Recently I’ve been coaching several people recently on how to get a job in this down economy, and I would like to share them with you as well. The people I have been coaching with these techniques include new college grads and non- grads seeking entry level positions, as well as more experienced candidates ranging from early stage careers in technical roles and marketing to mid level and senior management level positions.

My background as an innovation and disruption expert
If you have followed my work, one of the things you know about what I do is that I look for (and coach others on finding) disruptive innovation product strategies that allow a start up to invent important new and fast growing markets that they become the leader of, or disrupt the balance in existing markets so that they become new leader and drive the incumbents out of the market.

Disruption strategy methods can be applied to every kind of business
While most of the companies that I have personally participated in have been applying these product strategy methods to the Internet, Software and Mobile Industries, I have taught these methods to people in all business sectors, consumer and enterprise, high tech and low tech, products and services, and they have found these methods equally valuable in all those settings.

Applying Disruption Strategy approaches to Job Searching
In fact, I think these methods can be applied to any business or market, and today I’m going to talk about a strategy that comes from applying them to an area that you may never have considered as being open to innovation or disruption. Today, I want to talk about what can happen if we turn those same disruption strategy methods to give an individual job seeker a disruptive advantage in the online job market.

Disruption enabled new job candidates beat experienced job candidates, by getting to jobs before they do.
What does a disruptive job search strategy mean? Think of it this way: If you are a job seeker, today there are many other people out their competing to get the jobs you want. If you have a great resume, cover letter, and interview skills, are the most qualified applicant and are always the first person to get a job offer for any job you apply to through a job site like Monster, Career Builder, or Craigslist, you are the current market leader that other job seekers are losing out too. It is these successful people that other less successful applicants need an new approach that will allow them to disrupt the playing field to their advantage — to find jobs the current leaders can’t — because those jobs aren’t yet advertised on Monster, CareerBuilder or Craigslist and to overcome the advantages they may have in qualifications and a great resume, by creating a new path to hiring managers that doesn’t depend on a better resume. Note that such a strategy is disruptive in another way as well — it creates a new way for recruiters to package candidates and get them in front of hiring managers before their competitors, and especially before Monster, CareerBuilder or Craigslist.

Finding the niche market that the current market leaders don’t serve well
To figure out how to disrupt the traditional online job search market we start by looking for the special situation where some customers are ill served by the existing products. That special situation that we’ll focus on is a job market in which there are lots of highly qualified candidates seeking every job that is advertised. And what makes the current system ill suited to hiring managers in such a hiring climate is the large number of resumes that need to be screened and interviews that need to be held to fill a position.

Our task: find alternative ways to reach overburdened hiring managers
In our disruptive approach we’ll look for an alternative way around that hiring manager problem that allows job seekers who use the disruptive approach to bypass the existing job site channels where they are at a disadvantage by using to alternative paths to hiring managers.

SOLUTION: Two alternative ways to reach hiring managers

A bad economy makes hiring managers hang back from announcing jobs
The current economy makes it necessary for job seekers to take a different strategy than what works when the economy is good, and the ways that might be the way most people have found a job in the past. The key thing to realize is that right now most employers have way too many resumes, and feel overwhelmed and don’t want to see more resumes. In fact they want to see fewer resumes, and zero is just about ideal! So many of these overburdened hiring managers don’t even want to post a formal job opening on their own website or on a paid job site or on Craigslist. They’d rather fill that job through an informal process that avoids having to read a ton of resumes.

Busy Hiring Managers May Wait to Post Jobs Until After They Know Who Will Fill Them
When that happens you obviously can’t find these jobs by looking for job postings. And you can’t assume that because a company doesn’t have a your job title posted that they don’t have that job — even if they have lots of other jobs posted. That’s because it isn’t the company that is overwhelmed, it is the hiring manager that the job would report to who is maybe hanging back from filling out a requisition for a job. In fact, at times like these, many hiring managers won’t even fill out a job requisition, that is “create a job”, until they know they have already identified the candidate they know will fill the job. That way, as soon as the job is posted and the resumes start coming in, the manager can hire the identified candidate and skip reading the rest of ton of resumes that inevitably flood in because they have now already filled the job that was just posted.

Entry level jobs yield the most overwhelming stacks of resumes to weed through
The more resumes the hiring manager might get, the more likely the job is actually to be filled like this. And the jobs where the most resumes are likely to come in for will be entry level jobs. So this is very relevant for you and Sean.

More qualified candidates who miss out feel frustrated
Naturally, this is very frustrating for job searchers who think they would have been better job candidates, if they had only known about the job. And some of them probably would have. But each of these job searchers has to make a choice: they can be among the many people who continue to post resumes and wait for companies to search for them, and apply to advertised job openings on website and job search sites — and complain when they miss out on these jobs that aren’t really posted until the person who will be hired is already identified. Or they can be one of the people who deliberately or accidentally stumble into these not yet created job opportunities.

The person who gets hired is the person who solves the current problem first — and the current problem is the huge stack of resumes to review!
If getting a job that’s perfect for you is more important to you, even though other more qualified people may have been ignored, then you there are steps you can go through to deliberately get a job this way. If getting a plum job based on “who you know, and who knows you” even if other more qualified candidates may exist makes you feel guilty, then you might want to stick with posting resumes and applying to blind ads. But keep in mind that doesn’t necessarily mean the best qualified person will get the job, someone else who uses the informal processes that i describe below, with lower qualifications than you, but a willingness to go through the who you know and who knows you network, might get it instead. Because in the end, the best candidate for the job in the hiring manager’s mind is the one that minimizes the manager’s effort in finding and guiding the new hire, and who makes the greatest contributions to solving the hiring managers problems. And right now, problem one is getting some work problem solved without having to read a lot of resumes.

Two ways to find the jobs that have not yet been posted, or even created
When hiring managers are hanging back like this, the way to get the job is to get to the person through an informal process. There are two ways to do that which I know can work.

Strategy 1) YOU find the hiring manager: job networking
The first approach to find jobs that don’t yet exist is often called “job networking”. The trick here is to have a bunch of informal meetings with people. The wrong way to go about informal job networking is to ask people “Do you have a job, or know someone who does?” That won’t find you hidden jobs. It will mostly get you a bunch of “nos“, and you’ll quickly exhaust all those sources of leads. But a slight twist will actually get you more “yeses” and more useful leads.

How to ask for a job networking meeting
Phrase your question this way instead. I’m interested in learning about jobs as a “(your target job title)”. I’d like to talk to someone who does that job now, has done that job in the past, has managed people doing that job, or who has worked with people doing that job. I’d like to speak to them and learn a little bit more about the field, the companies in that field and the typical problems they face in that job as part of my preparation for a job search in this area. Do you know anyone I might speak to about such things?”

Focus on discovering needs, not a job
You don’t want to tell people that the purpose of the meeting is to find out if they have a job or can get you a job — that puts them on the spot if they don’t have one; or even if they do have one, because they don’t know you yet and aren’t prepared to deal with a job discussion until they’ve first screened you. Instead, you tell people that the purpose of the meeting is for you to collect more information about what it is like to work in that field, and what people hiring people in that field currently need. This last word, Need, turns out to be the trick that can make job networking work magic for you. The trick is to focus on understanding individual hiring manager’s needs and offering to help with them.

You aren’t imposing by asking for a meeting — you are offering the person a chance to show off their expertise
Everyone loves to tell people about how they got the job they have, how they succeeded and what they do — it makes them feel important. So when you ask to meet with someone to learn about their experiences in the business, you aren’t wasting their time! People like to have meetings with other people who are interested in hearing all about their successes (and about all the secret booby traps they’ve avoided, or discovered).

Give people the permission to complain about their problems
Everyone also has needs — some of which aren’t being well met at any given time. People like to tell other people who are willing to listen all about these needs too — in hopes that other person will know of a solution they had not heard of. A lot of people are reluctant to talk about their problems because they don’t want to come across as complainers. But when you ask, well that’s a different story! Also, when you speak to someone working in that field, tell them up front that you are happy to share any useful information you might learn from your meetings, or to provide them similar leads if some day they are looking for a new opportunity.

Shifting gears: become a solutions provider
So you want to find out the needs of people who hire for the job you want. You want to find out about those needs from potential hiring managers, or from the other people who work for them. Contrary to what you said when you first started asking for these meetings to prepare your job search, once you have this knowledge, you don’t go into job search mode — you go into solutions provider mode!

That’s what turns out to be the trick to getting these jobs that don’t exist yet. People are reluctant to give you their valuable time if they think you are going to ask them for a job they haven’t created. But they are eager to give you their time if they think you might tell them about solutions to the problems they have.

Don’t ask for a job, let them propose a job in order to capture your solutions skills.
The strange thing is, that in telling them some of the solutions to their problems you are also indirectly telling them that you know how to solve those problems. When they know that you know how to solve these problems, you personally also become a solution for them. Not only would hiring you mean their current problems could be resolved and they could focus on something else, but you could solve similar problems for them in the as well in the future. Once they have that realization, that’s when THEY are suddenly going to think about creating that job just for you, and the ability to skip having to interview other people will be a big plus!

Company problems vs. Hiring Manager Problems and Generic Problems vs. Peculiar problems
Note that you can’t shortcut the previous steps by looking at the job description, or what the job title is. Those are generic problems. They are usually problems that hiring companies have. But companies don’t actually hire — it is the hiring managers inside the companies who actually make the decisions.

The hiring manager that is going to make the decision does have those generic problems, and they might be the first ones they think of when writing a job posting. But they aren’t what the hiring manager is thinking about when they are making a hiring decision. All the candidates whose resumes passed the first screening, and solve those generic problems. What makes the hiring manager choose a specific person out of the set of multiple qualified candidates is their ability to solve the manager’s immediate short term problems that are peculiar to this manager at this moment.

Imagine the job you are seeking is “web designer”. When the hiring manager is describing the job, they may be thinking about someone who already knows JavaScript and has created interactive webpages before — so they can start right to work. So that’s the generic problem or skills the manager puts on their job description.

But what the hiring manager is thinking about when making a hiring decision are the peculiar problems that they have right now. Maybe they lost their previous web designer because the job required the web designer to work without some off shore graphics developers in Malaysia who sometimes don’t seem to follow directions in english that well. The previous web designer found that frustrating and quit. So, the peculiar problem isn’t just getting interactive web pages working, but getting them working with beautiful graphics that having been coming from this offshore group.

There might be many alternative solutions to the peculiar problem.

A web designer who is also a talented graphic designer might do both web design and graphic design well and thereby make the offshore group unnecessary.

Alternatively, A web designer who speaks Malaysian, might communicate more effectively so this problem doesn’t reoccur.

The manager may not be attached to which way the peculiar solution solves the problem, but they sure want to be certain that the peculiar problem will be solved.

Be the solution to the peculiar problem
And if one candidate seems to appreciate that peculiar problem and shows the manager they have a solution, that candidate immediately become the least risky selection for the manager to make. And given that the manager doesn’t want to spend more time reading resumes and interviewing people, the first known solution to the peculiar problem is likely to result in a quick end of the job search and a quick job offer. There is no need to keep searching for candidates with alternative solutions — it is time to implement the first one and get back to productivity now.

Show off your ability to solve their problem
Because the hiring manager hasn’t gone through the formal steps to get a new job requisition filled out, they might not know if they will be able to get the budget for such a new job, or get it approved, if it requires higher level approval. But they probably have the authority to invite you in for a day to see if you can help with a peculiar problem they have. Ask them if they would like you to do that. If they seem concerned about the cost, tell them you appreciate that they took so much time with you, and the opportunity to get to know more about their company, their department and what it is like to work for them. Tell them, that you won’t charge them for the 1 day of work, but that what you ask in exchange is that if at the end of the day they like what you did that they agree to write you a short testimonial and introduce you to other people in the industry who might hire someone like you. It is a rare hiring manager who will say no to that offer. And think about this: when it comes time to make a hiring decision, would you want to do that based on a resume or interview or would you rather make a decision base on observing the person at work for a day? Seeing is Believing!

Ask for a Testimonial and a referral: If this manager can’t hire you now, get them to help you find the manager who will!
At the end of the day, if you’ve made some progress on the hiring manager’s peculiar problem, ask for that testimonial and referral. Tell them that while you understand they don’t have approval to hire a person for this job on a full time basis, that you like them, and that if they want your continued help on an knocking off the peculiar problems that have been troubling them, you are willing to do that on a consulting and part time basis while you look for the full time job. Tell them, that if an opening should be approved while you are searching you would love to consider it, because now you have had the experience of working with them for a day. Now you aren’t a job seeker — you are the problem solver that they are wanting.

Need more help on getting meetings with potential managers using this approach?
Get more information on how to create these problem solver images in the minds of managers, click on the following link to get a copy of Anthony Parinello’s excellent book “Selling To VITO (Very Important Top Officers).”

More jobs are being filled through networking that through job sites.
My friends in the recruiting industry are telling me that 60-80% of all jobs are being filled this way right now — and it is the way I have filled most of my jobs over my career. Often I just have a name of someone I got from a friend of a friend. The purpose of the meeting is very informal, just to find out more about their job, their company in general, and their views about what is happening in the industry.

In asking about their job, I often ask them about what their current problems are. Then I usually say something like this, “I have some ideas about how to solve some of the problems you mentioned, that I would be happy to share with you”. I also ask, “are these kinds of problems widespread in your industry?” and “Do you know other colleagues who might have these problems, because I have skills at solving these problems and might be able to help that colleague.”

Usually, if they really don’t have the budget or can’t hire me now, they will introduce me to other people who have similar problems. They’ll win brownie points with that other person, and may be able to hire me later and would like me to feel they are a great manager. Or if they can swing the budget, they’ll say “Well, I didn’t have an opening when we started the talk, but if you can solve that problem, I might be able to get approval to hire you.”

Ultimately I’ll find myself in front of some colleague who will say to me: “Really? you can solve this particular (and peculiar) problem for me? Can I hire you temporarily as a part time consultant to solve this problem?”

And I say sure. Then I solve their problem, and they get to know me and I get to know about other problems that I can help with. If I like working with them, I’ll tell them about the other things I can help with when i am done with my current project, and if they also like me this has always led to a full time job. If we don’t like each other we found out quickly and cheaply for both of us.

Strategy 2) The hiring manager finds YOU!
That brings me to the second way to get a hiring manager who is hanging back to find YOU! If they are busy, shorthanded and overwhelmed (and avoiding the idea of thinking about being even more overwhelmed by more resumes!) they aren’t going to be searching craigslist or monster to find you. Maybe they should be. But they aren’t going to be.

The manager who isn’t seeking people to do jobs, is searching for HOW TO solve their peculiar and general problems
What the hiring manager is thinking about is how to solve that problem without hiring someone, since going through all the steps to get approved for hiring someone and then doing all the resume reading and interviewing is such a hassle. . And to find solutions, they are likely to likely to do an Internet Search for published advice on how to solve their problem. That’s the hook in this startegy. Since they aren’t looking for your resume, but are looking for a solution, you post a solution for them to find. Then you let them realize that hiring you to solve their problem is even less work than learning HOW TO solve the problem is even less effort on their part than spending their own time (as a busy distracted newbie manager) trying to apply that new knowledge expertly.

Make search engines like Google help managers seeking solutions find yours!
This is where you can make the power of the internet search engines work for you, so that the hiring manager finds YOU and not competing candidates for the job. Since these are hiring mangers who aren’t looking for job candidates, they won’t be searching Craigslist, Monster or Careerbuilder. And they won’t find the people who could compete with you for a job and who might even look more qualified based on the resume on those sites.

Instead, you’ll post your solutions are going to be on the non job sites that Google will find. Places like public blogs (syndicated with RSS), or Audio podcasts on iTunes, or videos on YouTube. Those solutions will also contain a pointer to your web page. And that web page won’t just be a resume, it will be a portfolio site showcasing other How To solutions you have authored, as well as your past successes and testimonials from people you have benefited.

When they find your solution, they have also found you!
Now, when these managers are looking for solutions to their problems, they will also find you in the course of searching for those solutions.

How do you get started, and become findable?

Create How To Tips
The trick is to just start creating content about various generic and peculiar problems that you have solved before and give some simple HOW TO tips on solving them. The form of this content (text, audio, or video) isn’t as important as that your HOW TO solutions are published on the web and found by search engines. You can write these tips in text such as a blog, or facebook page, or email newsletter that you syndicate through RSS. Or you can just talk your way through them in audio in a podcast. Or you create a short animation and save it as a You Tube video. Any way you do that you, you’ll wind up listed in an internet search engine. Now when the hiring manager goes looking to find a SOLUTION to one of their problems, they are likely to find YOUR How To tips.. And through your how to tips, they will discover YOU! And now, while they might not have searched for your resume, they know you are a potential source of solutions for the job they haven’t yet created! (and they still don’t know about, or have the time or interest to discover other candidates resumes on Craigslist, Monster or Career Builder.

Short is can be sweet!
These content pieces don’t have to be long — in fact short and sweet (2-3 paragraphs or 10 steps in text, or 2 minutes of Audio or Video are often preferable. Let people experience several descriptions of simple but common problems, so they see the breadth of what you know. If their problem is deeper, let them ask for consulting help.

If this still sounds complicated and daunting, do not despair. Click on the following link to get David Wood’s book “Get Paid for Who You Are” which does an excellent job of taking you step by step through how to do just this kind of way in a quick and easy way. If you want even more help, David’s Get Paid University site provides a wealth of support.

Sidebar: Why are we getting spammed when we post our resumes on job sites and what to do about it.

Why we post on job sites like Monster, CareerBuilder and Craigslist
We post our resumes on a public job site in order to let all potential employers know that we are looking for a job. This way, we don’t have to know which employers we want to work for; we let them find us. It is very low effort on our part.

When posting on job sites actually generates useful calls from employers
Posting our resume in a general job site mostly only works when there are too few active job seekers for the number of job openings employers want to fill. When that happens, employers must go looking for additional potential employees, and that’s when they are willing to spend time searching for people like us, and when it is cost effective to pay the fees that paid sites like Monster and CareerBuilder charge.

Why employers are responding to our resumes on Monster, CareerBuilder and Craigslist right now.
When there are a great many job candidates applying for each only job opening, like in today’s economy, it isn’t sensible for a company to do such paid searches. Since right now employer sare already getting more resumes than they want to review for each opening — and that’s just counting the resumes that are coming in unsolicited via their company’s own job pages on its own web site. With so many resumes, employers don’t want to spend the time to do an external search for additional potential employees, and they certainly don’t want to pay for information that they can are already getting for free when people apply through their own company website.

Even if cost were not the issue, it is less work to just review and select from the resumes you are already getting through your own web site.

This is why you and I will probably not get very many useful contacts from employers simply by putting our resumes on these sites. Instead, we will have to identify potential employers and apply on their sites.

So, who does want to purchase our information from job sites?
But if employers don’t find it cost effective to pay for contact info from extra potential employees, then who DOES find it cost effective to pay for your contact information — people with jobs that NO ONE wants to apply to, and people who are selling a service– such as a college. These are people who can’t get your information more cheaply another way, and are willing to pay for your information (either in actual dollars on a paid job site, or in time and effort on a free site like Facebook or Craigslist).

Why we are getting spammed when we publish our phone and emails on Job sites
The people who most are most willing to buy your information are people who want to sell you something that you aren’t searching for. That could someone who wants to sell you a college degree, or someone who wants to sell you on a job that NO ONE is applying for. Or it could have nothing to do with jobs at all.

How to avoid getting spammed
To avoid getting spammed like this, the best way is to do our own research to identify prospective employers we want to work for, and apply on their own web sites, rather than wait for them to come to us. Better yet, use networking to find a path directly to the hiring managers (even the ones who don’t at present have a job req) and let them know about your problem solving skills! Since companies don’t want to share your information with competitors, targeted contacts like this usually won’t result in your information being shared with anyone else.

Good luck job seekers!

This post may be freely reproduced in whole or in part for non-commerical purposes when printed with attribution or a link to the www.smcgregor.com/blog website under a creative commons license. For commercial use, please contact the author for permission.

A recent discussion about a potential business opportunity led the client to ask about my career goals. I thought it might be useful to share these goals and measures with my readers here as well.

The world has always faced some serious problems. Individuals and cultures, and even mankind itself, have frequently faced problems that at times threatened their very survival. All too often these were problems they created for themselves in the past. Einstein’s quote explains exactly why “innovation” continues to be the driving force in my life.

My career goals have never changed over my lifetime. I’ve known what I was meant to do since my early childhood when my grandfather regaled me with the accomplishments of dozens of famous Scots-American inventors of the industrial age, and instilled in me the “Scots-American Inventor Imperative” that can be summed up thusly:

“To conceive and create useful, never before imagined, products and services, and by bringing these innovations to market, to in some way improve the world and benefit the lives of as many of its inhabitants as possible.”

That’s a simple easy to understand concept for anyone to understand, even a child of 5 years old. But if I left my explanation at just this high level, you might well think that it so nebulous that it really doesn’t have enough specificity to be actionable. I’m a results oriented guy, so while the above goal is nice and simple, it isn’t detailed enough for me. So I have broken this high level description into ten more specific measurable goals that have driven my life and my career. Here they are:

1. To create innovative new solutions to problems people have. (Measure: products and services invented).
2. To develop and introduce those new solutions to market so that people can acquire these solutions and benefit from their adoption. (Measure: products introduced to market).
3. To package and deliver those solutions in such easily accessible (easy to learn) and rewarding (easy to use) ways so that people will strongly desire to use them. (Measures: adoption rates, market growth; product awards, numbers and enthusiasm of customer testimonials; editorials, columns, praise and recognition from the press; and leadership recognition from market analysts).
4. To thereby create large groups of wildly enthusiastic and appreciative users, customers and other beneficiaries whose lives have been improved by the existence and adoption of these new solutions, large or small. (Measures: total number of users, customers or beneficiaries; relative market share; product price paid/value received, cost/benefit, return on investment, efficiency improvement measures, and cumulative product lifetime savings in cost, time or effort saved).
5. To discover, develop and improve repeatable innovation skills that allow me to do achieve the innovation goals listed above, with greater reliability, and success with each new innovation. (Measure: repeatable methods identified and described, increasing frequency of success of later innovations ).
6. To convert these personal innovation skills into replicable and teachable techniques, learnable methods and skills that can be mastered. (Measure: courses and training materials, consulting and coaching materials created ).
7. To increase the base of formally trained innovators who can improve our world, solving personal and societal problems large and small, by teaching,training, coaching and nurturing others in the skills for how to create, develop, introduce, package and deliver their own useful innovations, so that world benefits in even more unforeseen ways. (Measures: courses taught online or in person, practitioners taught, training materials produced in various media, consulting and coaching engagements concluded, references to, and reuse of my methods and training techniques by other educators and practitioners).
8. To nurture and coach innovators and start-ups to greater success so that we can all benefit from the fruits of their imagination. (Measure: Consulting and Coaching clients).
9. To create, nurture, assist and participate in the formation or growth of successful businesses that will be the next generation of Engines of Innovation which will:
   1. Create new, meaningful and inspiring employment opportunities that create extreme employee loyalty by treating employees humanely and with utmost respect, (Measures: jobs created; employee satisfaction ratings, retention rates and praise).
   2. Create and deliver desirable products and services that improve the overall conditions of the communities they touch and the world at large. (Measures: products manufactured and services delivered; community relations and social responsibility ratings and reports).
   3. Attract and benefit enthusiastic customers, users and other beneficiaries (Measures: Customer satisfaction ratings; word of mouth recommendations, customer retention measures; letters, blogs, tweets, online comments and letters to executives containing customer, user and beneficiary praise).
   4. Reward the investors and lenders who had faith in the business and provided the financial resources it needed to launch it and make it grow.(Measure: earnings per share, stock price, debt ratings).

10. Generate profits from innovation that fuel the next generation of innovation: empowering even more innovators, innovations, and innovative companies to accelerate the rate at which the individuals, businesses, governments and mankind can respond to new crises and opportunities, increasing the overall welfare of all its inhabitants.(Measure: increasing standards of living, health, longevity and environmental health).

MY TRACK RECORD
You can check out my track record against these goals and measures on my personal website: www.smcgregor.com, and about some of my methods at my consulting site: www.swiftdesigngroup.com.

MY BEST KNOWN SUCCESS TO DATE
My best known success is as the Product Strategist that created the PlaceWare Web Conferencing Center. This was the first web conferencing service to establish Web Conferencing as a new market category tracked by analysts. And during my tenure as Product Strategist the company was the market leader. With the creation of this service, I increased the company’s sales from $500K to over $10M in just 2 years, which enabled the company to file for an IPO and ultimately led to its acquisition by Microsoft. Today that service is Microsoft Live Meeting, and every day, over a million happy users jump on line to meet in a Live Meeting instead of jumping on planes!

WHAT CAN I DO FOR YOU?
Whether any future client or employer can accomplish the same kind of results with my help is impossible to determine without study of the specifics of the opportunity. But if any reader is interested in exploring this possibility, I would love to speak more with you to determine what kinds of results we might achieve together.

Happy innovating!

On May 14, 2010, I personally experienced this kind intertwingling in a profound way. It was as if some sort of quantum entanglement of strange attractors separated distantly in time and space, were suddenly connected in a single moment and place.

This is the story of that experience.

Two seemingly unrelated events, happening half way around the world from each other, occurring within minutes of each other, became connected by a text alert. But the brain being the amazing pattern seeking (and pattern generating) engine that it is, my mind quickly connected these events in several more interesting ways.

The first event
The first event was a blog post by someone I had never had any prior contact with. Writing from his home in Israel, author IAMRONEN posted his May 14, 2010 blog entry, referred to a design exercise I invented while developed my Disruptive Innovation New Product Design course little more than 20 years ago. It was a productive time for me, for my both course and my first child were born that year. Here is what IAMRONEN wrote:

When I was working as a software designer – we would sometimes run into clients that would ask for a “per-screen” quote. My partner would then answer that we aren’t Samsung – we don’t manufacture screens. Usually when people, especially developers, hear “design” they think about screens, graphics, usability, user experience. While all these are a part of design they don’t touch on the most important part of design (which also happens to be the part I do best and love doing). This post may hopefully shine some light on what that is.

If you’re a developer (especially an open-source developer), you’re reading this and you haven’t yet read “The Inmates Are Running the Asylum” then get the book now. It’s easy & fun to read, and may open up new avenues of thought for you. If you were to read only one book on software design – this should be the book!

Update: I came across a comprehensive preview of the book.

Here’s a quote of one relevant paragraph:

“It might be counter-intuitive in our feature-conscious world, but you simply cannot achieve your goals by using features lists as a problem solving tool. It’s quite possible to satisfy every feature on the list and still hatch a catastrophe. Interaction designer Scott McGregor uses a delightful test in his classes to prove this point. He describes a product with a list of features, asking his class to write down what the product is as soon as they can guess. He begins with 1) internal combustion engine; 2) four wheels with rubber tires; 3) a transmission connecting the engine to the drive wheels; 4) engine and transmission mounted on a metal chassis; 5) a steering wheel. By this time every student will have written down his or her positive identification of the product as an automobile, whereupon Scott ceases using features to descibe the product and instead mentions a couple of user goals: 6) cuts grass quickly and easily; 7) comfortable to sit on. From the five feature clues not one student will have written down ‘riding lawnmower’. You can see how much more descriptive goals are than features.”

I am guessing the guys at Diaspora are going to start by building an engine. The question is do they know what kind? For a private car? jet airplane? semi-truck? tractor? generator? Or something else altogether? They’re all “engines” – but they have different purposes and different qualities designed to fulfill their purposes.

How can you know you are heading in the direction you want to go? What do you do to stay on course when you reach an obstacle that forces you to take a detour? You need a lighthouse or a north star – something that calls to you, something that shimmers for you in the dark, something you can look to, something you can aspire to.

You may get there and rejoice. You may get there and realize you really wanted to go somewhere else. You may only get close and realize that is enough for you. You may have to move away from it in order to get closer to it. You may find new places on the way. You may lose interest and decide to go somewhere else. All these movements gain a coherent and supportive context when you have an anchor, something steady to which you can relate, something that can be perceived as getting further or nearer…

The alert message arrives
Although I had never read IAMRONEN’s blog before, this post immediately came to my attention, because I get Google Alerts promptly whenever people post about me and my work. What was particularly unusual about this post is that I haven’t been alerted to any online discussion of my “Name that Product” exercise from my Innovative Product Design course for many years.

So it was really delightful to read IAMRONEN’s blog and to see the author quote Alan’s description of my exercise, and hear that it still excites readers. Even after all these years, it also remains my favorite exercise to run in my classes and lectures, as well.

The second event
But what was even more amazing was the timing, coinciding with the second event. May 14th, 2010 was also the date my first child was graduating from Marygrove College.

Talk about Synchronicity! The alert actually came in on my iPhone while I was sitting through the reading of the names of each graduate and the awarding of their degrees. Now, I think while most parents find the moment when their child’s name is read riveting, the reading of all the other graduates names can be rather boring if you don’t know any of them. So, while I waited for my daughter’s name to be read, I checked out the alert and read the blog article above.

Rosie Rios’ commencement speech
The connection of the content of this post to both the past origin of my course exercise with the commencement speech in the immediate present was eerily meaningful. And the timing of the arrival of this alert synchronized so perfectly with the events that were unfolding at the graduation makes the coincidence of these events all the more salient: US Secretary of the Treasury Rosie Rios, the invited speaker, had just delivered the commencement address to the graduates urging them to take up the challenge to invent new solutions to the world’s major problems and reshape our world and our economy for the better.

The Scots-American Inventor Imperative
That’s the same challenge that my own grandfather urged on me 40+ years ago when he told me that I had an obligation to create innovations to reshape the world for the better. The Scots-American Inventor Imperative he called it. And it is what set me forth on a career devoted to new product innovation.

Moments after receiving the alert and reading the blog, I heard them call out the name of my daughter, Taylor McGregor, who graduated that day with a Bachelor of Fine Arts degree, Magna Cum Laude. Taylor was an amazing scholar held the college’s presidential scholarship for 7 semesters — a longer tenure than any previous recipient. She had also just won a half dozen other academic awards, and had a very impressive art show. I couldn’t be more proud of her.

The Motor City connection
There was something oddly appropriate about the location too. That’s another interesting part of the intertwingling effect, I referred to earlier.

The graduation took place at Marygrove CollegeDetroit, Michigan — home to the US Auto industry, and the hotbed of innovation 100 years ago. The automobile — in all its variants from family sedan, to truck, to tractor, and even riding mower, are now ubiquitous — which is what made it such an illustrative example in my design exercise.

A tough job market for new graduates
Unemployment is high around the world and around the US. But the local economy in Detroit is suffering even worse than most parts of the country. It is a tough environment for a recent graduate to find a job as a web designer, graphic designer, or photographer. Taylor, has recently won several awards, which should make her job search easier than some of her classmates, but even so, she realizes that opportunities are not as bright as they might be elsewhere, and she’s open to jobs in other cities.

A weakly recovering economy in Silicon Valley
Meanwhile, I’ve now returned to Silicon Valley, the US home to innovation for the last 30 years. But even Silicon Valley and I are suffering deeply in this recession. I’m looking for a new opportunity as a CTO, VP of Product Engineering or Product Management in an Internet company or start up. Things are not as bleak for start-ups as they were a year ago, but they aren’t particularly healthy either. Hopefully, I can help improve the odds of success for my next employer or consulting client.

Reflections
These strange connections have given rise to a great deal of reflection on the enormous changes in the the last 20 years, in the world in general, in my life and my daughter’s life, and yet also the comforting persistence of same basic principles that drive great product design and innovation that remain the same, all the while the products they create morph the world at an ever increasing rate. I see my daughter and I standing on opposite ends of our careers, each facing the same uncertain economy but sharing a passion for great design and an appreciation for the power of education as an enabler of positive change.

Whatever cosmic connection is responsible for stimulating IAMRONEN’S own reveries on this important day, I am indebted to it, and to IAMRONEN, for reminding me on this day how much my contributions in educating others are still timely and appreciated. Whether reading of the continuing power of an exercise I taught to a few hundred people several years ago, or reading of the millions of people who now jump on line to web conference instead of jumping on planes, it is a constant source of inspiration to know one’s past contributions have made difference in peoples lives, large and small. It is why I get up each morning and keep doing what i do!

Tying health care coverage to employment is a disaster for entrepreneurs, the self-employed and small businesses. But these are the people who drive the engines of innovation. Today, inability to get affordable and comprehensive individual health policies is a huge disincentive to people contemplating building a new business. Without this disincentive a whole generation of new American entrepreneurs and self-employed workers might arise to improve our economy, create new greener power sources and transportation, reduce C02 and other national and world problems — entrepreneurs and self-employed professionals no long fettered by their inability to acquire affordable, comprehensive individual insurance for their families.

Where is the political party of the Small Businessman and Entrepreneur that is taking the lead and fighting for portable and universal affordable health insurance on their behalf? Entrepreneurs and the self employed take big financial risks but provide most of the employment and economic growth this country enjoys. Yet they also disproportionately face health insurance risks which hamper their efforts to do so. It seems to me that such a political party would not only the party of compassion, but also the party of American individualism and the party economic growth.

Who are the members of this party?

We will recognize them not by their words but by their actions.

I’m sure that millions of Americans like Terri and I would like to find that party and help it succeed in the upcoming mid term elections. But we won’t recognize its members by their partisan posturing or post election promises. We will know who really represents our interests only by what these representatives are able to accomplish on our behalf before the next election, regardless of whether there is an (R) or a (D) designation next to their name.

They get it done

When we see the actual senators and congressional representatives who are able to reach across the aisle to make the compromises necessary to make coverage for all americans an immediate reality, we’ll know that those are the incumbents we will want to re-elect to fix the unforeseen short comings that turn up in the first few years after the establishment of any major program.

They don’t participate in stalemate

And we’ll be able to distinguish them from peers who pontificate and create stalemate and perpetuate both our health care woes and economic woes. We’ll know that those are the incumbents that we want to send packing.

We don’t need immediate perfection. We just need a start!

I don’t know what are the best provisions to put in a bill that ensures that all americans have health insurance all the time. I doubt anyone ever does.

We are not omniscient, we are humans and we make mistakes. We elect human like ourselves as representatives and senators, not omniscient petty gods.

We rarely get these things right the first time, and we know from experience that our representatives don’t either. Luckily, congress doesn’t just vote in such massive programs and then disappear forever. We’ll have years to come to refine and perfect our uniquely American health care program.

But this refinement and perfection can’t start until we have passed at least some plan. In this case, the striving for unobtainable perfection is the enemy of the imperfect, yet achievable good.

For those without, any solution is better than the persistence of no solution

ANY solution that enables ALL Americans, to receive adequate health care throughout their entire lifetimes, regardless of age, marital or employment status, current employer or pre-existing conditions, or any other condition beyond legal residency is preferable to a status quo that effectively denies any of our citizens access to the quality health care available to some of their fellow Americans.

Has Congress No Shame?

That any elected representative should, through their inaction, allow the evils of the status quo to persist and create havoc in the life of any one American is unfortunate. That it should affect hundreds of Americans is unreasonable; thousands of Americans, disgraceful; millions of Americans, intolerable; tens of millions of American is outrageous. That tens of Senators, and hundreds of Members of the House have allowed this problem to persist unaddressed for multiple terms of their incumbency is a scandal.

The second paragraph of the Declaration of Independence, establishing this country, reads:

“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness.”

Our Senators and Congressional Representatives have been entrusted with maintaining these rights, and the health of this great country that we have inherited from our fore-bearers. Each generation has improved the general welfare of all Americans, and the amount of suffering and uncertainty faced in life that existed in the time of our founding fathers has been steadily decreasing. Yet, like all human endeavors, our nation has not achieve perfection in this regard and there is still room for improvement. While today Americans over the age of 65 need not worry about whether they will be able to get the health care they need, hundreds of millions of other Americans may face that uncertainty at some point in their lifetime. No member of congress truly serves his or her state’s or district’s entire populace as long as there remain citizens within that state or district facing this uncertainty.

The Health of the Nation is Intertwined with the Health of All Americans

Congress has been entrusted with the health of this nation and to ensure these labors continue, ever increasing our enjoyment of the life, liberty and the pursuit of happiness, the very rights which this country was formed to guarantee.

But the health of the nation cannot be increased when the future health of hundreds of millions of americans remains uncertain, and subject to the vagaries of economic turmoil, disease and accident.

Good Health is a Necessary Precondition

To enjoy the right of Life, we must have the health that comes from quality care in order to live it fully. To enjoy our Liberty, we must be free from the need to indenture ourselves to a lifetime of service to a large corporation in order to ensure our families can get the care they need to remain healthy — and we must also be free from the uncertainty that we may lose access to that care at any moment, through no fault of our own, but solely due to the economy, actions of our employer, or giant for profit insurance companies. We cannot pursue happiness as our founders intended, when we are constantly in flight to avoid the uncertainties of changing and evaporating health care coverage.

If All Men Are Created Equal Then Why isn’t All Health Insurance Equal?

The very first of the basic truths upon which a legitimate government must operate, according to the Declaration of Independence was that “all men are created equal”.

Indeed, each of our births is a genetic lottery and any of us, and any of our children, could be born with a congenital condition which could have lifelong affects on their health. Should we not have equal access to the health care needed to enjoy the inalienable rights to life and liberty that are birthrights?

And each day we each equally face the random risks of unforeseen disasters caused by forces of nature like Hurricane Katrina, from disease such a bird flu, from physical accidents in our homes, offices and automobiles, and from random acts of mayhem by criminals, terrorists and madmen. The aftermath of these events can have both short term and chronic health altering effects. Should we not all have equal access to the health care needed to treat us for the health consequences of these events?

Where is the equality and justice in an insurance and health care system where access can be terminated summarily through the death, divorce or loss of employment of a spouse, by the whims of large employers or for profit insurers or unavoidable pre-existing conditions, where a person’s health care coverage can vary dramatically from employer to employer, from insurer to insurer, and person to person.

Half a Loaf is Better Than None

Somehow, every other industrialized country has figured out at least some basic health care solution that covers all of their citizens. None of these other plans is perfect yet, and their countries governments continue to fine tune them as well. But they all ensure that every one of their citizens have access to the health care they need. And in that regard, every one of these other countries plans is preferable to the American status quo for each American who is without health insurance or at risk of losing such coverage summarily.

No Excuse For Delay

If Congress can figure out how to cover every American over the age of 65 and every Veteran with adequate health coverage, congress ought to minimally find a way to cover the 100s of millions of other American Citizens who will lose their coverage at sometime in their lives. And while that plan most assuredly won’t be perfect as passed, it will most assuredly better for uninsured Americans than they alternatives they have today.
Then they can begin work on improving it. In the meantime, millions of Americans will enjoy both less stress and greater health.

Fast Action is Possible: Rescuing the Nation’s Financial Health

When the worldwide banking system was on the edge of an overnight collapse and the financial health of millions of Americans was at stake, Congress was able to act instantly and then make adjustments as needed in subsequent legislation. When millions of American’s non-financial health and lives are threatened daily by lack of health insurance, obstructionist incumbent politicians cannot be tolerated. With midterm elections only a few months away, vigilance can guide us in selecting the most effective members to return to congress for another term.

Healthy Small Businesses Mean a Healthy Nation (and Healthy Campaign Coffers)

It is worth noting that entrepreneurs and self employed business owners — and their employees, not only constitute a large voting block that can be mobilized as a stick against incumbents who ignore this issue, it is also worth noting that they also possess a large carrot. Many of the wealthiest american, such as Bill Gates, have made their wealth by founding new companies that subsequently grew large and grew quickly. Recently, the supreme court struck down campaign financing laws that affected businesses. So looking after the interests of today’s new entrepreneurs might not only be good for re-igniting a growth economy, it might just also lead to the growth of wealth that these donors could contribute to future campaigns.

Will individuals in Congress step up to their responsibly to protect the health of the country? Will we see any health care legislation before the next elections? Or will minority parties attempt to stonewall in order to deny the majority a legislative victory?

Time will tell, and we are watching…

The article Feb 5th 2010 Lemondrop article by Allie Townsend entitled ‘Will Marry for Health Insurance’ — One Woman’s Desperate Quest‘, tells the unfortunate story of Terri Carlson. Ms. Carlson suffers from a genetic disease that greatly impairs her immune system requiring life long care. Until recently, Ms. Carlson, who had been a stay at home mother of 4, had health insurance through her husband. Then the couple divorced. Ms. Carlson was able to maintain her ex-husband’s health insurance under COBRA regulations but these regulations stipulate that this capability will terminate in early 2011. For a variety of reasons including her pre-existing autoimmune condition, Ms. Carlson has a limited ability to work outside her home, and been unable to get insurance through her employer. Determined not to be without health care coverage when COBRA runs out, Ms. Carlson recently launched a campaign to find a new husband — who has health insurance — before her COBRA coverage runs out.

Problems with Marrying for Health Insurance

While this action has done a great job of dramatizing the desperation of many Americans without health insurance or who are in jeopardy of losing health insurance soon, and has yielded Ms. Carlson over 1000 proposals so far, there is a big problem with this strategy for getting health insurance here in the USA.

Let’s say Ms. Carlson meets someone who is single, and has health care through his job. It is still quite possible that she will lose that coverage again very soon. For instance, consider these possibilities:

• Involuntary Unemployment. Three months later, the economy tanks again and his employer lets him go. Now he’s on Cobra until it runs out. If he becomes disabled while he is between jobs, he may find it hard to get another job in his field. He may find it had to get coverage, except at HIPAA rates due to his pre-existing condition.
• Small Business insurance turmoil. Or maybe he owns a small business and has a policy for his family, and the families of his two employees. When his health insurance contact comes up for renewal, he finds that his former insurance company doesn’t want to offer him a new policy, because their claims costs have increased since he married her. So he starts shopping for a new policy with a different insurer, but for that size company they want to know about the expense levels for the previous year, they either choose not to offer him a corporate policy, or their rates are so high that none of his employees will be able to afford them.
• Divorce. Coverage would end if the marriage ends divorce. The probability of divorce is even higher the second time around. COBRA Coverage may be available, but for only a limited time.
• Death. Her husband could be struck and killed by a car while he is cross an intersection in the cross walk. COBRA Coverage may be available, but for only a limited time.

All these scenarios could leave her in the same no health care situation she is in today, looking for a new way to get affordable health insurance before her current policy or COBRA ends.

Reccomendation: Find insurance not dependent on employment, or marital status

My recommendation is that Ms. Carlson amend her search and look only for men who can guarantee her PERMANENT health insurance — health insurance that she can keep even if he loses his job, can’t get his policy renewed, divorces her, or is killed.

Reside anywhere in the industrialized world (except the US!)

Her choices are not limited solely to choosing among Canadians and Americans who live in Massachusetts. All she needs to do is to marry someone who lives in ANY other industrial nation, or is willing and able to immigrate to any such country. Once she becomes naturalized in that country (or a legal resident of Massachusetts) she will have coverage that can’t be taken away from her regardless of what happens to her spouse.

That means she really can marry for love, she just needs to insist that after they marry they both are agreed that they will resided in a civilized part of the world where every resident is guaranteed health insurance, regardless of their marital status or current employment status. For someone who loves really her, that shouldn’t be too big a request to make.

States that ensure health insurance available to all

Perhaps by that time, there will be other progressive states like Massachusetts that rise to the challenge of providing health insurance for all their residents regardless of marital and current employment status. There is a growing movement to do so in California now.

Someday, USA?

Perhaps someday the conservative minority in the senate will decide that maintaining the health insurance status quo that keeps Terri and millions of other uninsured people in this mess is no longer preferable to even the weakest passable plan that ensures coverage for All Americans. And then at least some plan will pass that will ensure no American will ever again suddenly discover that their health insurance can disappear, or that the coverage they have will turn out to refuse to pay for the care they need.

Will All Americans Be Able to Access the “World’s Best Health Care“?

When that day comes maybe the supposed “World’s Best Health Care” the US has will be available to ALL American citizens, not merely some currently employed people, their spouses and minor children, and the wealthy foreigner’s of the world. Then Americans like Terri can enjoy the health security that citizens of the world’s other industrialized nations take for granted. Then Terri can live anywhere in the US — without her marital status affecting her health insurance coverage.

Is there a constitutional way to prevent such an undesirable result, while still allowing corporations unfettered ability to exercise their freedom of speech?

I think so. In fact, I think that there is a way to do so that will actually increase access to effective political speech for everyone.

Here’s how:

Allow unfettered campaign contributions by any person, or corporation, domestic or foreign — but put a 50% tax on all contributions. Those tax receipts then form a public election campaign fund which all candidates in the race can draw from to help them spread their message. So anyone who has money and thinks that their message isn’t getting out, can make a donation to get that message out — but in doing so, they will also be enabling other candidates to get their message out too. This should be especially beneficial for candidates who might otherwise have limited funds and be unable to get out their message. Now it isn’t a question of which campaign has the money to get its message out, but there is actually enough money for a real battle of ideas from all candidates.

How would this work?

Let’s say that I am CEO of a large oil company, perhaps even one headquartered in Europe. I’m concerned that one of the California senate candidates, Al Green, is campaigning on the idea of a Carbon tax that is so onerous to oil companies such as mine that I believe my company’s US profits will be halved if this candidate is elected and this tax is enacted. I believe that in order to keep the trust of my company’s share holders — and to keep my own job — I am going to have to close 50% of the refineries and other marginal operations in California which will no longer be able to cover their cost. I believe that I’ll have to increase prices at the pump at least $0.50 per gallon, and lay off 25,000 employees in California alone. I’m worried that voters may not be aware of how this tax could affect their jobs and their pocketbooks. So I want to donate to the campaign of Red Pacaderm, a candidate that is opposed to a Carbon tax, and sympathetic to businesses such as mine, so he can get out the message of what the effects of such a carbon tax is.

Let’s imagine I contribute $10 million to my favorite candidate, Red Pacaderm. $5 Million of my contribution is taken as tax and goes to the California Senate Campaign Fund. Let’s say that there are 6 senate candidates registered on the ballot in California. There are the two major party candidates, Red Pacaderm (R), and Jenny Blue (D), but there are also 4 minor party candidates qualified: Al Green (Green Party), Connie White (Constitution Party), Violet Flowers (Libertarian Party), and Earl Gray (Tea Party).

These other 5 candidates will then split the $5 million in tax and wind up with $1 Million each that they can use to get their messages out. So, while Red will have another $5 Million to spend letting Californians know how a high Carbon Tax will affect the price they pay for gas, Al Green will have another $ 1 Million to spend explaining the consequences of Global Warming in the Carbon Tax isn’t implemented. Jenny Blue will have another $1 Million to talk about how a Carbon Tax could fund improved health care for all, and Violet Flowers will get a $1 Million to explain her view that we should not have a tax, but rather an incentive program (her “Let a 1000 flowers bloom” program) that encourages more entrepreneurs and new businesses to create new energy saving and alternative energy generating devices. Connie White and Earl Gray each use their $1 Million to make their names better known to more voters as well.

Whether this additional information from all candidates will result in a more informed electorate might be debated, but at least there is more information available to those who would choose to be better informed.

This same approach can also be used to govern contributions to organizations campaigning on one side or the other for voter initiatives, or even on money contributed to political action committees that run advertising, etc. independent of any specific candidates campaign.

Would such a tax be considered unconstitutional for the same reason’s campaign spending limits have been stuck down by the Supreme Court?

I don’t think so.

Here’s why:

As has been frequently emphasized in debates about open software, there are two very different meanings of the word “free”: 1) free meaning “zero cost” and 2) free meaning “unrestricted”. Freedom of speech refers to this latter meaning, and the Supreme Court pointed out that laws that forbid such speech, or limit how much can be spent on such speech are limits — the very thing the first amendment guarantees the government won’t limit.

But the first amendment does not address the cost of expressing your views. Historically those costs have been high, as printing presses, paper and distribution cost of information has have been high. Standing on a soapbox on a street corner wasn’t expensive but it didn’t reach many people. Printing was expensive but could reach many more people. Television was expensive, but it reached many more people. But today anyone can twitter or put up a facebook page, and cost of reaching millions of people might be much lower. But there is still a big imbalance in quality and quantity of information, voters receive about different candidates and issues. This tax does not put any upper limit on how much money can be contributed to getting anyone’s preffered message out — it ensures that all the other voices won’t be drowned out by large campaign contributions to any one candidate or issue campaign.

But first, if you are someone who wants to stay in the innovation game, and stay at the top of your game, you have to keep your creativity skills sharp and your attitude upbeat. To all those readers who found 2009 challenging, I offer you two humorous holiday videos that I created for two of the companies that I have been involved with in 2008 and 2009. If you like them, please share them with others. We can all use a pick me up!

• “Happy Holidays in Silicon Valley” for SWIFT Design Group, a Management Innovation Consulting practice.
• “Festival of Lights” for XooXooX, A Web Advertising Service That You Control.

What made 2009 so hard in Silicon Valley, and who was affected? Here’s a sampling of the kinds of people among my friends and colleagues who will be glad to see 2009 behind us.

Investors

If you were an investor, it was hard to predict how much “dry powder” you might need to set aside to help keep alive a start-up while the economy is stuck in slow gear.

Self Funded Entrepreneurs

If you were an entrepreneur and didn’t need funds, a recession can be your friend when it shakes out new competitors and causes established market leaders to focus internally on cost cutting. But unless you had deep pockets and were self-funding your start-up, or were already cash positive, you’ll eventually need to raise some cash.

Debt Financed Entrepreneurs

If you were an entrepreneur and did need funds, it is always tough to raise money, but 2009 was worse than usual. Even if you had some income, the credit crunch in the first half of the year made it tough to get debt financing as well. Your own customers were having trouble paying their bills, but without at least debt financing, you couldn’t keep the customer by extending payment terms.

Equity Financed Entrepreneurs

Equity financing for star-ups wasn’t any easier. Not only did investors have no idea how long it would take for markets to rebound, but they also didn’t know when/if IPO markets will re-open and larger companies will go into acquisition mode. And any investments that they had in the stock market were under performing, and probably showed a loss early in the year.

Consultants

If you were a consultant to start-ups, Your client base was cutting back and cutting contracts. They didn’t have cash to pay you but you can’t keep afloat on all 100% equity deals. Large numbers of laid off executives were competing for an ever shrinking set of consulting opportunities.

Employees

If you were an employee, chances are that you felt very uncertain about your job. Whole companies were crashing. Acquisitions often resulted in transfer of products, but layoffs of the acquired team, part of the acquirer’s team or both. Sales were often down so much that no amount of belt tightening could reduce expenses sufficiently to match the new lower income numbers, so layoffs were inevitable.

The Unemployed

If you were a victim of a layoff in 2008 or 2009, 2009 was a difficult time to find a new job. The number of people on the unemployment rolls in the valley exceeded 10% and because many people had exhausted benefits or were no longer looking, quite a few analysts estimated that actual number of people who wanted to work in Silicon Valley, but couldn’t find a job, may have reached 20%. And the average amount of time on the unemployment rolls drifted upward of 6 months on its way toward 1 year of unemployment!

Here’s hoping that 2010 will be better.

Here’s what I am hoping for in 2010: a new consulting gig, or an executive role with a young (but funded) Internet, web and software Startup in Silicon Valley. As always, my goal is to build innovative strategies, teams and processes that create disruptive innovations that pioneer new markets. I enjoy all the steps of this process beginning with conception and product design and engineering all the way through successful product introduction, growth and resulting in product leadership in the new market. I’ve done this before several times, and I expect to do so again — I don’t know where I will do that right now, but I’m hoping to begin this accomplishment in 2010.

If you had a tough year in 2009, I hope 2010 is more prosperous for you too! Let’s renew our friendships and see what we can do for each other. Let’s reach out to new friends and see what we can do for them. The economy is just what we all collectively do. So if we all believe in and help one another, we will have that turn around we all want.

My offer to you:

If you are a CEO or senior executive at a start-up or innovative technology company and you need some help turning your advanced research into a market leading product, building a top technical team or product management team. I’d love to help you achieve that success.

If you are an investor with a promising young company that needs some seasoned management experience and startup expertise, I’d love to explore what we might accomplish together.

If you need consulting help in how to increase innovation in your company in general, or to lead a skunk works project to develop a radically different product or process, I can help you accomplish that.

And if you are a talented software engineer or product manager or product marketing manager who thrives to on innovation and start-ups, let’s keep talking: I always like to bring great talent to my employers, clients and companies. And who knows, maybe we’ll find we have the talent to found a new company ourselves.

In today’s blog, I am referring to a number of incident of false information, spread by the Internet, which have achieved wide dissemination and resulted in increased polarization and scapegoating of individuals and groups in our society. This blog is now about these incidents per se, but about the mechanism and effectiveness of this approach and its potential impact on our society. Although the examples show various partisan bents, this is not a partisan post; we are all targets of such disinformation no matter what we believe, and we will all suffer the consequences if civil political discourse is destroyed by these measures, and we will all enjoy the benefits of increased mutual respect and cooperative action if civil political discourse can be encouraged.

Alarm bell 1: “You Lie” outburst

The other night Representative Joe Wilson (Republican, South Carolina) interrupted President Obama’s address to congress and to the nation by shouting “You lie!”. This story is all over the press, and I won’t repeat it because this blog entry is not about that outburst per se,nor the next 3 alarms that follow, but it is inspired by it. While the question of the cost of a national health care program is a real concern, as well as measures for controlling those costs, many hoax letters have been circulating with misinformation about mandatory death panels, guaranteed coverage for illegal aliens, etc. have been circulating widely, with the intent to alarm people not inform them.

Alarm bell 2: Bozeman Montana Townhall letter

Also, a few weeks ago I received an email from a family member that included a forwarded email reporting and commenting on events that supposedly occurred in conjunction with Obama’s recent town meeting in Bozeman,Montana. The sender was outraged by what he read about the wasteful ways and stifling of free expression by the administration as reported in the letter. This letter had passed from friend to friend to friend, and each recipient tacked on their own personal feelings of outrage at the administration after reading it. You may have received a similar letter. Indeed, I think that everyone who reads this letter would agree that the actions of the administration reported in the letter are indeed wasteful, oppressive, and outrageous, and that citizen action is necessary to ensure they don’t continue. The problem is, the events that reported that were true factual news reporting of when and where the event was held, etc., but the alarming parts of the letter, the reported outrages described, didn’t happen. It was a hoax hoax email.

Alarm bell 3: Presidential IQs

These letters aren’t just authored by radical conservatives. Back in 2001 I received an email from an alarmed colleague containing a letter purportedly reporting on IQ tests conducted on the 12 previous presidents, whose spans jointly covered 50 years. The letter reported the Lowenstein Institute as ranking William Clinton the highest, followed by Jimmy Carter and JFK, while Eisenhower, Ford, Reagan, George HW Bush and George W Bush were reportedly all at the bottom. The letter also reported the average IIQ of the 6 Republicans as 115.5 for all Republicans, and 156 for the Democrats. This letter was circulated again in 2007 during the election, from yet another source. This email too was a hoax.

Alarm bell 4: Average citizen IQs by states

It isn’t just politicians who are being smeared to make civil political discourse amongst each other impossible. In 2004, a hoax email reached me that gave out false Average IQs by states. Not surprisingly all the states whose electoral votes were won by the original author’s favorite candidate were in the top half of the list, while those on that went the other way all appear in the lower half of the list.

The consequences of these hoaxes

This is just a small sample of the emails that have been circulated to me through several hands. These were all hoaxes. And they took in many very bright, and normally skeptical people. But the sense of outrage toward the targeted scapegoat groups that resulted from their initial consumption was very real and persists today — making it even easier to believe more outrageous false reports in the future.

Even smart people are taken in

The people who have sent me this letter, and other alarmist letters in the past are not unsophisticated, naive, or unquestioning citizens; they include bankers, entrepreneurs, venture capitalists, and a former parter in charge of the international offices of one of the 4 accounting firms, and other people whose success is often dependent on retaining a fair amount of skepticism. And if these people can be manipulated in this way, we are all vulnerable to such manipulation.

The internet is not evil (but it can be used effectively for devise purposes)

Don’t get me wrong. I love the Internet. I have been working for 30 years to enable computers and networks to enable better communication among people in distant locations. Among the many products that I have helped to define and bring to market is the first commercially successful Web Conferencing product, today known as Microsoft Live Meeting. And I’m pleased to know that every day over a million people use it to meet with people at a distance, instead of having to hop on planes. I certainly don’t want to shut down that kind of communication.

Why we need civil political discourse

This entry is about the importance of civil political discourse, propaganda, the influence of the Internet and social networks on political discourse and my serious concern that our ability to have a civil political discourse is being undermined. This is a non-partisan concern, as it effects all of us. The importance of political discussion is that many of the benefits and protections we seek from government can only come from mutual action and consent. And mutual action and consent requires mutual respect for the needs and desires of all people who participate in the political discourse, not just those we agree with.

The alternative is temporary stalemate, followed by unilateral action and domination by force, and at its extremes genocide, tribal warfare, civil wars and other conflicts such as the Hutus vs. Tutsis in Rwanda, Catholics vs. Protestants in Northern Ireland, Serbs vs. Croats and Muslims in Bosnia, Sunni vs. Shiite in Iraq, and the Nazis vs. the Jews in Nazi Germany, and lest we forget it can and did happen here in the US between abolitionist and slave states.

These chain letters are not designed to mobilize us to SOLVE problems by finding solutions that will work for everyone — They are designed to make any solution impossible, to push our buttons, not only to foster hate and distrust, but to get us so upset we have to mobilize our friends and enroll them in the campaign of distrust as well. It uses the same kind of social engineering tar computer virus writers use to temp us into infecting our computers and toy spread that infection to our friends. The fabrications are artfully interwoven with well known (and boring, not alarming, facts). The latter give them credibility, the former enrage us, and stir our anger at a class of people that the author wishes to identify as the scapegoat that is causing all the evil in our country.

Which individual or class we are supposed to hate varies with the author and their goal, but we are all likely to be exposed to ever more of these letters, and if they succeed, we’ll all be hating everyone like in Tom Lehrer’s “National Brotherhood Week” parody:

All the white folk

Hate the black folk,

And the black folk

Hate the white folk,

All my folk,

Hate all of your folk

And everyone hates the Jews.

But during National Brotherhood week…

The danger is not in the lie, but in the repeating…

It isn’t the specifics of the lies that upset me so. I don’t feel the need to debunk them all point by point. No, the thing about these letters is the speed and reach with which they are spread. Those perpetrating these hoaxes have learned well the lessons taught by Joseph Goebbels, Reichsminister of Propaganda in Nazi Germany from 1933 to 1945:

“If you tell a lie big enough and keep repeating it, people will eventually come to believe it”

The role of the Internet in rapid reproduction and dissemination of alarmist hoaxes

The internet, which brings us instantaneous friend to friend emails, social networks, and blogs is the greatest tool for rapidly repeating and disseminating lies as any wannabe propagandist could ever want. It is nearly effortless to get your message repeated over and over and over by well meaning people in just a short period of time. And because our social networks overlap so much, we receive the same message (that might seem dubious from one source of unknown credibility) from multiple sources, friends and family and colleagues we trust. Surely they can’t all be deceived — so we become even more convinced of the truth of these lies. But that’s the scary part about which Goebbels spoke of, When we hear it repeated everywhere, we all quickly forget what the original source was, and then we accept it as truth without question.

A Need for Increased Skepticism

We need to wake up. We need to become more skeptical. And we need to put into place automated mechanisms that alert us that these kinds of messages can be hoaxes, just as we have created automated methods to alert us to potential Phishing emails and Spam. If we do not increase our skepticism, and counter the quick spread of such hoaxes, we will surely turn large portions of our scapegoats and solve the problem of having too many of these scapegoats — but not eradicate the evil we claim they caused.

No one is safe, everyone is a target of disinformation

It doesn’t matter who the identified scapegoat is: Now it isn’t just the blacks, whites and Jews that Tom Lehrer parodied. Everyone of us now has a target drawn on our back by some internet propagandists intent on creating hatred and distrust for Democrats, Republicans, Conservatives, Liberals, Right to Lifers, Right to Choose supporters, evangelicals, gays, lesbians and transgenders, illegal aliens, rich white men, blacks, skinheads, politicians, union leaders, central bankers, the CIA, the liberal press, George W. Bush, Dick Cheney, Barack Obama, Hillary Clinton and everyone else. Every one of these has been identified by some internet propagandist as the source of all the countries ills in these emails I have received, in blogs referenced by other blogs, and in web pages promoted through twitter and repeated in podcasts on YouTube and iTunes.

A lonely planet

No one group above is responsible which evil in our society, but the logic of these propagandists is that if we euthanize or deport all members of all of these groups we don’t like we will probably eradicate all our problems. Sadly if every one of them is successful, they will all be right, for there will beno one left to complain or care.

I am frightened to see how easily educated, well meaning and really caring folks are not only duped by these propagandist artists but actively enlisted in copying and disseminating these lies, and unconsciously supporting these campaigns to spread more hate and fear.

Remember “Never trust anyone over thirty”?

Folks, this has to stop. If it doesn’t, some of us will wind up victims of this hatred. We don’t have to go back to Nazi Germany to see what this kind of division does to a nation of people who hate and fear each other. We don’t need to look at Sunni and Shia violence in Iraq, we don’t even need to look all the way back to the Civil War. We have plenty of other examples closer to home, with millions of people who still remember what it was like. People who. saw what happened in the 60s, at Kent State, at the Democratic convention in Chicago, in Memphis and Missisippi, with the SLA, the KKK, the Weather Underground, Black Panthers, Jack Kennedy, Bobby Kennedy, Martin Luther King, and Malcolm X. It was a time when a common phrase in the youth culture was “never trust anyone over 30″. We know what happens when we can’t trust each other. It is not unthinkable that we will face that level of unrest again. Indeed, if we don’t start the hatred and scapegoating it may well be inevitable.

Break the cycle:

Look not for how your neighbor can deprive you, nor how you can deprive your neighbor, but how together you may both prosper.

If we are going to avoid revisiting such times of violence, we need to stop assisting the propagandists who foment fear and distrust and single out groups or individuals as the scapegoats we should blame. We must break with the idea that those who are not with us are against us. Instead we must ask ourselves what common needs and desires do we all have in common as Humans? How can we work together to find ways to increase the ability of all to secure their own needs and achieve their own desires together?

Look, we know the propagandists aren’t going to stop inventing all these alarmist stories, so we can’t expect these to stop at the source. Not if we want to continue to have freedom of speech. We have this same problem with Spam as well. But while we can’t eliminate Spam, we have created effective ways to limit its transmission and effects.

Let’s NOT just pass it on.

Since we can’t stop these hoaxes at their source, minimizing its impact means we have to find ways to stop the spread of propaganda at the earliest point in the distribution. It means we need to take the responsibility for spotting it, and not passing it on — no matter how artfully the authors weave the alarmist lies with the boring truths.

We have to learn to become skeptics and create automated mechanisms that assist us in identifying things we need to be skeptical of.

A FEW STEPS WE CAN ALL TAKE: AN EXAMPLE

Here’s how I try to verify or refute such letters.

First of all, anytime someone sends me a letter that has alarming information in it, which it blames on some political group, or prominent person, I try to check it out — even if it contains parts I already know to be true, or it blames groups or individuals that I currently dislike, fear or distrust. Maybe even ESPECIALLY if it seems perfectly targeted to appeal to my existing biases and beliefs and just make me more alarmed. Because that’s the one I am most vulnerable to. But if I get sucked in, I may burn bridges with the very people I need to enroll for mutual assistance and benefit.

Using snopes.com

If I identify the letter as having alarmist attributes, i immediately check to see if it has been verified or debunked. Most of these letters I see have already been reviewed by Snopes.com, the urban legend verification site.

Usually the way I check on such a letter is just to highlight a paragraph from it and search for that paragraph using Google. I almost always find some place where the veracity of the letter has been verified or refuted.

Using Google search

For instance, the Montana Town hall chain letter is covered in snopes.com at http://www.snopes.com/politics/obama/montana.asp. It was easy to find. I just highlighted a paragraph in the copy I received, copied the selected passage, and pasted it into the search field for the Google search engine. The snopes.com reference was 7th in the hit list. It took me less than 3 second to find the snopes article, and see that it is “mixed truth”. A couple of minutes more and I had read it and find out what was true and what wasn’t. I chose not to pass it on, but instead to write this blog entry.

I hope you will join me, not in hating propagandists, but in refusing to help them spread hatred and civil unrest. I hope you will also join me in a movement for more civil political discourse, and respect for those who disagree with us.

Abstract

This article describes a seven-point plan for a private health care insurance option that meets the goals that the proposed public health insurance option was designed to address, but which are not met by today’s existing private employer paid system. This article further challenges private insurers (and their supporters) to step away from mere criticism of a public option by stepping up to the plate and with a specific and credible alternative that meets the goals that the public option was designed to address: continuity, universality, comprehensiveness, affordability, and equity.

Proposed rules for such private universal care policies rules are described later in this article.

What American’s don’t like about today’s health insurance alternatives

Americans don’t want a health care insurance program like in Canada or Britain. We like to do things our own way.

Americans like private sector competition and believe that capitalism can be a force yielding lower costs, greater choice and higher value – at least when as the private sector investor’s goals are aligned with those of the consumers. Yet, we have seen also seen all to clearly how millions of ordinary Americans have suffered great economic setbacks when our nation’s laws or watchdogs have not ensured that they are so aligned.

Americans who have employer paid group health insurance plans value them and the choices the have to select among them, and competitive forces in this arena have resulted an ever growing choice of plans to help provide better health care coverage while simultaneously striving to slow the ever increasing cost of that care. Today we have HMOs, PPOs, HSAs, POS and many other plans.

Unfortunately, for those of us who do not have such plans and whose only alternatives today are individual and family coverage, the profit motives of private insurers and our individual needs are not as well aligned. In particular, insurers offering group plans compete to attract a company’s business by covering all members of the group equally. However, in the case of family plans, the insurer can pick and choose who to cover, when to cover them, and what not to cover.

The result is that millions of us, including many self-employed Americans, are without coverage, or have inadequate coverage. And those luck Americans who do have employer paid health care are constant at risk of losing it should their employment situation change.

That’s why congress is debating health care insurance reform right now.

Requirements of a credible plan

We all want to know that we will have coverage when we need it (universality), that we will able to maintain that coverage regardless of whether we change employers, become self employed or unemployed (continuity). We also want to know that our policy will be cover all our family member’s needs regardless of which chronic conditions any of them may have or may develop at some time (comprehensive) and that we will be able to afford it regardless of whether we are young and healthy, or older and infirm (affordability). Lastly, we want to know that equal coverage is be available to all (equity).

Of these 5 goals, continuity is the goal that is hardest to reconcile with private employer paid plans, because it is increasingly becoming a very rare situation for anyone to have lifelong employment with one employer that is continuously doing so well that they are not tinkering with which insurance plans they are offering (which employers often change when costs are growing rapidly, or the economy or their industry is not doing well).

Problems for people who can’t get employer paid health insurance

Families and Individuals applying for insurance on a personal basis, including the self-employed, often find that their options for insurance coverage are significantly worse than options available through employer paid plans:

• Insurers require Medical testing and patient medical records before coverage is underwritten – something that isn’t done with most employer based plans.

• Coverage can be denied outright to such individuals and family members.

• Premiums may be exorbitant compared to the cost of similar coverage through an employer-based plan.

• Coverage offered may be extremely limited in scope, and specific conditions (including most or all pre-existing conditions) may be excluded, even if they would not typically be so limited in an employer paid program.

• Coverage may be arbitrarily denied after expenses have already been incurred, and policy limitations are often so complicated that consumers have no idea whether their health care needs will be covered when they purchase a policy.
Problems for Americans who have employer paid health insurance

Even for Americans who are employed there are several problems with employer paid plans:

• Employers may find insurance policies so expensive that they do not offer insurance – this is especially true of new companies (who represent our economic growth opportunities of the future) and service industries such as restaurants and retail establishments who often provide employment to the unskilled, young people getting their first jobs, and others with incomes who might not be able to afford most personal policies.

• Employers may reduce coverage their plans offer as a money saving strategy – especially when the economy is in reverse. This can lead individuals to discover that a family member’s needs are no longer covered. And getting alternative coverage may be difficult or impossible to get for some pre-existing conditions afflicting family members.

• Employees may lose their jobs, and ultimately their employer paid insurance especially when the economy is troubled. Even if they are able to hold onto their insurance through COBRA, may find that without a job they can no longer afford it, or that if they are unemployed for a long time they may find out that even COBRA coverage has been exhausted. If an employee is no longer able to perform their previous job due to an accident or health problem, and yet they also do not qualify for Medicare, individual coverage may be impossible to acquire.

Assessing our fears and becoming proactive

Americans want a plan that gives us all the advantages of employer paid plans with multiple insurance companies competing for business, but which provides equal coverage for all Americans, and is not affected by the vagaries of their individual employment situation, or of the economy in general or prior conditions.

Some Americans are afraid that a public health care insurance option would result in a reduction in quality and flexibility of their current employer paid insurance programs.

Some seniors, disabled individuals and other Americans covered by Medicare are afraid that a new health care insurance option would result in a reduction in their benefits.

The congress is now debating how ways to provide health insurance that covers all Americans: regardless of whether they are currently unemployed, self-employed, or employed without employer paid coverage, which does not have the limitations of today’s individual and family plans.

The inadequacy of the current Individual and Family care coverage has led many in congress to support “a public option” and this is causing considerable concern among those who fear such a system will destroy the private option, or undermine the existing Medicare system.

The Proposed Private Alternative

Without commenting on whether these fears are well-founded or ill-founded, nor whether this public debate is being conducted in a way that will generate light or merely heat, I would like to address the concern in a constructive manner by offering a proposal which private insurance companies could endorse which would address the goals of the public option, but through a competitive private market system.

I call this proposed system, The American Plan.

The plan is simple, and it does not require congress to legislate it – it merely requires several large insurers to come together and petition existing state government insurance commissioners to grant them the ability to offer the following coverage to all residents of those states.

The policy is a group policy, voluntarily offered by private insurance companies, where the covered group is the currently uninsured or underinsured residents of each state, or those who find this plan more attractive than the plan their employer offers.

To ensure equity, universality, and continuity, the American Plan group policy should have the following characteristics:

1. For the first 5 years, the policy shall be underwritten based upon the demographics of all residents of the state in which the policy is offered and their immediate family members. Thereafter policies may be underwritten based upon the demographics of plan participants over the previous 5 years. (Equity)

2. The policy shall be offered to every state resident (and their immediate family members) on an equal basis. This means the price of the policy, and the conditions, care and treatments covered shall be the same for all covered persons, regardless of age, gender, or prior health conditions. (Universality)

3. The company shall offer at least one policy that provides coverage equal to the coverage provided by Medicare at that time. This is called the “reference policy”. The company may also offer one or more policies with less coverage for a lower premium, as well as policies with greater coverage at higher price points. (Comprehensiveness)

4. The insurer agrees to offer the reference policy on a most favored customer basis, that is, the expected underwriting profit margin on this policy may not be greater than any other policy written for any other group of the same or smaller size. (Affordability)

5. The policy shall include equivalent coverage for the resident and covered family members when traveling or while attending a school, college, or university anywhere within the US. (Comprehensiveness)

6. The company may not cancel the policy for any reason other than failure to pay the premium or fraud. If a policy is cancelled for failure to pay the premium on time, the policy shall be reinstated, effective immediately upon receipt of the full policy payment. (Continuity)

7. The company agrees to accept premium payments on behalf of an individual or family by either a state organization (if the state desires to subsidize health insurance premiums for some residence) or by any small business that wishes to provide paid insurance to their employees. (Affordability and Equity).

Time for action

Recently, opponents to the public option have been very vocal in their opposition, but their focus has largely been on opposing the proposed public option, but without offering a universal coverage alternative by the private sector. It is time to stop talking and start doing something constructive.

The above proposal is being offered with the hopes that those who favor private sector provided insurance will take a constructive approach by encouraging major insurers to commit to offering “the American Plan” now, demonstrating their ability to provide a credible alternative that provides universal coverage at affordable rates.

If competition in the private sector really can deliver on the promises of lower costs, greater choice and higher value, then because of the way the reference plan is defined, seniors and others on Medicare should have nothing to fear.

Nor should those who fear government’s ability to manage anything as efficiently as the private sector have anything to fear – for the private sector is left free to deliver as efficiently and affordably as it is able – the government in this model merely sets the minimum set of 7 requirements, and provides oversight to see that goals such as equity and continuity are met, and assists the needy with subsidized premiums.

A hidden benefit of Continuity: better preventative care and lower overall cost

One of the hidden benefits of a plan that has continuity is that it can improve both quality of life AND reduce health care costs. Because health insurance is not portable from employer to employer, an insurance company can’t be sure that those it insures today will continue to be policyholders in the future.

This can cause insurance companies to make decisions that save money in the short run but increases costs in the long run – because the insurance company knows it will have lower costs immediately, while the longer term cost might well fall on a competitor. For example, an expensive vaccine might be very effective at preventing a form of viral infection that often triggers cancer. By not paying for the vaccine expenses in the current year might be saved, but higher costs for later treatment if the vaccine is not given might not be experienced by the insurer, because the policy holder may have changed to a new employer and a competitor’s plan before that cancer is likely to be discovered.

The result, less preventative care, greater long term cost and poorer long-term health.

Or viewed the other way, if the insurance company spends the money today to pay for inoculations, it might be competitors who see the savings when the frequency of occurrence of those preventable cancers goes down.

The value of individual customer loyalty

With employer paid plans, insurance companies can’t build customer loyalty with their individual policy holders, because the policies are sold to employers and the policy holders switch employers. But when the insured can, and do maintain the same coverage every time they switch jobs or leave the workforce, the preventative care costs the insurer incurs today may be offset by even greater savings in the long term. And when individuals can make their own long term decisions, companies have an incentive to treat them well and build long term policy holder loyalty. Even procedures that are not merely preventative but restorative might become more cost effective. For instance, laser eye surgery might be costly in the short run, but save considerable money in the long run by eliminating the need for annual or biannual lenses and frames.

Thus creating the opportunity for individual policy holder loyalty better aligns the interests of the individuals and the insurance companies, encouraging insurers to offer better care coverage at lower costs as well.

Tax Savings

Lastly, if private sector competition does reduce costs and increase value, the reference plans these private companies offer provides the states and Federal governments with proof of concept approaches for providing Medicare equivalent coverage at lower cost – and that could contribute to better coverage for Medicare recipients at overall lower costs to taxpayers.

It is the best outcome possible, a Win-Win-Win: a win for the consumer, a win for the insurance companies and their shareholders, and a win for taxpayers. And that’s what we Americans like!

Summary

This article describes a seven-point plan for a private health care insurance option that meets the goals that the proposed public health insurance option was designed to address, but which are not met by today’s existing private employer paid system. This article further challenges private insurers (and their supporters) to step away from mere criticism of a public option by stepping up to the plate and with a specific and credible alternative that meets the goals that the public option was designed to address: continuity, universality, comprehensiveness, affordability, and equity.

Proposed rules for such private universal care policies are described later in this article.

What American’s don’t like about today’s health insurance alternatives

Americans don’t want a health care insurance program like in Canada or Britain. We like to do things our own way.

Americans like private sector competition and believe that capitalism can be a force yielding lower costs, greater choice and higher value – at least when as the private sector investor’s goals are aligned with those of the consumers. Yet, we have seen also seen all to clearly how millions of ordinary Americans have suffered great economic setbacks when our nation’s laws or watchdogs have not ensured that they are so aligned.

Americans who have employer paid group health insurance plans value them and the choices the have to select among them, and competitive forces in this arena have resulted an ever growing choice of plans to help provide better health care coverage while simultaneously striving to slow the ever increasing cost of that care. Today we have HMOs, PPOs, HSAs, POS and many other plans.

Unfortunately, for those of us who do not have such plans and whose only alternatives today are individual and family coverage, the profit motives of private insurers and our individual needs are not as well aligned. In particular, insurers offering group plans compete to attract a company’s business by covering all members of the group equally. However, in the case of family plans, the insurer can pick and choose who to cover, when to cover them, and what not to cover.

The result is that millions of us, including many self-employed Americans, are without coverage, or have inadequate coverage. And those luck Americans who do have employer paid health care are constant at risk of losing it should their employment situation change.

That’s why congress is debating health care insurance reform right now.

Requirements of a credible plan

We all want to know that we will have coverage when we need it (universality), that we will able to maintain that coverage regardless of whether we change employers, become self employed or unemployed (continuity). We also want to know that our policy will be cover all our family member’s needs regardless of which chronic conditions any of them may have or may develop at some time (comprehensive) and that we will be able to afford it regardless of whether we are young and healthy, or older and infirm (affordability). Lastly, we want to know that equal coverage is be available to all (equity).

Of these 5 goals, continuity is the goal that is hardest to reconcile with private employer paid plans, because it is increasingly becoming a very rare situation for anyone to have lifelong employment with one employer that is continuously doing so well that they are not tinkering with which insurance plans they are offering (which employers often change when costs are growing rapidly, or the economy or their industry is not doing well).

Problems for people who can’t get employer paid health insurance

Families and Individuals applying for insurance on a personal basis, including the self-employed, often find that their options for insurance coverage are significantly worse than options available through employer paid plans:

• Insurers require Medical testing and patient medical records before coverage is underwritten – something that isn’t done with most employer based plans.

• Coverage can be denied outright to such individuals and family members.

• Premiums may be exorbitant compared to the cost of similar coverage through an employer-based plan.

• Coverage offered may be extremely limited in scope, and specific conditions (including most or all pre-existing conditions) may be excluded, even if they would not typically be so limited in an employer paid program.

• Coverage may be arbitrarily denied after expenses have already been incurred, and policy limitations are often so complicated that consumers have no idea whether their health care needs will be covered when they purchase a policy.
Problems for Americans who have employer paid health insurance

Even for Americans who are employed there are several problems with employer paid plans:

• Employers may find insurance policies so expensive that they do not offer insurance – this is especially true of new companies (who represent our economic growth opportunities of the future) and service industries such as restaurants and retail establishments who often provide employment to the unskilled, young people getting their first jobs, and others with incomes who might not be able to afford most personal policies.

• Employers may reduce coverage their plans offer as a money saving strategy – especially when the economy is in reverse. This can lead individuals to discover that a family member’s needs are no longer covered. And getting alternative coverage may be difficult or impossible to get for some pre-existing conditions afflicting family members.

• Employees may lose their jobs, and ultimately their employer paid insurance especially when the economy is troubled. Even if they are able to hold onto their insurance through COBRA, may find that without a job they can no longer afford it, or that if they are unemployed for a long time they may find out that even COBRA coverage has been exhausted. If an employee is no longer able to perform their previous job due to an accident or health problem, and yet they also do not qualify for Medicare, individual coverage may be impossible to acquire.

Assessing our fears and becoming proactive

Americans want a plan that gives us all the advantages of employer paid plans with multiple insurance companies competing for business, but which provides equal coverage for all Americans, and is not affected by the vagaries of their individual employment situation, or of the economy in general or prior conditions.

Some Americans are afraid that a public health care insurance option would result in a reduction in quality and flexibility of their current employer paid insurance programs.

Some seniors, disabled individuals and other Americans covered by Medicare are afraid that a new health care insurance option would result in a reduction in their benefits.

The congress is now debating how ways to provide health insurance that covers all Americans: regardless of whether they are currently unemployed, self-employed, or employed without employer paid coverage, which does not have the limitations of today’s individual and family plans.

The inadequacy of the current Individual and Family care coverage has led many in congress to support “a public option” and this is causing considerable concern among those who fear such a system will destroy the private option, or undermine the existing Medicare system.

The Proposed Private Alternative

Without commenting on whether these fears are well-founded or ill-founded, nor whether this public debate is being conducted in a way that will generate light or merely heat, I would like to address the concern in a constructive manner by offering a proposal which private insurance companies could endorse which would address the goals of the public option, but through a competitive private market system.

I call this proposed system, The American Plan.

The plan is simple, and it does not require congress to legislate it – it merely requires several large insurers to come together and petition existing state government insurance commissioners to grant them the ability to offer the following coverage to all residents of those states.

The policy is a group policy, voluntarily offered by private insurance companies, where the covered group is the currently uninsured or underinsured residents of each state, or those who find this plan more attractive than the plan their employer offers.

To ensure equity, universality, and continuity, the American Plan group policy should have the following characteristics:

1. For the first 5 years, the policy shall be underwritten based upon the demographics of all residents of the state in which the policy is offered and their immediate family members. Thereafter policies may be underwritten based upon the demographics of plan participants over the previous 5 years. (Equity)

2. The policy shall be offered to every state resident (and their immediate family members) on an equal basis. This means the price of the policy, and the conditions, care and treatments covered shall be the same for all covered persons, regardless of age, gender, or prior health conditions. (Universality)

3. The company shall offer at least one policy that provides coverage equal to the coverage provided by Medicare at that time. This is called the “reference policy”. The company may also offer one or more policies with less coverage for a lower premium, as well as policies with greater coverage at higher price points. (Comprehensiveness)

4. The insurer agrees to offer the reference policy on a most favored customer basis, that is, the expected underwriting profit margin on this policy may not be greater than any other policy written for any other group of the same or smaller size. (Affordability)

5. The policy shall include equivalent coverage for the resident and covered family members when traveling or while attending a school, college, or university anywhere within the US. (Comprehensiveness)

6. The company may not cancel the policy for any reason other than failure to pay the premium or fraud. If a policy is cancelled for failure to pay the premium on time, the policy shall be reinstated, effective immediately upon receipt of the full policy payment. (Continuity)

7. The company agrees to accept premium payments on behalf of an individual or family by either a state organization (if the state desires to subsidize health insurance premiums for some residence) or by any small business that wishes to provide paid insurance to their employees. (Affordability and Equity).

Time for action

Recently, opponents to the public option have been very vocal in their opposition, but their focus has largely been on opposing the proposed public option, but without offering a universal coverage alternative by the private sector. It is time to stop talking and start doing something constructive.

The above proposal is being offered with the hopes that those who favor private sector provided insurance will take a constructive approach by encouraging major insurers to commit to offering “the American Plan” now, demonstrating their ability to provide a credible alternative that provides universal coverage at affordable rates.

If competition in the private sector really can deliver on the promises of lower costs, greater choice and higher value, then because of the way the reference plan is defined, seniors and others on Medicare should have nothing to fear.

Nor should those who fear government’s ability to manage anything as efficiently as the private sector have anything to fear – for the private sector is left free to deliver as efficiently and affordably as it is able – the government in this model merely sets the minimum set of 7 requirements, and provides oversight to see that goals such as equity and continuity are met, and assists the needy with subsidized premiums.

A hidden benefit of Continuity: better preventative care and lower overall cost

One of the hidden benefits of a plan that has continuity is that it can improve both quality of life AND reduce health care costs. Because health insurance is not portable from employer to employer, an insurance company can’t be sure that those it insures today will continue to be policyholders in the future.

This can cause insurance companies to make decisions that save money in the short run but increases costs in the long run – because the insurance company knows it will have lower costs immediately, while the longer term cost might well fall on a competitor. For example, an expensive vaccine might be very effective at preventing a form of viral infection that often triggers cancer. By not paying for the vaccine expenses in the current year might be saved, but higher costs for later treatment if the vaccine is not given might not be experienced by the insurer, because the policy holder may have changed to a new employer and a competitor’s plan before that cancer is likely to be discovered.

The result, less preventative care, greater long term cost and poorer long-term health.

Or viewed the other way, if the insurance company spends the money today to pay for inoculations, it might be competitors who see the savings when the frequency of occurrence of those preventable cancers goes down.

The value of individual customer loyalty

With employer paid plans, insurance companies can’t build customer loyalty with their individual policy holders, because the policies are sold to employers and the policy holders switch employers. But when the insured can, and do maintain the same coverage every time they switch jobs or leave the workforce, the preventative care costs the insurer incurs today may be offset by even greater savings in the long term. And when individuals can make their own long term decisions, companies have an incentive to treat them well and build long term policy holder loyalty. Even procedures that are not merely preventative but restorative might become more cost effective. For instance, laser eye surgery might be costly in the short run, but save considerable money in the long run by eliminating the need for annual or biannual lenses and frames.

Thus creating the opportunity for individual policy holder loyalty better aligns the interests of the individuals and the insurance companies, encouraging insurers to offer better care coverage at lower costs as well.

Tax Savings

Lastly, if private sector competition does reduce costs and increase value, the reference plans these private companies offer provides the states and Federal governments with proof of concept approaches for providing Medicare equivalent coverage at lower cost – and that could contribute to better coverage for Medicare recipients at overall lower costs to taxpayers.

It is the best outcome possible, a Win-Win-Win: a win for the consumer, a win for the insurance companies and their shareholders, and a win for taxpayers. And that’s what we Americans like!