December 30, 2008

The relentless war

You can’t call it the Middle East conflict yet. Or in this case not yet. But soon it will be one. This morning I read that the US blames Hamas for the violence, the European governments are not pointing fingers as easily – after all we are a bit closer to the conflict and not only geographically.

This region has a long history of violence. The Jewish state essentially ended in 63 BCE* (Pompey invasion of Jerusalem and Judea becomes a province of the Roman Empire). Then there were failed uprisings – kind of similar to what is happening with Palestinians – people with limited resources trying to remove a yoke of a giant and regain what they lost.

I’m not saying that either side has a greater right to the place. Both nations have lived in the area for thousands of years. Israelites have a better documented history dating back to 2nd millennium BCE and the Palestinians are mentioned by the Greek historian Herodotus in middle of 5th century BCE.

I am not saying that one side is more to blame then the other – they share the burden equally. One side believes that fighting and harming the other will win them what they want and the other that retaliation will force the other to stop. And at this point you can pick which side is which – the sentence will be valid regardless where you put Israel and Palestine**.

The growing problem is the general feeling of injustice that the situation promotes. It is no longer becoming Israel contra Hamas, my fear (and probably I am not alone here) is that it will soon become all sorts of Arab freedom fighters versus Israel. When you have over 300 dead and 900 wounded Palestinians to 5 dead Israelis, it is easy to associate with one side more than the other. And now, with the accusations that the strikes are related to upcoming elections in Israel, it all starts to resemble Wag the Dog...

This war is unlikely to end anytime soon, it is, however, very likely to escalate. People from all over the globe are voicing their concerns over the Israeli aggression. The worst thing is the overwhelming feeling of powerlessness in the face of suffering of those people. Unlike natural disasters, wars are solely the making of people.

Let’s just hope that vowing “long weeks of action” are just a campaign slogan and won’t become a reality.

*BCE - for the non-historians Before Common Era

** By Palestine I mean all and any freedom fighters not the Palestine government or people. However, after the recent attacks it might be more appropriate to refer to the autonomy as a whole.

Song of the day:
Mozart - Requiem

October 29, 2008

American elections - a vote that doesn't count

A candidate with fewer popular votes wins the election. A bit absurd, isn't it? It happened in 2000, when 100px-Ballot_box_current_svgAl Gore got 543,816 more votes, yet George W. Bush won the office. Does the electoral process truly ensures that the will of the votes is carried out? I'm really starting to have doubts. A voter registered in California choosing to vote for McCain has little motivation to go to the poles knowing that with 33% of the state choosing to vote Republican that in the current electoral process that vote will hardly count. Same goes for an Obama supporter in Texas (38% declare to vote Democrat).

Now imagine that a candidate would have to fight for EVERY vote. That the battle wouldn't be focused on wining the state with most electoral votes to ensure getting their 270 votes, but instead would shift to fight for the ordinary Americans. Where a Republican vote in California would count as one vote for the Republican candidate on a national scale and not as one wasted vote, because with 58% Democratic lead in the state, there is no chance that McCain will win that state.

Political preferences are personal and should remain as such. But I think that it's crucial that we ensure that ALL votes count. That the more popular candidate wins. And that those 537 votes in Florida don't swing the election one way or the other, but that the will of 543,816 is not ignored.

October 26, 2008

Changing times

Victory-Cigar-Congress-Passes-DSTToday in Poland time changed (daylight savings). Well, whole of Europe did, apparently EU is now synchronized. But moving the hands of a clock hardly does anything for the troubled economy. Back way when the world turned without electricity it made perfect sense. Longer daylight – more working time. And now who really cares? Makes little or no difference, except for those who like waking up not in total darkness. The economic troubles are shaking all economic systems down to their foundations. I don’t think that even turning back the clock would help anyone now. An hour more or an hour less is not going to make any difference. On the other hand, turning back the clock to sometime in the beginning of Greenspan’s era at the Federal Reserve theoretically could do the trick – but we all know the Sci-Fi rule change a bit in the past end up with a WHOLE different reality. It’s anyone guess what kind of economic mess, or economic bliss, we would be in if Mr. Greenspan did regulate the banks a bit more. But you have to have faith, except that now Mr. Greenspan admits that his might have been placed on the wrong institutions. Shame that the whole world has to pay for it...

On a different note: Mr. Bernanke – the shoes you’ve been trying to fill just got a bit smaller.

Song of the day (actually two dealing with time):

October 25, 2008

Forget Davos

Bretton Woods Resort Now that’s a statement you don’t hear every day. A call has been put out to go back to  Bretton Woods to deal with the financial crisis. The only minor issue is that the Bretton Woods meeting dealt with exchange rates and not financial systems, but I think we all get the jest – rethink world financial systems to make them on one hand more uniform and on the other a bit less prone to breakdown. As Alan Greenspan said – financial crisis is “like a tsunami.” I recall the Tsunami on 26th December of 2004. The devastation was incredible. I just wonder if this financial tsunami will leave as great of devastation as the one caused by the earthquake.

Katchall island, part of Nicobar islands, India: before (10 July 2004) and after (28 December 2004)

Sarkozy Voo Doo doll - pins includedThere is another earthquake happening – well more like tremors of a volcano waiting to explode –President Sarkozy. I’m not a fan of Voo Doo dolls, but apparently some politicians might be… Granted Sarkozy is not a big fan as BBC reports, however lots of people are as the dolls made it to the bestseller list on Amazon.fr. Talk about unwanted popularity. Maybe that's why Sarkozy is suing everybody over it. Fascinating...

Yet the fact remains – Davos might not provide the right support for the current crisis. Redefining the current international financial market is the way to go, but I’m not sure where this new path might lead. As the banking and thus the financial systems become more intertwined international economies are more susceptible to feel results of economic downturns in other parts of the world. It used to be geographically concentrated, but now days with international investments popular to mitigate the risks of localized economies everyone is at a higher risk. Add currency exchange and you have a dangerous concoction waiting to explode. Wait, I think it already did. It’s spewing stuff like a homemade volcano, except this one keeps on erupting without adding more baking soda or vinegar

Song of the day- all about money:

October 18, 2008

US visa waiver program

flaga Here it is again – the Polish are not worth of traveling to the US without a visa. Forget the fact that we are in the EU and that Poles can work anywhere they want within the EU, the US is out of bounds. I guess the fear is that EVERYBODY would enter the US and stay illegally. Newsflash for the US government: everyone who wanted to migrate for economic reasons is either in the US already or working somewhere more pleasant (and closer) like the UK, France or Germany. In Poland there is no plumber in sight, so Joe the Plumber should not feel threatened that his job will go to someone more qualified…

The ever so nice US politicians forget the amount of Polish blood that was spilled in their name and on their soil. Anyone heard of Pułaski? I sure hope so with the number of counties named after him. He was Polish, and died fighting for the Americans at the battle of Savannah. What about Kościuszko? He has a statue on Lafayette Square vis a vis the White House. Another Polish General who fought for America and helped to shape it the way it is today. Would they have put their lives on the line if they needed a visa?

The biggest problem I see with all this is that there are a lot of people in Poland who would like to visit the US out of curiosity, but are unwilling to go through the humiliation of US visa process. Imagine that you have to send in your application with $100, then call a 700* number (yes, that’s the sort of a number that all the sex lines have where you pay by the minute) to schedule an appointment, than wait in line on the day and have some grumpy person tell you that you are a cheater and will definitely stay in the US so a tourist visa is not for you. Forget the fact that you have a good job, mortgage, and family here – you are an illegal immigrant waiting to happen. It’s even worse if you have family there. You want to go to see your family, but you can’t, because you won’t get a visa because you have family in the US. I would say that’s discrimination, but US government does not discriminate, right?

With all that, as a nation we are worthy of being part of the missile shield, but not worthy enough to travel to the US. Now, where is the logic in that?

*(Now it's no longer a 700 number, but still it's $1.5 a minute + 22% VAT)

September 07, 2008

In the news

Today’s NPR news: hurricane, suicide bombers in Kabul, suicide bombers in Pakistan, workers at Boeing are striking, Freddie’s and Fannie’s “questionable accounting practices”, and to top off Condoleezza Rice is in Algeria. Do I hear anyone say: depressing?

Depressing is one, depression is another. I’ve been reading a variety of healthcare blogs from all over the world and “it ain’t lookin’ good.” For any of us. It’s no news that unemployment is rising globally and that in general economic conditions are going down the drain. Even the strengthening of the dollar is not all that spectacular of a news: I’m in Poland and would prefer to have the dollar as weak as possible. On the other hand, vacationing season is almost over, so everyday there is a better chance for networking opportunities. Almost, because now it’s the season for those without kids to travel – school is in, so many people are talking advantage of late summer deals. At least some industries are still doing good… Or at least they are not doing bad.

Talking of traveling, my cousin called me this morning asking if I wanted to go sailing for a week in the Adriatic. They are getting sail boats in Croatia and have a one spot left. Too bad they don’t have two. I have to make up my mind by the morning – my cousin needs to send my passport information to some government agency in Croatia. I guess they want to know who to notify when we all drown…

Talking of other fun and/or depressing things, I just read that Pfizer’s Osteoporosis Drug May Cause Deaths. I guess your bones won’t break as easily but all the side effects might just kill you or make your life pretty darn miserable. Thank you, Phamalot, for such an uplifting piece of news. Then again, generally their articles are on the uplifting side of things – NOT!

July 04, 2008

Independence Day

About 7 am my sister asked me what I was planning on doing today. She was halfway across the world at work, and she had more plans to celebrate American Independence Day then I did – she was planning on having a BBQ. Me? I just got up thinking how to reply to a particularly difficult e-mail relating to job search. Plans, what plans? I had none. But things come to even those without plans. Soon an Owen Alumni messaged me on Facebook and as we talked he suggested seeing Hancock mid day. And I thought what a great idea! I’ve been thinking about seeing the movie, but at a no specified time, which for me often means when it comes out on video… BTW, it’s a pretty good film – definitely worth watching.

As I was getting ready to go out, Brie called telling me that she would be at my place about five. A quick look at the calendar reminded me that I asked her if she was going to the fireworks show at the Riverside Park downtown. Silly me, and I thought I had no plans…

Crowds at Riverside Park - Nashville, TN So after the movie, four ladies went downtown for a dinner and a fireworks show. Originally, we wanted to sit by the stage and listen to the music (concert started at noon and went all day until the fireworks finished close to 10 pm), but it was so crowded we gave up on the idea. We ended up by the Woodland Bridge. Not only we had a great view for the fireworks (minus the music that went with it), but also we avoided all the smoke that comes with it. The wind blew it all at the nice folks right by the stage… It was so smokey that I couldn't see the very well lit Batman building. But it was a very nice show. If you are in Nashville on July 4th, do check it out. In the meantime, you can check out the video of the event form someone who was apparently in my vicinity.

After the show it was so crowded with all the people moving away from the river and to the parking lots. I was a bit scared that it will take us longer to get out of downtown then the time we spent there. But nothing is as it seems. Since we parked further up Broadway, it took us less time than I expected, so we ended up at home at a reasonable hour. It started raining as we were maneuvering through the crowds, but it started to pour few minutes after we got out of the parking lot. It was raining so hard, we couldn’t see the road. And all I could think of was how glad I was for not walking home.

Song of the day:
Martina McBride - Independence Day

June 30, 2008

EHR - theory and practice

Medical records are trying to go digital. Operative word here is trying, as the word “try” indicates the possibility of failure.

The goal in the US is to have EHR for all Americans (or rather patients in the US) by 2014. The main problem lies not in the fact that it costs about $40,000 for a practice to put the system in place. The more troubling notion is lack of a common standard. What’s the use of having an EHR when you change doctors, and the new one can’t read it?

"Researchers found that just 4 percent of physicians have adopted "fully functional" computerized health records systems that help them make decisions about patient care or order tests. Another 13 percent have a more basic system." - Reuters article

That's not much, now is it? What about the other 87%? Where are they? How likely are they to install and fully utilize a EHR system? EHR - Dreaming of the future There is a very interesting read from EHR/EMR implementation project by Wendy Wickham. She goes into excruciating details of EHR implementation for a large hospital (over all seven geographic locations) and about 3000 users (including doctors, students, nurses and all the support staff). Imagine training the lot!

John D. Halamka, MD, the CIO of CareGroup Health System, writes about issues he faces as a provider of EHR technology. In his blog he often stresses the incompatibility of systems an wrong functionality of it.  What is the use of the greatest data sharing system, if it only has limited access? His company has several ideas how to manage single patient records from multiple (not always same network) locations. But we will have to wait a few years to see the degree of success of this approach.

Finishing off, we are still faced with the other, almost minor, issue - the rising costs. If it takes about $40,000 per doctor to set up a family practice of five doctors in the local community will be set back roughly $200,000 just to get the system up and running. What about maintenance costs? Simply put: with the planned freeze on the reimbursement rates how will clinics be able to afford it? More importantly, the $150 million dedicated by Medicare to 12 cities to set up EHR is a drop in the bucket of the ocean of financial need.

Song of the day:
The Cranberries - Time Is Ticking Out

June 19, 2008

Bo my...

…mamy aspiracje. Wielkie. Czasem słuszne, czasem zupełnie Euro2008bezpodstawne. Ale nie jest to nienormalne, bo każdy naród tak ma. Tyle, że my mamy tak dużą dozę polityki wmieszaną w te aspiracje, że czasami zastanawiam się, o co tak naprawdę tutaj chodzi. PZPN się miota – członkowie nie potrafią przyjąć wspólnego frontu, a drużyna… No cóż – chłopcy nie grają ze sobą spójnie. Nie ma jednolitości w drużynie, zawodnicy miotają się po boisku jakby zastanawiając się czy na innych graczach można polegać. Wiele razy w trakcie meczów widziałam jak „zapominają”, na jakiej pozycji grają. Mamy świetnych zawodników. Każdy z osobna jest super, ale jak się ich złoży do kupy, to nie mamy szans na sukces. Dodajmy do tego trenera, który choć na ogół dobry (w końcu dotarliśmy do mistrzostw, nie?) to momentami podejmuje błędne decyzje. Bo jak inaczej można nazwać trzymanie Smolarka na ławce Polska_Austria_103_70439epodczas ostatniego meczu?

Czy jest to wina trenera i piłkarzy, czy też PZPN. Wina jest i tu i  tu, po trosze z każdej strony. Jedyni, co nie zawinili to kibice, oni bardzo ciężko dopingowali przez całe to zamieszanie.

Ale zastanówmy się nad polskim sportem, jako takim. Delikatnie mówiąc leży i kwiczy, żeby nie powiedzieć zdycha z niedofinansowania. Czemu Łukasz Podolski gra dla Niemiec? Bo w Polsce nie miał takich szans na rozwój jak ma je w Niemczech. A co z Kubicą, czemu on od lat mieszka/trenuje we Włoszech? Czy u nas ktoś chciał promować chłopca, który wygrywał wszystko, co mógł? Raczej nie. I tak jest z większością dyscyplin. Jako naród mamy wielki potencjał, ale państwo nie chce w nas, czyli w siebie inwestować. Jeśli mamy aspiracje, żeby mieć wielkich sportowców, to zastanówmy się jakie mamy na to szanse gdy nasze dzieci mają (góra) dwa r azy po 45 min zajęć sportowych w szkołach w opłakanych warunkach, starych salach gimnastycznych i na zarośniętych (oby w ogóle były) boiskach?

Nie pozostaje nam nic innego jak mieć nadzieję i jak zawsze grać "o honor" – może kiedyś nie przegramy…

February 09, 2008

The smell of food in the lobby

Mardi2Don't be surprised, the smell of food in the lobby has a powerful impact on students. It's like a magnet that holds them and keeps them around even if they might have had other plans. Apparently nothing attracts MBAs more then free food.  As en example, last Thursday the The Office Mardi1of Development and Alumni Relations put on cocktails and hors d’oeuvres Mardi Gras style. The lobby was full of hungry students. I admit, I was on my way home when the smell of fried chicken hit my nostrils and it didn't take long for me to have a hurricane in my hand. I am sure that some of the students came in with the single idea in mind - interact with alums. However, I am convinced that Owen staff is well aware how free food affects students and they take full advantage of it.

Talking of food, the discover weekend is here and I signed up to show my support for Owen and to tell of the indecisive students out there that Owen is the place to be. And no, free food did not play a role in it - I got up and out of bed because I care. I can eat breakfast at home you know... Unfortunately, I missed last night event (which I hear was a lot of fun) so my interaction with the prospective students is so far fairly limited. But not all is lost, there is still lunch and then there are drinks on town at night. Too bad it's two weeks before finals, or I would be in a much more celebratory mood. 

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