"Let's fight with ballots, not bullets..."

T.R. Reid's latest article on health care reform, in the Washington Post:

Universal health care tends to cut the abortion rate

So what will your legacy be?*

On the day before the presidential inauguration, I saved a quote from an article by Tony Rhodin, an editor for a local Pennsylvania newspaper (The Express-Times Daily). What he wrote was surprisingly simple, but true:

Obama's early legacy will be based on his actions, not his rhetoric. He has a huge majority in Congress and has huge public support. He is positioned to do great good. The real question is if he can.**

I think it was Gandhi who said that action expresses priorities. If the Senate is ultimately successful in passing the health care reform bill this week, then we'll not only have concrete proof of our government's political priorities, but also a poignant preview of the presidential legacy that Obama is poised to leave behind.***

*Lyrics from Wakey Wakey's "War Sweater".
**Rhodin, Tony. "Barack Obama's legacy will be one of action -- or lack thereof." LeHigh Valley Express-Times. 19 Jan 2009.
***Read more about the current developments & some of the basic reforms included in the health care bill here, on the NY Times: "Health Bill Passes Key Test in the Senate with 60 Votes".

"...I just want to say that I believe there are options out there! A take a number option, like they have in a deli."*

From The Wall Street Journal | Health

The Henry Ford of Heart Surgery
In India, a Factory Model for Hospitals Is Cutting Costs and Yielding Profits

One of the best quotes?

"What health care needs is process innovation, not product innovation."
- Dr. Devi Shetty

Also, Holy Taco (in East Atlanta) is my new favorite restaurant option for Mexican food. Much better than standing in a deli line for a chicken quesadilla...

*Quote from the latest episode of The Office. Don't know how many options there will be for health insurance if the vote for the recent bill doesn't go through, though...

H.R. 3962, in the House.

Recent weekend developments worth mentioning

In Atlanta:

Crystal Method

Via @ Buckhead

And in health care reform:
- Obama Calls Health Care Bill's Passage 'Courageous' (NY Times)
- Is the House Health Care Bill Better than Nothing? (Huffington Post)
- House health care bill has nowhere to go in Senate (Yahoo News)

Let the health care debates begin... again. Try to formulate your own opinions after actually reading the bill.

The Common "Wealth" of Massachusetts: Health Reform

Massachusetts was the first state to provide "affordable, quality, accountable health care" to all its citizens (1). Provided that a similar bill (one that hopefully does a better job at cost-control) eventually passes at the national-level, there's an infinitesimal chance that a majority of Americans will actually be satisfied with their health care options.

The American economist Tsung-Mei Cheng formulated three "Universal Laws of Health Care Systems" (2):
1) No matter how good the health care in a particular country, people will complain about it.
2) No matter how much money is spent on health care, the doctors and hospitals will argue that it is not enough.
3) The last reform always failed.

Laws 1 and 2 are unfortunate pillars of reality: the patient complaints may never cease and the funds allocated towards health care may never meet the standards of medical practitioners and management. But, for the common wealth and health of the nation, here's to doing more and doing better - after reform passes - so that Law 3 no longer holds true (3).

"Get your scrubs ready... It's about to go down!"

Facts in news articles & books speak louder than facts on blogs:
1. NPR: Massachusetts Makes Health Insurance Mandatory
2. T.R. Reid: The Healing of America
3. Paul Krugman: "After Reform Passes." NY Times.

"The time for games has passed."*

May God bless sushi, and God bless the United States of America.

"The time for bickering is over. The time for games has passed. Now is the season for action. Now is when we must bring the best ideas of both parties together and show the American people that we can still do what we were sent here to do. Now's the time to deliver on health care."

President Obama made a markedly dramatic speech on health care reform tonight, one that drew cheers of both praise and disapproval. He promised that any plan wouldn't add a dime to our budget deficit and that spending cuts would be made in other areas to counteract the costs of the health care bill*. He promised to reduce "the waste and inefficiency in Medicare and Medicaid... [to] pay for most of this plan."* But, most of all, he promised to follow through.

Now the question remains, is Congress willing to do the same? Because all the speeches to constituents and all the promises in the world mean absolutely nothing if no one takes concrete steps towards action and change. For the health of each individual American and the health of America as a whole, let's hope for the best.

*Quotes taken from President Obama's Congressional Address on Health Care Reform, Sept. 9, 2009. Watch it here on MSNBC or read the transcript on CBS news.

"It twists people like pretzels."*

Though my classes don't start till Monday, I was reading an assigned article on healthcare reform earlier last week and it got me thinking about two things. 1) How, fortunately - for my parents and professors - and unfortunately - for me - I still do most of my homework ahead of time; and 2) how, contrary to popular belief, there's no single silver bullet to solve all the healthcare woes in America.

Like most everyone else, I've known for a long time that the American healthcare system is confusing, inefficient, and expensive for both physicians and patients alike; actually, that's one of the main reasons I decided to go to public health school before applying to med school. But, what I didn't understand until now is how most of the current healthcare "plans" that various groups have been proposing also have the potential to be just as confusing, inefficient, and expensive if a) there's too much opposition/resistance from the public, and b) if there's too much opposition/resistance from the private (health insurance) sector.

It's been said before, and it's worth saying again: if it's broken and it needs fixing, stop arguing about what needs to be done and start working together to repair it. Yes, it's important to analyze the deficiencies and pitfalls of the American medical system, but it means nothing if no one is willing to compromise on solutions for those problems. It's one thing to say "we can change" but it's another to actually change.

Sometimes I get bored and make semi-creative t-shirt designs for health care competitions sponsored by Rock The Vote. And then, I post one of those said designs on my blog so people will vote for it if/when it gets chosen as a Top 5 t-shirt design on Sept. 1.

*Quote from Nicholas Kristof's latest NY Times Op-Ed on healthcare, "Until Medical Bills Do Us Part"

Money can't buy happiness, but it can buy a lot of other cool stuff.

(See update at the end.)

Between bi-monthly recaps of the Daily Show, daily readings of the most popular articles in the NY Times, and keeping up with random blog updates on a week-to-week basis, I've actually managed to be relatively productive these past few days, and not just at my desk (although, it is nice and I did assemble it all by myself).

My $24.99 desk from Wal-Mart

It's not just my time that I've learned to budget more carefully, though - I've begun to find better ways to budget my money, too. And I feel the least I can do is pass the insight onto everyone else.

It all started a few weeks ago, when I started reading up on all the Money-Saving Tips that U.S. World & News Report compiled months, if not years, ago. Now that I have more expenses, less disposable income, and more reasons to save, I figured it wouldn't hurt to do some financial research.

Then came a brilliant encounter with P&G eSaver, an amazingly sustainable way to download coupons onto your grocery store card. I've always pictured coupon-clippers as frugal, stay-at-home supermoms or retired elderly couples who spend their days gardening and playing bridge, but now I've found a way to maintain my street cred and save a few bucks every time I go shopping, simply by the click of my mouse.

P&G eSaver (a.k.a., my new favorite financial find)

Tonight, though, was the icing on the money cake. I ended up reading an old article in the NY Times - partly by happenstance and partly by my conscious decision to read articles in the "Your Money" column - "Financial Advice for Recent Graduates". What caught my attention was not so much the words of wisdom that the advice-givers spewed in response to the specific questions about financial planning, but the fact that one of the advisors, 26-year-old Ramit Sethi, had a blog called I Will Teach You To Be Rich. I mean, what kind of person would not want to read a blog with that kind of name?

Apparently, his blog gets about 250,000 unique readers a month, so there's a pretty good possibility that I'm one of the last twenty-somethings in America to find out about it - but that doesn't mean I'm any less excited to stock up on all the financial tips that the site has to offer (even if I am about a year or so late). It's definitely earned a permanent spot on my Blogger Reading List.

Best quote of the NY Times article? Ramit Sethi's one-liner: Rich people plan for things before they need them, while others are caught treading water when something bad happens. Not sure if that's exactly true, given that I know a lot of rich people who don't know the first thing about financial planning (or life-planning, in general) - but it got me thinking that maybe, those who plan properly simply have a much better chance at becoming rich. Perhaps, careful planning begets financial success, and that, in turn, is the positive reinforcement that propels an individual to continue their conscientious behaviors.

Time to turn my thermostat up three degrees and save $10 this month! (Check out the "Power fiction & facts" list by clicking on the thermostat link - who knew a gas and electric company could be simultaneously informative and witty?)

Update: To be completely honest, the two aforementioned tips in this post (using P&G eSaver once every month or so and turning my thermostat/AC up a few degrees) are actually the only two changes I'm making to be more prudent with my money. Not that this is anything novel, but I'd like to think that small changes make big differences (kind of like with this UK public health program I read about after seeing the Michael Moore documentary, SiCKO). Not to mention, Malcolm Gladwell completely agrees with me, so that has to mean something. (The Tipping Point is what enlightened me during countless rides on the métro and solo meals in cafés when I was in Paris this summer - I highly recommend reading it, if you haven't already).

Expect the unexpected.

Andrew Card, the former Bush White House chief of staff, said, "August is a challenging time to be president. I think you have to expect the unexpected."*

Hypothetically, if I were to intentionally spin that quote to better fit my own situation, say, in a blog entry, I'd note that August is also a pretty challenging time to be a recent college graduate, move into your own apartment with minimal help from others, and start an accelerated graduate program. Not only do you have to expect the unexpected, but you also have to learn to handle it reasonably well.

A rose from our garden at home (Mobile, AL)

Photograph taken by Dr. Sailen Barik

Today was definitely a case in point.

After spending about five days at home in Alabama, I departed for my five-hour drive back to Atlanta. One unexpected power outage, two four-way intersections without functional traffic lights, and over a dozen torrential downpours later, I arrived in Atlanta.

Unfortunately, more unexpectedness was still to come.

Granted, you can't really hope for the royal treatment when you're paying nearly nothing for an old, starter apartment within 5 minutes of an unbelievably expensive university - but after moving in loads of items in the summer heat and unpacking for an hour or two, there's a basal standard of living that you do expect: running water, functional air conditioning, and, perhaps, a general level of cleanliness (i.e., no mold, unfriendly rodents, or pesky pests with wings or antennae).

There's certainly running water and no mold, but so far, I've killed two small spiders, one creepy roach, and two unidentifiable six-legged (or maybe eight-legged?) arthropod-like creatures... and there are probably more that either got away or couldn't be caught in the sweltering 88 degree heat of my apartment interior - because the air conditioning, according to my "interesting" roommate (for lack of a better adjective), apparently "works sometimes if you don't keep it on for too long, but the temperature usually doesn't change".

For the time being, I've borrowed a sizeable floor fan from my roommate, but it's safe to say I'll be stopping by the leasing office first thing tomorrow morning. Paris might not have had central air, but at least the outdoor temperature was cool enough at nights to open the windows and breathe in chilly, fresh gusts of oxygen...

Andrew Card might have gotten it wrong in his TV interview last week - I'm pretty sure that every month is a challenging time to be president. And I'm pretty sure that September will also be a trying time to be a new graduate student in a starter apartment.

At least I know to "expect the unexpected" now.

*Quote from Frank Rich's August 8th Op-Ed article in the NY Times, "Is Obama Punking Us?"

Knew you, new me.

Today is the first day of a new month, and the last day of an old era - I'll soon be moving out of my last-ever dorm room and settling into my first-ever apartment. My past four years in college have been, in many ways, much more than I could have ever expected, despite the occasional youthful indiscretions and the sometimes unpredictable ups-and-downs. All things considered (not to be confused with the amazing news coverage by NPR every weekday), I made it through without any major injuries, barring one badly-broken toe and a few memorable bruises during a recent game of frisbee in Lullwater Park. To keep the post concise, I'll leave out all the rest of the sappy and/or overly emotional events.

A snapshot of my brand new digs

It's about time I shed the safety nets that undergrad has so graciously provided (for a mere $46,000/year, give or take a few thousand dollars...) and learn to become my own guide to gaining grad school success. Goodbye to dorms (err, "residence halls"), outrageously expensive on-campus parking, and my undergraduate past; and hello to a freshly-furnished apartment, free resident parking, and my grand graduate future. Been there, done that, know the old version of who I used to be - and now it's time for the new me.

America, India, and everything in between.

I was inspired to update my blog after reading a recent NY Times article, "Farewell to an India I Hardly Knew", by Anand Giridharadas.

Calcutta, India

About two years ago, as part of an application for a part-time college job, I had to write a short essay describing my experiences with issues of diversity and my perspective with respect to cultural differences. Giridharadas' article reminded me a lot of that essay, because I talked about how I had grown up "feeling as if I was in a sort of cultural limbo - a foreigner living in America but an American when I visited India" and how, "in a way, this constant sense of cultural indecision is simply a negative consequence of the territory; my parents once explained it best when they said that they knew they would have to sacrifice some of the richness of their own traditions and conservative culture in order to fully take advantage of the opportunities and independence that American life had to offer."

But the interesting thing about the NY Times article is that it left me questioning whether what I'd written was actually true. It gave me the notion that you can have both, that you can retain your cultural heritage and your nationalistic pride and still be progressive in redefining your sense of self.

Contrary to popular belief, then, you don't have to completely turn your back on all the people you came from to become the one person you've always wanted to be. It seems obvious in retrospect, but if you can find a way to help yourself, without leaving everyone else behind, then maybe your present individual successes will turn into a future collective benefit for others.

Here's to turning that notion into some kind of positive action, regardless of what I end up doing after graduate school.

High, lighting too much.

I've taken so many practice exams in the past couple of days that my brain is now in default MCAT mode whenever I do anything. While reading an article in the NY Times tonight, I tried to use my mouse to "highlight" a specific sentence on the screen - until I realized I had just attempted to use a highlighting feature that exists only for passages on computer-based exams like the MCAT.

This begets the question, even outside the context of such a test, how much is too much? And what is it that makes us over-extend ourselves to begin with?

When a particularly tragic or difficult event happens in a person's life, one of the positive results (after going through the stages of denial and pain and depression and so forth - the "grief cycle", as Kubler-Ross calls it in her book, On Death and Dying) is gaining the drive to do more and to do better. Although it's ironic that the rationalization of something horrible ultimately leads to the motivation for something beneficial, at least initially negative situations do eventually propel us in a positive direction. And that's probably what matters most in the end.

Making an effort, trying to improve - both are inherent markers of a logical, conscientious person. But, even the most practical individuals can become tunnel-visioned and so overly focused on a single task that everything else exists only in relation to that one cruciality.

The key, experts say, is to reach an optimal level of understanding and comfort, and then, to stop. Achieving this kind of balance is usually much easier said than done; and, coincidentally, it's precisely the fear of failure that causes us to completely over-exert ourselves, resulting in the very defeat we so desperately wanted to circumvent.

Pressure, reputation, expectations. Everyone has reasons for wanting more in life. While it's okay to not want to settle for anything less than the best, each person should be his or her own measure of perfection. Otherwise, we start trying too hard to do too much, for all the wrong reasons.

We have the ability to recover from unforeseeable adversity and bounce back with unimaginable resilience, but we falter the moment we assume our success is inextricably dependent on the often misguided judgments of others. Perhaps it's time to recognize that true limits only exist if and when we create them for ourselves.