In response to my recent debate inducing post, Why the Whole Foods boycott is stupid, where I offered that boycotting someone for having an opinion isn’t that bright (though is within our rights). In response I got an email from Steven Levingston at the Washington post.
He informed me they asked an expert on boycotts to give an opinion on the Whole Foods issue, particularly the merits of boycotts: Whole Foods Boycott: The Long View
Unlike my post, it’s grounded and informative. It’s definitely worth a read – the author is a professor of history at the University of South Carolina and unlike myself, has more than just opinions and rants to offer.
He provides some nice context to the history of American boycotts, and why they work and often don’t, and how they can have an impact long term even when they fail in the short.
I’m not trying to be a healthcare reform clearing house, but a few articles I’ve found are much more useful than boycotting. They inform, or at least pretend to inform. Of course you can boycott and inform, but as best I can tell that’s not what these guys have been doing.
First up is this article, What’s wrong with Whole Foods, which presents a much clearer argument against Whole Foods, beyond just the behavior of the CE0 (It’s a crazy looking website, but the article is well written and somewhat referenced, minus the typos). Interestingly, the author of this article doesn’t recommend a boycott either.
But more important is this one, Five myths about health care around the world (Washington Post).
I’m not an expert and can’t verify these claims. But among other good stuff in here:
2. Overseas, care is rationed through limited choices or long lines.
Generally, no. Germans can sign up for any of the nation’s 200 private health insurance plans — a broader choice than any American has. If a German doesn’t like her insurance company, she can switch to another, with no increase in premium. The Swiss, too, can choose any insurance plan in the country.
In France and Japan, you don’t get a choice of insurance provider; you have to use the one designated for your company or your industry. But patients can go to any doctor, any hospital, any traditional healer. There are no U.S.-style limits such as “in-network” lists of doctors or “pre-authorization” for surgery. You pick any doctor, you get treatment — and insurance has to pay.
Which in all is a nice set of informed counterarguments to claims made by Mackey. Which is what I’d have loved to see boycotters passing out, attached to a copy of the WSJ article.
This article also hits on some things I mentioned in HealthCare as an innovation problem, namely informing us about alternatives so we can better see what we have and don’t have in our current system compared with what’s possible.
And lastly is this one from the NYT, which takes a look at the statistics for the uninsured in America: The Uninsured. It’s an editorial, but has references for most of the numbers they quote.
I’ve been forwarded a few emails about the Whole Foods Boycott, a movement in response to Whole Food’s CEO John Mackey’s Wall Street Journal article.
I’m tempted to find the nearest boycott and ask everyone who is so enraged if they actually read his short article. I doubt they have. It’s well written, expresses a clear opinion, and even if you disagree with him he does have some interesting ideas. (Even if those ideas read as callous, self-interested or misrepresentative of the data – note added 8/26).
Why is it in this country when someone expresses an opinion we don’t like, the answer is a boycott? A boycott is a ban and bans on other people’s opinions are can be stupid and childish. It’d be one thing if he was breaking laws, treating people cruelly, or doing something evil. But Mackey having an opinion you don’t like is not a crime. Honestly, adults banning anything from other adults can not come off as all that smart. If you want to protest, or voice an opinion, great, but you don’t need to boycott an organization to do that.
Instead of a boycott, I want passionate respectful disagreement. I want to see people treating other people’s ideas with respect in exchange for our right to do the same. I hope to see people offer superior arguments, and use intelligent persuasion, instead of blaming others for their “stupidity”.
Regardless of what I think of Mackey’s opinion, I defend his right to have his own opinion, even if it were stupid or idiotic, which in this case it isn’t.
Many of the ideas he mentions are interesting. Minimizing malpractice insurance for doctors? Sounds good., Make individual health insurance tax deductible? Also reasonable. Make costs transparent to consumers? How could that be bad? Most of the article is a bullet lists of interesting ideas. Impractical maybe, or misguided, but there is nothing wrong with this list.
The section that seems to have pissed everyone off is this one:
While we clearly need health-care reform, the last thing our country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction—toward less government control and more individual empowerment.
Mackey goes on to describe the flaws of the Canadian and UK systems, and how many folks are forced, based on his data, to wait for care. But I want to know this: do the boycotters have better data? Counterarguments to these claims? What about Sweden or Germany, how do those government run health systems compare? I haven’t seen them yet. This doesn’t make Mackey right, but the boycott doesn’t make him wrong either.
The Boycott Whole Foods website offers this in description of their cause:
John Mackey, CEO and co-founder of Whole Foods wrote an op-ed in the Wall Street Journal on August 12, 2009 quoting Margaret Thatcher and suggesting that healthcare is a commodity that only the rich, like him, deserve.
Whole Foods has built its brand with the dollars of deceived progressives. Let them know your money will no longer go to support Whole Foods anti-union, anti-health insurance reform, right-wing activities.
This is unfair based on my reading of the article. It’s certainly less thoughtful and makes worse arguments (apparently I’m a deceived progressive – wasn’t sure I was either).
The sad thing is I suspect I agree with some of the points the boycotters could make, but they haven’t made them. I don’t know what their counterarguments are. And I’d rather not choose between an intelligent argument for a point I disagree with and a stupid argument for one I do, but that’s an approximation of the choices I see here.
I’d be more critical of the timing of Mackey’s opinion rather than its contents. Why couldn’t this message have been delivered months ago, before Obama’s plan was pitched, when it could have influenced its direction, instead of derailing it. But that’s a matter of timing, not of the content of the opinion. If I were to boycott Whole Foods or critique Mackey it’d be for poor or manipulative timing, and not much else.
My only hope at this point is to have Alex Blumburg and Adam Davidson from Planet Money, the guys who did this amazing podcast about the U.S. Financial crisis, to do one on U.S. Healthcare.
Until the level of discourse rises, and Blumburg and Davidson are among the few heroes with that power, I think we’re fucked. We don’t know how to have an intelligent debate.
I’ve been loosely following the healthcare debate in the U.S. and there are some obvious points for innovation gone wrong. It’s not Obama’s fault, at least not yet, as the system he is working in is designed to make innovation quite difficult. Big change of any kind, for better or for worse, is extremely hard to do as power is divided across so many people, with so many entrenched and selfish interests.
Given what I know about innovation, if I were tasked with the challenging of reforming U.S. Healthcare, the last thing I’d do is try to overhaul the entire system all at once. It’s too big, too complex, and has too many built in defenders of the status quo to ever pull off. It would also be much too hard to get right in one shot.
Instead I’d do the following:
But the problem with my advice is the U.S. government is not designed to make this kind of thing easy. Budget cycles and Senate processes do not encourage experimentation, and the momentum required to get any legislation passed at all is so complex and momentum bound that once in motion there likely will not be a second chance – you get one bullet to spend during a term as president, if that at all.
Many corporations suffer similiar systematic problems – there is so much required to even get an idea on the table, that big ideas become brain dead easy to kill if that’s what you want to do, which most people who already have power and seniority tend to want to do.
As is often the case for me in American politics, I’m worried less about which side wins whatever battle, than I am about the low quality of discourse and discussion. It’s hard to sort our how much the headlines reflect what is actually going on, but stupidity and arrogance are harder problems to fix than innovation. Whether at work or a town hall meeting, when many arrive with decisions already made, or with the goal of silencing others, there’s not much room for progress to happen.
The folks at the Tools of Change conference posted a video of my talk this week on How Progress happens. Here’s the description:
Talking about change is easy making change happen in most organizations is ridiculously hard. But there are things we can learn from the history of technology, political revolution and change, and there is a playbook we can reuse to help us avoid easy mistakes and seemingly popular, but actually self-defeating approaches. This fun, interactive, and entertaining talk will prime you for leading change, enhancing your skills for motivating, and making change happen in your world.
It’s mostly new material – plus includes fun references to poorly named 70s rock bands, Gandhi, The Roman Empire, Christians and Lions, and other fun unexpected stories about progress.
Press play above to watch right now, or go to the blip.tv page – either way its 40 minutes long, including Q&A.