Back in the day, it was called having "guts." Today, it's called having "stones." Whatever you call it, it is a necessity for making big decisions.
Seems that the decisions are now bigger than ever. The President is trying to decide whether or not to send more troops to Afghanistan. The House and Senate are trying to decide how to improve health care. Nearly 25% of the children in Dallas live in poverty. About 16% of those have no idea where they'll sleep tonight.
Big issues. Bigger consequences. Huge costs.
Right now, the President is trying to decide how much more to commit to Central Asia. Lots of people have lots of ideas - and agendas - about what's right for now and for the future. The cost, short-term and long-term, will be huge. The decision will take some stones.
Today, Speaker of the House Nancy Pelosi announced that the new House Bill for health care will offer:
* Affordability to the middle class
* Security for seniors
* Responsibility to our children
She said that for less than $900B over ten years, we will be able to insure 36 million uninsured Americans. I cannot tell if it was gutsy for her to announce that or just not very bright.
The number is $894B. That's about $248,000 per uninsured American over ten years - or about $25,000 per year. Make that $100,000 for a family of four. Sure seems like a lot to me. Last time I checked, I'm paying less than that. Apparently she's not running for reelection, but at least she's trying to do something about a problem that none of her predecessors were willing to tackle.
Earlier this week, Children's Medical Center released the latest data for "Beyond ABC: Growing Up in Dallas." Beyond ABC is a report on the quality of life for children in Dallas. The data was presented in a symposium hosted by Children's President and CEO, Christopher Durovich. Closing the symposium, Durovich explained that the costs to help children were staggering, but that for every $1 spent in prevention, we can avoid spending nearly $3 in treatment.
Quality care costs. It can be outrageously expensive. But at that kind of return on investment, it makes no sense to not invest in prevention. After the symposium, Durovich reminded me of what the old Fram oil filter commercials taught us - you can pay me now or pay me later.
How much will it cost to stay in Afghanistan? How much will health care really cost? What will it cost to improve the lives of children in Dallas? What are the paybacks over time? When will we see a difference?
Larry James, CEO of Central Dallas Ministries, is a man I greatly admire. He also spoke at the Beyond ABC symposium. He said that the costs to build a stronger, healthier community in Dallas are beyond our taxes (what government delivers) AND beyond our charitable contributions (what nonprofits deliver). He went on to say that "tax" is not a bad word. That took some guts to say that in Dallas, Texas.
I hate taxes. I really hate the idea of higher taxes. But I must grudgingly admit that Larry James may be right. Internationally, nationally, and locally, the problems we face today are bigger, more convoluted, and costlier than ever before.
Donations are down. Will higher taxes drive them down further? The thing known certainly: costs will continue to grow.
There are no easy answers here. You can bet there will be unintended consequences. Simply throwing more tax dollars at problems will not get the job done. But avoiding tough decisions while big problems deteriorate may be a worse sin.
From our national leaders to those of our smallest nonprofits, now is the time for some tough decisions. Call it what you want. Be "with it" and call it stones, or be a "throwback" and call it guts.
Back in the day, my church choir leader called it something else since he thought the word "guts" was a little disgusting. He called it "intestinal fortitude." Somehow that seems to more accurately describe what's needed to face the tough decisions ahead of us.
Showing posts with label Children's Medical Center. Show all posts
Showing posts with label Children's Medical Center. Show all posts
Thursday, October 29, 2009
Sunday, July 19, 2009
The New Normal
We lost Walter Cronkite last week . We started losing newspapers a couple of years ago. We're losing good old page-turning, paperback books to these newfangled things called "wireless reading devices."
Things are changing. Talk to most of my boomer buddies. They don't like it. They don't like text messages, Facebook pages, or tweets from Twitter. They want pages made of paper that they can turn and fold and use to scribble their notes. They want people they can trust like Uncle Walter. They want things back to normal. The way they used to be.
Get a grip fellow geezers. Pull up those relaxed-cut jeans. There's a new normal coming to town.
Over the last few years, I've spent some time at Camp Esperanza. That's a week long summer camp for 140 children battling cancer through Camp John Marc and Children's Medical Center in Dallas. Those kids can teach us a lot.
A common denominator for every one of them and their families, is that they had to adapt to a new normal. Cancer is an equal opportunity disease. It offers a complete change to a "normal" family life with chemo treatments, surgery, rehab, and more. If it affects your family, the only choice you have is whether or not you'll adapt to change.
Change is coming to the way we read. The new normal for readers will be the use of wireless reading devices. An easier name is "ereaders."
Amazon leads the way with its Kindle. Sony is running a strong second. This week, Barnes & Noble announced their intention to enter the market with an ereader. AT&T announced they will play in this game. Newspapers are scrambling to save themselves.
It's just a matter of time before a group of newspapers find their own hardware vendor to produce an inexpensive ereader tuned to their newspapers - and a few hundred thousand electronic books. The pitch? You can have our cheap ereader - maybe for free - if you subscribe to one of our newspapers for a few years.
It's worked before. Mr. Gillette got rich selling razor blades after he gave away the razor.
The ability to adapt to change - even embrace it - is invaluable. The publishing business will adapt. The public as a whole will gripe - then gradually change. Some faster than others. When you have money, it's easier to adapt to change.
What about the folks without money? What about those living in poverty? Yes, they still read. Maybe not as much, but they are more interested than we might imagine.
Earlier this month, Jenna Russell of the Boston Globe wrote about a book club for the homeless. Her article gives insight into a group of people many want to ignore. It's a heartwarming story about a man who buys books for one small group in Boston.
But what about the homeless and near homeless across the nation? If the move to digital print has the momentum that I expect, where will the poor get their news, sports, and current events? What will nonprofits who serve the poor do to help those poor adapt to change?
How will the nonprofits themselves adapt? This is the first question to answer. If the nonprofits don't adapt, the people they serve will fall further behind.
Yes. There will always be books and newspapers made of paper. Probably even an uptick in donated books. Classics endure. But current events are timely. If it starts costing more to read the news, the poor will be left out even more.
As the digital divide grows, how will nonprofits help the poor stay in touch with the world? How can nonprofits encourage self sufficiency if the poor cannot afford to read what's happening around them?
These questions don't have to be answered right now. But they do need to be considered now. It is early, but now is the time to start playing with the new tools of the 21st century. The more you understand, the easier it is to adapt. The more you are able to adapt, the more you can help others adapt.
The good news with these newfangled ereaders, you won't have to worry about where you left your bifocals. Just crank that font size up to 44 on your ebook or enewspaper, sit back, and enjoy your read.
Things are changing. Talk to most of my boomer buddies. They don't like it. They don't like text messages, Facebook pages, or tweets from Twitter. They want pages made of paper that they can turn and fold and use to scribble their notes. They want people they can trust like Uncle Walter. They want things back to normal. The way they used to be.
Get a grip fellow geezers. Pull up those relaxed-cut jeans. There's a new normal coming to town.
Over the last few years, I've spent some time at Camp Esperanza. That's a week long summer camp for 140 children battling cancer through Camp John Marc and Children's Medical Center in Dallas. Those kids can teach us a lot.
A common denominator for every one of them and their families, is that they had to adapt to a new normal. Cancer is an equal opportunity disease. It offers a complete change to a "normal" family life with chemo treatments, surgery, rehab, and more. If it affects your family, the only choice you have is whether or not you'll adapt to change.
Change is coming to the way we read. The new normal for readers will be the use of wireless reading devices. An easier name is "ereaders."
Amazon leads the way with its Kindle. Sony is running a strong second. This week, Barnes & Noble announced their intention to enter the market with an ereader. AT&T announced they will play in this game. Newspapers are scrambling to save themselves.
It's just a matter of time before a group of newspapers find their own hardware vendor to produce an inexpensive ereader tuned to their newspapers - and a few hundred thousand electronic books. The pitch? You can have our cheap ereader - maybe for free - if you subscribe to one of our newspapers for a few years.
It's worked before. Mr. Gillette got rich selling razor blades after he gave away the razor.
The ability to adapt to change - even embrace it - is invaluable. The publishing business will adapt. The public as a whole will gripe - then gradually change. Some faster than others. When you have money, it's easier to adapt to change.
What about the folks without money? What about those living in poverty? Yes, they still read. Maybe not as much, but they are more interested than we might imagine.
Earlier this month, Jenna Russell of the Boston Globe wrote about a book club for the homeless. Her article gives insight into a group of people many want to ignore. It's a heartwarming story about a man who buys books for one small group in Boston.
But what about the homeless and near homeless across the nation? If the move to digital print has the momentum that I expect, where will the poor get their news, sports, and current events? What will nonprofits who serve the poor do to help those poor adapt to change?
How will the nonprofits themselves adapt? This is the first question to answer. If the nonprofits don't adapt, the people they serve will fall further behind.
Yes. There will always be books and newspapers made of paper. Probably even an uptick in donated books. Classics endure. But current events are timely. If it starts costing more to read the news, the poor will be left out even more.
As the digital divide grows, how will nonprofits help the poor stay in touch with the world? How can nonprofits encourage self sufficiency if the poor cannot afford to read what's happening around them?
These questions don't have to be answered right now. But they do need to be considered now. It is early, but now is the time to start playing with the new tools of the 21st century. The more you understand, the easier it is to adapt. The more you are able to adapt, the more you can help others adapt.
The good news with these newfangled ereaders, you won't have to worry about where you left your bifocals. Just crank that font size up to 44 on your ebook or enewspaper, sit back, and enjoy your read.
Sunday, July 29, 2007
Parallels
This year's Tour de France ended today. Camp Esperanza ended yesterday.
The Tour de France is a 100+ year old bike race across Europe. Camp Esperanza is a 25 year old summer camp for kids fighting cancer in Texas.
Le Tour is 21 teams of 9 vying for fame and glory (and considerable monetary rewards) by racing bicycles across Europe to get to Paris first. Camp Esperanza is 10 teams of 6 volunteer counselors working with 10 groups of about 14 children ranging in age from 6 to 16. All the kids are or have been fighting cancer at Children's Medical Center in Dallas, Texas.
The Tour lasts for nearly three weeks and covers over 2000 miles of beautiful European countryside. Camp Esperanza lasts for one week at the Camp John Marc facility on the border of the beautiful Texas Hill Country near Meridian, Texas.
Both have sophisticated support staffs and spend many months planning each year's event. (Camp John Marc is probably one of the premier camps for medically fragile children in the world.)
What amazes my simple mind are the remarkable parallels between these two radically different adventures. It gets back to working together. The guys on the bikes can go fast and help each other by riding in pacelines. (See my blog of July 10, 2007.) The same goes for the men and women working with the nearly 140 kids who epitomize diversity.
Three busloads of children arrive on Sunday and depart for home the following Friday. The kids range from future linebackers to some who are near the need for (or are actually in) hospice.
For some of the children, it is the first time they've been away from home. For some of their parents, it is the first time they've let go of their children since they've been diagnosed with cancer. For nearly everyone, it is the best week of the year.
It is an exhilarating, exhausting, challenging, fun, sad, hope filled week. It's tough for me to restrain myself from writing way more than you wanna read about this special week in July.
My point today is that the ONLY way the volunteer counselors get through that incredible week is by working (and playing) together.
It is a beautiful thing to see. Just like a paceline.
BTW, "esperanza" is Spanish for "hope."
The Tour de France is a 100+ year old bike race across Europe. Camp Esperanza is a 25 year old summer camp for kids fighting cancer in Texas.
Le Tour is 21 teams of 9 vying for fame and glory (and considerable monetary rewards) by racing bicycles across Europe to get to Paris first. Camp Esperanza is 10 teams of 6 volunteer counselors working with 10 groups of about 14 children ranging in age from 6 to 16. All the kids are or have been fighting cancer at Children's Medical Center in Dallas, Texas.
The Tour lasts for nearly three weeks and covers over 2000 miles of beautiful European countryside. Camp Esperanza lasts for one week at the Camp John Marc facility on the border of the beautiful Texas Hill Country near Meridian, Texas.
Both have sophisticated support staffs and spend many months planning each year's event. (Camp John Marc is probably one of the premier camps for medically fragile children in the world.)
What amazes my simple mind are the remarkable parallels between these two radically different adventures. It gets back to working together. The guys on the bikes can go fast and help each other by riding in pacelines. (See my blog of July 10, 2007.) The same goes for the men and women working with the nearly 140 kids who epitomize diversity.
Three busloads of children arrive on Sunday and depart for home the following Friday. The kids range from future linebackers to some who are near the need for (or are actually in) hospice.
For some of the children, it is the first time they've been away from home. For some of their parents, it is the first time they've let go of their children since they've been diagnosed with cancer. For nearly everyone, it is the best week of the year.
It is an exhilarating, exhausting, challenging, fun, sad, hope filled week. It's tough for me to restrain myself from writing way more than you wanna read about this special week in July.
My point today is that the ONLY way the volunteer counselors get through that incredible week is by working (and playing) together.
It is a beautiful thing to see. Just like a paceline.
BTW, "esperanza" is Spanish for "hope."
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