Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Monday, November 1, 2010

Wellbeing: Research Shows that a Lower Tax Rate Won’t Necessarily Make You Happy

The Gallup Organization has just published a new book: Wellbeing: The Five Essential Elements by Tom Rath and Jim Harter.  The five essential elements are presented in a fast 100 pages.  The remaining 100 pages or so are devoted to the worldwide research Gallup undertook that provides the support for the first 100 pages. 

In brief, the five essential elements are: Career Wellbeing, Social Wellbeing, Financial Wellbeing, Physical Wellbeing, and Community Wellbeing.  If one wishes to have overall wellbeing, these five elements need to be optimized.  A chapter is devoted to each element giving helpful tips for increasing your wellbeing in that particular element.

These tips can be summarized as follows:

            Focus on your strengths.
            Do work that you love.
            Have a good friend at work.
            Spend several hours each day with people who make you feel good.
Good experiences and donating to others improve your wellbeing more than “retail therapy.”
            Automate bill paying and saving.
            EXERCISE!
            Eat right: lots of colorful fruits and veggies.
            Get enough sleep: at least 7-8 hours.
            Contribute to your community.


All this seems pretty straightforward, and we probably are aware of all these tips.  So where do you rate?  You can find out here, if you buy the book and get the code: http://www.wbfinder.com/home.aspx

If you don’t want to do that, the website does have some other useful info.


However, the book does rate cities, states, and countries on three criteria of Wellbeing: 1] percentage Thriving; 2] percentage Struggling; and 3] percentage Suffering.  The highest ranks will obviously be filled with those having the highest percentage of their population Thriving.

Based on Gallup’s research, the top 10 countries from 1 – 10 are Denmark (82% Thriving), Finland (75% Thriving), Ireland (72% Thriving), Norway (69% Thriving), Sweden (68% Thriving), Netherlands (68% Thriving), Canada ((68% Thriving), New Zealand (63% Thriving), Switzerland (62% Thriving), and Australia (62% Thriving).  The United States comes in at #19 with 50% Thriving. 

Now, what is quite interesting about the Top Ten Thriving Countries is that except for Ireland and Australia (Australia’s tax rates work out to be about the same as that of the US), all of them have higher tax rates; generally, significantly higher tax rates, than does the United States.  See the table below based on OECD 2005 data.

Another fascinating tidbit, is that all of the Top Ten Thriving Countries also have universal healthcare.

As Arsenio Hall used to say: “Things that make you go hmmmm….”

So, it looks like the Top Ten are using their higher tax rates to provide their citizens with the kind of infrastructure and benefits that improve Wellbeing.

It gives you something to think about before the elections.

Wednesday, January 6, 2010

Six Months in Sudan

I just finished reading Dr. James Maskalyk’s powerful, wonderful, disturbing, heart-rending book Six Months in Sudan. It took me only a day to read the book because I had trouble putting it down.

Dr. James Maskalyk is a Canadian physician who works with Medécins Sans Frontières (MSF or Doctors Without Borders). This book is based on the blog [http://www.sixmonthsinsudan.com/page/blog/]
he wrote while on his six-month tour of duty in Abyei, Sudan where he was the chief medical officer and sole physician for a small MSF-run hospital. The hospital had a dedicated staff, but minimal supplies, limited equipment, and a generator for electricity that could be used only a few hours each day.

Some of you may know of Sudan from the Darfur genocide. Abyei is not in Darfur, although it is near the far, southeastern corner of Southern Darfur. Abyei is in southcentral Sudan on the border between the warring factions of the North and South. While Dr. James (as he was known in Abyei) was in Sudan, Abyei was at an uneasy peace.

I think Canadians (and virtually any educated person from any country other than the United States) are geographically literate, so Dr. James did not spend a great deal of time “positioning” Sudan for the reader. However, in my experience, many, many people in the United States think of Africa as a country (even if they “know” it is a continent). This is the fault of the media and many educators who will say things such as: “Travel to China, India, and Africa is on the upswing.” But the more knowledgeable are aware that Africa is the second-largest landmass, a continent of 53 distinct countries where hundreds of different languages are spoken. Sudan is the largest African country at over 2.5 million square kilometers. It is larger in area than Alaska and Texas combined.


Arabic and English are the languages of education, government, and business. However, those living in towns and villages far from the capital of Khartoum or other major urban centers are more likely to speak one of the 400 or so local languages or dialects. This was certainly true in Abyei. Dr. James couldn’t speak Arabic let alone any of the local languages. This kept him at a distance from his patients that was in part bridged by interpreters, but more so by the fact that he so obviously cared about each patient.

And yet, Dr. James could do so little for so many of them. They arrived too late at the hospital. Or what they needed was unavailable. Or he lacked the equipment for a proper diagnosis. Or…

Healthcare should be a basic human right. Without it, the other rights hardly matter if you are too weak, too ill, starving, dying. The situation is even more dire in war zones, or those, like Abyei, where peace has only a tentative hold. It is the mission of MSF and doctors like Dr. James to take healthcare to where it is most needed. Without their efforts the forgotten areas of the world would be even harsher and grimmer places.

I strongly encourage you to read Six Months in Sudan. The beginning of a new year is a good time to learn something new, especially about one of the forgotten places of the world. Dr. James’ story will move you, perhaps to tears; I hope to action.