Chain Reactions

I have been in California for the past week and traveling basically from DC to Chicago, NYC to LA to where I am now in San Francisco since January 14th.

My travels have given me a unique opportunity to compare the dynamics that are happening with the economic realities we are facing from a more intimate local perspective in the cities I have been in.

First off, everyone as expected is concerned about financial realities. It is a part of every conversation and in each business conversation that I have had both healthcare and non-healthcare related, it comes up in context or through more specific content. In each local paper I read, there is some semblance of the economic reality. Hotels are cheaper (good for me) and the appreciation I get for a tip seems to be acknowledged more so than I can recall from past experiences where I have given equal percentages for the service delivered.

Specifically, with my healthcare industry conversations, the over arching theme is the cutting of budgets by hospitals and healthcare systems. In NYC where I visited a hospital in Brooklyn, stretching the dollar for programs related to diversity and cultural competency is not a new thing. However, this particular facility has shown tangible results as far as ROI directly and indirectly through the efforts of its diversity lead; however, the budget to increase initiatives has remained flat and this year has threatened to be cut significantly. What is the rationale?

In Chicago there is a theme of cost cutting as well, but some of the healthcare organizations there are experiencing an increase in Equal Employment Opportunity Commission (EEOC) claims. This is to be expected since the EEOC reports that when the economy is down, discrimination charges go up. A recent Society for Human Resource Management article (January 2009, HR Magazine) quoted The Training Associates marketing director Jeanne Picardi stating that, "Not all senior leaders are familiar with employment law, and may see all training as 'discretionary spending' to be cut. This is a bad idea at any time, and especially in a downturn, because employment law claims increase substantially during a poor economy."

So, while I cannot speak for all of Chicago or all of anywhere for that matter, it is evident that claims will go up and some organizations are taking preventive measures to mitigate the potential circumstances that can result from the current economic reality.

In Los Angeles and in all of California, the talk is on the CA State budget. It is a mess and all Californians are feeling it. From the healthcare industry to retail, jobs are being cut, budgets slashed and consumers are feeling the effects. The effects are coming in decreases in public services (including cuts in public health funding/services), hospital personnel, infrastructure, etc. Not anything different from the rest of the country per se; however, in California there is a conversation in the media that illustrates the dynamics of how the State budget connects to the local economy connects to healthcare that connects to a more profound crisis of deeper, chronic (pun intended) proportions.

Again, I am sure this is happening in most States, but I am not sure about the dialogue being future-oriented given the challenges in the present and the recounting of rationale from the past.

So, where do these chain reactions leave us? First, I think they leave us with a need to turn inward for clarity about what those of us who have the privilege to contemplate the future can do right now to play our role in the collective betterment. This does not exclude concern for our personal and family well-being, but it does require us to look beyond a myopic sentiment of self-interest towards what will create long-term prosperity for many.

Second, we have to stay the course. The money did not "go away". Whatever comes from congress or whatever the banks at some point decide to loan again, we cannot quit moving forward with the focus on growth, not maintenance. Maintenance is death, you grow or you die. If we are maintaining to keep what we have, we will soon see it dwindle. So, whether it be money-wise, health-wise or otherwise, whether we profit, break even, or take a loss, growth has to be at the root of what we do.

If we miss the mark of fiscal profit or better health, we have to sow the seeds and reap profit from our learning about what we missed. If we profit, re-invest in future growth rather than hoard. Gather and store, but let the overflow return to the flow. If it sounds a little Buddhist in nature, so be it. We will see nothing less than the reaping of our labor's fruits of the next 6-12 months. It will seem to arise almost immediately on either continuum. Take note and do what we have to do to not create more suffering from the suffering that we are experiencing individually and collectively right now.

Thirdly, but not last (as I am only sharing snippets) acknowledge that this is temporary and if you act in temporary ways, we will have results based on temporary circumstances. This crisis was created and it can be transformed. It will take the efforts of many to do it. Act based on what you want, not based on what you don't. Either way, we will get what we act upon. Let's act on the greatness that we desire!

Make it a great day!