Twenty-plus years ago I worked for an attorney who said that whatever didn't require his law degree to do, could-and should-be done by someone else. He trained his staff as paralegals. I started my professional career learning to think strategically and ask different kinds of questions--about a lot of things. Today that includes health care, health insurance, and the increasing costs to both employers and consumers.
I'm a business and human resource professional, a consumer, educator, and wellness coach. I know that people behave and act based on motivators and rewards. In general, wherever the incentives are placed, and or monitoring is done, action will take place and the monitored results will be achieved. Parents know this; teachers know this. It's a basic principle of education.
The answers will not come out of one essay. The subject is complex and as individualized as its participants. And it's unrealistic to think one solution will fit all contingencies. My objective here is simply to tap the interests, experience, and expertise of the players, and get all of us thinking outside the "rules" a bit. Like pieces of a giant jigsaw puzzle, we all have important pieces of information and experience to contribute.
In childhood, we learned the value of playing outside the rules once in awhile to achieve the objectives we wanted. I did. Our family version of Monopoly included IOU sheets. Mom invented them so she and all of my siblings could stay in the game and play as long as we wanted (allowing her to keep us occupied and together where she could see us)-her desired objective at the time.