Lobbying Government

"We send our representatives to Washington so that they can work for us.  When they get there, they work for big business" - so said a Time Magazine reader shortly before Obama was elected.  It felt exactly the same under Tony Blair and Gordon Brown - far far from the old Labour who represented the working class, these politicians enjoyed being wined and dined by bankers, owning many houses, picking up £30,000 for an after dinner speech.
So it is always interesting to see what's happening in USA.
Who’s really spending big in DC?
Wanna know who’s really going to town, buying your elected representatives?
Take a look at the following chart from OpenSecrets.org, reprinted with permission from the Center for Responsive Politics:

Could this be why the Health Care bill ended up being such a compromise - nothing to do with the needs of the people, and everything to do with the needs of the big healthcare companies?
The same site further says that whoever goes into the election with the biggest budget almost always wins.

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Recent Additions and Updates

A moral dimension to consulting

Moral dilemmaIt's easy to assume that all of our decisions are purely rational, but they rarely if ever are rational.  And they always have consequences for others, usually consequences that we think we could not have predicted.

But consultants are not here to make decisions, only to provide information and advice.  Does this somehow absolve us from a moral responsibility?

 

The Ten Commandments in Professional Services (6-10)

Interpreting God's Commandments

I've written previously about applying the first five commandments to Professional Services.  Here I show how Do Not Murder, Do Not Steal and so on are just as relevant commandments in the nuance and subtlety of modern life as they ever were.

Read on - and there's an invitation to comment!

The 10 Commandments in Professional Services (1-5)

Keywords:

Two greatest commandsThe Ten Commandments apply just as firmly in each aspect of our daily life as they apply to the whole of our lives.  I'm a management consultant, and on this page I explain how the first five of the Ten Commandments apply to management consulting and professional services.

Getting GPs involved in Clinical Commissioning Groups (CCG)

Life in the YearsMost healthcare providers, in UK the same as everywhere else, get paid for each activity they do.  If someone needs care, they get paid.  If someone is well, they don’t.  So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost.  Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….

Clinical Commissioning Groups and the NHS

Commissioning Innovation

As we race forwards into clinical commissioning, there are lessons to be learnt from other people.  The latest book “The Innovator’s Prescription: A Disruptive Solution for Health Care” by Christensen, Grossman and Hwang points to some things we need to take account of. It makes good reading . . .