Thursday, 2 August 2012
Tuesday, 19 June 2012
W is for Bourbon
Thursday, 21 July 2011
Front page fever
Media is communication, medium through which stories can be told that may or may not affect us, interest us or impact our lives in ways we may never comprehend. Increasingly these medium have become two way, allowing for a discussion (in the form of tweets, blogs ...etc) which far from replacing traditional forms of media have encouraged media professionals, particularly journalists, to become better at what they do.
Going back to my original question, one which emerged from the recent New York Times documentary, I believe there is a place for every type of media though the scale of distribution will certainly shift. This is not because Bloggers are taking away journalists jobs but simply because more and ore people are joining the discussion, outweighing the influence of media moghuls and ensuring the balance is very much tipped towards mass media. Yes jobs are being lost, but many of these are a result of emerging technology or economic pressures. Bloggers will always need something to blog about, if no one is in Sana'a to report on popular uprisings then no one will talk about it. If the pictures don't turn up on the 10 o'clock news, the story is much slower to emerge. Wikileaks may have used Youtube to break the first of their "media" scoops, then opted to embrace print media to channel the second on a much larger and more effective scale.
Tuesday, 22 February 2011
Sunday, 11 July 2010
Who's hiding what?
Saturday, 26 June 2010
In a privately run health care system, the opportunity cost for doctors of any time they spend not rendering services will vary according to the equipment and time they have available. It would appear that US doctors are paid depending on the treatments they provide and because the equipment they have available is often a fixed cost, in order to secure profit, the incentive is for doctors to overprescribe. This is not to say that they do this, such an assumption would be unfair. However if we were to embark upon a program to improve efficiency, we might employ more doctors per surgery in order to spread to fixed costs and decrease average total cost. Marginal cost is low, however potential marginal revenue can be quite high and thus the suggestion that doctors may be accused of providing unnecessary services in order to increase their pay (which as mentioned before is variable according to the number / type of service provided).
In the UK, the system is quite the reverse. Each region is given a budget and the responsibility to spend it according to the needs of the population. E.g. if there is a high propensity for COPD, then the necessary equipment would be prioritised over, say, a maternity ward (assuming here that COPD is high because of an older than average population, thus lower than average birth rates). The UK system is designed to ensure investing in equipment and distribution of spacialisations are in line with local variations. With regards to GPs (doctors), they are paid according to the number of patients on their register, not according to the quantity / complexity of procedures they undertake. Thus the salary of the GP is a fixed cost. Furthermore, in the UK the majority of healthcare is public and health organisations do not seek a profit. Incentive therefore lies in achieving the quality, innovation, productivity and performance targets set by the regulatory authorities. Meeting these would increase the budget for subsequent years, and targets are set such that year on year improvements are recognised. This gives health organisations who have a history of below average performance an incentive to provide better quality care because they are able to measure their progress and not feel consistently judged against their national peers.
In comparing the two systems at this high level, it appears that while a system that pays on a fee-for-service basis represents an incentive for doctors to provide excessive or unnecessary treatment in order to secure additional fees and thus higher revenue, focusing on quality and innovation ensures that resources are not wasted and patients receive the level of treatment they require. I would certainly be keen to investigate this further and do a comparative study of health care systems across the world.
Thursday, 24 June 2010
Friday, 21 May 2010
Is my desire my downfall because I believe it is mine alone?
True, to believe we can find inspiration within without the elements of our external environment would be naive, even when the environment within and without no longer make sense. Subconsciously they are inseparable. What's within is shaped by the external and our interpretation of that external environment is a personal one shaped by what is within. If they don't make sense it's often because we're faced with the unknown, something our internal self has yet to experience through external happenings, and has yet to imagine through internal conscience.
However, to return to the original question of how our internal conscience and desire is fed by the external, our uniqueness must also be considered. Indeed, we may feed off each others desires but our manifestations of these will always be unique.
Thursday, 13 May 2010
My uniqueness is mine, so why question it?
Monday, 10 May 2010
Equity vs. Equality
The debate is even more poignant when opened up to health care. Indeed, in the UK we can almost speak of an equal and equitable health care system, until that is we cross the line into drugs pricing. While in the US, the equality on which the nation is built is a far distance from achieving equity in health care provision.
Saturday, 10 April 2010
Negative Peace
Wednesday, 18 November 2009
The only way is up

Sunday, 11 October 2009
Inspired, by a bag lady
Saturday, 11 July 2009
Sustainable communities
I am interested in seeking out those who rebuild their lives after natural and manmade disasters. Or those who have embarked on a social movement to regain control of their comunity in a bid to create sustainability where before self destruction was a real threat.
How can we maximise social value, invest responsibly and generate sufficiant finacncial returns to ensure sustainability?
Looking for the link: my thoughts into words, uncut.
As time and history moved on we slowly began to realise that internal threats were just as dangerous to our survival as threats from our neighbours and beyond. The idea that such internal threats could be more easily defended against sparked social protectionism in it's many forms.
Yet all the while the majority of effort still was directed towards the external threat, perhaps neglecting the internal beast as a result. With time protectionism led to rebellion to supression and so on.
And now we protest and deny our governments the freedoms once given to use violence and counter external aggression in the name of defense. As we the protected begin to question our protectors, attention is turned to social harmony, prevention and sustainability. If we can fix ourselves, we can save the world. Naïve?
Social movements, sustainable communities, peace ... where is the link?
Have we found the anwser? Have we even found the question?
Wednesday, 31 December 2008
New ... ?
Sunday, 23 November 2008
The eternal list
Thursday, 20 November 2008
The secret world of you and me
There's so much more I want to tell you but I would rather say it to your face. Who knows if and when that day will come, I for one am still finding my feet after all we went through the last time. At least I know I have a good 4 weeks of me time to let things settle, although with the festive season creeping up on us I imagine a fair amount of my "me" time will become "me + Zubrowka" time!
You would laugh at me, I would giggle and much would be left unsaid purely because intuition was our chosen means of communication. I sometimes wish we could have been more vocal and expressive, the way we are with other people. And sometimes we were which was great! Other times, at the opposite end of the spectrum, what was great was the secret world of you and me. We haven't lost that have we?
Sunday, 16 November 2008

It's the anticipation that counts. At least that's what the Irish say! There is some truth in our apparent obsession with planning and only occasionally doing. Is it because an executed plan brings with it expectation and risks disappointment? A dream isn't a reality. But a reality can be better than a dream if we could only let go of expectation and focus on appreciating the unexpected.