Showing posts with label Professionals. Show all posts
Showing posts with label Professionals. Show all posts

Tuesday, April 6, 2010

SURRENDERING, WASTING TIME AND FOLLOWING ORDERS : THE LANGUAGE OF EMPLOYMENT

THE MYTH OF EMPLOYMENT IN AMERICA

PART 1 - LANGUAGE

Last week, the White House announced some encouraging news about the economy. It said that the "Job Report" for March showed "significant gains." Apparently, more people found private employment during the early spring; and that meant more people were getting paychecks. Since late 2008, the "Job Report" had consistently reported losses. So last month's news was cause for celebration: When people have private sector jobs, it is a national victory.

What makes jobs cause for celebration in America? After all, what exactly is a "job," and why do Americans fetishize them so much? Is there something magical about jobs that makes people live their whole lives seeking them and toiling at them? I say no: In most cases, jobs are a poor way to spend your life; and they are sure way to obliterate your spirit as an individual.

Viewed in the abstract, jobs are nothing to glorify. In most cases, they are just a waste of time. People only work because they need to earn money to stave off material ruin at the hands of creditors, landlords, banks and other superior economic beings. They do not enrich people intellectually or spiritually. Rather, they commit people to a "service obligation," namely, unswerving dedication to the employer's economic mission. That economic mission might involve questionable ethics or outright deceit. But jobs require people to put those concerns aside and "do what the company wants." Worse, if the employee does not "do what the company wants"--or if he simply does not justify his cost in company profit--he is fired. If anything, jobs are gloomy reward. In return for a paycheck, an employee not only must sacrifice his time, dignity, ethics and individuality; he must also commit himself to another's material gain. That is a high price to pay for freedom from bankruptcy.

But still Americans thirst for jobs. Everyone wants one. Economists even measure national commercial strength by evaluating "job creation" and "job robustness." In other words, the entire economic system depends on everyone getting a job and doing what they are told so that larger commercial interests can profit and pay more employees. Jobs depend on hierarchies and disparities in power. Some live to benefit the employer; meanwhile the employer makes off with all the money. The employer expects total dedication to his economic mission; he pays just enough wages to keep the employee fed and under a roof. The employee must follow instructions and be productive.

It is not a fair system: No matter what free market apostles say to the contrary, very little labor is actually voluntary in the United States. True, no one is pointing a gun at employees to force them to work. But deluging people with ceaseless economic obligations under threat of homelessness amounts to practical coercion. If the choice is between letting one's children starve and taking an unfair job somewhere, is it really a choice?

If the field is so tilted, why does everyone want a job? If jobs are inherently unfair, coercive and wasteful, why does the White House tout them as the ultimate measure of national success? Does it not say something about our collective life expectations that we view our jobs as the highest expression of who we are? After all, most jobs are quintessentially counter-creative and anti-individualist. To understand that, consider that in American discourse it is often possible to replace the question "Who are you?" with "What do you do?"

Language relating to employment paints a bleak picture. It tells a story of banality, wasted time and exploitation. By investigating a few common words that regularly appear in the employment context, we see an oppressive, anti-individualist motif at work. And in the process, we begin to understand that the whole mythology surrounding "jobs" in America is exactly that: An elaborate hoax that sustains itself on false expectations and wretched servility.

Let us begin with the most obvious example: "Job." The word "job" is ubiquitous in modern American discourse. We cannot escape it. We even think we know what a "job" means; we visualize some guy slapping on a Starbucks apron and serving up mocchachinos for $5.50 a pop. But do we really understand the word? Where does it come from? What does it tell us? Is it really the sacred thing the propaganda tells us it is? Is it really the thing that determines our strength as a nation? Is it the be all and end all of our lives?

Let us look.

No one can agree on "job's" precise etymology. Most scholars agree, however, that "job" relates to the Middle English word "gobbe," meaning a "lump or mass of something," like clay, mud or grime. Dictionary.com says that "gobbe" did not imply "work" in 1400. But by the 17th Century, it began to assume a new meaning. Specifically, it meant a "specific, discrete piece of work done for an agreed-upon price." That distinguished it from long-term employment; jobs were "petty" and "inconstant." The handyman did "jobs," while the priest had a "profession." A person with a "job" was common trash. The fact that the word relates to "gob" tells almost the whole story. Jobs are grimy, unsavory and despicable ways to spend time. They are like lumps of filth with which people contend every day for a few lousy shillings. And they have always occupied the lowest spot on the "employment hierarchy." Only the meanest types worked "jobs." "Better people" spent their time with "professions" or "callings."

In this historical context, who would ever want a "job?" The etymology tells a nasty story. Only common rogues would deign to be "jobbers" slaving away at their daily lumps. What a horrible way to spend a life. While the word "job" may have taken a more neutral meaning over time, etymology never lies. It is indisputable that the word "job" reflects low social standing and abject surrender to a superior master. Only the most wretched people did "jobs" in the past, like cleaning privies or washing horse dung. Yet now Americans fetishize jobs. Who would have ever thought that so many Americans would have wanted to be the linguistic successors to Elizabethan shit sweepers?

Other employment-related words do not really improve the overall linguistic image. Those fortunate enough to avoid having a "job" might have a "career" instead. Like "job," "career" has become ubiquitous in American discourse. And like "job," Americans think they know what a "career" is. They also understand that "careers" are somehow "better" than jobs. They might not know why; it just seems that "career people" make more money than common slugs with "jobs."

But from an etymological perspective, "careers" are just as pernicious as jobs. While "career" has always elevated itself over "job," both concepts do the same thing: They voraciously consume time. "Career" especially implies a lifetime dedication to a chosen economic pursuit. It derives from the Latin word "carriara," meaning a "road intended for vehicular transport." See Dictionary.com, v. 1.1. "career" derivation. The dictionary's definitions stress "career's" temporal demands: "1. An occupation or profession, esp. one requiring special training, followed as one's life work; 2. A person's progress or general course of action through life or a phase of life." Id.

On its face, "career" does not necessarily imply economic service to a private master. But in American discourse, it does. People go to "Career Schools" and learn how to "prepare for their careers." They hear that it is "great to have a career" and that losing a career is worse than death. In all these usages, "career" implies dedication to a particular economic mission. It is wonderful to have a "life's work" if you believe in it, but how many "careers" really inure to individual benefit? A corporate "career," for instance, is not about the worker; it is about the corporation. A lawyer's "career" is about purposeful economic activity, not individual enrichment or creativity. In this light, "careers" in American discourse paint a disheartening image: They show people slavishly dedicated to a particular economic master for their entire lives. While "career people" may need special training to have a "career" rather than a "job," and while they may earn more money at longer engagements than "jobbers," they are no better in dignity. After all, to have an American-style "career," you have to give up your life to a "particular course of action;" you must "get on the road." In most cases, that means disciplined, directed service to a private economic master. If you do that, what time do you have left for yourself? Very little, if any. In this sense, "careers"--like jobs--generally reflect an essential hostility to individuality and creativity, as well as dedication to superior economic masters. And that is exactly how it is supposed to work, too.

American discourse about employment reveals its hierarchical function through other words, too. Beyond the basic distinction between "jobs" and "careers," there are also "professions." In modern American usage, "professions" are "special careers" that involve some unique learning or discipline. They pay more than other careers and certainly more than mere jobs. "Professions" even conjure mystical connotations because they involve special skills that average people cannot even fathom. "Professionals" use highly specialized language. They ply highly specialized procedures to obtain almost miraculous results. Generally, they go to school for a very long time before going into business. And on that basis they demand more money for their services. The word "profession" is all about "exclusivity:" Not everyone can be a "professional." We cannot all be so smart or skilled. If we were, we could pull our own teeth or conduct our own trials--that would not be good for dentists and lawyers.

"Profession's" etymology bears out these colloquial connotations. The word derives from the Latin "professio," meaning the "taking of the vows of a religious order." Dictionary.com v. 1.1 (profession etymology). In modern usage, the word means: "1. A vocation requiring knowledge of some department of learning or science." Id. Professionals, then, are modern-day mystics. Their very name invokes a "religious order." But they are not free spirits; they "took oaths" to the "religious order." This commits them to their "craft," or--in modern terms--their "knowledge of some department of learning or science." And they are essentially secretive: Not everyone can join a secret religious order, let alone master its complicated rituals or rites.

In practical terms, there is not much difference between a "career" and a "profession." Both refer to constant work for pay, most likely in the service of a private master. In that sense, "professions" consume time even more than simple "careers." Some "professions" genuinely do good. But in most cases, "professionals" band together to maximize their profits by exploiting public need for their "special knowledge." And in America, people do not become professionals to do good. They become professionals because they want "high-paying careers." In the process, they commit themselves to the profession's narrow "department of learning or science" for their entire lives, ruling out all else. Like jobs and careers, then, professions work strongly to suppress individuality and creativity. There is simply no time for anything but the profession--and profiting from it.

Finally, there is a general word that applies to almost all employment-related terms: Occupation. In many ways, occupation perfectly summarizes the temporal difficulties involved in employment. It is a relatively simple word; the subtlety lies in the imagery.

Occupation derives from the Latin "occupare," literally meaning to "occupy." But beyond the familiar "occupation," the word implies a "taking of possession of time or space." There is an element of both superior power and control in the word. It implies that someone or something takes possession. Obviously, anyone or anything possessing someone or something else is superior to the person or thing possessed. In this sense, "occupation" requires a subject and an object, a dominant element and a subordinate element. There is an "occupier" and an "occupied object." It is all about power.

These are revealing insights when applied in the employment context. After all, if a person has an "occupation," who is occupying and who is being occupied? Does the work "possess" the worker, or does the worker "possess" the work? I would venture that the work possesses the worker. It possesses his entire being, including his mind, his time, his creative strength and his focus. He allows someone to occupy him for pay. But he sacrifices his dignity in exchange. It is fundamentally submissive. And it confirms the essential power struggle that pervades all employment relationships: Someone occupies; another is occupied. The occupier profits by occupying the occupied object; the occupied object receives "compensation" for allowing the occupation. Yet make no mistake: It is always the occupier who holds the power, just as a carpenter holds power over his tools.

Where does all this leave us? It leaves us with an ugly picture about employment. American employment propaganda tells us that we should all want jobs or careers. Or a career of jobs. Or maybe a profession, or a professional career. Or at least an occupation. But if we understand what those words actually mean, we should hesitate before so zealously pursuing them. Jobs are just gobs of nasty filth. Careers are time thieves. Professions are hypnotizing, mind-narrowing cults. And occupations are invitations to be "possessed" or "owned." They are all about surrender. They are all about submission.

But maybe that's the point. Maybe we're supposed to surrender and just do what we are told. After all, the White House says we're a stronger nation when we all have jobs.

That is pretty scary if you ask me. Then again, not everyone reads the dictionary like I do.

Monday, March 22, 2010

LAWYERS : WHAT'S IN A NAME? MORE THAN YOU THINK

AN ESSAY

Lawyers are always in the news. They like talking to the press. And the press likes talking about them. They always have something to say; lawyers are pretty glib. They like free advertising, too. So they are happy to speak up when cameras roll.

But no matter how much press lawyers get, it's usually bad. In most cases, news stories involving lawyers discuss their avarice, moral bankruptcy, hypocrisy or outright criminality. Most recently, for instance, several newspapers reported on the proposed settlement between New York City and 9/11 workers. Apparently, the lawyers in that case (it's a big class action suit) advised the 9/11 workers to settle for around $675 million. That would give the lawyers at least 33%, or $225 million. The 30,000 workers would get the rest. A judge rejected the proposal. The press described it like this: "Judge refuses to bow to greedy lawyers. Rejects 9/11 settlement."

People expect lawyers to be greedy in America. That's their reputation. That's what they do. They intervene in private disputes, work mysterious magic behind the velvet curtain then take their fee. That's just how it works. At the same time, people expect lawyers to break rules as often as they enforce them. Vulgar punners like to cross the word lawyer with "liar;" and the pun is not too far off the mark. When hearing about lawyers, people expect elusiveness, craftiness, dishonesty, theft and nasty-spiritedness. It's all part of the public image. It is no wonder that the public does not respect lawyers. Viewed in the abstract, they are a lousy bunch.

But it's all part of the trade. Lawyering is a lousy business. Government tries its utmost to cultivate respect for the law as a beneficial social construct designed to bring about good. Yet a quick brush with lawyers undermines any respect a citizen might have developed for the law. With lawyers, it's not about doing good. It's about winning. And if winning means subverting good--or even allowing evil to prevail--then so be it. That's business. After all, that's what the client wants. As law firms like to say: "We are result-oriented." How true: Lawyers get results for their clients, even if those results seem despicable to everyone else on earth. The word "result," after all, does not necessarily imply "good" or "ethical." Results depend on who's getting them. A good result for the labor baron is a bad result for the workers. A good result for the State is a bad result for the Defendant. A good result for the employer is a bad result for the employee.

Lawyers sell results. They get them however they can. That is why people don't respect lawyers; they are crass partisans who zealously go to bat for scoundrels. In the process, they milk everyone for money and accuse everyone of lying--except themselves.

Maybe our language has something to do with lawyers' poor reputation in America. Yesterday I thought about the word "lawyer," as well as its interchangeable synonym, "attorney." Then I thought about the German word for lawyer, Rechtsanwalt. I have often uncovered compelling conceptual relationships among English words by comparing their equivalents in foreign languages. Perhaps I could understand why lawyers have such a bad reputation in America by making some linguistic comparisons.

Literally, Rechtsanwalt means "rights advocate." That sounds somehow more detached than "lawyer." Although lawyers are not the most respected members in German society, either, their name reveals something more transcendent than "lawyer." After all, a "rights advocate" is someone who stands up for rights. Rights are principles that mean something greater than individual self-interest. Rights stand for something beyond commerce and winning. Rights symbolize personal worth against government intrusion. Rights are somehow "sacred" and "inviolable." When someone violates a right, the aggrieved person has a claim against the violator. We enshrine rights. They exist beyond life. They encapsulate our deepest values. They express our fundamental expectations as individuals in society. Men have gone to war over rights. They have written philosophical treatises about the "Rights of Man" and launched revolutions to secure "inalienable rights." While rights may just be a human invention, they nevertheless represent something larger in people's lives. People willingly fight for rights. While it is ignoble to die for money, it is noble and just to die for rights.

In this light, a "rights advocate" seems a much nobler name than "lawyer." While lawyers in America--just like Rechtsanwälte in Germany--make their living by defending clients' "rights," their name suggests something far less honorable. "Lawyer" is embarrassingly common. It says nothing about "advocating for rights." Rather, it sounds like just another petty craftsman. In English, after all, the suffix "-yer" historically connotes a street-level artisan, like a "sawyer" (man who crafts wood with a saw) or "bowyer" (man who makes bows). Linguistically, then, lawyers fit into this tradition as "petty craftsmen who bend the law just as a journeyman bends a bow."

This interpretation goes beyond mere mockery. It is surprisingly appropriate in describing the lawyer's role in America. After all, lawyering is all about results in America. It is commercially straightforward. It is no different than manipulating tools to saw planks or build bows. People who want to buy plywood and bows don't care about others' rights. They merely want products to be crafted and built. And lawyers hawk the law in stores, just as sawyers hawked sawcraft in old England.

In a word, the word "lawyer" perfectly expresses the commercial nature of legal practice in America. It is not about "transcendent rights for all." Rather, it is about tailor-made products for particular clients who want particular results. The word's origin conceptually places lawyers exactly where they belong: Among street peddlers and common craftsmen.

But what about "attorney?" Does the synonym save the concept "lawyer" from moral destitution? To determine this, we must examine its etymology. "Attorney" derives from French. It takes its form from the French verb "tourner," meaning "to turn," then adds the Anglicized prefix "at-", meaning "to" or "toward." In French, the past participle of "attourner" is "attourné," meaning "turned to." The suffix "-ey" indicates that at some point an Englishman changed the French past participle into letters he could pronounce: He transformed the foreign-looking "é" into "-ey." Behold: Attorney. Literally: "Person turned to."

So how does this differ from "lawyer?" Is it any "better?" Not much. If anything, the word "attorney" refers to the lawyer's role as confidant and advisor in times of trouble. People need to "turn to" others when something bad happens to them. In some sense, the word "attorney" is paternalistic because it implies that people are too weak to fend for themselves and they need a "father-like" lawyer to shepherd them through difficulty. But in another sense, "attorney" implies that a lawyer is a partisan mercenary who will do anything his client tells him. After all, why would you "turn to" a lawyer if not to win your case at all costs?

In my view, the word "attorney" represents the lawyer's role as adversary in the American system. People "turn to" lawyers when they have a commercial problem. They expect their lawyers to vigorously advance their interests, even if those interests stand at odds with all the world. As a partisan, the attorney will "bend the law" in whatever way he can to win. In this way, the words "attorney" and "lawyer" mutually reinforce the commercial--and result-oriented-- nature of legal practice in America. People expect lawyers to do their bidding, so they "turn to" them. And once they do, they expect lawyers to sell them a ready-made product without quibbling over larger issues like conscience or ethics.

This is not to say that some American lawyers are not "rights advocates." On many levels, they are. Every legal case involves rights. But not all rights are noble. In fact, most legal rights involve contracts, property and other social mechanisms designed to maintain private ownership. As a consequence, legal rights perpetuate unfairness because those who can assert them generally have much more power than those who do not. To speak broadly, those with more riches often have substantially more legal rights than those without riches.

But these are merely "technical," private legal rights. There are public rights, too. And those rights have a largely positive connotation. Most people think about public (constitutional) rights when they hear the word "rights," like the right to free speech and the right to equal protection under law. That is why the German word Rechtsanwalt conveys a more positive connotation with regard to the law than the English words "lawyer" and "attorney." It focuses on rights, not commerce or craftsmanship.

In America, people "turn to lawyers." Yet that is the reason why lawyers always get bad press. No one likes a crafty, small-minded, contentious partisan who bickers and backstabs for a fee. Yet that is what lawyers do here. They are crafty craftsmen who bend bows for a set price, not noble "rights advocates." They sell products, just like any other peddler. But unlike other peddlers, they are paid to fight for one person's "rights"--and trample you if you get in their way.

Thursday, January 28, 2010

HEALTH INSURANCE BILLERS REFUSE TO GO QUIETLY

AN OPEN LETTER TO PRESIDENT OBAMA ON BEHALF OF ALL PRIVATE HEALTH INSURANCE BILLING PROFESSIONALS NATIONWIDE

Dear President Obama,

For months now, my colleagues and I have watched you with trepidation. We watched as you and your Democratic majority in Congress rammed through a health care reform bill that threatens to upend Americans' control over their lives. Although Scott Brown's amazing Senate victory in Massachusetts promises hope for the future, we nonetheless feel it necessary to voice our concerns as Americans and health care professionals.

During your State of the Union Address last night, you vowed to continue the fight to reform health care in America. You said that millions of Americans remain uninsured. You declared that "private health insurance companies" reap "massive" profits while "common people" struggle to pay inflated bills. You claimed that privately-administered health insurance is the reason why America fell into a "health care crisis." You even suggested that America must move closer toward government-run health care to curb the influence of insurance companies and lobbyists.

Mr. President, you are gravely mistaken. Government is never the answer. Only private enterprise can deliver quality goods and services to Americans at reasonable prices. Only vigorous competition between rival economic interests can ensure the innovation Americans expect from any industry. Just because the health care industry deals in human illness does not make it different from any other business enterprise. People who work in health care need incentives like anyone else. If government starts meddling in health care, doctors might not earn what they deserve. Inventors might not enjoy the protection they need to profitably guard their discoveries. And every day Americans will certainly lose the cherished freedom to choose where to seek health care. As Americans committed to liberty, we find this appalling.

But health care reform will not just destroy liberty. Health care reform will also destroy jobs. Mr. President, our American health care system works because it runs like a well-oiled business machine. Like any good business, the American health care system has great accountants. Everyone pays what they owe; no expense ever falls through the cracks. This encourages both responsibility and financial discipline. Americans know that they must pay for everything they receive in a hospital or at a doctor's visit. That encourages them to be judicious in seeking medical care, as well as to make prudent economic decisions when addressing their health care needs. Health care is a consumer product in America. And stringent health care billing practices are the reason why American health care is so good.

Health care reform will curtail private health care opportunities. If the government intervenes to pay medical bills, there will be little need for private health care insurance billing professionals. If government suddenly steps in and says: "This man has diabetes. We are handling his care and paying the bill," that man will not receive a private bill. Consequently, there will be little need for hospitals and insurance companies to employ hundreds of accountants, actuaries and typists to draft thousand-page itemized bills for every patient. Yet thousand-page itemized bills are precisely the things that make the American health care system so wonderful. Thousand-page itemized bills make the health care world go around in America. If health care reform succeeds, thousand-page itemized bills will become unnecessary. And so will the millions of American workers who make them possible.

We are Private Health Insurance Billing Professionals. We refuse to allow President Obama to destroy our jobs. We refuse to allow Obama-Care to eradicate our livelihoods. We refuse to stop itemizing charges for 5g of hospital pudding on 4/3/08 ($459.90), 30cc of Titrium Chloride on 4/4/08 ($1,983.08), one night, hospital room (standard special rate) on 4/4/08 ($7,000), and lower rhomboidal surgery plus anesthesia on 4/5/08 ($497,632.26). We went to school to do what we do. Billing is not easy. Yet it is essential to run any business, including the American health care business.

Mr. President, screw your health reform. As professional health billers, we say now: "Hell no, we won't go." If health reform means giving up our Excel® spreadsheets and expense logging software, we say: "Hell to the naw-naw, mah niz-aw."

Leave us alone. We are productive American workers. We stay up for days at a time tabulating hospital meal costs, hospital linen charges, surgery costs, financing charges for doctor visits and outpatient anesthesiology service payment schedules. We even tack on progressive interest rates for all this shit. We do not have an easy job. But we receive good wages and we pay good taxes. We support families on the wages we receive from sending angry collection letters to penniless amputees. We send children to school on the cash we receive for mailing book-sized bills to destitute underinsured cancer victims. And our taxes help keep this Nation strong. How dare you introduce reform that threatens our jobs?

Mr. President, you must not reform health care because reform impacts private health insurance billing professionals. American life is all about paying bills. Some even say that the meaning of life in this country is making timely monthly payments on this, that and the other thing. If you attack health insurance billing, you attack the very meaning of life in America. Where would Americans be if they no longer had to fret over insurmountable medical bills? What reason would they have to live? Health care bills dominate American lives. If your "reform efforts" sweep them away, you will open a tragic void in every American's life.

What good will flow from that void? After all, bills keep Americans honest. It keeps them at work. It keeps them responsible. If Americans no longer live to fear bills, they will lose all respect for authority. They will no longer look for employment. They will begin leading debauched, wasteful lives. Only bills maintain order in our society. Think seriously on it, Mr. President. Any effort that reduces the influence of bills on Americans chips away at our country's very core.

And any effort that eliminates bills means that important people don't get paid. When that happens, God help us: I quake to think what a radiologist would do if he knew he would no longer receive $925,000 a year due to "health care reform." Radiologists are not schmucks. As a Nation, we cannot allow radiologists to receive a meager $800,000 a year for their work.

Stop disrespecting professionals. We are private health care billing professionals. We might not be as important as radiologists, but we are nonetheless professionals. We learned how to meticulously track fees and expenses. We even read textbooks, listened to lectures and took exams. We went to school and we learned how to bill like pros. We don't deserve unemployment for our toil and study. No, we deserve a place in the economy. More to the point, we deserve a hallowed place because our efforts keep every American responsible. Our work reminds every American that there are no free lunches in this country. In fact, we remind every American that every little piece of the lunch has a specific price--and they need to pay every penny to avoid financial ruin.

Mr. President, we urge you to scrap health care reform at once. It makes no sense to sacrifice America's commitment to responsible free market principles in order to grant charity hospital stays to a few stinking beggars. More pragmatically, it makes no sense to destroy the private health insurance billing profession. Professions are valuable; government should support them, not destroy them. And our profession is much more significant than most people realize. Without us, no doctor would get paid and no American would fear bills.

For a moment, think about how dangerous our society would be if every American suddenly stopped worrying about bills. It is too terrifying to even consider. That is why you must abandon health care reform once and for all.

Defend private health insurance billers. We remind every American that everything has a price. We keep every American fixed on his duty: Paying prices. The next time you get a thousand-page bill for a two-day hospital stay, thank us. We are actually doing you a favor by maintaining the American economic system as we know it. And you have to admit: It's pretty damn good.

That's because everyone fears bills and works to pay them. You can thank professional billers for that.

Mr. President, forget about reform. Think about jobs and responsibility for once. Enough with the justice rhetoric. Americans don't want hope. They want accurate bills, secure services and competitive prices.

Think about your poll numbers. If you really want to be popular again, drop this foolish health care crusade. Give power back to the private health insurance billers. It is the only way to save America's economic soul.

Yours very sincerely and truly,

Prof. Gabriella F. Trackett-Goode, B.S. (Health Care Billing Systems)

Assistant Professor, Medical Accounting & Billing Science
Amboy Community College, Perth Amboy Twp., N.J.

Consultant, The Bayer Group LLC (a Fortune 100 Company Specializing in Effective Billing Strategies for the Pharmaceutical Industry)

Tuesday, January 12, 2010

WE CAN SOLVE AMERICA'S HEALTH CARE CRISIS WITH EDUCATION AND PRIVATE LENDING

ALTERNATIVE HEALTH CARE SOLUTIONS FROM GREAT MINDS

By : Dr. T. Everett Branwell, M.D., Ph.D., F.A.C.O.G., D.V.M., M.B.A., C.P.A., President and Charter Member, Paying Customers United for Quality Health Care; Chairman and CEO, Gastro-Tech Intestinal Scanning Instruments LLC (a Delaware Limited Liability Company); Married; Hospital Cost-Control Consultant; Amateur Dog Breeder.

America hungers for a miraculous solution to the health care mess. For more than a year now, we have watched President Obama struggle to balance the myriad forces bearing upon this issue. For more than a year now, we have seen little improvement: Millions remain uninsured; malpractice lawyers game the system with frivolous suits; surgery still costs an arm and leg (in more ways than one); and health care costs are still driving this country to financial ruin. Although Congress wisely avoided committing America to a wasteful European-style "public option" in its recent health care legislation, the bill leaves many questions unanswered. In a word, it is no solution.

We will not rescue healthcare without solutions that reinforce American virtues. Handouts and subsidies will not get the job done. Neither will government programs that interfere with private decisionmaking. Rather, we must attack the problem directly while cultivating self-reliance and respect for private enterprise. Government can do no job that a private person cannot do better. I trust the American people. And I know that an ambitious American can achieve anything he sets out to accomplish.

We must start from square one. Health care fails in America primarily because there are not enough doctors. Costs rose to astronomical levels because doctors are in limited supply, yet demand for their services is higher than ever. As any economics student can tell you, that's a recipe for runaway prices. The bottom line is this: You need doctors to provide healthcare; and there aren't enough doctors to provide it to everyone who needs it. Add the facts that Americans live longer, weigh more and exercise less and you soon discover how grave this crisis really is.

In a typical scenario, an American gets sick. He spends days waiting for the right doctor to see him. He cannot work during that time. He worries whether he will recover. In essence, he must be passive; he must wait for the doctor to help him. This is not good for the economy or the Nation. We need more doctors so that sick people can recover faster. If there were a doctor right around the corner, this poor man would receive immediate attention and get back to work sooner.

So how do we create more doctors? Simple: By education. Doctors do not grow on trees; they must be trained. But this is not a drawback; it is an opportunity. Education is good for America. Because doctors depend on education, we can address the health care problem through education. I care about America. I care about education. I care about health care. That is why I have devised a foolproof solution that will harmonize all these things.

We can rescue healthcare in America by requiring all Americans to become doctors. If everyone were a doctor, no one would have to go to the hospital or take time off work. Instead, sick people would be able to care for themselves. If a man breaks his leg, he could set the bone himself, administer anesthesia to himself, keep a detailed treatment log for himself, administer physical therapy to himself, write his own prescriptions and be back on his feet in no time. And he could do all this without depending on others: No wait times, no insurance forms, no missed work. If he encountered a problem in treatment, he could always call on his wife, children or parents, all of whom, too, would have the medical expertise needed to heal him. Put simply, mandatory medical education would render virtually every health care dilemma moot.

We understand that it takes a long time to become a doctor. Many people shy away from careers in medicine because they do not want to stay in school until they are 40 and stay awake for 24 hours several nights a week. But we have seen what happens when our society does not have enough doctors. Our health care system fails because doctors cannot handle all the sick people in an expeditious manner. If everyone becomes a doctor, however, these problems will instantly disappear. Yes, it is a significant investment. But in the end, it will solve the health care mess.

Still, we can only achieve this happy result through a complete educational overhaul. We must finance every American's medical education, and that will cost a lot of money. Yet we must never underestimate the strength of American private enterprise. As long as we provide sufficient incentives to private enterprise in America, we can expect miracles. By the same token, if we leave substantial questions in government hands, we can expect disasters. In that light, we must put our faith in the free market to deliver quality medical education to every American. Just as mandatory medical education will breed self-reliance in the population, so too will private educational financing teach fiscal responsibility to every American.

To realize the dream of universal American medical education, we must require every American to take out private educational loans. At the same time, we must abolish government-backed educational loans in order to maximize private competition in lending. We will not achieve our educational goals by stifling healthy free market activity; banks cannot do their work if they are not free to charge as much interest as they wish on student loans. In that light, we also must insist that every American pay only interest on their student loans in perpetuity. This will allow banks to constantly increase their outstanding balances, thereby increasing their income and maximizing their shareholder revenues. When banks prosper, so does America. Thus, mandatory private financing for mandatory medical education will kill two birds with one stone: It will solve the health care crisis by making everyone a doctor; and it will also reward healthy private banking.

The solution is obvious.

Critics will inevitably counter that America requires employment diversity to survive in the 21st Century. Specifically, they say that doctors are not the only profession that Americans need. According to these critics, Americans need mechanics, lawyers, steelworkers, coffee shop baristas, taxi drivers, cashiers, plumbers, nude dancers, ditch diggers, soldiers, politicians, toilet cleaners, peddlers and stockbrokers, too.

We do not disagree. Our critics do not understand what we mean when we say "universal medical education." We do not mean that everyone must stop their educational pursuits as soon as they become doctors. We simply mean that everyone must at least be a doctor before undertaking another profession. This is the only way that Americans can truly achieve medical self-sufficiency. In other words, once a man becomes a doctor, he is free to learn donutmaking or some other craft. We understand that Americans need donutmakers as much as they need doctors. But under our plan, a medically-educated donutmaker will have the knowledge to care for his own medical problems, rather than depend on someone else if his health fails. We agree that America needs other professions. We simply insist that everyone must at least be a doctor.

We actually encourage Americans to pursue educational goals beyond medicine. After all, when everyone is a doctor, salaries for doctors will inevitably decrease. That will require enterprising Americans to find novel new ways to make money. Once again, private enterprise will light the way: Banks stand ready to provide private loans to any doctor who wishes to learn another trade.

Mandatory medical education is right for America in many ways. It will not only solve the intractable financial problems associated with health care. It will also teach virtue. This country rose to preeminence because Americans are self-sufficient. The health care mess developed because too many Americans were not self-sufficient. But those days will end as soon as every American becomes a doctor. On that day, Americans will treat their own diseases; they will not need anyone else to help them. In our view, this will reinforce the gritty determination that made America great in the first place.

Sickness and injury will no longer signal desperation and worry. To the contrary, a medically-educated American will confront them with defiance. "I have HIV? Pah, I can treat myself for it," he will say. And he won't owe anyone else a dime for things he can handle himself.

We must implement mandatory medical education at once. It is the only way to extricate ourselves from the health care money pit in which we now find ourselves. It is the best possible way to overcome this crisis. It offers nothing but benefits. It fosters respect for education; that's good for America. It teaches self-reliance; that's good for America. It teaches fiscal responsibility; that's good for America. It supports private enterprise; that's good for America. And it does all these things without government interference; and that's definitely good for America.

Americans are individuals. They can do anything as long as they know what they are doing. It's time to harness that spirit to solve health care. It's time to make everyone a doctor.

True, every new doctor will emerge into the world saddled with debt. But that will just be an incentive to work harder and better. Debt is not a bad thing. In fact, it is a very good thing for banks. And when banks prosper, so does America.

Tell your Congressman that you can handle your own medical problems. You can be your own surgeon. You don't need Congress or President Obama to bail you out.

Mandatory medical education. It's the only way. The American way.®

Wednesday, August 26, 2009

SUMMER BLAHS

This is really the first year I've noticed that people don't do anything in August. They don't do much in July, either, but August in New York is just catatonic. There's no one here. They've all gone to beaches or retreats. All the "professionals" are "summering." Try making an appointment or a prescription in August. It's a nightmare.

I've even noticed that traffic on my blog has dropped off dramatically in August. In that light, I think I am going to jump on the bandwagon and reduce my own work load for the rest of the summer. This does not mean I will stop writing altogether until September; I will just post more sporadically than usual. I don't like to stop writing, but in my experience I've always found that it's a good decision to close up shop for a while. This seems like the best time to do it, since no one is around anyway.

I will write some short pieces over the next week or so, but I will hold off from diving into my usual "issue list" until the temperature drops and people come back (both physically and intellectually) from the beach. I still have major questions to address. But I won't waste my time analyzing them until life resumes in September.

Thanks again to everyone who logs in for Reason, Commerce, Justice and Free Beer! If my output over the next week is too low for you, I welcome you to simply check out my archives. There's never a shortage there.

Enjoy the rest of the summer!

Oesterhoudt

Friday, August 7, 2009

THE DISAGREEABLE ASSHOLES' LEAGUE FOR TOTAL STRESS, PROFESSIONAL SUCCESS AND, BY THE WAY, FUCK YOU, TOO


By : Ms. D. Samantha Crabtree-Farkingbeech, Esq., Partner, Cunting, Snidewell, Screech & Dourpott, LLP, a Fortune 250 Law Firm Specializing in Client Service to the Software Industry; J.D., Harvard Law School summa cum laude (1990); Author, “Work is the First Word in Work-Life Balance,” (an American Bar Association Publication)(2008); Voted Best Litigator, Atlanta, Georgia Bar Association; Married; Mother of two.

God fucking damn it. What the hell do you want? Can’t you see I’m in a hurry? I’ve got a meeting in five minutes. Do you think I have time to sit down and talk to you about this? Maybe you didn’t notice, but it is a weekday; I’ve got deadlines. If I don’t call Dick Henry back in five minutes we could lose four fucking million in fees. And I’ll be damned if I let that happen. Not on my watch. Shit, now my phone is ringing again. Who the fuck is it?

I didn’t make partner in this law firm being nice. If you want to succeed here, “being nice” is not an option. I didn’t bill 4100 hours last year and set a revenue record kissing ass or being polite to people. Sure, maybe a smile here and there for a judge or a client is OK. But once you start working cases, you’d better hang up your nice hat and start acting like a winner. Winners don’t ask; they tell. When opposing counsel asks for a delay because their witness is running late, you tell them: “Fuck no. We had an agreement. You signed it.” Then you make phone calls and yell at people for costing you time. Basically, you’ve got to put some gravel in your voice, break out your BlackBerry® and start telling some junior associate that they have their head up their ass because time is ticking.

Yeah, I’m stressed. Yeah, I take Tums. It’s stressful trying to win cases for software companies, especially when they have all kinds of dirty laundry to hide. Do you know how difficult it is to sift through 40 million pages looking for some damning admission some low-level programmer made in 1993? Do you know how difficult it is explaining to a judge how you’re going to catalogue 700,000 boxes of documents on some custom-made computer program? You spend more time defending your dumb-ass IT staff than talking about the case. At least you don’t have to talk about the law. The law doesn’t win cases. Management does. And management is stressful. Do you know what it’s like to take 230 phone calls every 16 hours? Do you know what it’s like trying to keep everyone’s name straight? Have you ever been so busy that you can’t even squeeze in time to take a shit? Welcome to my life.

But I don’t regret anything. I came a long way to get where I am now. I’m proud of myself. Not everyone can be a partner at this law firm. You need to take hits for the team in order to make it here. You need to handle stress every day. You need to juggle 14 different tasks at once, yet somehow still bring in new clients, win existing cases and cover up negative information about old clients. That takes serious talent. It’s not easy to remember every single fax and email you sent in May 2007. They all sort of blend together after a while. But that’s what separates the women from the girls: Women remember every piece of paper that ever crossed their desks; girls forget phone conversations two minutes after they end. You can’t pull anything over my eyes. If I see something once, I remember it. If I hear you say something, don’t try to lie to me later, because I remember everything. I can even remember if you used the word “of” in 2004. That’s what makes me a killer lawyer: I remember what people say. Yeah, it’s stressful. But it sure pays off.

I started the Disagreeable Assholes’ League for Total Stress, Professional Success and, By the Way, Fuck You Too in 2005. I started the party because successful people like me need a real political voice. We don’t have time to sit around and debate political topics. We have copies to make, depositions to take and phone calls to return. We don’t even have time to screw our husbands on Sunday afternoons, let alone talk about health care, environmental protection or voting rights. Yet we deserve to be heard because we are successful Americans. Just because we spend every day working our asses off at high-end law firms doesn’t mean we don’t exist.

We exist, all right. And we’re damn important, too. We believe it’s time for people to know just how important Disagreeable Assholes are in this country. We believe all Americans should know what it takes to achieve professional success. We believe all Americans should understand what it means to be a winning professional. We are determined to dispel the myth of slacker success. No one gets anywhere in this country being nice. No one sets billing records or revenue standards with smiles and apologies. In this law firm—and in every other respectable business enterprise—only winners survive. Winners are not just assholes—they are disagreeable assholes. Anyone can be an asshole. But not everyone can be sufficiently disagreeable to achieve professional success. Assholes complain, whine and make things difficult on everyone around them. Disagreeable assholes do all that plus cite legal rules, refuse to show mercy, reject appeals and never experience joy. Most importantly, disagreeable assholes enjoy arguing, fighting, resisting and contesting anyone who stands in their way.

For us, being “disagreeable” is a way of life. We do not feel good about anything. We fight everybody and everything, all the time. We don’t stop until we’ve been paid. We are always anxious, stressed, angry, pissy, vengeful, uncompromising, unforgiving, devious, nefarious and mean. We do not agree on anything; that’s what makes us disagreeable. We disagree on where to go to lunch, what to do on Thanksgiving and how best to copy 40,000 documents. We disagree on how much to leave as a tip, how best to get to the airport and how to greet colleagues. And we especially disagree with any suggestions made by our opponents. If our opponents suggest holding a meeting in the Sheraton because it is close to our offices, we will disagree and insist that we hold the meeting somewhere further away. If our opponents suggest that we split phone costs on a case, we will disagree and threaten to obtain a court order imposing full liability on them. We disagree for disagreement’s sake. In this business, being an asshole is not enough; one must also be disagreeable.

People say that “disagreeable” is a negative word. They even say that “assholes” are not pleasant. We disagree with both assessments. In our view, our critics fail to understand that professional success depends on assholes; more particularly, it depends on disagreeable assholes. No one achieves fantastic financial success in the United States without bitterly fighting over everything. Professional success means merciless combat every day until either financial victory or heart failure. In professional life, competition abounds. Everyone is out to take your money. Everyone plots ways to steal your business. Everyone is conspiring, eavesdropping and conniving—even supposed friends. Cowards and nice folks don’t stand a chance. Cowards and nice folks let opponents walk all over them. But disagreeable assholes sniff out treachery at every turn. They suspect everybody and everything. They scream, yell and threaten until the problem subsides. We are problem solvers.

We say to our critics: How is that negative? Wouldn’t you protect your business with all your strength? Our critics can complain all they want that we are “hard to get along with” because we are “disagreeable assholes.” But frankly we don’t give a shit. We’re the top revenue producers. We’re the partners. We won. They didn’t. They can go ahead and be nice. Who’s living in the villa, and who’s renting the crappy studio in Queens? Let our critics complain. In our book, being labeled a disagreeable asshole is a compliment, not a pejorative.

Our critics also say that stress is bad. They say that professional success is important, but not when it imposes excessive stress. We disagree. Disagreeable assholes like us know that stress is a badge of honor. We work for a living. We don’t screw around or wait for 5 o’clock. No, we stay in the office all night and beyond. We sacrifice everything to win, even our health. We don’t worry about the husband and kids. They can take care of themselves. When it comes to professional success, winning is more important than family and health. True, winning is difficult. Competing for victory raises emotions and causes anxiety. But so what? To be a winner you need to compete like a winner. That means relishing stress, not complaining about it. We have high blood pressure. We get ulcers. We sigh all the time. We shout. We snap at people. We throw things. We castigate and insult. We stamp our feet and tremble. We break out in sweats and guzzle coffee at midnight. We lose our hair at 30. We get hemorrhoids. We eat fast food. We worry constantly whether we’ll make deadlines. And we are fabulously successful.

This is just how we roll. It pays off, too. Winners don’t relax; they stress out. Stressing out wins cases and makes money. What is so bad about that? When all is said and done, people remember the disagreeable asshole who screamed and threw binders around at 4 AM before the big filing, not the chilled-out copy boy who went home at 4:45 PM the day before. Put simply, relaxation and tranquility do not yield professional success. In that light, we are proud to be stressed. I might have ulcers and hemorrhoids. You don’t; but who’s the partner with the $1,400,000 annual salary? I’d rather be a disagreeable, stressed-out asshole with a seven-figure salary than some relaxed nice guy who struggles to pay cell phone bills and travels by bus.

We are the Disagreeable Assholes’ League for Total Stress and Professional Success—and by the way, fuck you, too. We include that final phrase because we really don’t care what anyone says about us. We are in charge. We are more successful and richer than our critics. Our critics do not want to adopt our lifestyle, so they just resent us. We have a word for them: If you cared about your career, you would act like us. We didn’t tell you to be polite and friendly. You made a choice to be agreeable. We made a choice to be disagreeable. Our choice brought us stress and success. Your choice brought you relaxation and poverty. We employ you; you work for us. So you can criticize our lifestyle all you want. It won’t change who’s in charge. Disagreeable assholes rule this world. Nice guys like you just follow along and try not to get run over.

But you don’t have to stay polite and poor. If you really want to make a difference in this world, you can stop being nice and start acting like a disagreeable asshole. You can be a winner, too. Stop insisting on “work-life balance.” Start competing. Start mistrusting and exploiting. Start swearing and sighing. Get your calendar straight through 2011. Start yelling at people. Stop tolerating incompetence and tardiness. Make people afraid when you walk into a room. Get some stress in your life. You can do it. You need to stop thinking that stress is bad. Stress makes fortunes, and fortunes yield success. The choice is yours.

Wednesday, July 29, 2009

DOCTORS SPEAK OUT ON HEALTH CARE REFORM


MEDICAL PERSPECTIVES


By : Dr. Herbert G. Butts, M.D. (Gastroenterologist Specializing in Anal Repairs & Sphincter Reconstruction); President, Union of American Physicians for Fiscal Strength, Washington, D.C.; Contributing Editor, The American Medical Journal (Finance & Insurance Section); M.B.A., The Wharton School of Business (Thesis on ‘Margin Management in Health Care’); Top 25 Donor, Radiologists for Unlimited Investment Opportunity Without Taxation (Houston, Texas).

Once again, Congress debates health care reform. Once again, our Nation’s representatives want to squander America’s treasure on wasteful programs intended to provide medical treatment to those who cannot afford private health insurance. They say they want to bring justice and humanity to a system that should care about people, not profits. They say they want to turn a new page in the history of American medicine. They have not really said how they will do this. But one thing is certain: It is going to cost a lot. And when government programs cost a lot, taxes go up. When taxes go up, people with money wind up footing the bill for those who don’t have enough.

As a physician, I welcome Congress’ efforts to reform the health care system. I support any initiative that will bring quality health care to more Americans. But there is a caveat to my support: I will not support any Congressional action that does not guarantee that every doctor will make at least $2,000,000 net annually under the new system. Put simply, doctors are trained professionals. People need us. We know how to fix damaged hearts and sew on severed limbs. We don’t work for free. And we’re not here to help. We’re here to make a living—a really good living. Congress cannot expect us to work our miracles without paying us what we deserve.

Congress must recognize that health care would be meaningless without doctors. Doctors are the only people in our society with the technical knowledge necessary to heal the sick. True, mothers from coast to coast know home remedies for sore throats and colds. But very few mothers know how to anaesthetize their children, draw up detailed charts documenting their health in illegible handwriting, drape them in the customary supine manner, monitor their heart rate then perform precise anal surgery on them with laser equipment. Mothers may be able to cure a mild flu with chicken broth and bed rest. But only we can excise anal cancer polyps or save their children from massive head trauma. No spices, orange peels or herb soups will stop a cerebral hemorrhage. For that, you need a doctor. When the chips are really down, you need us.

Yet many Americans—including dangerous liberal Democrats in Congress—think that we doctors entered our profession because we truly want to relieve suffering. They think we perform anal examinations on 700-pound women because we care about their health. They think we remove ugly intestines because we truly want to save people from cancer. In short, they fatally misjudge our motivations. We doctors would not have gone to school for 25 years if we did not expect to make a fortune after age 40. We would not have spent decades in operating rooms and labs if we did not expect a massive reward for our efforts. And we would not have sacrificed our youth working sleepless 140-hour shifts every week after medical school. Put simply, we have worked extremely hard. It is not about the patient; it is about us. We have suffered to get where we are. As physicians, we will not allow Congress to insult us by paying us less than $2,000,000 every year. It’s about time that someone thought about the doctors for once, not the patients. After all, we do all the work. Patients just lie there under anesthesia and wake up later. That’s pretty lazy, if you ask me.

Doctors need something to look forward to. As President of the Union of American Physicians for Fiscal Strength, I speak for every doctor when I say that we like money. No one in our society works as much as we do. No one in our society delivers such tangible worth as we do. Think about it: When you bring your sick mother into the hospital, our skilled work saves her from death. Isn’t that valuable? If we didn’t spend our whole lives studying and scurrying around hospitals, we could not have saved your mother. Don’t you think we deserve a big salary for that? We are happy to save your mother, but remember what we go through every day, too. We expect to be well compensated for our services. If we did not have large salaries, bonuses and insurance incentives to look forward to, we would not want to get up in the morning. How would you feel if you knew you had to stitch an immigrant’s anal canal for 14 hours for a paltry $500,000 per year? What if you had to stick your finger up a homeless person’s anus for a lousy $500 weekly stipend from a city bureau? And what if you faced medical malpractice charges for creating a vaginal fistula knowing that Medicaid will pay you pennies—if anything at all—for your toils? You wouldn’t like it, let me tell you. In a word, physicians face tremendous stress and difficulty every day. Only sufficient salaries can provide the motivation necessary for physicians to cope with the pressures unique to their trade.

We sincerely hope that Congress will recognize that health care reform will not succeed without our support. No matter what Congress decides to do, it must ensure that every doctor in America receives at least $2,000,000 per year. We leave it to Congress to decide how to organize our pay rates. Obviously experienced doctors must receive more than the minimum salary. Obviously radiologists must receive double the going rate for comparable internists. And obviously doctors who secure favorable results for more patients should receive “performance bonuses.” If Congress really wants to reform health care, it will provide suitable incentives for doctors. If doctors know that they will receive a $750,000 performance bonus if they remove 15,000 polyps per month, they will more zealously remove polyps. A world with fewer polyps is a better world. Congress can achieve goals like these if it simply pays doctors what they deserve.

Many liberal Democrats say that doctors need to consider the “common good” in order to change focus in American health care. They say that doctors must play a “philosophical role” in changing the way our country approaches the issue. We strongly disagree.

First, as medical professionals, we are neither politicians nor philosophers. We are technicians. We are bodily repairmen. No one expects a mechanic to care about philosophy. The same goes for doctors. We are no different from any other worker. We ply our trade and we expect pay for our labor. We stitch, cut, suture, order lab tests and write prescriptions. We do not philosophize. The “common good” is not necessary to perform incisions, administer chemotherapy or clear an artery. While our skills may result in “good” for society, the “common good” is certainly not necessary for technical medical work.

Second, we are really not all that different from other workers in the economy. Although our skills may be especially valuable, we want the same things from life as everyone else. We want to own real estate. We want stable investments. We want cars. We want savings accounts. We want to send our children to college. We differ from average workers to the extent that we work harder. We spent a long time in school and even longer in professional training. It is only fair that we receive some special compensation for our incredible sacrifices. That is why we expect to own at least a second home, and maybe some income-producing rental properties. These are reasonable expectations. Every American deserves some reward for performing valuable work. In that regard, doctors are no different from anyone else in our society.

In brief, it is both unrealistic and unfair to ascribe some special “nobility” to doctors. We work for the same reasons everyone else does. Congress must understand that. We are not saints. We are just trained professionals who perform impressive work. Saints work for free. Professionals don’t.

As our representatives continue to debate health care reform, we demand that they remember the doctors. We are the real miracle workers who make our system great. Our system became great because doctors receive the pay they deserve. They have an incentive to work hard. Over time, those incentives led to revolutionary new treatments, medications and procedures. Until now, our system proved that when doctors get paid, anything is possible.

True, some people in our system could not receive care. But that was a small price to pay for the medical miracles we achieved through proper pay. We expect that Congress will recognize that health care in America depends on well-paid doctors. Without at least $2,000,000 a year, the miracle well will run dry. No one will endure 25 years in school and sleepless 140-hour weeks without a suitable reward to covet. Our country has always rewarded hard work and valuable service. Our health care system is no exception.

We do not care whether Congress adopts universal care or retains our private market system to provide health coverage. We simply demand that every physician in this country receive at least $2,000,000 per year. It is a simple demand. We do not care where Congress gets the money for our salaries. We simply remind Congress that without at least $2,000,000 every year, no doctor will have an incentive to repair anal canals, invent new erectile dysfunction medications or deliver deformed children. In this light, it is in the national interest to keep paying doctors, even if that means taxing other professions. We are the only technicians who can save lives. We deserve to be paid commensurate with the importance of our skill and knowledge. If we do not receive what we are worth, we’re walking. We don’t care what the State disciplinary boards say. This is about fair pay, not duty.

You want us to save your mother when she breaks her hip, don’t you? You want us to save your child when he falls down a drainage pipe and fractures his skull, don’t you? You want us to successfully replace your jaundiced wife’s liver, don’t you? You want us to find a cure for cancer, don’t you? Well, we won’t do any of these things unless Congress guarantees that we get at least $2,000,000 a year—every year. We don’t care where the money comes from. We just want it.

We might be doctors. But we’ve worked hard in our lives. We’ve learned how to cheat death and extend life. We’ve learned how to read medical charts and MRI scans. We know what masses are benign and which ones aren’t. This is valuable knowledge. We don’t share it for free. We spent 25 sleepless years to learn our craft. Congress had better pay up or no one’s going to get it.

Friday, July 3, 2009

LEGAL LANGUAGE IS BETTER THAN ENGLISH, PURSUANT TO LAW AND NOTWITHSTANDING ANYTHING TO THE CONTRARY THEREOF


By : Mr. Cornelius J. Stumme, Esq., Attorney-at-Law; Senior Partner, Stumme, Barking, Speaker & Husstel, a Law Firm Specializing in Appellate Advocacy & Trial Practice on behalf of the Energy Industry; Winner, American Bar Association’s 2001 Linguistic Precision Award (LPA); Published Speechwriter; Author, Write Thee Not for Understanding (Doubleday Publishers : New York 2005); Charter Member, American Lawyers for Professionalism Through Inaccessibility and Confounding Language.

Too many lawyers today disparage legalese. In law school, young attorneys learn to avoid “old-sounding” legal language because it sounds “confusing” and it is “hard to read.” Instead, their writing teachers instruct them to write staccato, informative sentences that read like newspaper headlines. Put briefly, lawyers today learn to write clearly. They want their readers to understand what they say the first time they read it.

This is disgraceful. Clarity in writing and speech contravenes the traditions of our profession. For centuries, lawyers gained a reputation for bewildering language that no one could truly understand except other lawyers and judges. And that was precisely the point: By learning legal language, lawyers separated themselves from the masses. Lawyers held an exalted station in society because they knew something no one else could learn without specialized training. Because only lawyers knew the language, they could rightfully advertise a “special skill” that others needed. But now, lawyers learn to speak the same way everyone else does. They learn to write for understanding, not obfuscation. This besmirches lawyers’ status. We should be different from laymen because we are smarter. And our language defines us. An attack on our language represents an attack on our very spirit.

Despite the trend favoring “clear language” in law practice, I continue to speak legalese. Moreover, I encourage all my colleagues to revitalize their respect for our linguistic traditions. I teach courses reminding lawyers that legalese makes us special. I encourage them to take pride in legalese. In short, legalese may be a dying art, but I am doing all I can to revive it every day. If I have anything to say about it, every lawyer will soon gladly use these words: “It being mutually agreed herewith, pursuant to notice and subject to all applicable legal limitations, qualifications, definitions and distinctions appurtenant thereon, that this certain Tract, located in and for the County of New York, by, through, by the grace of and under the legal auspices of the State of New York (an independent sovereignty constituted on the Continent of North America, having lawfully descended from the Crown of England, by the Grace of Majesty) commonly and colloquially known as 43 Bleecker Street, notwithstanding any vulgarities varying the same (hereinafter known as “The Plot”), shall henceforth, forever and always be subject to the Management, Control, Maintenance and skillful care of those Artisans, resident in and for aforesaid County and State of New York, known by Virtue of, and pursuant to the New York General Corporations Law, as Rosenberg Realty, Inc., except to such extent as the same would violate any Law, Ordinance, Judicial Decree, common law holding, cease and desist order, injunction—whether equitable or constructive, the constitutionality whereof notwithstanding, reliance whereon is hereby disclaimed for all time, indemnity wherefor is hereby demanded, including costs—or police quarantine, unless the Chief Operating Officer of aforesaid Rosenberg Realty, Inc. be not named Richard Rosenberg, in which case Plot shall never be subject the Management, Control, Maintenance and skillful care of such Artisans as mentioned herein; provided in all events it is not Good Friday.”

These words define us as lawyers. People pay us to write these words because they cannot. Anyone can say: “Rosenberg Realty will now manage 43 Bleecker Street.” But who can write it legally? Only we can. Did we go to law school to write and speak like everyone else? Certainly not. We went to law school—and we charge $575 an hour for it—because we know special words that other people do not know. And they need us to read, write and speak those special words in order to save their property.

We should be proud of our language. We should not be ashamed. Who cares what some intellectual thinks about “clarity in writing?” The law is not about clarity; the law is about special words. The law is not about equal access; the law is a brotherhood. We refuse to surrender our language to some left-wing crusade for accessibility and comprehensibility. After all, who would need a lawyer if they did not need to know what “notwithstanding aforesaid” means? Who would need a lawyer if they did not receive a letter threatening “equitable, as opposed to constructive, condemnation pursuant to General Statute § 346-1(a)(4) (West 2009)?” We have families to feed. And we can only feed them when legal language remains inaccessible.

Legalese not only provides us the means to support ourselves. It is also our lineage. In centuries past, lawyers enjoyed a high social reputation. Laymen respected lawyers because they spoke a mystical language they could scarcely understand. They identified lawyers’ language with learning, study and education. In the layman’s mind, legalese represented an academic achievement that demanded respect. Laymen might have ridiculed us for our language, but they never said we were not smart because we spoke it. In centuries past, we were not afraid to say “pursuant,” “notwithstanding,” “beyond cavil,” “thereunto,” “ultra vires non potest,” “waiver whereof” or “instant disclaimer excepted.” Our words dazzled laymen, leaving them both strangely impressed and utterly confused. They paid us well to dazzle others with our language. They did not expect us to speak clearly. No, they expected magic spells, not common words. Historically speaking, our profession gained prestige from its inaccessible language. When we sacrifice it, we sacrifice the very thing that makes us better than everybody else.

I refuse to give up legalese because it is better than English. I believe in legalese. I do not need to be clear because I do not need to be. In fact, I would be unprofessional if a layman could understand everything I say. When I appear in court, my clients expect me to say things that they cannot say. I do not say: “Your Honor, this is a Motion to Dismiss the other side’s lawsuit.” Anyone could say that. So I say: “Gracious and humble arbiter, appointed to this tribunal by those certain Executive authorities constituted rightfully under those founding documents central to our government, I appear herein to present my client’s contention that all pleadings in this matter made against his interest, even if believed true, exception whereto is hereby vigorously made, state no cause, either in law or fact, in ethics or law, or in common decency or decorum. This being so, I humbly move this Honorable Court, pursuant to law, the Rules of Civil Procedure, the Rules of the Supreme Court, any book, paper or pamphlet, and any or all authorities relevant to the disposition hereof, to fully and forevermore dismiss all claim against this, my client in interest.” My client expects nothing less. Why would he pay me $575 per hour to say something that is self-evident? No, he wants language that sounds perplexing. He wants language that only a professional can understand. That is what I deliver. I do not communicate. I obfuscate and bewilder. And I win with my language.

I believe in legalese so much that I use it in everyday life. I am a first and foremost a lawyer. I am a human being second. To that extent, I am proud to use a lawyer’s language to express even the most rudimentary information and to ask the most basic questions. If I did not, I would lose my identity as a lawyer. I worked too hard for that to happen. In that light, I do not use banal English; I use legalese. When ordering a sandwich at a fast food restaurant, I do not say: “Gimme a Big Mac® with cheese and onions, plus fries and a small drink.” Rather, I say: “I, Mr. Cornelius J. Stumme, Esq. (hereinafter known as “Buyer”), doth hereby present, tender and extend this Offer to Purchase (the “Offer”) to McDonald’s Restaurants, Inc. (an Illinois Corporation)(hereinafter known as “Seller”), acting by and through its duly-authorized agents, assigns, employees, attorneys and contractors, be they authorized by law or custom, or clothed therewith by fact: (1) One (1) Big Mac® sandwich, bearing therewith all Warranties of Fitness for a Particular Purpose, Merchantability and Title, permission to disclaim wherefrom is hereby expressly refused, applicability whereof is expressly made conditional for Acceptance; (2) One (1) twelve (12) ounce package of ‘French Fried’ curly potatoes, bearing therewith all Warranties of Fitness for a Particular Purpose, Merchantability and Title, permission to disclaim wherefrom is hereby expressly refused, applicability whereof is expressly made conditional for Acceptance; and (3) One (1) sixteen (16) ounce cup wherein may be poured, at Buyer’s sole and unreviewable discretion, any “Soft Drink” as may be offered by Seller upon the Premises whereupon this certain Sale Contract be concluded, pursuant to law and notwithstanding any contrary considerations, including any judicial determination in Seller’s favor. Acceptance of aforesaid Offer be made expressly conditional on full and final acquiescence to Buyer’s precise terms. Inclusion of varied, different or additional terms by Seller—for any reason and under any circumstances, whether innocent, negligent, intentional, reckless or simply stupid—shall immediately revoke Offer in toto, without recourse to legal remedy whatsoever. But Seller’s error, negligence or breach shall in no wise revoke Buyer’s right to pursue all legal remedies against Seller, whether in tort or contract, or under any applicable statute, State or Federal, including, but not limited to: compensatory damages; exemplary damages; loss of profits damages; pain and suffering damages; treble damages; or punitive damages without limitation whatsoever, the United States Constitution and common decency, humanity, good faith, dignity or shame notwithstanding.”

I like the way I speak. It makes me different. I do not speak like a commoner. I speak in the language of my legal ancestors. I owe it to myself and to my clients. For me, law is a way of life. It is not just a job. It provides an alternate way to express thoughts and to control reality. I resist all efforts to make me speak like my clients. If lawyers start speaking like everyone else, they cease to be lawyers. As lawyers, we must defend our heritage. That means defending—and proudly using—our language. No more will we say: “Honey, please pass me the salt.” From now on, we will only say: “I, Cornelis J. Stumme, Esq. (hereinafter known in this context as “Martial Promisor,” or “Husband”), being fully and validly licensed as a practicing Member of the Bar of the State of New York, and having laid forth legally-sufficient evidence of that certain good Character & Fitness necessary to practice law before the Courts of said State, the truth of the matter notwithstanding, doth hereby present this Request to Marital Promisee (also known as “Wife”), who, having assumed contractual obligations to render domestic, conjugal and household services to Marital Promisor for good consideration, including the provision of certain tableside services (see Stumme v. Stumme, 546 D.S.C. 421, 431 (2008)(“tableside services” include the passing of salt from Marital Promisee to Marital Promisor under any circumstances, on demand or at a definite time) to pass one (1) six (6) ounce salt shaker to Marital Promisor immediately, and without delay, subject to all sanctions for lateness, disobedience or nonperformance as provided in the Master Marital Contract (MMC), Section 56 (see, e.g., Flogging), appeal wherefrom is hereby disallowed.”

If people do not like our language, to hell with them. Our language pays our bills and makes us different. No matter what the public or the law professors say, we will not abandon legalese. We do not want to communicate clearly. We want to keep our traditions alive. If people want to understand us, they can learn our language. We refuse to speak English any longer. From now on, we will speak only legalese. And we will speak it proudly—pursuant to notice, subject to law and notwithstanding any contention, request or demand to the contrary, exception to which is hereby taken, all rights having been reserved; but under no circumstances shall such statement be construed as a waiver.

Monday, June 29, 2009

THE TRAGEDY OF PROFESSIONAL EDUCATION : PAYING FOR A LONG SHOT

AN ESSAY

We learn that education is a good thing. When we are young, we learn that the good students get into good schools, and that students at good schools get into good graduate schools. Then the good students at the good graduate schools get really good jobs, and they make lots of money. In sum, we absorb a distinctive mythology about education; education tantalizes us into believing that diligent study, good grades and academic achievement translate immediately into “worldly success.”

“Real life” teaches a very different lesson. I always put the phrase “Real Life” in quotation marks because so many people do not understand that it does not reflect an “absolute” or a “norm.” Rather, the words merely describe cruel commerce and all the ruthless human behavior that accompanies it. Still, people who use the term “real life” generally do so in order to scare some dreamer away from “unimportant” pursuits and to focus on what will “make money.” If he doesn’t, after all, he will “not succeed” and go homeless. In commerce, results matter. It doesn’t matter how you get results; you just need to get them without getting caught breaking the law. A guy with $4,000,000 in the bank got results, ethics or no ethics. But an ethical guy with $600 did not get results. What good did ethics do him in “real life?”

But dreamers aren’t the only ones who can’t cope with “real life.” Intelligence and academic success don’t matter, either. In some sense, dreamers court disaster because they should know that commerce doesn’t care about individual expression unless it makes money. But what about everyone who studies hard in school, tries to get good grades and values knowledge? They face the same risks as the dreamer. This is the tragedy of education: It does not prepare students for commerce. In fact, if people prize educational values too much, they will probably fail in commerce.

Still, education is a step along the “traditional life path” leading to “success.” Every “successful” person spent some time in school, somewhere. Some were good students. Others weren’t. No matter a student’s ability, every student hears rhetoric about academic success. They compete with one another to get better grades than their friends. They struggle to outdo one another for accolades and recognition. They proudly advertise their grade point averages next to their names in the belief that a higher number indicates greater intelligence and a better chance at employment. Education, then, becomes an instrument to win employment. While some students truly relish the opportunity to learn, most are satisfied simply to get degrees that enable them to compete for jobs. In other words, wide-ranging knowledge is simply a forgettable means to win some boring, compensated post at a private firm.

In this sense, a mythology develops around education. Students think that smart people get good grades, and good grades grant instant access to the “best jobs.” “Best jobs” mean jobs that pay the most, not the jobs that are most intellectually rewarding or noble. But this is all a myth. Jobs do not depend on intelligence. True, students with good grades have something to flaunt at interviews. Yet no one gets a “job” simply because they are smart. Rather, jobs are private contractual relationships between “employers” and “employees.” Unlike education, employment cares not for enrichment, intellectual broadening or self-expression. Instead, it is concerned with the small-minded advancement of the employer’s financial mission. Students learn to address many issues from many perspectives. By contrast, employees are expected to address one issue from one perspective—all the time. In this light, it is easy to see why truly passionate students could have a hard time coping with “a job.” Jobs, as commercial relationships, are narrowing. Employees are instruments to the employer’s gain. The employer gains nothing from rumination. He gains only from purposeful, targeted activity. Thus, “educational values” differ profoundly from “commercial values.” For years, students learn that their individual ideas and impressions matter. Employees quickly learn that they do not. In fact, they may even be censured for exploring their own ideas. In short, the sole question in employment is: “How does this activity economically benefit the employer?” This unabashed instrumentalism is hard for intelligent people to swallow.

But there are other, less abstract barriers to success in employment. Employment represents a private, contractual relationship. As such, market rules dictate whether there are enough employers to offer work to hopeful employees. After all, employees are a substantial expense. Employers must set aside money for wages, offices, health insurance, payroll taxes, food, and myriad other incidentals associated with keeping a human being working on their land. During profitable times, employers have extra money to hire more people to do their bidding. During leaner times, employers do not have enough money to hire. During losing times, employers must cut existing employees in order to maintain any profit at all. These natural “boom and bust” periods in commerce play a large role in whether employees find jobs. It does not matter how smart, zealous or motivated a student may be. If times are tough, no one gets a job. In fact, people are just happy not to lose their jobs. For those who don’t have a job yet, it’s tough luck time, valedictorians included.

Employment, then, is a matter of both grace and luck. Grace plays a role to the extent that the employer—as the economically dominant party—agrees to allow an employee to serve him for “compensation.” Grace is not objective; employers hire people they like. There is no magical checklist that automatically entitles a hopeful applicant to a job. Luck plays a role to the extent that economic times must be sufficiently robust to allow the employer to spend money on new servants. Contrary to university rhetoric, no academic wizardry can influence these factors. In commerce, bottom lines dictate who gets hired. If there is not enough money to hire, no one gets hired. It’s that simple. It doesn’t matter if Leonardo da Vinci applies; if the company can’t afford to hire anyone, it won’t. Intelligence and merit have nothing to do with it.

This is a jarring truth for students who spend their whole lives studying in the expectation that their academic toils will yield a reward some day. It is even more jarring for students who take their education further than others. Professional schools, for example, advertise their “graduate employment rates” all the time. In recent years, college degrees have increasingly proven insufficient for “really good jobs.” Recent graduates experience this trend when they try unsuccessfully to land even entry-level positions after college. In order to increase their chances to obtain “high-paying jobs” after college, they decide to go to school again, this time to be doctors, lawyers, accountants or even social workers. In so doing, they immerse themselves in an education more rigorous than anything they have ever encountered. They mercilessly compete with one another for grades, knowing that employers do not even interview candidates who fall below a certain threshold. They put themselves through anxiety, stress and personal turmoil to get the degree. After so much work, they expect some results. At this stage, they really could care less about what they study; they simply want a comfortable job after enduring so much academic hazing.

But a professional degree is no automatic ticket to employment, either. Just because a student gets a law degree does not change the commercial dynamic that drives employment markets. Private firms either have extra money to hire or they don’t. A student’s miraculous academic success at law school will not guarantee him a job at a super firm if the firm does not have a healthy profit margin. In this sense, a professional education is no entitlement. It may be grueling and unforgiving, but a student’s academic tribulations do not magically open employment doors. Only grace and luck can do that.

This is tragic. I know from experience that professional school is not pleasant. In fact, it is anxiety-ridden, exhausting and mentally debilitating. School demands so much energy that students must forgo virtually everything else in their lives to keep up. It can ruin relationships, destroy finances and impact health. It seems to go on forever and impose a new reality on students. They must either give themselves fully to the discipline or risk failure. It teaches exacting attention to subtle details and self-excoriation for failing to notice them. Finally—and ironically—many students go into unsalvageable debt to finance this harrowing “learning experience.”

After all this trauma and sacrifice, it is no wonder that professional school students expect a reward at the end. But they don’t get it. Rather, they get a chance to win a reward. Moreover, because employment moves in cycles, it is really a long shot. There are so many things that can prevent a professional student from getting a job. There are no guarantees. In fact, there are a million uncontrollable contingencies that can derail a student’s hopes. A student may get fantastic grades, but lose out on a job because he wore a bad belt to the interview, and the interviewer put special (and unexplainable) emphasis on belt choice. A male student may be a close runner-up for a job, but lose out because the firm wants to hire a woman, not a man. Another student may have conveyed a nervous impression or have been sick on interview day, dashing his chances. Still another may be number one in his class, but really anger the interviewer because the interviewer has a deep-seated resentment toward overachievers. And some other student may send out hundreds of resumes and receive no response from anyone, ever. Worse, there are pernicious, unfair factors at work, too. Some employers may only want to hire students from certain “prestigious” schools. Others may ignore everyone in order to make room for a friend or relative. Still others may only want to hire women they find sexually attractive. Lastly, there is always the “boom and bust” cycle in commerce. When times are tight, no one gets a job, no matter how brilliant they are. In short, only grace and luck lead to employment. Intelligence and sacrifice entitle students to nothing.

Getting a “good job” is a long shot. Despite popular academic rhetoric, diligent study, intellectual curiosity and school success do not magically lead to employment. In fact, educational values have little to do with employment. It is tragic when superb students with real academic promise cannot find suitable jobs.

But there is a way to escape this tragedy. I, for one, do not regret that I obtained a professional education. I saw that employment had little to do with the educational values I cultivated as a student. I did not sacrifice my passion for learning by playing the employment game. Rather, I went to work for myself. By refusing to participate in the “employment game,” I preserved myself from the psychic agony and perpetual disappointment that stem from the employment relationship. It is a more difficult road in the sense that I must find other ways to make money. But what I lose in stability I make up for in happiness. I know that winning employment is arbitrary, and that employers are capricious. Furthermore, I know that getting a job is hardly a “reward;” rather, I view it as a form of surrender. I do not like servility. No matter how “good” the job, employment is a species of servility. Employees are servants. They are conceptually weak and fawning. I do not like being a weak concept. If employers have the power to extend grace, I escape potential disappointment by refusing to even petition them.

Yet I pity all the hopeful students who think their academic effort will lead them to success in private employment. They will soon see that commerce plays by different rules; no one is entitled to anything, unless, of course, they are related to someone in power. Relationships and connections are always better than merit and intelligence. That’s “real life” for you.