A Success Strategy for Jamaica
Basil Waine Kong
One finger may not make much of a difference, but fingers coming together as a fist can be a formidable weapon. There is no doubt that Jamaica needs a unifying direction and a winning strategy. The list of our woes get longer with each passing day. So far, we have allowed the tyranny of the urgent to prevent us from implementing prevention strategies. Imagine that we are sitting on the banks of a river. We look out and to our horror we see babies drowning. I would hope that we would make every effort to rescue and revive these children, but we cannot afford to stop there. We must also quickly run upstream and stop the man from throwing the babies off the bridge. Mediocre doctors only diagnose and treat disease. Superb doctors also prevent disease. Our government is stuck on crisis management with no investment in long term solutions.
1. A prevention strategy. Intellectuals and politicians try to solve problems; geniuses prevent them. The number one killer in the Caribbean is heart disease. It is a disgrace that so many of our grand parents succumb to this disease when it is a lifestyle problem and entirely preventable. Crime, poverty, motor vehicle deaths are also preventable if we can be smart enough to implement the strategies that will address these problems adequately. When we were implementing half day schools for our children, couldn’t we have predicted that with ten hours of idle time on their hands young people would form gangs, get into sex, drugs and crime? In situations of crises when many quick fixes and simplistic solutions are tempting, considering all the angles with an eye to prevention, can help avert disastrous decisions.
As social theorist John Ruskin reminds us, “Punishment is the last and the least effective instrument in the hands of the legislator for the PREVENTION of crime.” Of course, it’s necessary, but we should be mindful that when we get to the point of punishment, at least as regards that one individual, that’s an opportunity we have ALREADY missed. I would rather focus on preventing crime than catching criminals. Each Government Ministry should be asked to come up with an effective prevention strategy.
2. An educational strategy. We can solve a great deal of our problems if we properly educate our people. I am ashamed of the fact that a third of our people cannot read a newspaper. Not investing in education is a predictable way to prepare our people for failure, poverty and crime. Japanese children are in school for twice as many hours as Jamaican children. As the educational level of any population increase, uncivil conduct decrease, health status increase and wealth is less concentrated in the hands of a few. Our English-oriented educational system dictates that we concentrate our resources on the talented tenth. The difficulty with this model is that most of the beneficiaries of this educational investment leave the country and you can find them contributing significantly to American, Canadian and European societies. Ninety percent of our nurses, doctors and pharmacists live foreign.
3. A change strategy. We cannot continue to react and keep going back to watering holes that have dried up while squandering new opportunities. This is a new world reality that cannot be ignored. In 1998, Spencer Johnson wrote a parable entitled: “Who Moved My Cheese? An Amazing Way to Deal with Change in Your Work and in Your Life”. From this little parable, he points out that:
(a) Change Happens: We cannot continue to make typewriters, horse drawn carriages and buggy whips when the demand for these products is gone. While there is strong demand for our athletes, music and entertainment, alcohol, coffee, honey and our unique tourist product, interest in our sugar, bauxite and bananas are waning.
(b) Anticipate Change: The only thing that is certain is change. We must anticipate what products will have value in the future and start offering them even before the demand peaks. Jamaican banks have a bad reputation for not loaning money for innovative ideas and will only lend money to support tried and true business ideas whose usefulness may have passed. The government has a huge coordinating responsibility to develop new business ideas.
(c) Monitor Change: We need good data and have our eyes and ears open so we can anticipate the winds of change. Someone needs to have their ear on the train track to let us know what is coming. But with so much data available on the web, it is not difficult.
(d) Adapt to Change Quickly: The quicker we adopt, the more competitive we will be. How many Jamaican businesses are going after the huge solar energy market?
(e) Engineer Change: Instead of becoming victims of change, we can become agents of change. We can develop and market new products. Health tourism, alternative energy and call centers are huge industries. Wouldn’t Americans prefer to come to an English speaking country right next door for these services than go to India if they had confidence in our skills and customer service? We must produce goods and services that will be attractive, replace imports and obviously export more than we import. We continue to chase after markets in the United States, Europe and Canada when there are tremendous markets in Africa and Asia. Why don’t we have a direct flight between Jamaica and Nigeria?
(e) Be ready to change and enjoy the ride! Our legal system, our government bureaucracies and banking systems are not business friendly and need to be updated to address the reality of a changing world. Our civil servants should support and facilitate business not hinder them. We should have an ethical, educated and motivated employee pool to support our various enterprises. We will have no difficulty attracting foreign investments, particularly from our various foreign nationals if we become more business friendly. Right now, the World Bank ranks us 75th in the world for doing business. A simple procedure of paying business taxes in Jamaica require that business entities spend 17 days in lines and make 72 tax payments per year to meet their tax obligations. I congratulate Trinidad and Tobago for their extremely efficient handling of this detail. We should learn from them.
(4) A nation building strategy. Rather than attacking each other politically, we need to find common ground and a shared vision. We need to recognize that we are in this boat together and a rising tide will lift all boats. There are tremendous opportunities in Jamaica where we can find synergies to improve the welfare of all our citizens. Let us set aside the differences that separate us, stop blaming each other and focus on the bonds that unite us. I believe we all love Jamaica. We just need to be a little less selfish and share the wealth.
(5) A self reliance strategy. Not only should we develop a food policy that will have us eat what we grow and grow what we eat, there is so much more we can do to reduce importation of foreign oil and dependency on imports. We can be a reliable source of food because we have a twelve month growing season, lots of available land waiting to be put into production, ample rainfall, good soil, expert farmers and inexpensive labour. There is no reason why we cannot feed ourselves. With regard to energy, we have wind, the sun, redundant cane fields that can be converted to grow avocado pears and other vegetable matter that can be easily converted to diesel fuel. We must think outside the box to survive. It is not going to be business as usual.
It is imperative that we develop a new way of thinking for the changing world in which we live. This proposed five-finger strategy is a start. If we fail to plan, we plan to fail.
Showing posts with label prevention. Show all posts
Showing posts with label prevention. Show all posts
Wednesday, December 9, 2009
Friday, January 23, 2009
The Need for a System of Health Rather than a Health Care System in Jamaica
It is difficult to imagine that with all the sunshine, ocean, open spaces, and such a strong sports tradition, 20% of our children are overweight. All aesthetics aside, being fat ought not to be perceived as anything other than unhealthy. Obese children become obese adults.
As has been noted in The Gleaner, obesity has reached troubling proportions in Jamaica. Since 1980, we have seen a 50% increase in the incidence of obesity every decade. This dramatic rise in obesity is inevitably accompanied by an equally critical rise in diabetes, resulting in over 20% of Jamaican adults suffering from this awful disease. Diabetes is particularly nasty as it impairs eyesight, causes impotence, and may result in the amputation of toes and legs. How did a society where people walked miles each day, succumb to this plague of inactivity, diabetes and obesity? An unhealthy country is a country without a future.
The United States has taught the world that there isn’t enough money to pay for all the disease caused by obesity, lack of exercise, cholesterol, smoking and diabetes. However, the United States spends 20 cents of each dollar collected as revenue on health care. Still, the life expectancy of an average African American men is less than Jamaican men. The United States has a so-called ‘state-of-the-art’ healthcare system, yet they are way behind the rest of the world in promoting health and well-being. When a patient has a disease, treat the disease; similarly, when a large segment of a population has a disease, treat the country. If you want to reduce violence, crime and unwanted pregnancies in Jamaica, let children have the opportunity to know their grandparents.
Jamaica needs a system that promotes health and not an expensive “healthcare system” that only treats disease. In a country where the average household income is less than US$1,000 per year, Jamaica can ill afford to provide invasive and expensive medical services to treat illnesses that should have been prevented. A “System of Health” emphasizes prevention, while a “health care system” places emphasis on the treatment. By being proactive instead of reactive, we can inspire people to take health promotion and disease prevention seriously.
Jamaicans live on an island of sunshine and cool breeze and most of us must live and eat by the sweat of our brow. Europeans and Americans come to our island to lose weight through exercise and heart healthy eating, so why can’t we take advantage of these home grown remedies? If we consider the fact that most of the disease that plague us and cost so much can be prevented, it becomes apparent that promotion of heart health and exercise would allow enormous savings for the health care system. In fact, just about all the heart attacks, heart failure, strokes, diabetes, kidney failure (diseases that kill 50% of us) could be prevented by making simple adjustments to our lifestyles. Being proactive in health can add 10 more years to enjoy the company of our grandchildren and guide them to a happy, healthy and productive life. I grew up reciting the nursery rhyme about Humpty Dumpty who was lazily sitting on a wall, had a great fall and nothing could put him together again. If Humpty was not sitting on the wall, his risk of falling would be far less. We can take an important message from this nursery rhyme by understanding that no matter how good our reactive plans in medicine and surgery may be, it will never be as good as prevention. An ounce of prevention is always going to be worth more than a pound of cure.
At the Heart Institute of the Caribbean, I am fortunate to work for a private entity that excels in the gamut of these services. In the hopes of implementing a “System of Health” we are eager to share our secrets and methods for prevention with readers of the Gleaner. We also offer executive physicals that may help determine the risk of a premature heart attack, using state of the art diagnostic equipment and Board Certified Cardiologists. If you are already aware of your condition, there is absolutely no better place to receive treatment for a wide range of cardiovascular related diseases. We realize that treating disease in an expensive undertaking and so, we offer our services for less than 20% of the cost for the same services in the United States. Again, preferring that you didn’t have the disease in the first place, we counsel family members who come to the Institute to be treated for heart disease, encouraging prevention. If you are sick, you are not making money, you are spending it. The best place to put your money is in your health. Healthy people are likely to be wealthy people and at the end of the day, we want a System of Health, not just a healthcare system
While our government struggles daily with how to allocate our limited resources, it should be recognized that it would be a good investment to spend more on prevention. At present, the Government spends less than 5% on prevention of diseases and we need to increase our spending here to at least 25%. In a Gleaner article dated 13/8/2008, Prime Minister Bruce Golding, in identifying this problem addressed 750 delegates from 80 countries at the opening ceremony of the 57th August General Assembly of the International Federation of Medical Students’ Associations disclosing the fact that the Government is planning to launch an island wide program aimed at getting people to adopt healthy lifestyle practices. In outlining the Government’s plan, Prime Minister Golding emphasized the need to sensitize the public of the benefits of a healthy lifestyle, letting them know that “you can eat yourself to death in the same way that you can smoke yourself to death.” However, other than this speech, no much has been done in this arena.
Comparable to the above mentioned program, The Heart Institute of the Caribbean has developed a plan which involves an island wide tour aimed at training “Community Health Advocates” in various parishes. This plan also involves cardiac screening and group counseling thus effectively identifying the healthiest and most at risk communities in Jamaica. This way, we can educate and motivate our citizens to maintain good health.
Just as it would be unconscionable not to have an infectious disease program, it is unacceptable not to have a cardiovascular disease prevention program. Every citizen must recognize that if they do not take time to exercise and eat well, they will prematurely succumb to disease. God made us to be strong and physically fit, and by choosing to be “fat and lazy”, we will have to pay the price.
As has been noted in The Gleaner, obesity has reached troubling proportions in Jamaica. Since 1980, we have seen a 50% increase in the incidence of obesity every decade. This dramatic rise in obesity is inevitably accompanied by an equally critical rise in diabetes, resulting in over 20% of Jamaican adults suffering from this awful disease. Diabetes is particularly nasty as it impairs eyesight, causes impotence, and may result in the amputation of toes and legs. How did a society where people walked miles each day, succumb to this plague of inactivity, diabetes and obesity? An unhealthy country is a country without a future.
The United States has taught the world that there isn’t enough money to pay for all the disease caused by obesity, lack of exercise, cholesterol, smoking and diabetes. However, the United States spends 20 cents of each dollar collected as revenue on health care. Still, the life expectancy of an average African American men is less than Jamaican men. The United States has a so-called ‘state-of-the-art’ healthcare system, yet they are way behind the rest of the world in promoting health and well-being. When a patient has a disease, treat the disease; similarly, when a large segment of a population has a disease, treat the country. If you want to reduce violence, crime and unwanted pregnancies in Jamaica, let children have the opportunity to know their grandparents.
Jamaica needs a system that promotes health and not an expensive “healthcare system” that only treats disease. In a country where the average household income is less than US$1,000 per year, Jamaica can ill afford to provide invasive and expensive medical services to treat illnesses that should have been prevented. A “System of Health” emphasizes prevention, while a “health care system” places emphasis on the treatment. By being proactive instead of reactive, we can inspire people to take health promotion and disease prevention seriously.
Jamaicans live on an island of sunshine and cool breeze and most of us must live and eat by the sweat of our brow. Europeans and Americans come to our island to lose weight through exercise and heart healthy eating, so why can’t we take advantage of these home grown remedies? If we consider the fact that most of the disease that plague us and cost so much can be prevented, it becomes apparent that promotion of heart health and exercise would allow enormous savings for the health care system. In fact, just about all the heart attacks, heart failure, strokes, diabetes, kidney failure (diseases that kill 50% of us) could be prevented by making simple adjustments to our lifestyles. Being proactive in health can add 10 more years to enjoy the company of our grandchildren and guide them to a happy, healthy and productive life. I grew up reciting the nursery rhyme about Humpty Dumpty who was lazily sitting on a wall, had a great fall and nothing could put him together again. If Humpty was not sitting on the wall, his risk of falling would be far less. We can take an important message from this nursery rhyme by understanding that no matter how good our reactive plans in medicine and surgery may be, it will never be as good as prevention. An ounce of prevention is always going to be worth more than a pound of cure.
At the Heart Institute of the Caribbean, I am fortunate to work for a private entity that excels in the gamut of these services. In the hopes of implementing a “System of Health” we are eager to share our secrets and methods for prevention with readers of the Gleaner. We also offer executive physicals that may help determine the risk of a premature heart attack, using state of the art diagnostic equipment and Board Certified Cardiologists. If you are already aware of your condition, there is absolutely no better place to receive treatment for a wide range of cardiovascular related diseases. We realize that treating disease in an expensive undertaking and so, we offer our services for less than 20% of the cost for the same services in the United States. Again, preferring that you didn’t have the disease in the first place, we counsel family members who come to the Institute to be treated for heart disease, encouraging prevention. If you are sick, you are not making money, you are spending it. The best place to put your money is in your health. Healthy people are likely to be wealthy people and at the end of the day, we want a System of Health, not just a healthcare system
While our government struggles daily with how to allocate our limited resources, it should be recognized that it would be a good investment to spend more on prevention. At present, the Government spends less than 5% on prevention of diseases and we need to increase our spending here to at least 25%. In a Gleaner article dated 13/8/2008, Prime Minister Bruce Golding, in identifying this problem addressed 750 delegates from 80 countries at the opening ceremony of the 57th August General Assembly of the International Federation of Medical Students’ Associations disclosing the fact that the Government is planning to launch an island wide program aimed at getting people to adopt healthy lifestyle practices. In outlining the Government’s plan, Prime Minister Golding emphasized the need to sensitize the public of the benefits of a healthy lifestyle, letting them know that “you can eat yourself to death in the same way that you can smoke yourself to death.” However, other than this speech, no much has been done in this arena.
Comparable to the above mentioned program, The Heart Institute of the Caribbean has developed a plan which involves an island wide tour aimed at training “Community Health Advocates” in various parishes. This plan also involves cardiac screening and group counseling thus effectively identifying the healthiest and most at risk communities in Jamaica. This way, we can educate and motivate our citizens to maintain good health.
Just as it would be unconscionable not to have an infectious disease program, it is unacceptable not to have a cardiovascular disease prevention program. Every citizen must recognize that if they do not take time to exercise and eat well, they will prematurely succumb to disease. God made us to be strong and physically fit, and by choosing to be “fat and lazy”, we will have to pay the price.
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