All posts by Bob Morrison

Since retirement I've begun writing regular newspaper editorials and more recently created this blog. I'm a novice but have been a fascinated student of public policy for many years. I try to raise questions that have not yet been considered or to examine old questions from new perspectives. I have been 20+ years a Hoosier, 20+ years a Buckeye and now 20+ years a Tarheel, working as CEO of three different hospitals for 30 years, serving on numerous health care and non-profit Boards and government commissions along the way. Before working in health care I had brief experiences in manufacturing, sales, and services for the handicapped. With a BA in Psychology, an MBA, and a liberal arts background, I've become a bit of a futurist - taking the long view in considering public policy questions. I continue to enjoy discussion of alternative viewpoints and even change my mind now and then. I hope you will subscribe to the website and join the discussions!

WE CAN END PERMANENT UNDERCLASSES

The world and our nation have permanent underclasses – people with little wealth and few opportunities for education or upward mobility. Their attempts to draw attention to their needs are often met with contempt or repression. Continue reading WE CAN END PERMANENT UNDERCLASSES

JUST SAY YES TO MEDICAID

The decision by North Carolina’s governing Republicans (every single one of them) to reject Medicaid expansion will cost the state’s residents $37 billion by 2022. That is roughly enough money to run the entire state government for 21 months. They looked at the money and just said “no”. They looked at uninsured people living in poverty and just said “no”. They looked at hospitals and doctors who care for uninsured people, and they just said “no”. And they just said “no” to unemployed workers who would have found jobs in the Medicaid expansion. Continue reading JUST SAY YES TO MEDICAID

THE ARTIFICIAL INTELLIGENCE ECONOMY

What if our economy could grow so rapidly as to greatly increase the amount of money, goods, and services that are available – a good thing, right? What if one result of that growth is that the future economy has no place for you – not so good? These are more than hypothetical questions for millions of people around the world. Businesses are making more products with fewer employees and lower wages. In the US, corporate profits have doubled since 2000 but inflation adjusted household income has dropped from $56,000 to $51,000. After tax corporate profits are up from 5 percent of American GDP to 11 percent – a record high level.   Simultaneously employee compensation has dropped from 47 percent of GDP to 43 percent. Continue reading THE ARTIFICIAL INTELLIGENCE ECONOMY

SUPREME COURT LOGIC

In decisions about Obamacare the Supreme Court has ruled that the federal government can levy a tax on individuals who do not purchase health insurance and that it can require employers who do not provide health benefits to pay a penalty (tax).   Only a few months later the court ruled that business owners who profess religious objections to some forms of birth control can opt out of that particular portion of coverage without paying a penalty.

Reductio ad absurdum is a Latin phrase that the Court’s Justices surely encountered in their introductory logic classes. It is a method of showing that a decision or argument is absurd because it gives rise to ridiculous or unworkable conclusions. Their decisions imply that five of the justices may have been napping during logic classes. Continue reading SUPREME COURT LOGIC

REPUBLICAN SOCIALIZED HEALTHCARE?

The following words are from House Bill 1181, passed by the North Carolina House and endorsed by Governor McCrory. “It is the intent of the General Assembly to transform the State’s Medicaid program from a traditional fee-for-service system into a system that provides budget predictability for the taxpayers of this State while ensuring quality care to those in need.” Translation: Instead of paying for whatever health care is used, they want to budget a fixed amount and make doctors and hospitals absorb any additional costs. They want doctors to save money by keeping patients healthy more so than treating them after they are sick.   If their plan works everyone wins. If it fails, our poorest citizens will bear the burden. Continue reading REPUBLICAN SOCIALIZED HEALTHCARE?

ANOTHER WAR FOR PEACE?

The death toll from the Islamic Civil War rises daily and American politicians are restless; telling each other and the public that the US must do something about it. They would have us join the killing in yet another effort to impose peace through war. We have been down this road several times with increasingly disastrous results yet most Republicans and many Democrats in Congress say that we can’t stand by and do nothing. But doing nothing is an option and I have yet to hear a better alternative. Continue reading ANOTHER WAR FOR PEACE?

BRING BACK HYPOCRISY

About 25 years ago, I heard columnist William Raspberry speak at Wittenberg University about our need for more hypocrisy. His opening line shocked me so I began to pay close attention to his reasoning. He introduced me to a quotation from the French philosopher Francois de La Rochefoucauld, “Hypocrisy is the homage that vice pays to virtue.” Then he said that we have come to justify behaviors that we know are wrong by pointing out that others do the same things and therefore finding them to be acceptable. Continue reading BRING BACK HYPOCRISY

NO MONEY FOR A RAISE?

Wages, taxes, the role of unions, and a new term, “income inequality” spark lively and sometimes angry discussions across our state and nation. There are people working more than one low wage job who still qualify for food stamps and can’t support a family. Others can’t find even a minimum wage job. Some of our leaders say that developing higher levels of skill and education will bring higher wages, a true statement but an unsatisfactory answer to those who are underpaid to do necessary work.  The work of those who prepare and serve fast food is honest work done by honest people who deserve a living wage. The same can be said for those who mop the floors of the schools, pick the peaches that I hope to eat soon and mow the grass along the highways. Continue reading NO MONEY FOR A RAISE?

ADDICTION TO FOSSIL FUEL

Two major reports on climate change have been published in recent weeks, adding to the already imposing evidence that we humans are changing our planet in ways that threaten our own livelihoods and interests. The report of the Intergovernmental Panel on Climate Change (United Nations) and the American Climate Assessment are available in both summary and detailed form. They include historic trends, predictions for the future, and suggested courses of action. The reports leave no doubt about some basic conclusions. Climate change is under way. Burning fossil fuels adds carbon dioxide to the atmosphere and that is a major cause of climate change. Deforestation reduces the environment’s ability to remove the CO2. It is clear that human actions are the major causes of climate change. The changes on their way include extreme variance in weather – droughts in some places, floods in others, sea level rise, ocean acidification, and gradual death of coral reefs. We can slow them down, but it is too late to prevent them. Continue reading ADDICTION TO FOSSIL FUEL

COMMON CORE STANDARDS

Apparently taking their cue from right wing talk radio and Fox News pundits, leaders of the North Carolina Legislature have begun an assault on the Common Core Standards for education. Some want to repeal the standards which our school systems have been working to implement since they were adopted in 2010 by you know who – the North Carolina Legislature.

What better way to finish demoralizing underpaid and underappreciated educators than to give them the monumental job of organizing to achieve specific goals and then, at the last minute, repeal the goals? The Republicans in charge at the legislature often argue that government should be more efficient and productive, like a successful business. Today it is those legislators, not the educators who need lessons in successful business practices. The idea that we can greatly improve (or damage) education by adopting a set of standards is foolishness. It is the actions taken to achieve the goals that will make a difference. As Russell Ackoff, a renowned professor from the Wharton School of Business put it, “The only problems that have simple solutions are simple problems. The only managers with simple problems are those with simple minds.”

For many years we have known that the educational achievement of American students is lagging behind the achievement of students in many other developed nations. Since public education is largely a responsibility of states, not the federal government, the National Governor’s Association commissioned a project to study the situation and make recommendations. It was strongly supported by governors from both parties and the funding was mostly from the private sector – especially from businesses and foundations which were concerned that American graduates were not prepared for the jobs of the future (or even the present).   Educators, psychologists, business leaders and other qualified people worked for years to produce the Common Core Standards which were then adopted voluntarily by 46 states. Only after this was done did the federal government begin to use the standards too.

The Common Core Standards specify very little about curriculum (books, teaching techniques etc.) In fact, the standards anticipate that there will be variance across the country in that regard, and that there may be variance from one classroom to another based the unique styles of individual teachers or the needs of students. If there is to be standardization of curriculum or teaching techniques, it would be done by states or school districts.

How should those of us who are not educators think of the standards? I see them as mileposts for each student to pass on the journey of preparation for successful employment after high school or for college. That was also the goal of the National Governor’s Association and of the private organizations that paid for much of the research on which the standards are based.

One state, Kentucky, has led the way in implementing the standards and more recently they have begun testing to measure how they are doing. The bad news is that their educational performance still lags behind other nations. The very promising news is that in two years their test scores rose 2 percent while their high school graduation rate rose 6 percent. It is too soon to attribute that progress to the common core standards but certainly they can take pride in the achievement.

Edward Deming, who is often credited with introducing scientific process improvement as a business practice, said “Management by numerical goal is an attempt to manage without knowledge of what to do.” It is vital for legislators to understand that. The Common Core Standards provide a yardstick with which we can measure progress. They should be used for planning and improvement, not for appraisal of individual performance.   Repealing them will leave educators no generally accepted and standardized measurement and will take away their ability to compare results from various school districts and teaching methods – leaving us in a situation where policy changes will be based on opinion rather than data. Replacing them with state standards will take away our ability to compare our results with other states and will present new opportunities for politicians to insert their personal biases into educational policy. That is the opposite of good business practices.

Rather than taking the goalposts off the field, the legislature can be most helpful by doing its own job – not the jobs of the educators. There is massive evidence that children, especially low income children, do best in nations that provide high quality public pre-schools. The legislature should study how best to create and fund that service. Many legislators (in both parties) want performance-based pay for educators. If that is the case, legislators and school boards must provide management education for whoever will do the performance appraisals and the ongoing communication and coaching throughout the year. Successful performance appraisals don’t surprise people – they are merely summaries of discussions that have been ongoing. They are based on multiple job expectations, not on the results of a single test.

The most critical factor in business success is hiring the right people. That means that we need to provide adequate salaries. We have some great teachers who are terribly underpaid. We have lost some great teachers who had to leave their chosen profession in order to adequately support their families. The legislature can help by funding salaries comparable to professions requiring similar levels of education, skill and stress.

So, legislature, what’s it going to be? Will you choose a businesslike approach to improving quality or more tampering based on the opinions of talk show hosts?