Ukraine Today: Political Realism First, Please!

Ukraine Today: Political Realism First, Please!

(original post on humanitarian situation written on Feb 20th, 2014 in Sacramento, CA, USA. Updated based on last week’s cease-fire and political agreements on Feb 24th, 2014 in Sacramento, CA, USA)

 

czech vlajka znak

I was a young Czech nurse when the atrocities were happening in the Balkans, and NOBODY from the EU moved a finger, nobody helped them! I often asked myself what would have I done…?

While I had no influence over it, as after the Velvet Revolution in Czechoslovakia, after 40 years of oppression, and 20 years of Soviet occupation, I finally was allowed to travel abroad and I left home.

I looked after children, cleaned houses and pubs, learned English by myself at nights, held 2-3 jobs in order to follow my dreams of studying and obtaining my Nursing licenses in Canada & USA, only to go further towards my biggest dreams of earning multiple university degrees in global politics, global health & regional development & administration at prestigious U.S. universities (CSUSM and UM). CSU grad kept her ‘eye on the goal’ – San Diego Union-Tribune San Diego Union-Tribune regional newspaper did an interview with me about my road towards BA in Political Science Magna Cum Laude coming from post-Communist country.

To this day, I am ashamed to be European for our utter failure in the Balkans! Seeing the almost unrepairable damage that conflict left until today, over 18 years later, is utterly heartbreaking. We all bear responsibility.

For better or worse, the ONLY leader who proved to LEAD was U.S. President Clinton, who due to the long-standing ‘Monroe Doctrine’ did not and could not put “boots on the ground” as Americans love to say, but instigated aerial raids. President Clinton’s role in this conflict is being discussed even today, however, speaking as someone who has deep historical roots to Peoples abandoned and left ‘behind’ by the Western powers in their time of need, without any help… (i.e. The Munich Agreement of 1938, The Prague Spring of 1968 -> followed by foreign invasion of my beloved homeland by 5 foreign armies, led by, you guessed it, the Soviets and their criminal leader Leonid Brezhnev). Trust me when I tell you, you want help, any help!

California Capitol Sacramento

It is only here, in this country, where we have the incredible luxury to discuss and criticize actions of which we quite often know very little. BUT, let me finish, it is a part of our political system, it is a part of democracy and as a democracy “groupie” myself, I fully respect and admire this system very much. In fact, I have been actively involved in the post-communist transition to democracy and democratization of institution in Czech Republic on the local political level for past 20 years, and it is Job’s job. It is only when you are on the ground, demonstrating against the power that is usurping you and denigrating you, waving your flags, being beaten and shot that you are looking towards the skies hoping to see some allies and The Allies!

 

For my beloved Czechoslovakia in 1968, the year my amazing parents got married and sadly also the year their HOPE and DREAMS were squashed by the Soviet invasion, there were, for very obvious Cold War reasons, no sky allies or any Allies… And we (as in my fellow countrymen, since I was not even ‘an idea’) were looking up and waiting, every day! In the years afterwards, during the deep Normalization process (just a different word for Communistic indoctrination enforced by the Soviets), we were secretly listening to the Radio Free Europe and Voice of America (both I believed financed by the U.S.) in our basements, faced with hard jail time if caught, waiting for hours to hear our country even being mentioned! And this is how people of Ukraine feel today.

We are amalgamate of our previous experiences, and I really do “FEEL” the past plight, hurts and betrayals of my people and my country. Well, visiting every concentration camp around during yearly school ‘day trips’ since 2nd grade left DEEP scars and nightmares in my soul. At the same time, it also cemented such un-moveable human resolve, built foundation for my ‘Fight-or-Flight‘ (political & systemic) response, and cemented my strong sense of protection, responsibility for others, and especially for those weaker and unable to look after themselves => any more questions why I am a nurse, political operator and a humanitarian? Nope, did not think so.

We have a collective responsibility and we have obligations.

Now as a proud (dual Czech and) U.S. citizen and a highly degreed and educated RN and a political operator, at this point my love & passion for politics, strategy and campaign goes away and my nursing and humanitarian responsibility takes over. That is exactly WHY I DO politics, to PREVENT bloodshed! However, once you cross over a certain threshold, it is no longer about my ability “to do” politics but about my ability to “take care of people”. People need help no matter who is shooting at them and my nursing training and practice precludes me from judging my patients, and that I had some I did not like in my 15+years! Period.

I wrote an article last May 2013 year asking  Should the EU Care About Syria? The Balkans, Anybody?

Now, the question is HOW much, WHO should and WHY “they” should be concerned over Ukraine! ‘They’ as in the now portrayed as Evil The West / EU vs. the always evil East / Russia.

I don’t know about you, but I picked my ‘evil’ long time ago (and we are very happy together, thank you very much). I already lived under devil dominant depressing doormat of freedom-non-existent Soviets. I will pick The West in any shape or form, any time … and yes, I will get lots of criticism for it, but I am strong I can take it.
What I will never do, however, is to apologize for my views of Russia. I lived it, I survived it, I got out. Thank god I now have my beautiful blue U.S. passport!

Ukraine today is at the crossroads.

Country is divided, economically bankrupt, feels betrayed and lied to, plus people are in deep mourning. However, on the other hand, once the elation of a certain part of population over ‘their’ victory will wean off and reality of bad economy, current lack of leadership, deposed president MIA and the looming threat of Russia not far away will set in, people of Ukraine will have a lot to deal with. During my research, I found ONE thing they all agree upon (well, mostly) – they want to keep Ukraine united, as in NOT split in the Western and Easter / Russian parts. If I were at the negotiating table, I would hold on to this and would NOT let go…

 

I do hope those strong and determined people are ready, prepared and aware that much harder task is ahead of them! Sitting across from your political opponents and rival who you hold responsible (and vice-versa) for what just transpired, will truly show how dedicated and serious about DEMOCRACY the people of Ukraine really are.

Knowing how Russian tyrant Putin feels about Ukraine since he considers it to be a part of his Mother Russia and the center of Pravoslav religion, holding them hostage at will over access to natural gas and other resources and aid … and hearing as a freedom loving and globe-trotting Czech the same tyrant Putin saying that he ALSO consider my Czech Republic to be still under his sphere of influence, my heart stopped!

We’ve already been there, it was hell, and nobody wants to go back…

It is my unequivocal belief we all have global roles to play, we all can help and serve wherever we can.

Thus I am able to feel the plight, fear, resolve but also the uncertainty of people of Ukraine today.

Ukraine has difficult times ahead, and nation-buidling, state-craft and democratization of institutions while re-building trust in government and placing transparency into old systems are amongst the MOST difficult and HARDEST of social and political projects. Look at the U.S. how they are struggling with it around the world, and they have been living it for well over 200 years! Now look at the post-communist countries of Eastern Europe having their “freedoms” for about 20 years… Need I say more?

A Mid-Career Czech-up: how do you stack up in 100 words?

A Mid-Career Czech-up: how do you stack up in 100 words?

Wondering how your career looks like in 100 words?

Ever wondered how would your career look like all nicely and neatly summarized (since nothing in life is that simple) all the while looking visually appealing ?

I copied & pasted my professional positions, projects & endeavors in public health, healthcare and politics from my LinkedIn profile and used the amazing wordle.net to see what have I been really up to for the past 13 years in my let’s say all-encompassing career and how does it stack up to what I feel are my professional passions & interests with what I think I’ve done and accomplished in my career so far.

I must say I am (one-could-almost-say) pleased to see my career in a shape for which I worked, studied and sacrificed so much, AND most importantly as we continue to evolve, for one that is leading toward a better defined shape that keeps on toning and strengthening those already ‘shapely’ areas, keeps on finding new ways of doing, seeing, understanding things… all the while never seizing an opportunity to learn from wise, humble, accomplished and interesting people along the way… AND yet staying true to my ongoing professional calling, my passion and my dedication.

Yes, ALL this in 100 words, no kidding!

Yes, wordle.net can summarize it way better than me, that’s for sure…

How would your mid-career check-up look like?

If U.S. health care spending is so outrageous, are we getting the BEST?

In today’s heated political and economic debates, healthcare reform and healthcare spending remain a hot topic of conversation – and rightfully so!

Why is it that while the U.S. spent over $8,000 per capita on health care in 2010 (almost 50% more than Norway and Switzerland in 2nd and 3rd place), per OECD ratings, we deliver only average level of care based on U.S. lower life expectancy, lower than Switzerland or Norway. Life expectancy graph puts the U.S. roughly in the middle of the developed countries in life expectancy at birth (the longest gevity is in Japan). How Does the United States Compare page 1.

The problem with that is that other developed countries who show even higher life expectancy than the U.S. are able to bring their population to such age for a fraction (or at least for 50% less) of total health care cost than here in the U.S. It shows that the huge per capital spending does NOT necessarily assure or ensure longer gevity delivered through better care or more advanced technological treatments.

So WHY does health care cost so much in the U.S.?

The answer comes under the cloak of science, as the most significant contributor to U.S. health care cost growth is technology innovation & medical advancement. Clear and simple. We have the best diagnostics, imaging, new-surgery-techniques, technological possibilities and acute care treatments & capabilities in the world – bar none. The fact that we are also a wealthy country contributes to our income growth meaning that the wealthier the country – the more of healthcare consumer spending and insurance-induced demand there is.

It stands to reason that while new medical technology may be expensive, when used in time and appropriately, it does extend patients lives, improves their quality of life which in turn makes them live longer and makes them more productive. So technology – it’s a go! But the need for increased healthcare efficiency with curbed spending will bring a major strain on the U.S. health system in the coming years.

While the U.S. has the best diagnostic and acute health services in the world, we are lacking in preventive care and in management of chronic diseases and conditions affecting a large segment of U.S. (aging) population. Additionally, the wealthiest country in the world and we have around 50 million un-insured people from working families! Yes, you heard right, a vast majority are from working families – as in low-income workers unable to afford private or employer-based health plans premiums. Kaiser Family Foundation Primer (2010) states that 50% of ALL health care spending is used to treat 5% of the population and they are the people with 3+ chronic diseases needing ongoing medical & nursing care, list of medications, follow-up doctor’s visits and other services. http://www.kff.org/insurance/upload/7670-03.pdf

Needless to say that the un-insured have overall much worse health conditions as, due to financial constrains, they do not go see doctors with first symptoms, do not get medications to correct or manage conditions, do not go for tests or follow ups to see how such condition(s) can be treated or fixed or improved. So such condition(s) grow in silence and when finally there is a life-threatening event – they will go to emergency rooms where they will get the care including all those technology innovation & medical advancement tests, images, diagnostic procedures and latest treatments, but they will also get a bill for all that technology innovation & medical advancement. And anybody who went through ER and spent a couple of days in a hospital knows the amount I am taking about here! And without insurance plan to help cover the large amount, they are left with a stark total! http://www.kff.org/uninsured/upload/7451-06.pdf

Let’s not forget, these un-insured are not insured not because they don’t want to or feel like getting a health insurance, but because their low-income jobs leave them unable to pay for private or employer-sponsored health plans and not eligible for Medicaid and too young for Medicare (over 65 y.o.)  Yes, it is true, hospitals can write something off, but on average, it still leaves the low-income un-insured with a bill of about 1/3 of the hospital cost. And good luck with that!