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social, health, political imagery through the lens of George J Huba PhD © 2012-2017

Posts tagged Prevention

People who learn to take responsibility for their own actions could save me a lot of money.

They

  • have less kids born into families that cannot support them saving me money on social programs
  • are less likely to contract STDs especially HIV thus saving me money on STD prevention and treatment programs
  • graduate from high school (and college and grad school) thus qualifying them to be in higher tax brackets and save me from higher tax rates and subsidizing their living costs
  • live longer because they forgo tobacco and drinking alcohol to excess thus saving the entire health care system from huge wasted services
  • pick up their garbage and put it in trash receptacles thus saving me having to pay someone to pick up after them
  • recycle thus cutting the bill for environmental cleanup

The USA should incentivize self responsibility by granting payments to

  • every student who ever graduates from high school
  • every student who ever graduates from college
  • every student who ever earns a graduate degree
  • every 18 year old who has never had an STD
  • every 18 year old woman who has never been pregnant
  • every 18 year old man who has never fathered a child
  • every 21 year old who has never been convicted of a DUI offense
  • every 21 year old who has never used tobacco
  • every 21 year old who has a “normal” weight and is neither obese nor dangerously underweight
  • every 40 year old who has a “normal” weight and is neither obese nor dangerously underweight
  • every 50 year old who has never been convicted of a DUI offense
  • every 60 year old who has a “normal” weight and is neither obese nor dangerously underweight

Incentives would be in the form of one-time tax credits for the individual or the individual’s family. This means that incentives are only paid to workers and their families.

Oh, the government would supply free voluntary services to all residents on birth control methods including condoms freely available to all children old enough to conceive, unlimited voluntary counseling on avoiding self destructive behaviors, unlimited voluntary counseling on leading a healthy life, and unlimited voluntary counseling for reasons of family instability, mental health, child rearing, and birth control. None of these free services would include any components related to any religion. And legitimate and effective education at all levels from preschool through college would be free to any American resident of any age and with support services to ensure anyone can graduate.

If the USA were to provide fairly significant incentives for learning and exercising self responsible behaviors we could produce a citizenry that creates less problems and is less dependent upon social network and support programs for themselves and their children. This will leave a lot of money to spend on those who truly cannot deal with their own medical and psychological problems no matter what they personally do and probably leave some over for lower tax rates.

Wow. Incentives for studying, working hard, becoming a productive member of society, and paying for needed and fully effective programs for all of those who have mental or physical or developmental disease and cannot legitimately assume full responsibility for all aspects of their lives.

I’d love to see a similar set of ways to incentivize healthcare and education workers. Small increases in productivity and job satisfaction among these critical citizens saves a lot of money and produces a much more healthy society.

Oh, I know, I am a dreamer. After all, my proposal could never make it through Congress. Even though it will save lots of money, promote better lives through self responsibility, and leave sufficient resources for those who truly need medical and mental health services because of factors beyond their control, this is truly an anti-American proposal that expects self responsibility and does not let big religion bully small religions, agnostics, or atheists around.

Every once in a while we need a little revolution.

Imagine.

[Musings of a very liberal, very capitalist, individual who believes in self responsibility and taking care of anyone who cannot take care of themselves with first-rate, state-of-the-art programs.]

The mind model (aka mind map) below discusses my vision in developing the dementia focus on this website. I started to build the web site about two years after being diagnosed with a neurodegenerative condition (2012). Thus the entire blog is the work of a developer experiencing dementia while designing and preparing the content for the site. The site discusses my progression through cognitive impairment and decline into dementia. More importantly it discusses how I tried to help myself coordinate and use to full advantage the support and professional expertise made available to me by family, friends, the community, my doctors, and the general world-wide of patients and professionals the major issues.

Nothing in this blog post (or any other on blog post or page on the site) is intended to be, or promoted as medical, psychological, or any other form of treatment. The ideas in this blog are about using some commonsense note-taking and visual thinking methods to possible help you live better with dementia. I tried it on myself (only) and I am encouraged although I freely admit that full scientific study is needed.

These methods and comments will not substitute for medical and other professional treatments. They do not cure dementia. They do not slow down the progress of dementia. For me, at least, the methods have sustained and increased my quality of life and I do spend more time with my family and am more independent and in my opinion think better. But my dementia is not being treated and getting better; what I propose are methods that may make it easier to independently manage selected parts of your life, be in a better mood because you are trying to help yourself, be less of a burden to your caregivers, and report better to doctor what your experiences have been since the last appointment.

Many people are miserable almost all days when they have dementia. If simple, inexpensive cognitive tools can improve some or many of those days, the development of such techniques is a huge step forward.

I hope that others will examine the information here and use it to improve the decisions they, their caregivers, and their doctors and nurses must make about their formal medical treatment.

Here is what appears in the blog posts and elsewhere on Hubaisms.com.

Click on the image to expand it.

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Click here to see Part 2 of My Vision in a separate window.

still-crazy-after-all-these-years

Since the beginning of this blog in 2012, I have consistently — with each new version — concluded (from dozens of comparisons with other programs) that iMindMap is the single best program for developing mind maps. Period.

With version 8.0, iMindMap is no longer the world’s best mind mapping program. Rather, it is the world’s best mind mapping program PLUS additional features that make it the world’s best visual thinking environment (or VITHEN using my coined term). Period.

What makes iMindMap 8.0 so valuable as an overall mind mapping and visual thinking tool is that it encourages you to use iterative, hierarchical, nonlinear, big-picture, creative ways of generating ideas, communicating those ideas, and integrating the ideas with the data of images and statistics. There is no tool I know of that is better for these overall tasks and the building of creative models.

I use iMindMap between 3 and 10 hours per day on the Mac, iPad, and iPhone 6 Plus.

Version 8 exceeds Version 7 in that the program has been significantly speeded up both for computer processing and in general usability of all of its advanced formatting features. The increased speed with which advanced formatting can be done encourages more precise and creative visual thinking.

Did I mention it has a very good (becoming excellent) 3 dimensional display mode and provides a much better presentation tool than the PowerPoint standard? The new Brainstorming Mode (file cards on a corkboard metaphor) allows those who like to see words rather than images to brainstorm in the mode most natural to them. I’ll never use the mode but I project many will embrace it.

The iMindMap program has been the best tool I have had to allow me deal with a neurocognitive neurodegenerative disorder and continue to be productive over the past five years. The program permits me to think at a very high level which I cannot do nearly as well with other techniques or other mind mapping programs.

All seven maps shown here are identical except for their format.

[I intentionally did not use any clipart because I did not want distract from the basic creative thinking and model development-presentation functions of iMindMap that are the real core of the program. With any of the variations of this map, if you spend 10 minutes adding selected included clipart or icons, the map will be even more visual.]

The remainder of my review is — appropriately — presented as a mind map.

Click images to expand.

Three styles provided with the iMindMap program.

1iMindMap 8.02iMindMap 8.03iMindMap 8.0




4 Custom Styles I Use in My Own Work and 4 Variations on the Same 3D Mind Map

gh1Imindmap 8.0gh2Imindmap 8.0gh3Imindmap 8.0gh4Imindmap 8.0

Imindmap 8.0 3D4Imindmap 8.0 3D3Imindmap 8.0 3d2Imindmap 8.0 3D

 










bolero cover 3 parts FINAL

 

Click image to expand.

JULY 4 THOUGHTS  FOR A BETTER  USA

Back in 2012, I published a mind map on this blog suggesting that giving people one chance to learn (as in, you only get one taxpayer-subsidized educational opportunity) or to receive free treatment for drug abuse (as in, if you can’t quit the first time you are morally undeserving because you do not have the moral strength) or to receive specialized behaviorally-related healthcare (as in, you let yourself get fat or nicotine-dependent or out-of-shape so you pay the consequences) is an obscene abuse of other individuals,

It’s just as true now as it was then. I know more about mind mapping now and am even more irritated by those who want to balance the budget by not helping others enough, or even at all. So I thought I would revise my mind map and make this a post a lot more angry that we do not give people second (or even eighteenth chances).

Show me a drug abuse treatment  provider who says you can go through treatment one time and it will “stick” and I’ll show you a snake oil salesperson who is trying to sell services to 18 year old entertainment industry billionaires surrounded by a media feeding frenzy. Do you really want to deny additional free education to someone who realizes in their 30s or after going to prison or after achieving a stabilized life without drugs or while serving our country in the Armed Services that they need more education to get good jobs and be successful and much better citizens? Mental health services should not be denied or limited to tossing people pills because someone lost the genetic lottery and has a life-time disease or experienced trauma (like a rape victim or maybe somebody unlucky enough to have lived in an earthquake or hurricane zone or in a dangerous neighborhood or in an Armed Services encampment in Afghanistan, Iraq, or Vietmam).

Enough said. The picture will tell more than 100,000 words ever could. And if one fails after 18 chances?

Well, there’s always a 19th chance or a 36th chance waiting. [And a special ring in hell waiting for those who would only offer people one chance at happiness or productivity or health. Or the politicians who supported this position to get (re)elected.] Oh, and if you were one who denied others a second chance, you have a second chance to act in a more moral and supportive way and give others that second or 18th chance.

Click on the image to expand. Then think about whether we should invest in people and families or in creating the wealthiest uber-class in the history of the United States?

18th Chance 2014

 

 

Here are links to some earlier posts about events, people, reactions, and other information you might wish to document as you age so that you (or a caregiver or younger family member) will have the information later. Each of these posts illustrates combining text and images. These examples are ones that can be done by you before you have any cognitive problems as a self history as well as with a caregiver after problems occur. Any whether you ever need to use to help you if there is a cognitive decline, these are great ways of passing down information from generation. I wish I knew much of this information about my parents and other family members. Click on links to see examples.

Beliefs and Values

Diary

Traditional Timeline

Symbolic Timeline

Stories

Letters

Data Visualizations

Career in Perspective

Social Media

Favorites

Some Things to Document as You Age

Banks and online merchants use fairly sophisticated algorithms to identify probable cases of financial fraud and then protect themselves from the consequences of lost or stolen credit cards, etc. One of the most prevalent forms of elder abuse is financial. Aging adults are attacked by predators trying to get them to refinance their homes with reverse mortgages at exorbitant rates; make huge gifts for “kindness” from strangers; and one scheme after another. Sadly, much of the financial abuse is perpetrated by family members. And predatory financial scams are often targeted at aging immigrants to the US. Instead of just checking credit card records for fraud so as to protect themselves from liability, banks could use the same types of algorithms to scan withdrawals from savings and brokerage accounts as well as charges to credit cards to determine if they are atypically large for someone in their 80s.  (At least in California) Banks are mandated reporters (to law enforcement) of suspected financial abuse of elders. Wouldn’t it be nice if banks used the algorithms they already use to protect themselves (at the expense of your privacy) to at least protect older individuals (at a loss of the privacy they already gave up when they opened accounts) from the scum who try to separate cognitively impaired or depressed seniors from their lifetime savings? Wouldn’t that be nice …..

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smiley10

Coke does it. BMW does it. Lexus doe it on the Food Network cooking shows. Thousands of others do it. Product placements are now one of the highly profitable parts of modern movie and television film making.

Wouldn’t it be nice if the film studios “donated” some product placements in their movies and television shows to healthy behaviors like selecting a healthy diet or exercising after a hectic day of crime fighting to relax or drinking water. Heck, I would even give them a tax deduction for the minutes in the film “promoting” healthy behaviors.

Heck, even the villans could be healthy, or alternately die off because they eat too many hamburgers.

health promotion product placements

 

a HubaMap™ by g j huba phd

 

I regularly say “Content is Queen” in respect to developing useful, content-based mind maps that communicate well to others.

I challenge any class of MPH (Masters of Public Health) students to individually take a standard set of health-medical information and express them as a mind map using an organization and style designed to make the content of the map memorable, easy to remember, and conducive to behavior change or attitude adjustment.

Here are a few areas I am considering for mind maps. The information I would use is from standardized fact sheets prepared and presented by a highly credible health-medical organization.

For example, the Alzheimer’s Association (http://www.Alz.org) has 10 facts about Alzheimer’s Disease, 7 stages of Alzheimer’s, and types of dementia on its web site. Why not have the 20 students in a graduate class each independently develop a map and then rate each other’s work on effectiveness of message, accuracy of content, accessibility to all likely readers.

The (USA) National Institute on Aging (http://www.nia.nih.gov) has many fact sheets on its site about different aspects of aging. The facts sheets might be able to be improved with mind map or other visual representations.

There are an awful lot of good mind maps to be drawn from health data and recommendations that might be awfully helpful to health education-prevention efforts. Let’s figure out how to make these maps communicate as well as possible.

Class Projects on Visual Health Education-Prevention Information

Common Types of Dementia

There are a number of things that can be done to cut the cost of healthcare while, at the same time, freeing doctors and others to do their jobs better. These improvements cost almost nothing to implement [if all of the constituencies and politicians do not compete to be King Kong].

Visiting legislator who stumbled across this web page? Here’s your chance to act like a grown-up and represent the people of the world, not drug companies nor major research universities nor individual “researcher” egos and retirement funds.

Click on images to expand.[almost free] strategies to improve healthcare

Cartoon Rabbit - Giving A Thumbs Up

The Program Evaluator's Tool Kit

This analysis, that analysis, yesterday’s analysis, tomorrow’s analysis, Uncle Izzy’s analysis … is there anything that is a not a form of analysis? Create your own bullshit anagram and bullshit detector. And then see how well it applies various politicians, political claims, the cable news stations, and others. You’re on your way to become a walking, human bullshit analyzer.

So without much further ado, a new form of analysis. And a make your own anagram template.

bullshit analysis

The Old …

image

The Current …

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And the Ideal

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  • Click on images to zoom.
  • Note that both the placement of the circles AND the front to back placement are significant and intentional.

Look around at the restaurant or on the subway or on airplanes or at bicycle riders (yup, see it a lot around here) or at store workers or person in the car next to you at the red light or in television shows and at businesspeople, teens, tweens, older adults, hospital patients, hospital doctors,  athletes, the disabled, those wearing the most trendy clothes and those dressed in all black with black hats/scarves. Data is streaming into all of their lives: email, texts, videos, music, e-magazines and e-newspapers, web sites world wide, Twitter, Facebook, Instagram, and the local restaurant’s menu. Netflix, iTunes, Amazon Prime, your bank, your doctor, your pharmacy, your local fast food purveyor, extra news and feeds from the sporting event you are attending, the latest Kardashian kamikazi komedy.

The video game is the work of the Devil.

With the exception of an increasingly small percentage of individuals with unlimited data because they were early adopters and have not changed their cellular plans, most of us are paying by the gigabyte. Those with free plans are throttled so that they really cannot use an unlimited amount of data for a fixed price so the fixed prices will go away soon.

Drop data prices, streaming will expand exponentially, the phone companies will make even more money, you will never see your friends in the flesh anymore, family dinners as we knew them in 1960 or even 1980 will be dead and replaced by family members sitting at the same table eating junk food and each watching their own data stream, and no one will want to go to the movie theater or red box anymore. Even the Columbian cocaine lords may go out of business.

Data overload will lead to data addiction and probably result in humanity evolving into the Borg Collective.

Borg

We need to make some changes before Skynet and the Terminators become inevitable.

skynet


terminators

I think the human race has no more than 30 years to evolve before the bytes take over. It will make the “War on Drugs” seem like the good old days and war with the Cylons inevitable. If you thought Big Pharma was going to control your life by promising the end to pain and disease, think again. Big Wireless will be even more insidious and the way Big Pharma has increased healthcare costs significantly will turn out to have been smaller than wireless when the historians look back in 100 years. Wireless data streaming is already starting to become the crack of the next decades.

Turn the Devil’s toys off when you: go home, go to dinner, watch TV, are in a meeting, are in a class, are in a place of religious observances, go on vacation, go to bed, take a shower, go into the bathroom (yup, your screaming boss may be in a toilet stall at DFW or ORD), or go to a friend’s home. Get out of the habit of pulling your cell phone out to take a picture of your family and then checking your email or Twitter account while you are at it. And stop modeling the “cellular data comes before everything else” lifestyle to your kids.

Even Spock turned the data stream off sometimes. Do so and “Live Long and Prosper.”

Position Opening: Physician. Thousands of opening available throughout USA. All specialties. Highest priority for primary care.

Requirements:

Four-year medical degree, several years of supervised post-doctoral clinical experience. Additional research experience a plus. In possession of a medical license within the state of practice.

Proven effectiveness in communicating with ill, confused, poor, disenfranchised patients, many with co-occuring mental illness and/or chemical dependency and cognitive impairment. Fluency in written and oral Spanish, Chinese, Russian, Farsi, Tagalog, and Arabic a plus.

Ability to work closely with a multi-disciplinary team and communicate well with nurses, social workers, allied health professionals, patients, families, insurers, and malpractice lawyers all of whom may complain at any time that the physician asserts too much influence on patient care.

Willingness to work in conditions were salaries are decreasing annually, patient-doctor ratios are expected to be dramatically higher, and one will be subject to working long work weeks, religious and family holidays, and on an irregular schedule.

Ability to work in a larger healthcare system subject to rules of practice detrimental to patient care with unnecessary and inappropriate regulations, attacks from the public as well as politicians and the press, frivolous malpractice lawsuits that require expensive and lengthy litigation, and very high accompanying stress.

Ability to accurately make life-death decisions while stressed, tired, and in non-optimal settings. Willingness to do so for a low compensation rate.

Willingness to maintain licensure and take regular continuing education courses without compensation.

Ability to spend a large percentage of time completing unnecessary forms in order to obtain insurance reimbursement and to avoid frivolous malpractice lawsuits.

Compensation Range: very low to low.

Immediate openings throughout United States.

The USA has no highly visible, charismatic, scientifically-medically experienced, brilliant, and creative leader-spokesperson for federal healthcare programs. IMHO, the last one we had was C. Everett Koop in the 1980s.

Since being such a leader should be a Cabinet-level position, the best-qualified leader would get the same salary as an out-of-work former governor or political operative in the Senior Executive Service (about $200,000).

I favor a “healthcare czar” position to which the directors of various health-related US federal agencies report.

The effects of having a great leader with oversight on most major US healthcare initiatives would be huge. A positive thinking, creative individual should be able to get $100s of millions (or billions) out of the healthcare system while increasing quality. Instead of squeezing physicians on Medicare reimbursements we need someone who can squeeze the bureaucracy to lift money-wasting and unnecessary health regulations, squeeze the health insurance and big pharma industries to get-real about their profits, and energize the general public to personally address such preventable diseases as those related to obesity, alcoholism, tobacco use, and unwanted pregnancies. Such an individual could get cooperation from the press to research and write stories about positive system change.

Such a change costs only the small expenses of a search committee compromised of prominent health stakeholder groups, and the commitment of the President to health- and socialcare.

There are 100s of great medical-science leaders in the USA who can do a fantastic job of getting healthcare coordinated and understood by the public. Koop was a conservative, traditionally religious, Republican who took on the religious right over his medical conclusions that the reality of good medical practice in the USA had to get over homophobia and hatred of the homeless drug abusers in order to dampen the effects of the HIV epidemic. He also took on the major of lobbies of the tobacco industry in stating clearly that tobacco was addictive and responsible for millions of deaths. Koop’s politics were almost opposite to mine but the actions he concluded were necessary were the same as I would have taken from my liberal vantage points.  Just as a conservative Republican can do an excellent job of guiding the healthcare system if she or he is a committed medical-scientist, so too can a liberal Democratic medical-scientist do a similarly excellent job.

Go ahead dismiss this idea. Then go back to reading my posts on your big Cinema Monitor from the company who had a charismatic leader and type your responses on a keyboard from the same company.

You want a great US national healthcare system that is efficient, treats patients and healthcare providers fairly, and stresses prevention and patient-centered care? Get a great leader. This individual will cost only about $200,000 per year and some ego stroking by POTUS and the Press. Let the unemployed former governors go find out what it is like to live on unemployment benefits and use Medicaid.

WTF hasn’t the search committee already started to form?

Seven Reasons Some  Healthcare-Socialcare Systems  Achieve Better Outcomes

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