The anatomy of health changes

We are on the verge of a major change in the health system both here in New Zealand and in the wider world. We face to sad paradox – while an estimated 870 million people are under nourished, over 1.4 billion are over weight. Both phenomena create consequent health problems, causing human misery and depleting our resources. Fortunately an increasing number of us are gaining more nuanced appreciation of this problem. It is clear that the problem of excessive weight is as much about the quality of food eaten, as its quantity.

The industrialisation of the globe has generated huge benefits for us and supported the development of modern health services. But consequent changes in our diet and lifestyle are eroding and even negating these benefits. We eat too much energy dense and nutrient poor, over-processed food.

A paradigm shift

It is helpful to understand the forces at work through the concept of the paradigm shift. Thomas Kuhn coined the term in his book The Structure of Scientific Revolutions in 1962. He argued that rather than evolving steadily, science progresses through periods of revolution and orthodoxy. After the revolution, a new scientific orthodoxy is established, but over time becomes resistant to change and new influences. The next revolution will only happen when the sheer quantity of new information and thinking displaces the old.

paradigm shift nutritional food

The dynamics of a paradigm change

We are approaching this point now. Industrialisation has provided us with convenience foods that are highly processed and nutrient poor – much of the nutrition in food simply doesn’t survive through processing and distribution systems. The health system has largely accommodated this situation and accepted it as “normal”. In Western economies, the majority of health resources go into dealing with the consequences of poor nutrition (this is still contentious, but it is not the focus of this article to argue this point). And incidentally, many health professionals and health service and supply industries benefit financially while the situation persists. Another force that supports this paradigm is the food industry that produces this “fake food”. Based on ineffectual public policy, it also appears that the majority of policy makers are embedded in this paradigm.

The new paradigm is based on the understanding that eating nutrient rich food that is minimally processed supports our health. One of the main forces supporting this change is the Internet. The exchange of scientific and clinical information about nutrition is intensifying exponentially and is available to an ever-increasing group of health literate users. These people can find supportive health professionals in their communities and online. Some cafés and restaurants are following the trend and providing nutritious and tasty food.

The broader sustainability movement supports this new paradigm. Approximately 26% of the New Zealand population fits the Lifestyles of Health and Sustainability (LOHAS) market demographic. The Living LOHAS report describes the demographic:

LOHAS aligned consumers look behind products and services to an Hippocratic oath assessing whether they should buy a given product or service. They probe for alignment of organisational intent. Authenticity of the offer is mandatory and the company is mandatory. LOHAS consumers want to know “where does it come?”, “how is it made?”, “what is it packaged in?” and “what will happen when I dispose of it?”.

Imagine the health we will enjoy when we embed this new thinking in health systems adding to the known benefits of industrial age healthcare – hygiene, infection control, appropriate surgery and physical trauma treatments for example.

The ethical challenge

The story of the two stonecutters illustrates the ethical paradox many health professionals face.

A man once encountered two stonecutters and asked the first “What are you doing?” He replied, “cutting a stone”. When the second stonecutter was asked, he replied “I’m building a cathedral”.

We have plenty of very competent and dedicated health professionals who are skilfully and diligently cutting their own stones. Its not so easy to find those who can find cognitive space for both their specialist skills and an overview of the system’s effectiveness. While practising ethically in their own professional space, they participate in a system that inflicts damage on society and an increasing burden on taxpayers. Where are the cathedral builders?

Engaging to change

For those of us who wish to promote a health revolution, engagement is a key to change. In the discursive battle that accompanies any significant paradigm change, it is easy for the antagonists to dichotomise, but this often leads to entrenched and reactionary views. Niki Harré’s excellent book Psychology for a Better World, suggests that people need to be engaged emotionally to further any worthwhile cause. She also emphasises the need for the need for positive example – leading by example.

I changed my diet for the better on being diagnosed as pre-diabetic. These changes helped me to lose 13 kgs in four months. The health benefits for me have been so dramatic that I need little motivation to stay on this path. In my journey I have found good friends with good advice, a rich resource on the Internet and supportive health professionals.

My work provides opportunities to work with health professionals and community health activists creating a rich matrix of people wanting change. We need to seek out those health professionals who can see the bigger picture and work together for change. Thus two avenues of change are created, a grass roots led change and , sooner or later, policy change.

What do you think?

Useful links

Here are some of the materials that I have found useful. Gareth Morgan is a New Zealand economist who puts his massive intellect to work on various social issues. His book Appetite for Destruction elaborates on the dangers of “fake food”. He also provides an economist’s perspective on how a government might profit from a radical overhaul of health funding, including taxing “fake food”.

Several competent physicians provide mountains of information on health and nutrition:

The Green Med Info website includes a huge resource of research papers on health and nutrition.

 

 

Conscious capitalism

Management students study the eras of their discipline including classical, human relations, scientific management etc. What is emerging for me is a more epochal change in management – the transition from self-serving capitalism to conscious capitalism.

It is always hard to define a starting point for massive change, but, as will be explained, I will go with 1962. Here’s John Mackey, CEO of Whole Foods explaining the basics of conscious capitalism.

Self-serving capitalism

Self-serving capitalism is based on greed. Altruistic motives are also there, but they are subjugated by the profit motive. Some underlying assumptions, revealed in business discourse, frame its mode of operation:

  • “business is business” – tells us that business operates by its own rules. It somehow decouples from universal moral values and creates its own world-view and playing arena. Another telling discursive phrase is “its nothing personal, its just business”.
  • “the bottom line” is code for, among other things, profit is the dominant consideration.

U.S. company Enron has come to personify the worst of self-serving capitalism. If you are unfamiliar with the Enron story here is a link to the documentary trailer.

Before determining the origins of conscious capitalism consider that the father of capitalism, Adam Smith, wrote two books about economic philosophy, The Wealth of Nations, but also A Theory of Moral Sentiments. The latter argued that sympathy, a proper regard for others, is the basis of a civilised society. Conscious capitalism was still-born as business focused more on the “invisible hand” of the marketplace.

The dawn of conscious capitalism

Dr Paul Ray has identified an emerging sub-culture – the cultural creative. He defines them in this video.

In the U.S. cultural creative are fast becoming a dominant segment of society. In his extensive research quantifying this demographic, Dr Paul Ray noted that they are to found in many other countries, but they often under-estimate the size of the demographic, as they are mostly invisible in the media.

Cultural Creatives

The growth of the cultural creative demographic in the U.S. [1]

Dr Ray identifies 1962 as the dawn of the demographic. Rachel Carson published Silent Spring and Betty Friedan The Feminine Mystique – the former signaling the start of environmentalism and the latter reframing women’s role in society.

In Megatrends 2010, Patricia Aburdene identifies cultural creative a the demographic that drives conscious capitalism.

The engagement connection

A significant milestone along the road towards conscious capitalism was Edward Freeman’s articulation of stakeholder theory in Strategic Management: A Stakeholder Approach.

conscious capitalism

From self-interested capitalism to conscious capitalism

 The concept of the stakeholder displaced the singular focus on returning profits to a businesses financiers, to the more balanced and sustainable stakeholder approach.

Great companies embrace social media

While many are wary of employees spending too much time on social media, some great businesses are showing us how social media can enhance business. This video features Erin Lieberman-Moran from the Great Place to Work Institute.

Note that Erin recognises a high level of trust as the enabler for businesses to use social media effectively.

Social media and crisis communication

Ethical Corporation’s July 2012 report researches how companies respond to consumers and activists in a crisis. While the full report, with a price tag of £695 targets corporate customers, the Ethical Corporation provides some great information along with this excellent infographic.

Social media crisis Infographic

Engagement and the Regeneration Roadmap

Engagement processes are at the leading edge of sustainability. The Regeneration Roadmap is an initiative of Globescan and SustainAbility aiming to achieve sustainable development within the next generation. Their focus is on the private sector to drive a lot of change.  This video features global thought leaders articulating the road to sustainability. As you watch, notice how pivotal engagement is a agency for change.

Mobilizing the Response from The Regeneration Roadmap on Vimeo.

Gro Harlem Brundtland, a past Norwegian Prime Minister and Director General of the World Health Organisation. She is currently a Special Envoy on Climate Change for the United Nations. She places engagement at the heart of change.

Personal engagement, personal commitment and building confidence with other people and other nations is the only way to move forward.

The video reinforces the need to generate positive discourse around sustainability, articulate a vision of a sustainable planet and create a culture to embed sustainability as a way of life.

For more videos by these gifted thinkers go to the Regeneration Roadmap website.

A policeman’s lot is more engaged – national | Stuff.co.nz

A policeman’s lot is more engaged – national | Stuff.co.nz.

Improvements in staff engagement in the Police can partially be attributed to technology innovations. The New Zealand Police have introduced technology that enables police to report incidents remotely. That information is then processed by administrative staff enabling the police to focus on their front-line work.

This is an example of how job design can improve engagement. Based on Hackman and Oldham’s job enrichment model we can ask questions such as:

  • How can we create more skill variety?
  • How strongly do our people identify with their work?
  • What makes work meaningful for our most engaged?
  • Do our people have the autonomy they need to do a good job?
  • Do they get appropriate feedback about their performance?

Job enrichment model (Hackman & Oldham

A tribute to Stephen Covey (1932 – 2012)

Stephen Covey made an enduring contribution to both business thinking and personal development. His book The 7 Habits of Highly Effective People published in 1989 has sold over 25 million copies. Time Magazine rated The 7 Habits as one of the 25 most influential business management books. He has featured in all of the Thinkers 50 lists from 2001 to 2011. But rather than continuing to list his achievements, I would like to focus on what Stephen Covey means to me – just one of his millions of readers.

Working at the boundaries

Stephen Covey wasn’t just a business writer. His books crossed over into the realm of personal development. He bridged these two spaces in a manner rivalled by few. One of his other stand out books Principled Centered Leadership offered guidance relevant to both worlds.

A member of the Latter Day Saints church, Stephen Covey was a deeply religious man. For me, his integration of business and religious thinking has been inspirational. No one has done it better with that level of success. His model of intelligence exemplifies this integration. In the 7 Habits, well before emotional intelligence was popularised, he identified four dimensions of the self, the intellectual, physical, emotional and spiritual.

Later, in The 8th Habit, Stephen Covey applied this model to the business world. He advocates a “whole person in a whole job” where each of the four dimensions of the self are expressed:

  • use me creatively (mind)
  • pay me fairly (body)
  • treat me kindly (heart)
  • in serving human needs in principled ways (spirit).

The big picture

With his skills of integration Stephen Covey masterfully sketches out the big picture. His “five economic eras”, from The 8th Habit encapsulates human economy from the hunter/gatherer age, beyond the current information age, to his envisioned “age of wisdom”. He draws on Peter Drucker’s thinking on the massive leaps in productivity from age to age.

The great value in this concept is in understanding the limitations of legacy industrial age management processes when they are applied to information age contexts.    

“Its no longer a world of controlling people, it’s a world of unleashing people”.

 

The engagement connection

Stephen Covey’s clear articulation of the requisite leadership capabilities of the knowledge age focus heavily on communication. He offers lots of great communication tools and concepts such as the “emotional bank account”, but his greatest contribution in the communication realm is “voice”. When I first encountered The 8th Habit, I was a little cynical, thinking “how many other habits will be generated for future books?” But my cynicism evaporated with his masterful articulation of voice – the 8th habit is “find your voice and inspire others to find theirs”. This is an emancipating concept beautifully aligned with the needs of the age. For me, enabling voice, is central to the engagement process. Ideally, the loudest, or most powerful, or best resourced voice is not the only one heard.

Because he painted conceptually with such a broad brush, Stephen Covey’s work will remain relevant and will inspire for years to come. The concepts he articulates work at the level of principle and character and are therefore of universal application. May he continue to inspire!

Narcissism: The Difference Between High Achievers and Leaders – Justin Menkes – Harvard Business Review

This HBR post from Justin Menkes is another contribution to the ever-growing body of evidence that effective leaders are good people that care for others. As Justin Menkes states:

Only an individual who feels genuinely invigorated by the growth, development, and success of others can become an effective leader of an enterprise.

When reading this article you will find a strong correlation between effective leadership and engagement.

Narcissism: The Difference Between High Achievers and Leaders – Justin Menkes – Harvard Business Review.