Monthly Archives: November 2015

Thanks John. Interesting what the future will hold for these businesses…Buying businesses for millions of dollars seems like pie in the sky for most of us Xers or Millennials. I totally agree with the “hire a buyer” future. When I told my boomer boss that I may be interested in opportunity for buying I think he woke up a bit and has started me on an upper mgmt ladder. I call this Intrapreneurship and have even started a community at http://www.IntrapreneurOnline.com where we IPRs can share our wins, grow and help each other. Maybe it will even turn into a place for nurturing these “hire a buyer”s.
Thanks again,
Clint.

So what are some examples of “nightsticks”?

John,
You can usually recover from your pain, but not always from your customer’s discomfort – and especially if you do not know about it.
With my firm, I would call every client every month just to say “How are we doing”? 99% of the time, I was met with appreciation. The other 1% sometimes involved yelling and occasional unpleasant suggestions. My response was always, “Thank you – now that I know about it, I can fix it.” And we always did.
In 15 years our collection period was always less that an month and I never had a claim for any cause. I attribute it to good will and the ability to solve a problem before it resulted in slow payments, or worse, lost business relationships.

I had a great uncle who practiced medicine from the turn of the century until the mid 20th century. In the last chapter of his book “Doctor Do Tell” dealing mostly with his experience delivering medical care to the people of rural Wisconsin……he warned of the evils of “socialized medicine”. Much has changed since the time he practiced….including the willingness of health care providers to be “paid in pickles”. The evils of non “socialized medicine” have become crystal and painfully clear.
The present health care system based on the idea that competition brings about the best result is a failure if for no other reason that there is and will not be true competition. Nationalized health care can minimize system costs….if design and operation remained focused on the goal of efficient, results oriented care measured by and paying for results. A single payer system that assures and pays for results oriented care (as opposed to pay per procedure) is probably the only way that a nation can bring about maximum care per dollar expended. The only logical single payer is government. If a clear goal (as mentioned above) was the standard to which any plan was held….much better product (our health care) could be brought about for all.

Except that not everyone is going to use all they did (or should have) put in. My mother will turn 99 early next year. She is in an assisted living center that costs thousands monthly, but uses just a small fraction of the services the price is meant to cover. This is good thing. Others use much, much more than they ever did (or could have) put in.

The only solution is something based on the underlying concept of insurance. Many put in
X and a fewer number take out Y. Even in countries where there is universal government provided healthcare, the concept is the same with taxes substituted for the bulk of premiums.

The problem in the US is that the insurance paradigm is private and discretionary. Not everyone has to pay in, so healthier lower cost people opt out at a disproportionately high rate. The insurance companies are profit driven, so left to their own they simply do not want to cover those who represent a higher risk.

Average life span in the US is into the 70s. That means both individuals and companies have to think very long term to justify the equation. In a system where participation is discretionary, and the actuarial pool is private and focused on making shareholders and executives happy the following quarter, the actuarial numbers will not to add up.

Human nature simply does not work well in multi-decade time frames. Only an external entity can make the health care actuarial equation work. The ACA is bending the curve, but it is a poor mishmash trying to influence an inherently unworkable model based on private insurance and discretionary participation.

If the legislature is required to live under the same laws, regulations, and healthcare systems that their constituents live under and lifetime healthcare benefits are eliminated for them, things will change. This will never happen as the fox rules the hen house. Corruption in government has become epidemic and it comes in too many forms and sizes.