Archive for the 'Age & Aging' Category

May 16 2013

HOLDING ON. LETTING GO.

HOW LONG

 

CAN YOU HOLD ON?

 

Maybe a year? Y’think? Six months? Hmmm? Three or four weeks? Whew! Hours perhaps? Ack! First of all, if your answer is “forever” or “a lifetime” or “long enough,” you may want to revisit your brain because if you’re not living IN it, you’re dangerously close to fantasyland.

One thing I’ve learned in this blessed long life I continue to have is that NOTHING on Planet Earth is permanent. Nothing! That may be no surprise to scholars who know that circa 2600 years ago, the Greek philosopher Heraclitus said “Nothing is permanent except change!(Pretty heady stuff for a guy that old, eh?)

Q. 

What are we talking about here?

Businesses? Families? Friendships?

Entrepreneurial ventures?

Professional practices? Our minds?  

A. 

All of the above!

 

We “hold on” in five different (yet mostly intertwined) ways:  financially, emotionally, intellectually, physically, and spiritually. And most of the reasons we hold on are anchored in shifting sands. We have numbed ourselves with fear of failure. We have built artificial (and, admittedly, often flimsy) protective walls around our endeavors, pursuits, and ourselves.

So what am I saying? We should all run out and be more carefree? Take bigger risks? Throw away everything we’ve worked hard to earn? Change horses in mid-stream? Stop paying taxes? Buckle under to competitive pressures? Cut off shaky relationships instead of working them through? I’m saying it may be time to reassess what we’re holding onto, and why.

What’s the worst thing can happen by taking a couple of minutes out tonight and thinking through what is and isn’t worth it in your life —  your business or practice, your family, your relationships, your finances, your emotional stability, your intellectual pursuits and development, your body, your sense of spirituality and religious commitments.

Give yourself the benefit of doubt. Just dabble in this arena of yours for a few minutes. Think hard about what it’s all worth, and what you can and are free to choose to do right this minute by making a decision to change things for yourself for the better . . . and then choose it, and do it. It’s really not so hard –and can be fun– once you put yourself on the path.

Letting go may seem –and even feel– hard, but it’s a piece of cake compared with the stress and strain of hanging on to a piece of fantasyland. In the end, for all humans everywhere, reality wins. So why not grab it now and ride it to the finish line? — Your business. Your relationships. Your self. Old song lyrics:

We may never pass this way again.”

 

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Hal@TheWriterWorks.com or comment below.

Thanks for visiting. Go for your goals! God Bless You!

Make today a GREAT Day for someone!

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Mar 09 2013

AARP Healthcare “Advice” A Sham

Professional Healthcare Practitioners and Small business Owners BEWARE!
 

Just What Americans Need:

                                                                                                                                                                      

Less Healthcare. More Politics.

 

Shame on you, AARP, and tsk-tsk to Marsha Mercer, “freelance journalist who lives in the Washington, DC area.” Neither of you appear to offer much in the way of common sense, or even the hint of a realistic viewpoint, when it comes to your manipulative and politically-charged-below-the-surface feature story that appears in the AARP March Bulletin.

Your front page hype,”Fixing The Doctor Shortage – Big Changes For Patients” (and guts of the story) deceptively suggests that the evolving physician shortage is one that’s the product of an aging doctor marketplace and by private insurers undercutting Medicare reimbursement rates. Simply not true.

Relentlessly increasing

government control is the culprit.

 

MEMO TO AARP: Put the premise that your article spotlights in the drawer, and start making phone calls. Ask a few hundred doctors. I have. They will tell you in so many words that relentlessly increasing government control is the culprit.

The article’s lead source, Dr. Steven Berk, is certainly a distinguished one, yet the context of his quote appears to have been quietly tucked away. Surely, Dr. Berk had more to say about the subject than thirty-six words? Could it be that the rest of his comments failed to support the sensationalist undercurrent of your story?

And how about adding the link for 2012 Physicians Foundation survey that you cited so people can check it out for themselves? Check it out hereCertainly the survey IS worth noting. Skewed, though it may be to represent the best interests of its sponsoring organizations, it seems credible enough.

So what is worth noting you ask? How about the glossed-over fact that all the alarming findings referred to have taken place since (and are compared only with) the survey of 2008? Does that strike you as worth noting?

Hmmmm! And what else happened in 2008? An increase-government-control advocate was elected president. So, are we to conclude that most of the problem we face today regarding doctor shortages and the systematic transitions in healthcare that have forced the issue are attributable to physician aging and private insurers, as the article purports? Not likely.

To Find Doctors we should be looking — instead of to state medical associations — to family, friends, neighbors, other doctors, and other healthcare professionals. After all, isn’t it TRUST we seek? Surely, it’s not more government in our lives, or politically-motivated state medical associations trying to justify their membership fees.

Let’s remember that –far and away– the single greatest reason that the vast majority of Americans seek any (even including ER) medical care is to get reassurance. Reality, even for seniors, isn’t a TV hospital show. It’s seeking reassurance.

Oh, and please: FORGET about .gov websites. They are not invested in helping you. They are invested in controlling you! Go instead to private practice websites. Go to The American Academy of Family Physicians and other non-governmental professional physician credentialing organizations. And stop believing what you read in AARP propaganda.

Unless you prefer some politician to give you a diagnostic workup, prognosis, and treatment program?

~ ~ ~ ~ ~ ~ ~  

 
Hal Alpiar has served doctors and practice managers as a personal and professional practice development consultant nationwide in virtually every area of specialization for thirty years. He’s a former business professor and Amazon 5-star-rated author of DOCTOR BUSINESS…How to boost practice growth and build long-term relationships now (PMIC) for doctors. Hal won a national book award for his healthcare consumer work, DOCTOR SHOPPING…How to choose the right doctor for you and your family (Health Information Press). He was co-founding executive director of The Pennsylvania Heart Institute, and of Bio-Motion of America (motion analysis programs for physical therapy). Hal is also the past founder/CEO/President of e-Healthcare Ventures (NYC-based online healthcare services conglomerate) and co-founder of the NJ hospital program, Backpackers Spine Health & Strength Training. He is formerly a five-year member of the Public Affairs Committee of NCQHC (National Committee for Quality Healthcare), now Quality Forum, Washington, DC.

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Hal@Businessworks.US     302.933.0911

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Feb 07 2012

WHAT “Contingency Plan”?

Feeling Invincible? . . .

Think Only Wussy Types

                                 

Fret Over “What If” Stuff?

 

Perhaps consciousness of the fragility of life has never struck you or your business full force. Perhaps you’ve somehow managed to escape the anguish, angst, and fears attached to the reality of your own or the life of someone close hanging by a thread. Perhaps you’re too young or too lucky or too blessed to have ever known the stress of having machines do the breathing and feeding and medicating and pain management?  

~~~~~~~

                                                                         

If that is even partly true of you, don’t let today pass without giving it at least a few moments of thought. Why? Because just as a business with no sign is a sign of no business, a business or business leader without good health — or a poor-health contingency plan– is the sign of a sick or unhealthy business.

“Nah,” a strong-willed 30-something entrepreneur responded to that idea, “My business is healthy,” he said, “and I have no provision for disaster because I work our regularly and I’m in good shape, we have a long-term lease, our customer base is growing steadily, and prospective investors are standing in line!”

“But surely,” I offered, “you have some kind of insurance coverage? Fire and theft? An office policy? Collision? Life? Health?” He cocked his head as if I’d hit him with an illegal punch, “Sure, but so what? THAT is MY contingency plan. Things go south? I just file claims and collect enough to start something else!”

“That’s good,” I said, “because burglaries and fires and tsunamis and earthquakes and hurricanes and tornados do happen, but I’m talking about catastrophic illness. That happens too.” Ask around. You’ll find plenty of people who’ve experienced sudden ill health, who suffered, and whose businesses suffered because they had no contingency plan.

When that “CLOSED DUE TO FAMILY ILLNESS” sign goes up on the front door (or website), dwindling (sometimes plummeting) customer loyalty and support follow. We live in a what-have-you-done-for-me-lately? society.

Are you ready to face critical damage to your revenue stream and threats to the life support system your enterprise has routinely fostered?

                                                         

What steps will you take and in what order? Or who will pinch-hit for you? What impact can your suppliers and customers expect, and how –specifically– will they be dealt with to accommodate their needs and to keep things running and moving forward? What gears will need to be shifted? By whom? When?

The time to deal with contingency planning is now, and to re-visit the plan at least once a year. The cost to plan is time. The cost to cope without a plan can be annihilating. It’s certainly true that expectations breed disappointment, but it’s equally true that having no plan is like captaining a rudderless ship.

And then there’re storms . . . 

                                                                    

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Hal@Businessworks.US  302.933.0116

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Jan 31 2012

It’s A Miracle!

Miracles Will Never Cease!

                                                            

It’s true. As long as you work harder and not smarter (Ask those who succeed instead of those who teach!), stay perpetually positive, appreciate those who support you, believe in yourself, and pray to and trust in God, you can boost your odds for success right through the roof! 

~~~~~~~

Here’s what happened. So many of you (Thank you. Thank you. Thank you.) have posted and called and emailed me with your warm wishes and prayers during this family trauma period that has absorbed me over the last few weeks, that I’m convinced you made a difference.

The emotional roller coaster is finally slowing down.

The daily episodes of great mental, emotional and physical stress are giving way to what all the doctors and nurses and others involved are now saying was a true miracle.

After racing her unconscious to the ER, followed by two weeks in intensive care including ten days in a coma, literally no one expected to see her survive.

Kathy, my wife of 25 years, is now alive and thriving. With her life hanging by a thread, no one had given her a chance . . . no one except Kathy. It all came down to her and God.

She is –Hallelujah, and thanks be to God– more alive now than she has ever been!

Those who visited her early on, who saw her with tubes in her throat, her nose, her fingers, hands, arms and legs –a medical marionette– with dials,  switches, beeps, graphs and blinking numbers coming from nearly two dozen monitors, do not believe her now. Five days later, she is walking, talking, eating, joking, and remembering details.

But she wasn’t given a chance of even surviving.

And what does this have to do with small business and personal development? Everything. There can be no greater fight than fighting to live. Whether it’s a battle for business survival, or –and I truly hope you never go through what Kathy and I experienced– your life or the life of a loved one, you can never be too prepared.

Like  children getting their value systems in order before the age of five, we need to work hard at cultivating and growing our fortitude, attitude, authenticity, integrity, self-esteem and self-confidence, our spirituality and love for life every day.

Every day. Because –like a fire extinguisher, parachute, healthy body, and alert mind– self-reliance marks a winner.

Kathy is a winner. I am so proud of her, and so grateful for what one doctor called her “absolutely astonishing will power.” From this perspective of reality, I have decided to continue with my blog posts on a two or three times a week basis, instead of daily, as it’s pretty much been since April, 2008. Life is simply too important.

Thank you, all my thousands of blog visitors and Twitter friends. You are amazing!

I will hope to keep hosting your visits here two or three days a week. God Bless You. 

                                                           

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Hal@Businessworks.US   302.933.0116

Open  Minds  Open  Doors

Make today a GREAT day for someone!

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Jan 12 2012

The Small Business Career Trap

You got ideas?

                           

You’re ready to trade in

                              

that corporate career?

                          

Don’t be too quick!

 

 

Created by cover-your-butt, tunnel-visioned corporate types, who are busy going nowhere, the “Small Business Career Trap” puts a stranglehold on reentry to the corporate world once someone has “defected to small business life. It’s like deportation. Change your mind? Oh, no, that’s not allowed. Make a come-back? No way, José!

“Tunnel-visioned”? Well, sure– because the assumption behind that label is that you can play either football OR baseball, not both, and that once you switch sports, you can nevermore capture the credibility in the field of expertise you left behind. Ridiculous? Of course. Michael Jordan isn’t the only athlete to master multiple sports.

The kind of corporate mentality narrowmindedness that fosters (and nurtures) this kind of thinking discounts the wealth of unique contributions a small business-experienced individual can potentially make to stimulate the prevailing lethargy of so much corporate life.

And paradoxical, don’t you think, that the attitude strikes at the heart of the very same types of entrepreneurial contributions that no doubt accounted for launching every corporate entity to begin with?

As long as the political climbers at corporate giants refuse to honor the value of small business experience, and continue to fail to take advantage of the opportunities to integrate and cultivate more entrepreneurial spirit in their organizations, there is little hope that the big boys of business will ever favorably affect the economy.

And adventuresome entrepreneurial wannabe’s need to accept the reality

that big business-to-small business career moves probably have no return route.

                                             

This can be pretty disconcerting whenever you (the traitor) reach the point in small business (and you surely will) of realizing you are indeed smarter and more talented than corporate counterparts, MBAs and all.

It will become transparently clear that you could bring greater success to corporate productivity and profitability pursuits than people presently responsible for achieving these goals. Nonetheless, if no one will open the door, your only choice may be to return home and keep looking (Good Luck!) or break the door down.

Not many welcome mats are

laid out for forceable entry.

Will this ever change?

Short of revolution, it’s not likely.

                                                   

If you should have any doubts, by the way, that corporate mindsets are so deeply entrenched in fears of recruiting and hiring entrepreneurial thinkers and doers, just scroll through some corporate help wanted ads. Find just one that addresses small business expertise, a sense of urgency, and the ability to respond and adjust. Good luck again!

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Hal@Businessworks.US   931.854.0474

Open  Minds  Open  Doors

Make today a GREAT day for someone!

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Jan 08 2012

You have 340,666 minutes left!

What will you do with

                             

your time this year?

 

FACT: As of January 10, you will have already spent 14,400 minutes of this new year that you’ll never get back. QUESTION: On a scale of 1-10 (10 being best), how would you rate the value of your 2012 accomplishments so far?  ONE MORE QUESTION: What will you do with the remaining 340,666 minutes (511,000 minutes minus 1/3 for sleep) in 2012?

~~~~~~~ 

                                         

Can the last question really be answered? Of course not. How could you possibly know what situations and circumstances will impact your intentions? So maybe intentions are not such a great thing. We’ve heard, after all, that they pave the road to hell, hmmm? And they’re kind of like expectations, right?

And don’t expectations breed disappointment?

                                                             

So where does all this quibbling over semantics actually leave us? Hopefully . . . (aw, wait a minute, isn’t “hopefully” like an intention and expectation combined?). Well then, is this an end to planning as we know it? Do we throw the goals out with the posts? (A little pun there for football fans.) Do we stop having objectives to pursue?

Planning is essential, but it is not a trigger for compulsive pursuit at all costs.

                                               

How do we know this? Because planning (i.e, goal-setting) has been long proven to be successful only if the process of goal-setting adheres firmly to specific criteria, and one of these is flexibility. The less flexible, the more stress. The more stress the greater the odds for failure.

There is something to be said for the thrust and direction of many, if not most, entrepreneurially-spirited engines . . . something that is most succinctly put as “living for the moment.” Entrepreneurs instinctively seek immediate gratification and are more focused on the “here and now” present moment than those in other careers.

It’s that old thing grandpa used to say about not putting off ’til tomorrow what you can do today. Entrepreneurs are business junkies. They have a powerful need for a quick fix when things start to flounder or deteriorate, or when last week’s “high” begins to wear off. Sound familiar? It’s true.  Look around. Ask around.   

Small business owners and operators have mostly learned the hard way –through trial and error and intuitive “street smarts”– that ongoing quick-fix actions are the only ones that get results, and keep businesses moving forward when the tide is changing or the current is a backwash.

But swimming upstream for any period of time can be exhausting to say the least, so the idea of taking immediate corrective/adjustment action needs, in reality, to be tapered only with the commitment to take only reasonable risks in the process, and to always imagine the worst case scenario before proceeding.

Try repetitively asking yourself the following question all during any crisis or critical period, hourly if need be:

“Is what I’m doing right this very minute

leading me to where I want to go?”

                                   

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Hal@Businessworks.US   302.933.0116

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Dec 21 2011

Business on the cusp of Christmas (3 of 4)

Updated From the Best of Hal’s Christmastime Business Posts . . . 

                                                            

Watch where you’re going,

 

but think about

 

where you are.

                                                                                                                                                                          

We watched a blind man’s yellow Lab thread his master through the parking lot and into the giant retail outlet, through electronic doors and deftly around an oblivious woman who appeared cast in stone, at one with her shopping cart … surely not about to move.

The man and his companion worked their way around obstacles, displays, counters, other shoppers. They passed so briskly and so seemingly self-assured that only a few passerby even noticed just one pair of color-blind canine eyes leading three pair of legs.

But we did. And in a mere matter of seconds after the man’s best friend and the man were devoured by store traffic, my mind snapped to attention from its visual tracking trance and realized we had been witness to a man with no eyes. Mine began to fill with tears. Maybe it was being sad for him, or grateful for me, or simply the season, but …

All my weaknesses, complaints and woes went quickly off into space as I closed my eyes and considered for just a moment what my life would be like without ever or ever again seeing a crepe myrtle in full bloom, the ocean, a blue heron following with its body its spindly silent legs as it creeps along the shore, a laughing toddler, deep woods, a frolicking litter of puppies, snow-topped mountains, my family, a book, works of art, lightening, swooping seagulls, my toothbrush, a roaring fireplace, faces, a Christmas tree…

Who could possibly want a Christmas present who has full use of vision after seeing someone who does not?

So, I am left to conclude

that Christmas is truly not

about either giving or receiving.

                                                                              

Christmas is instead about consciousness-raising, celebration, self-renewal, and setting out once again on our annual trek to make the most of what we do already have, to better ourselves and the lives of those around us.

Christmas is a gentle wake-up call to remember we are here to make a difference on this planet, one day at a time, to focus on making what’s possible happen. Christmas is a time for melancholy, yes, but also for introspection. We remember that we have within each of us the ability to choose the pathways that make existence on Earth as worthy as what lives in the riches of our souls.

Here’s what I’ve learned (often the hard way, mind you) so here’s what I have to share: In both business and in life, watch where you’re going, but always think about where you are. Be grateful for all that is yours, and continue your work to grow your business so you can help others from a position of strength … because the greatest gift of all is love wrapped up in charity.

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Visit tomorrow night for Hal’s annual classic story

Christmas In Ireland

 

God Bless You One And All

And Merry Christmas To You!

 

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Hal@Businessworks.US   302.933.0116

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Dec 15 2011

PARTNERSHIPS

Handshakes,

                                       

Kisses, and Contracts!                                                                                                                               
                                   

It has been proverbially said in entrepreneurial circles that when two partners agree on everything, one of them is not necessary. This is probably a truism that is rarely given credibility until a highly-agreeable partnership goes south.

WHERE HUGS AND KISSES REPLACE HANDSHAKES

By the same token it has been often advised to never go into partnership with anyone other than your spouse because no one else shares the same values. There are of course –as with anything else– exceptions. I can think of two I’ve known that seemed to work, out of many hundreds I’ve consulted with.

(Curiously, both of these exceptions involved partners of father/son age differential, but neither was a father/son business. In both cases the older partner worked fewer hours and handled all computer and paperwork; the younger partner oversaw sales and operations.)

The point is that only a spouse can have the same single-minded purposes and focused energy to share. “Ah,” so you say, “but if my husband (or wife) ever worked with me, we’d divorce or kill each other! We already have too much friction between us and that would rapidly turn to anger!” Or, well, something like that.

Here’s the news: friction is a positive ingredient in life, without which in some form, a lot of life would even be possible. And anger? Reality dictates that anger –controlled anger– can be very stimulating, invigorating, motivating, refreshing, illuminating, and serve as a prompt to forward motion.

Anger is also a release. It can –again, in its controlled form– clear out and refocus unproductive stress, and invite innovative thinking. It can trigger improved communications.

Partners need not eat together, sleep together, and vacation together, but my experiences have shown that those who do, almost universally succeed because they share what they believe in, offset one another’s personalities, and support each other’s intents and initiatives to a fault. As a competitor, it’s hard to overcome that unified front.

WHERE CONTRACTS REPLACE HANDSHAKES

The place I’ve found partnerships to be most forced, and most frequently fail, is in the professional practice arena — doctors, dentists, lawyers, allied medical sciences, accountants, management consultants. Egos far above and beyond the norm tend to flair and breed “control freaks.” Unproductive know-it-all attitudes prevail.

Winning partnerships require

winning leadership attitudes and

clearly defined separation of responsibilities.

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Dec 11 2011

Getting RE-ORIENTED

If you are in the process

                                   

 of change (who isn’t?)

                                     

  …you may need this.

 

                                             

Whether you’ve been out of work for a prolonged period, busy being a house-mom, or giving birth, or just searching for a new job, or a new business to start, the needs that you have to get yourself re-oriented to the reality of your new or re-newed existence can seem overwhelming — highly challenging, at best.

Consider yourself something of a catastrophic illness patient on the road to recovery. Huh? Well, sure. What you must face is not much different than the sacrifices you need to make –including the life-change attitudes you adopt  and adjust yourself to– than those you might experience in a healthcare recovery or rehab program.

The bottom line for all of these incidents, and for bosses and associates who are trying to help others through transition experiences:

“PATIENTS” NEED PATIENCE

                                                             

Patience? Yes! It is, we’re told, “a virtue” (whatever that is), and it always accompanies successful attempts to get better, lose weight, exercise, think more clearly, act more decisively, find a job, return to a job, start or re-start a career, run a household, run a business, establish a brand/logo/slogan/theme/message, improve your outlook.

Does it mean you need to come to a screeching halt, and slow down your normally faster-paced thoughts and actions? Perhaps, but probably not. It means recognizing that anxious and impatient and worrisome feelings are your choice, and that you can just as easily choose to stay in total control of your behavior, words and deeds.

This can be accomplished with help (Physical, Occupational, Speech and Psycho Therapists) or with support groups/teams (like family, friends, neighbors, co-workers) or (not recommended) on your own. Trying to be your own therapist inevitably takes longer and decreases your odds for success. Ask any shrink!

All of us need help from others at different times in our lives. HOW we receive and apply that generosity and assistance from others holds the key to how rapidly we recover or become re-oriented to the reality of our lives and careers.

Remember that if you own or run a business, you are different, your re-orientation needs and the period of re-orientation time involved will be different than those of someone with re-orientation needs who works with or for you. And under the circumstances, you must also be patient. Each of us is unique in every way.

Accepting help from others is supposed to be a gracious act according to sources as diverse as Hollywood and the Bible, but these events are often filled with vindictiveness, irritability, frustration, jealousy, and feelings of incompetence. There may be no easy solutions, but raising awareness for all involved helps all involved.

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Dec 07 2011

Lazy Learners

Leaderless government has laid the trappings for America to become a nation of scholastic sloths. And John and Suzy Q. Public have bought into the time drift. What’s the impact on business?

                                                                  

Be honest: When did

                                 

you last read more

                          

than 18 pages of a

                            

 book… any book?

 

                                 

I guess this factoid is less astonishing to most people than it is to me and other authors who share head space in the sand: The highly reliable SPR (Self Publishing Resources) reports (bullet-point number 30) that their studies and research show “most readers do not get past page 18 in a book they have purchased.”!

You’re in business and wonder about impact and impressions that add up to a book purchase in the first place? Go back to that same list and check out bullet point number 22, which reports that average bookstore browsers will spend 8 seconds looking at a front cover and 15 seconds scanning the back cover.  

Now I find these little tidbits of news — the products no doubt of fastlane lifestyles and lazy learning attitudes– to be outright shell-shocking! Growing up, I remember book purchases as major events and what seemed like the threat of going straight to hell for not reading even a miserable book all the way to the end. Yes, ancient times.

Well, aside from the obvious conclusions to be drawn from these book reading and purchasing enlightenments, that books ARE judged by their covers (and the covers had better be as smashing as the first 18 pages), there is an underlying and discouraging sign of the times suggested that the faster society moves, the lazier it gets.

Is it no wonder that technology advances have rendered us into handheld-device-carrying vegetables with no greater regard for the flow of thought process brilliance than some instantaneous, impersonal, ungrammatical, third-grade reading level txtmsg? Still puzzled why agents and publishers only want to see a writer’s first 20 pages? 

How did we get here? Leaderless government that talks education but fails to deliver or understand that self-esteem, authenticity, stress and time management, communication, innovation and motivation skills are what will ultimately determine life and career success. And that these come from reading more than 18 pages of any book.

How do we change that?  1) Work within your business to cultivate these life and career success strengths with training and incentives and support. Nurture and promote take-home values and structures that enable and empower your people and associates to “pass it on” at home and in their communities. 2) Vote November 6, 2012

America’s small business owners make our nation go.

America’s military gives us the freedom to keep going.

                                         

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Hal@Businessworks.US  302.933.0116

Open  Minds  Open  Doors

Many thanks for your visit and God Bless You.

Make today a GREAT day for someone!

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