.

    But investing in things you don’t know is a huge risk, right? And that risk was compounded by having so much leverage. The fact is, the more leverage you have, the more careful you must be with the investments you hold, because your own capital structure is that much riskier.

    AIG did nothing of the sort. And so even though it has a rock-solid, wonderful insurance franchise, its greed and lack of care in its investing decisions took down one of the world’s great companies.

    What a shame. What a shame for all of the investors who lost billions thinking that this company was conservative. What a shame for taxpayers like you and me. What a shame for the United States’ reputation as a beacon of financial stability and conservatism.

    For Fool.com’s continuing coverage of this week’s events, check out “The Biggest Financial Story of the Past 50 Years.”

    Andrew Sullivan has no financial interest in any of the companies mentioned. Montpelier Re is a Motley Fool Hidden Gems selection. Markel and Berkshire Hathaway are Motley Fool Inside Value recommendations. Montpelier Re and Berkshire Hathaway are Motley Fool Stock Advisor picks. The Motley Fool owns shares of Berkshire Hathaway and has a disclosure policy.

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    The Myth of Being More Productive by Multitasking

    One of my personal flaws is my monkey fascination. I am interested in too many things. For example, when I was at the university I wanted to major in English, History, Dutch, Art, and graduate with Honors.

    Um, no. That didn’t work. They finally wrote me a letter and said 220 credits was more than enough. And I would graduate the next semester with whatever degree I could cobble together.

    Of course, then I started my Masters of Accountancy and Information Systems program. (Some people never learn.)

    When I was in my Masters program I started an investment club, wrote fiction, and wanted to start a FSBO home business as well as a write a non-fiction book with 4 collaborators. Oh yeah, and I was supposed to be Mr. Mom with two kids at the time while my wife put me through school.

    All this did was stress my marriage to the point that my wife was considering giving me the pink slip. Of course, being so involved in so many projects I had no idea I was in danger of being layed off.

    No, over the years I’ve learned that simplicity and focus is divine. It’s good to say no to the million things that vie for my attention, even the many noble causes. It’s smart to put a lot of effort into a few things. Become an expert in one area.

    In business, I’ve watched some friends focus, focus, focus. They’ve put in their time and have become very successful at what they do. They’ve worked hard. . . at one thing. On the other hand, you have those of us who haven’t yet been able to give up that danged monkey brain. (Although I will give myself credit–for the last five years I’ve been trying to reduce. Trying to focus. I’m failing spectacularly. But I figure sooner or later my efforts will pay off.)

    The multitasking myth shows up not only in the general activities we engage in, but also in learning. I heard this NPR story on myth of multitasking and thought I’d share.

    Maybe less really is more.

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