Ladder Against the Wrong Wall

It’s a pretty common metaphor of putting the ladder against the wrong wall. In other words, we’re employing tools that get us to a goal that happens to be the wrong goal. Or to say the same thing, you might invoke: “I don’t know where I’m going but I’m getting there quickly.” [Author’s note: Couldn’t confirm the exact attribution of a similar saying.] So recent analysis by a group in the healthcare industry showed me the same thing...

A survey of an industry advisory board indicated where they’re focused. And the advisory board is meant to be outward- or client-focused. Even if the clients are healthcare providers, they seem to be ignoring what the ‘consumers’ of healthcare (i.e. patients) are saying: healthcare costs are too high and therefore insurance premiums are increasing and (again) becoming unaffordable—even for corporate sponsors of health insurance. This has been a cry for more than 40 years. Tell me where do you see this concern in the survey responses?

How much more technology is needed to reduce costs? We’ve significantly increased technology use in healthcare for the past 40 years and yet costs have risen more than other industries in which technology has radically transformed them. What’s wrong here? The wrong focus in the industry? Poor advice from consultants?

Bronze Medals are Better than Silver

Too often comparisons taint our view of our situation. The very wealthy among us are looking at wealthier people and then don’t feel so wealthy. The handsome and beautiful among us are comparing themselves to the super-beautiful and super-handsome that are the only ones we see if the popular media channels.

Give your employees bonuses and they’ll be happy until they find out that someone else got more than they did.

Turns out reference point bias is a form of cognitive bias that can make us happy or not. In a recent podcast, this question is posed: would you rather have $50K or $100K income? Without any context, almost everyone answers $100K. If the question is qualified with context, most people choose the lesser amount. Here’s the context: Would you rather have $50K income in a town where everyone else makes $25K or $100K income and live in a town where everyone else makes $200K? In other words, would you rather be the richest person in town or the poorest?

A similar reference point bias happens in sports. Dr. Laurie Santos and others have looked at Olympic athletes and discovered that Silver medal winners are less happy than Bronze winners. Both look one place-standing away: the second place athlete looks at the winner and thinks ‘if only...’ or ‘it should have been me’; meanwhile the third place athlete doesn’t look at the winner or the 2nd place finisher, but instead looks at the 4th place finisher and think ‘wow, I got a medal!’. In fact, it seems that the ‘depression’ of taking 2nd can shorten our life.

Silver medalists, #2 businesses and others just behind the winners or market dominators shouldn’t base their (low) esteem on the fact that they are the ‘first losers’ or their view of the lead dog never changes. They should base their (high) esteem that they’re in the race and haven’t crashed, never qualified, went bankrupt...and that they have enough market share to survive and thrive more than the pack/herd that’s fallen even further behind.