Care or Cure: International Day of Compassion

Famous ethicist John Rawls believed that in order to promote fairness and equality, coming out of the ‘veil of ignorance’ is imperative. He idealized a society where there was no social status or labeling associated to individuals and everyone could be entitled to same social rights.  Perhaps John Rawls envisioned a social model based on morality, ethicality, and virtues. His ideology seems similar to that of Dr. Patch Adams who intends to design a society based on ‘care systems’.  Dr Adams philosophy of holistic care integrates cause with compassion and is a consciousness raising effort of utmost importance in healthcare system today. Historically, health has been analogous to medicine and ‘bedside manner’ has therefore been a critical part of Doctors’ diagnosis and care relationship with their patients. However, over the years this contemporary facet of medical ethics has been slowly replaced by tyrannical pathology and health technology. Hence, the medical model with its many inventions may have reduced the pain. But it has been unable to eliminate the suffering in the absence of human feeling and compassion.  

In the United States, the efficacy of medical fraternity with its interdisciplinary team of health professionals indeed has been commendable in conquering many chronic ailments. Their toil coupled with ongoing innovations in clinical practice has led to scientific, yet sometimes impersonal approach to patient health. The ascending cost of care at the medical practitioner’s end and the out of pocket expenses at the patient’s end have perhaps made healthcare a big-ticket item, especially for the ones indigent and vulnerable. On the other hand, a culture of individualism in the society has made compassionate healthcare a remote possibility. In the midst of an existing sympathetic model of medical care, Dr Adams has conceived empathetic care with his astounding fun and play therapy. His new age healing integrates health of the individual with that of the family and community. His model of health does not believe in fixing the patient, but stabilizing their wounded emotions through love, joy, and humor. Dr Adams creative and famous care through joy of clowning helps restore and rehabilitate patient’s health with difference.  His benevolent intervention and humanitarian approach to the practice of medicine is a much needed component in the healthcare system today. Imagine if compassion would have been the cornerstone of healthcare, we would not have been indulging in the business of antidepressants! Or relying too much and too often on sedatives and tranquilizers leading to prescription drug abuse. Moreover, had compassionate care and not just ‘cure’ been one of the precepts of healthcare, health insurance would not have been a booming business in the United States.  

Dr Adams healthcare model seems applicable in severe trauma cases, such as war victims, war veterans, and children besides patients in institutionalized care and hospice. By sharing charismatic and colorful touch, Dr Adams and his team express the ability to uplift depressed emotions and infuse positive energies among those dejected and disconnected from the mainstream. Such phenomenon certainly is deeper than the acumen of medical science. Also, Dr Adams’ radical ideas can be elemental in bringing progressive change in our lives, community health, and society at large. Encouraging such altruistic initiatives and learning from them can be helpful in uncovering a benign emotion named compassion that each of us is blessed with.

Gesundheit! (wishing good health to all)   

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Goldman Sachs And CEO Blankfein's Bleak Charm

It was only before the Securities Exchange Commission's civil suit over the Abacus 2007-AC1 deal that Goldman Sachs was CEO Blankfein's talisman. Today that juju seems far away from performing any more miracles to sustain Lloyd Blankfein's narcissism and charisma on the Wall Street. Born in Bronx and raised in Brooklyn's linden houses in a neighborhood with vast majority of occupants as working class, Lloyd Blankfein's salesman acumen and trading acuity shaped his destiny. From a commodity salesman in 1981, Blankfein rose to Goldman's hot seat in 2006. At a time when Goldman was acclimated to a banking style leadership at the top with Henry Paulson, co-COOs and Presidents John Thain and John Thornton, Blankfein was at odds to rein the company with a trading mindset. Blankfein's adeptness for profits through insistent style kept Goldman's bankers spellbound to his luminous spark even during the astounding credit crisis that quivered the global economy. Blankfein's leadership and modus operandi kept Goldman buoyant when sentiments on the main street were capsizing due to foreclosures. During this turbulent storm of emotions that had people's homes and hopes in its stride, Goldman was encapsulated by nobility in greed, a psychology of investment at the Wall Street that influences the financial and business environment at large.

With overconfidence as market maker and Abacus as smart money campaign, Goldman traded abnormal profit opportunities for plunge above and beyond fundamental risk. Creating and trading derivatives which were sub-par and certain to shake market sentiments through an incendiary bet, was like risk-return marriage that was sure to end in a divorce. For Goldman endorsing such malignant campaign to its customers certainly was a gambit on its 140 year old reputation. More than just a financial instrument, Abacus was a transactional loop for Goldman's investors that made them pay through their nose. A fallacy though but for CEO Blankfein, Goldman was doing 'God's work'. Today however the whole episode in substance appears to be not a question of numbers but an infringement of Goldman's customer sentiments and trust and violation of Wall Street's most valuable commodity called Information. A step further, this interlude post crisis seems to be a silent sin of abusing the legacy and hegemony of Wall Street as America’s economic and financial heart. 

On closer look, Goldman's status quo is a wake up call. For now, it is just litigation that neither has so far proven Goldman guilty nor seems like a situation of using Goldman as goad to financial reforms. However, somewhere midway the Goldman-SEC plea should be an elemental intention to restore the public confidence in operations at the Wall Street. The case should be a cardinal assessment of Goldman’s business practices and of similar other companies on the Wall Street that nurture hyper-competitive high fliers who desire to win at the cost of integrity and corporate morality.  CEO Blankfein's testimony before the congress in April had a different tune of Goldman's moral obligation to its customers. It somehow fails to conform to the company's corporate values and business principles that puts clients interest first, talks of reputations as asset and puts integrity and honesty at the heart of Goldman's business.

The questions that Goldman saga begets are strategic to common man's understanding of how the Wall Street operates in a scenario where each day, each bet is a scale of money vs. morality. Moreover, are corporate values today just an adornment for a company to attract Ivy League talent? Or is the CEO's role slowly drifting away from a corporate steward and leadership led by conscience to just a political and celebrity status? Goldman's catechism may take several months before we have exact answers. Meanwhile Goldman's board will have a tough run in its face lift against its customers for whom the company once represented long authentic innings in financial business. This would also impact the company’s current and near future ventures, one of them being the target date funds that would provide secured income in retirement years for middle class workers with 401(K) investments. Driving business in a sensitive target market, no doubt today will be challenging for Goldman, given the increasing skeptics of its reputation at the Main street.  These are few concerns for Goldman that serve as prelude to a financial reform at the Wall Street.

Also, at this point Goldman’s current corporate governance may sound like a safe bet for shareholder interests and value but may be predatory for a greater financial and societal good in the long run. Being the big daddy at the Wall Street, a better approach for Goldman may be to rethink its clout at the top. This is also in view of the watchdog set by the proposed reforms, which put consumer protection as a priority, shows implications of imposing the Volcker rule and tighter regulations on The OTC derivatives market which are the cash cows for big firms such as Goldman Sachs. While as it may take some time before the strife between the house-senate dynamics on financial reforms is actually framed into law, Goldman Sachs meanwhile should strategize for a shared responsibility at the top with clear distinction between leadership for business and guidance on regulatory affairs. It is imperative to understand that even if lawmakers are striving to groom Wall Street to a more ethical and economic friendly rearrangement, the big firms at the financial district need to resurrect and revamp their own governance for a better cohesion of what the government expects them to do and what the common man believes of them. More importantly, amid a hot debate on the viability of the financial reforms to bail out an ailing economy, we should not loose focus on Goldman and the aggregate of bungles that led to the current global economic milieu.
  

Copyright (c) 2009 - present Dharbarkha.blogspot  

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Social Conscience, The Bedrock for Universal Healthcare

As the CEO of a nation that vividly embraces multiform, President Obama and his cabinet’s egalitarian march on universal healthcare has been grandeur for the common man. The healthcare summit, which was an apex of emotions throughout United States, has been a spectacle of leadership led by conscience. A universal healthcare plan indeed has affirmed the capability of morality in governance amid excessive political maneuvers in the Congress. At macro level this impugning against social conscience in senate has redefined healthcare as radical social issue and a resolution in the pursuit of Americanism.

Obamacare undoubtedly has been palliative to the main street where health insurance has always been a catch-22. A comprehensive health care reform for the first time ever has given Jane Doe and John Doe living down the street a taste of triumph amid troubles and an inspiration to succeed and soar high to their dreams. It has given them a right as fundamental as the right to elect a president whose leadership exalts the moral consciousness of this nation and whose presidency has been percipient to change. Critics may still try their best to write off this metamorphosis that America shall witness in the form of affordability by questioning its economics. But should change always be measure of economic indicators, an only might that a county could postulate? If so, then shrewd capitalists and power hankering politicians should carry on with their gross manipulations and narcissistic manifestations. But if your opinion is otherwise then average American should be accredited to his rights and given the opportunity to sweep the benefits of fair play and justice.      

Obama administration’s universal health care is not a pandemonium like it is still made to believe by few. The  health care law rather is a circumspect of the oligopoly created by health insurers over the past decades. It is  a conscientious intention to pull out the common man from the insurer’s reticent pang of penalty, price hikes and audacious regulations. Refusing to cover pre-existing conditions or chronic illnesses is a mute sin that has been tyrannical for the overwhelmed and the devastated to be racked simply because of a business norm. How ethical is such business practice that is more like a silent harassment? Thankfully whoever advocated for universal health care has certainly earned themselves a memento of unflagging social conscience along with the President and his team in the white house. A health care law essentially is making our future generations wealthy through virtues by exercising conscious wealth maximization, business ethics and morality in politics. It is saving our future from being bankrupt of scruples by means of sharing wealth and wisdom of prosperity.  

As a poignant political, economic and social campaign of 21st century America, health care law’s liberal and unprejudiced approach seems equivalent to President Lincoln’s emancipation proclamation. More than political motivation, the proclamation became a social transformation that conquered the hearts of the oppressed and identified liberation as instrumental in propagating equal rights. Similar to this social amalgamation of the past, health care overhaul is conspicuous to economically uplift the under-privileged and the vulnerable to make health insurance not opportunity but dire amenity. Setting an embargo on the current Cadillac plans is a decision in such light.

Implementing the health care law unquestionably shall relieve an average American of mental stress and material crisis to redeem the benefits of an optimal and unobstructed social change. Getting insurance affordable would mean a more secured future for everybody, meager chances of risking a healthy lifestyle, patient optimism and assurance for chronic care, lesser emotional stress, depression and anxiety among families and communities hit hardest by the recent economic recession. Overall it would mean social and moral improvement as a nation. Besides, it would revolutionize health care sector with higher competitiveness in quality, service efficiency, health center expansions and cost benefits in the near future. Prevention is better than cure framework of the law would certainly infuse fresh blood into health care transforming it from its current medical model to a new age physical, mental and emotional wellness initiative. In a constitutional sense, it would mean grappling a social impediment through shared responsibility and facilitating democratic treatment not just by charter but by the dictates of conscience. For the critics however, it’s time to bid farewell to their political resurgence against America’s opportunity for a wholesome Change. The most important step now is to execute the law without a hiatus. This shall certainly mean rising above legislative contests for November elections, personal inhibitions and prejudices to touch base with a sense of prudence as one distinct and discreet nation. 

Copyright (c) 2009 - present Dharbarkha.blogspot