Category Archives: healthcare

Blockchain’s Promise: Trust

Pete Harris stopped by a session of the World Spins to share his take on blockchain, the software technology generally overshadowed by its trendier spawn, bitcoin and the Bitcoin network. Harris, who bears a striking resemblance to Bilbo Baggins, has a relationship to hype similar to mine with spreadsheets. That is, he is clear and takes  sticks to the facts as he sees them. Even so, it doesn’t take long to recognize blockchain’s promise. If it’s possible to transact business based on a series of permanent (i.e. they can’t be changed), transparent interactions, then our trust-starved world may have a chance of recovering its footing.

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The blockchain network: can it build trust?  Photo courtesy by Gerd Altmann via Pixabay, courtesy of Forbes

 

“We’ll have to wait and see” 

Harris’ blockchain CV dates from his Wall Street consulting days over a decade ago. These days, having sworn off airplanes, he spends much of his time with the Austin startup community where over 70 young cryptocompanies are  tackling data integrity issues where they find them — finance, healthcare, contracts.

I watched a handful present at Harris’ Monday night meetup. They ranged from Po.et, copyright/intellectual property protection, to GovernanceChain, an accounting network and CityShare, a digital shopping/hospitality network for member cities. Among the more visible is Wanchain, a Chinese nonprofit that’s figuring out to securely connect separate smart contracts, each with its own blockchain, a pivotal step in supporting a currency-agnostic global financial network. Interestingly, Wanchain’s technology is developed in China; the company’s U.S. headquarters is in Austin.

One of the best parts of these presentations is listening to company execs say, “I don’t know,” and “We’ll have to wait and see” — something I hear very often.  But I suppose that’s the beauty of a working with a nascent technology.

Privacy is implicit in the design

Speaking of wait-and-see, someone asked about blockchain’s impact on GDPR, the  European Union’s toughened privacy requirements known as the General Data Protection Rules. With the compliance deadline looming next month, that too is a wait-and-see. But since transactions are permanent, transparent and traceable, the blockchain ledger eliminates the need for centralized control. The integrity of the information is inherent in the software design.

A peek at a mobile citizenry in a digital world 

Today, 10% of the world’s GDP is in block chain. But it’s not all business. In the public sector, tiny Estonia has fashioned itself what the New Yorker magazine labelled a digital republic. Its citizens are free to live and work wherever they please while continuing to  vote, maintain their health, pay taxes using digital IDs.

Curious? Here in Austin, check out the:

World Spins Series Spotlights Thought Leaders on the Cusp of Disruption

I wanted to let you know about a project I’m working on with the World Affairs Council.  Its best described as a salon series showcasing some of the forces re-shaping the world we think we know — climate change, blockchain technology, the shift of global power from military to technological supremacy.  Our new series “The World Spins,”  will bring  people at the forefront of issues that are re-shaping the world we live in:  climate change, national security, blockchain technology, China and innovation. I’m thrilled to have these brilliant people — thought leaders, participants – not observers — share their time with us.  If you’re in Austin, please join us!

NATIONAL SECURITY & CLIMATE CHANGE, Dr. Joshua Busby, an associate professor,

Dr. Joshua Busby, associate professor, LBJ School of Public Affairs, University of Texas at Austin

Military leaders accept climate change as a major risk to our national security. Do we have a policy? Internationally recognized expert Dr. Josh Busby dives into a thorny issue.

the LBJ School of Public Affairs, University of Texas at Austin, has been deeply involved in climate change policy since 2008. He participated in the discussions around Paris Accord, as well as their follow-on sessions, the next scheduled to take place in Poland later this year, as well as managing multi-million dollar grants for the Dept. of Defense. Quick update:  President Trump announced the United States’ intention to withdraw last December.  Former National Security Advisor H. R. McMaster recognized the relationship between the weather and security. He’s out, and former ambassador and Fox News analyst John Bolton is in.  What’s next?   April 12 at 6:30

 

BLOCKCHAIN, Pete Harris, founder of Lighthouse Partners, works with companies who are integrating blockchain technology into their business strategy. Talk about disruption, blockchain promises to dramatically reshape our financial, supply chain and trade relationships.  Think Walmart tracking the safety of sliced papaya from Central America to a store in Iowa. Pete, who consults internationally, is part of the axis of the blockchain

Pete Harris, Lighthouse Partners

Pete Harris, founder and president of Lighthouse Partner, has been talking blockchain and innovation since it was piloted on Wall Street.

community in Austin, Texas, where there are over 70 start ups involved in commercializing this nascent technology into our financial, health care, food safety and transportation ecosystems. A nascent technology, the growing use of blockchain is overshadowed by its trendy subset, bitcoin.  But companies like IBM and Oracle are integrating it into the way their customers do business. Pete founded the hub of Austin’s blockchain innovation, the  Austin Blockchain Collective and chairs a monthly Blockchain for Business Meetup at the Capitol Factory which is free and open to all.   March 29 at 6:30

 

CHINA AND INNOVATION, David Firestein, is the founding director of the new China

David Firestein, Founding Executive Director, China Public Policy Center; Clinical Professor of Public Affairs

David Firestein is shaping how a world-class university uses the resources and relationships of the (other) major world power.

Public Policy Center at the LBJ School.  From his bio: Throughout his career, Firestein has played an active role advancing U.S.-China and U.S.-Asia trade. He has also produced path-breaking thought leadership, scholarship and Capitol Hill testimony on a range of topics, including U.S. arms sales to Taiwan, U.S.-China infrastructure investment cooperation, and the role of national exceptionalism as a driver of major international conflict today. Firestein is native Austinite who speaks Mandarin at near-native level (hard to imagine in a Texan) and has published a book on what else – country music and diplomacy. May 22 at 6:30

 

 

 

If you’re in town, please join us!  All sessions are held at the historic Neill-Cochran House  where you can park right behind the building for free — speaking of a changing world.

These amazing times and their cost

I fought my way through Friday night traffic to see my friend Shiva’s daughter perform in their Christmas play, “A Play in a Manger.”  I expected Mary, Joseph and a few shepherds.  What I saw was an hour-long rock-and-roll production built around a plot line of “bigger is not better.”  Mary and Joseph were supplanted by a production manager and a worried production crew and cast, some 20 kids in all.

Everybody got a speaking part, reaching up to the standing microphones like little gold fish getting their supper.).  Shaylee, whose family is from Iran, added what I learned later was an improvised dance number for her part.  The epilogue was this:  “Christmas is not about Walmart or Saks. ipads or iphones.”  That is, it’s not about stuff, because stuff costs a lot of money.

I thought about this when I stopped into my local Wal-Mart for socks and was astounded to find all of the cashiers were gone, erased.  In their place were scanners, waiting for a credit (or debit) card. When I asked the attendant where those workers — mostly women, mostly African-American, mostly over 40 — I got a shrug.

According Fortune, citing a McKinsey Global Institute report released in November, “between 400 million and 800 million workers around the world could be displaced by automation by 2030.”  By comparison, the 2016 population of Texas was 27.36 million.  Think about that — that’s 15 Texas’.

Most affected will be jobs that involve collecting and processing data – everything from accounting to fast food.  The report predicts the pace of displacement will be unprecedented, concluding  “There are few precedents in which societies have successfully retrained such large numbers of people.”

In a recent column, David Brooks had some suggestions for lawmakers to consider, a list that targets practical but oftentimes insurmountable barriers like making it easier for people to:

  • Get to work
  • Get a license
  • Enter fast-growing professions like health care
  • As ex-offenders, navigate the application process

It’s painful to experience the season as one of “haves” and “have nots,”  and easy to turn away we dash through the holiday fully armed.  But here’s hoping each of us has an opportunity to pause and reflect, not just on how very lucky we are, but how we can help those who are less so, navigate these times.

No time for blame

Each of us is tasked with playing the hand we’re dealt. Some of the cards are stacked in our favor; many are not. Nonetheless, it’s a package deal, and the better we understand those cards, the more we’ll be able to accomplish.

I thought about this after reading David Remnick’s sad portrait of Hillary Clinton, in which she blames her gender — among other things — for her loss.  Mrs. Clinton is a super-sized public figure and a role model of tremendous potential.  Perhaps it is a necessary catharsis, but I was disappointed to read that she chose to waste her time.

The New Yorker

What could have been: The cover The New Yorker Had Planned for Hillary Clinton’s victory in the 2016 election. Courtesy of The New Yorker, Sept. 24, 2017

It’s helpful to understand why we fail. But blame is time consuming.  This I know: the faster we lay it aside, the less time we waste. Contrasting the Clinton debacle with Al Gore’s loss to George W. Bush in 2000, Remnick notes that Gore was 52 at the time; Clinton, 69. Gore had time to grieve, move on, make a fortune and win a Nobel Peace Prize.  Clinton is 69. “She will have a hard time finding a similar peace or place in public affairs.”

Oh, gosh I hope not.

The “genderizing’ conundrum

It’s always worrisome when a noun becomes a verb. So let’s step back. The 19th Amendment was passed in 1920. When I was in high school, girls weren’t allowed to learn small engine repair; we were shuffled off to home economics and white sauce. When I left school and took a temporary job with H.Ross Perot’s Electronic Data Systems, I was humiliated by a fellow (male) employee’s passing me a handwritten note warning me that my sleeveless dress was inappropriate because it revealed my arms. I left the job.

Mrs. Clinton, like Texas Governor Miriam “Ma” Ferguson who presided in the 1920’s and 30’s, rose to power on the coattails of her husband. She, like Sherry Lansing in Hollywood, Toni Morrison in literature, and Indra Nooyi and others among the Fortune 50, carved their roles out of a male tradition  There was no can-do legacy. Unlike Athena, the goddess of wisdom, who sprang fully formed from Zeus’ head, confidence is earned, not awarded.

Focus on making the world a better place — starting where you are

So why not focus our time and energy on moving forward? The fields of law and medicine are being transformed by women. I look forward to seeing similar trends in education and politics (you go, Mrs. Clinton). But no question, it’s a slippery slope. Every day I see young women reverting to baby talk, tantrums, behavior that may have worked in middle school, but is cringe-making in the workplace.

We have a limited time to do what we want and need to do. Life tosses storm debris in our way.  I don’t know how many times I said, “I can’t find the job I want until after my mother dies.”  I didn’t want to face the conflict and ultimately wasted precious time blaming absent siblings, geography — and gender — for lost time and opportunity.

It was a waste of time.  Ultimately, we’re shaped by the battles we fight, and its our ability to accept our faults and failures that make us role models.

whining

Navigating Obligations: Keep Working

Rushing to work one morning last week, I listened to Mihir Desai talk about his new book The Wisdom of Finance: Discovering Humanity in the World of Risk and Reward. The topic is bankruptcy; the lesson: Life is chaos, and our task is to navigate through the it.  He kicked off the interview with an anecdote about American Airline’s 2011 bankruptcy filing (when the stock fell 79%):

 The first CEO said for a long time he’ll never go bankrupt, because it was his duty to make sure every obligation gets paid off. Of course, he gets dragged into bankruptcy at the very end, they switch the CEO. The second CEO comes in, restructures all the obligations, guts the pensions. But American Airlines goes on to live another day. So the idea there is, you know, who’s the hero of that story? Is it the guy who said, “I have to stand by all my obligations,” but took the company down? Or the guy who said, “I actually got to manage these conflicting obligations”?

Employees, or many of them, kept their jobs, and shareholders came out way ahead. Maybe the lady wasn’t as advertised, but she was a better option than the tiger.  So it goes with the ways we manage not just our working lives, but our personal ones as well.

Conflicting obligations come at you from all directions  

If it weren't for you

“If it weren’t for you I would have conquered the world by now.”                  

Unexpected interruptions — kids, divorce, illness, death — not to mention layoffs, separations and unplanned early retirement intrude. Financial hardship complicates things.

Living longer + Putting yourself last = Poverty 

Women are particularly vulnerable to the call of obligations. We tend to put others’ needs before our own, although perhaps this trend will shift as we evolve and more men take on caregiving responsibilities.  But as it stands now, Kerry Hanson’s “Money Worries” column is a wake-up call:

Women were 80 percent more likely than men to be impoverished at age 65 or older while women age 75 to 79 were three times more likely to fall below the poverty level than men the same age.

When I turned around after taking time off to care for my parents, I fully expected to step back into a job comparable to the one I’d left. But someone had moved that career ladder. It’s taken years, and a few unplanned twists and turns to accept where I am professionally.  I realize now that if I’d been less focused on doing everything perfectly and more on my future, I’d be in a better position financially.

Health care expanses:  A ticking time bomb 

Changes to health care policy pose a real threat to anyone over the age of 65 who does not have robust retirement savings.  Today 60 percent of the elderly in nursing homes are on Medicaid. Many have spent their savings on assisted living and residential care. Getting old is expensive. According to Hanson, a healthy 65-year old woman retiring in 2016 will pay $300,000 on Medicare premiums and out-of-pocket costs for hearing dental and vision care by the time she reaches 89.  That, of course, is in addition to living and personal care expanses.

Stay in touch with your possibilities 

Do what you need to do to keep a firm footing on that career ladder. But don’t get rattled if something knocks you off.  Expand your thinking and your network.

Desai’s interview closed with a tip of the hat to Martha Nussbaum’s “The Fragility of Goodness” and the example set by the ancient Greeks:

Fundamentally, this is about undercutting the idea that you have to follow duty. Most Greek tragedies are about people who have these conflicting obligations, and it’s a mess, and you have to navigate them. And she says that’s a good life. If you don’t have conflicting obligations, you’re doing something wrong.

So, it is as it’s always been. Keep working. Do your best; take smart risks and most of all, take care of yourself.

 

*  Cartoon is courtesy of Harry Bliss and The New Yorker, March 18, 2016.

Coding is Only the Tip of the Iceberg, Ivanka

News that Ivanka Trump plans take coding classes with her five-year old daughter reminded me how important it is for public figures to use role-model power carefully, strategically.  Witness Michelle Obama’s use of fashion as a channel for her message.

I get that women are under-represented in technical fields. I also get that many young women are unprepared to make enough money to buy a car, home, support kids and their own old age. But not everyone is a coder, and the odds are that almost any skill acquired today will be outdated tomorrow.

Jobs are more than coding, and there are more jobs than coding

I’m not minimizing programming skills; they cultivate patience and problem solving ability.  But, coding is not the silver bullet of gender equality. Girls need more than C++.  They need to be able to read and write and think. Companies have layoffs and starts ups fail.  Jobs disappear. Spouses die and family members need care. We age.  Technology is a big part of the way we live, but what about education, health care, finance, dog training?

Case in point:  a young friend, Mary Hill, was in town to celebrate winning a $100,000 in angel funding.  Mary is developing an at-home test for sexually-transmitted diseases, a global market that’s projected to reach $190,000 million by 2022. Mary, I should mention, was raised by a single mom who worked for a state agency.  She went to a public high school, an arts magnet no less,  and nurtured by a very creative family, was able to take it from there. She doesn’t know how to code, but she is definitely a problem solver.

Apprenticeships across industries?

So, here’s hoping Ivanka’s coding will help. Maybe her example will help her dad encourage some big-pocketed businesses — pharmaceutical companies, large banks,  retailers, real estate developers — to invest in some education and training to caulk some of the gaps in our educational system, much like technology companies are doing today with coding sponsorships.  It’s good business and smart investing.

 

 

Trying a New Approach to Collaboration, Large and Small

When I think of horrific meeting experiences, my mind rewinds to a hands-on seminar I led years ago for Apple. The objective was to introduce teachers to Apple’s desktop. It was a group presentation with auditorium-style seating and keyboards for participants to use in conjunction with the talk. About 10 minutes into my sch-peel, a tiny grandmotherly-looking woman stood up and said to the group: “We’re not idiots. Why do we have to listen to this person, let’s just do this!”  And away they went, clicking happily along in utter chaos. That was point my boss walked in. Needless to say it was an interesting debrief.

meeting

The 20th century approach to informing, educating and convincing a group of people. 

I thought about that woman this week during a Liberating Structures workshop led by Keith McCandless (who wrote the book) and Anna Jackson who spearheads an LS meetup group here in Austin. Is there a better way to inform, collaborate, teach and motivate a group of people?  I’m a newbie but I’d say the tools they introduced me to are the best I’ve seen so far. I can see how they could work in all kinds of organizations. The idea is to tweak the feng shui of group interactions – topic, space, pacing, participation – and deploy a set of tools that better focus and distribute the conversation among the people who matter.

liberated meeting

Are there more possibilities here? Bigger group, more leaders. See the 1-2-4-All tool.  

You can read more on the Liberating Structures website. It lists all the tools and gives you a menu of when/how to apply them.

Since I haven’t applied it yet, the results are theoretical. But hey, if it works for The World Bank and The Gates Foundation, I’m all in. I’m intrigued about seeing how the tools would work cross-culturally, in situations where some of the participants are remote (there’s a technology conversation) and when selling one’s ideas to executives.

More to come.  I only wish I, like Merlin, could live backwards: Just think how I could have helped and gained from that woman who was so frustrated and anxious to learn so long ago.  I hope she’s running a company somewhere.