R-I-S-K (don’t shudder- react!)

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Most of you know I live in Metropolitan DC.  So, whatever happens in/to/from the Federal government is LOCAL.  Like the shutdown- that cost the DC area more than $ 220 million each and every day in business.  Since there are some 5 million folks living in the Metropolitan area, that’s $ 50 not spent by every man, woman, and child.  OK, that doesn’t sound too bad.  But, there are about 225,000 businesses in the area.  Which means the average business took a hit $ 1000 a day. That is a significant number if you are a small business- even if you are a large one.

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How much is that?

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College tuition.  OK. Breathe… Yes, it’s high- very high.  It amazes me that the highest tuition in the land is to be found at a STATE university.  When I was going to college – back before we were a free nation- you could bank on two things.  State schools were cheap.  State schools were easier to get into.

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Children’s Asthma- Redux

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Remember when I wrote about how Children’s Hospital in Boston was dealing with the asthma problem?  (What?  You don’t?  Shame on you.  Here is the link ☺ )   As I said then, that’s the sort of practice that needs to be everywhere to manage our overall healthcare costs.  And, now, Children’s National Medical Center (DC) is employing a similar practice.  Which is a very good thing- since DC has among the highest rates of pediatric asthma in the US.  And, one where the area emergency rooms (ER) are the modality of choice far too frequently (in my humble – or not– opinion).

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Water, Water, NOWHERE!

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You know how I hate folks who tell me what they think is important and then do the opposite. (You know- Congress saying the issue is Jobs, Jobs, Jobs- and then vote on Obamacare more than 40 times; clients saying their bottom line is important- but don’t have any key performance indicators that can let them know if they are even making a profit…) Or, the World Economic Forum (Davos, Switzerland, 2013) declaring that water risk is one of the four most important issues affecting businesses for this century.

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