KNOWLDGE, INTELLIGENCE AND WISDOM

#knowledge #intelligence #wisdom #education
Knowledge is different from intelligence.
Both are different from wisdom.
Knowledge is the collection of facts, information and skill. These can be acquired at any age. They can be acquired either through reading, education or by doing.
Intelligence can be acquired naturally. Or, it can be honed through learning. It takes intelligence to apply knowledge properly.
Wisdom can only be required through experience. It can be learned in youth through mentoring, but it more likely comes with learning by doing over time.
One can know a lot, and not apply what he or she knows intelligently. As one applies knowledge, properly or not, presumably, over time, he or she gains wisdom.
However, consistent misapplication of knowledge can help one evade wisdom.
We all want to be knowledgeable, intelligent and wise. Depending on the person, that can be a tall task.
The begged question here is: how does a truly knowledgeable, intelligent and wise person behave?
As humans, we make decisions. Not all decisions are good. Virtually no one can make every single decision a good one.
But knowledgeable, intelligent and wise people make more good decisions than bad ones.
One’s character is shaped by decisions. A person of good character doesn’t just want everyone to think he or she is knowledgeable, intelligent and wise. He or she wants to believe he or she is so.
Usually, that means saying less and doing more. It also means doing good things even when no one is watching.
If you know you are being watched, however, model your good behavior with pride.
Many people, if not all, can attain the three characteristics. But, attainment has to start with the inner desire to do so.
Some have no interest in, and couldn’t care less, whether they are knowledgeable, intelligent or wise. To them, life is lived on their own terms, regardless of the consequences.
Others have disabilities that keep them from attaining their full potential. But they, too, can attain a great deal if they have the desire to do so.
Knowledge, intelligence and wisdom are there for the taking for most, if one has the desire.
The combination of traits does not, in itself, make a good person. But how one applies each of those traits can determine the type of person one becomes.
So, do you have the knowledge, intelligence and wisdom to be the best you can be?
If not, do you want to be your best?
How one thinks about those questions can determine one’s path to success and happiness.
Peter

PRESCRIPTION DRUGS, THE U.S. SYSTEM AND NEGOTIATIONS

#PrescriptionDrugs #DrugPriceNegotiations #DrugCompanies #tgovernment #PrivateSector
The United States is the only country in the world that puts medical care in the free market.
That tells the country that you get what you can afford, or, perhaps, you suffer or die.
The large drug companies, as well as academic research institutions, do the research that creates the newest, perhaps blockbuster, drugs, therapies and treatments.
That research, in the case of private companies, is funded largely by the (mostly U.S.) profits it makes from drugs, when they are approved and sold.
These companies want to maximize their profit initially because they know that drugs will eventually come off patent and can be duplicated by rivals.
That will lower the cost of the drug, usually.
Once a drug is developed and approved, the cost of manufacturing usually drops. Some drugs that cost relative pennies per dose to make are sold for up to thousands of dollars because the companies are trying to recover all their research costs.
So, the question becomes: why should a drug that has been prescribed for many years, that costs relative pennies to make, still cost so much long after the companies have recovered most or all of their research costs?
Perhaps it could be argued that the company is trying to pay for current research on drugs not yet approved. (What will they charge for that drug later, if approved?) Perhaps it could be argued that the companies are also trying to recover research costs on drugs that turned out to be busts, and never approved for sale.
Most of the drugs in the initial rollout of Medicare price negotiations with companies are drugs that have been around awhile. The companies by now should have recovered most, if not all, of their research costs on those drugs.
In some cases, companies are spending millions of dollars on television and other advertising to get people to ask their doctors about these drugs.
Perhaps, when Medicare starts negotiating prices it will pay for some of those drugs, the TV ads for those drugs will stop, or be cut back. That’s not good news for the TV networks and other media outlets that depend on such advertising.
In essentially every other country, drug price negotiations are the norm. There is usually only one buyer – the government – for the whole country. That gives those countries leverage to determine how much drugs will cost within their boundaries. (That’s why a lot of Americans buy their drugs from Canada or Mexico).
Because most medical care in the U.S. is in the free market, that hasn’t been possible here. Because of that, people not only had to be concerned whether a drug, or other medical treatment, was going to be the best for their conditions, they had to worry how they were going to pay for it. That’s stress atop stress unnecessarily.
In the U.S. private sector, a large-volume buyer usually negotiates prices. The more one buys, the lower the price per unit. The sellers want to sell lots of product. The buyer wants to pay as little as possible. So, they negotiate. Medicare is a bulk buyer of prescription drugs, and has never been allowed to negotiate prices – until now.
There is no telling yet how much prescription drug price negotiations will bring down the federal deficit, but, very likely, it could be considerable over a few years.
Therefore, there could be a two-part bang for the buck here. Medicare, and, ultimately, patients will pay less for the drugs they need, and the federal deficit could come down a lot. As a bonus, the drug companies will still make plenty of money.
And, over time, as the number of drugs that are subject to price negotiation increases, the difference could be huge, compared to the current situation.
The actual results have not yet been realized, but the whole idea could be a game-changer for the country.
Peter

NEW PARENTING STRATEGIES: LESS FIRM, MORE INCLUSIVE

#parenting #ParentingStrategies #children #ChildrensAnxieties #depression
Children significantly are more anxious and depressed than they were five years ago.
So says a March article in JAMA Pediatrics,. The article was quoted in Nedra Rhone’s “Real Life” column published October 6, 2022, in The Atlanta Journal-Constitution.
Much of this anxiety is attributable to the pandemic, but, as Rhone points out, anxiety in children from birth to age 17 has been on the rise long before COVID-19.
In fact, she points out, from 2016 to 2019, children’s anxiety increased 27 percent and depression increased 24 percent, quoting data from a study from the National Survey of Children’s Health.
Parents and caregivers have suffered a steady decline in well-being over the past five years, she quotes from that study.
Shefali Tsabary has advocated for a parenting style that dispenses with traditional paradigms featuring control, fear and punishment, Rhone writes. Tsabary has a doctorate in clinical psychology and specializes in blending Western psychology and Eastern philosophy.
“What children really need from parents is not a laundry list of rules, and overload of shame and guilt or feeling silenced and oppressed. Children need to feel seen, to feel worth and to know that they matter for who they are rather than their accomplishments,” Rhone writes from Tsabary’s work.
There is much to unpack here, but suffice it to say that the old way of parenting apparently is not cutting it with kids today. In past decades, parents told kids what they expected of them. They may have even told them how they were going to live their lives as adults. Kids who fought such instruction were considered rebels, or something worse.
When some parents were children, rigor was all they knew. Disappointing Mom and Dad was taboo, even though Mom and Dad wanted them to be something they weren’t, or did not want to be.
Certainly, children need to be taught right from wrong. After all, some things are indisputably right, and indisputably wrong. But today, right and wrong have much gray area between them. Children should be allowed, with perhaps some limitations, to explore that gray area and decide for themselves what, to them, is right and wrong.
Kids should have some freedom to “be kids,” again with appropriate limitations. As they navigate childhood, they will make decisions for themselves AND accept consequences for those decisions.
Some will want to be like their parents. Some will want to be completely different from them as they grow.
If they want to be different from their parents, or what their parents expect from them, it likely is not from a lack of love of parents.
Parents, therefore, should encourage children to be who they want to be, with appropriate warning about the pitfalls of pursuit.
Perhaps that will make them less depressed or anxious. Parental and academic requirements can be overwhelming. Parents should strive to encourage their children, while trying to ease their burdens. Parents may not think burdens on children are a big problem, but they can be bigger than many realize.
Raising children in an atmosphere of encouragement rather than rigor may keep many from developing conditions that can be debilitating for life.
Peter