Articles by Robert Cirkiel

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The Suggestion Box…

by Robert Cirkiel 

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“It is the God given right of all workers to bitch about their boss.”

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Money, Mix and Messages

by Robert Cirkiel 

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“With all this talk about no hitters, when Harvey Haddix was a Pirate and pitched a 12 inning perfect game, they gave him a car.  Shouldn’t they have given him a boat?”

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Now that Health Care Reform has Passed, What’s Next for Employers”

by Robert Cirkiel 

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10:47 PM Sunday March 21st, 2010 Health Care Reform Passed the House with a Vote of 219 to 212.  About 10 minutes later the “fixes” to the Senate bill pass by one vote more. As Yahoo News Blog “House Passes Second Historic Healthcare Vote”  says:

“While the senate still has to weigh in on an amended bill, most observers think that shouldn’t be much more than a formality especially at this late stage of the process. At the very least, the House vote ensure that there will be a health care bill on President Obama’s desk, perhaps as early as the end of this week.  And the president’s signature will set I motion the most dramatic change to American health care since Lyndon Johnson signed Medicare into law in 1965.

The bill, which the Congressional Budget Office says will cost $940 billion over the 10 years, is expected to cover 32 million Americans who are presently uninsured”

Now what?  We asked Grahall’s Robert Cirkiel what’s next for employers.  Here are Robert’s recommendations.
Continue reading “Now that Health Care Reform has Passed, What’s Next for Employers”” »

Filed under: Ask the Expert



Grahall Named America’s Healthiest Consulting Firm

by Robert Cirkiel 

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Expert Perspective by Grahall’s Robert Cirkiel

expert perspective telescopeIn a recent United Health Foundation study, “The Healthiest and Unhealthiest States”, Vermont — which is the home of the beautiful Grahall Properties  and birthplace of Grahall partner Michael Graham — finished first.  Forbes published the study finding.  We are extremely proud of this achievement.  For the record, full disclosure, and transparency we have no relationship with either Forbes or the Foundation that would affect these findings.

The study considers the 22 factors they consider to be most important, but let me discuss my personal eight which are somewhat different.  I discovered them a few years ago in Italy.  At the time, I was chaperoning my son’s eighth grade class trip. My job was to be the “surrogate parent” – I did the “parenting” so that the teacher would be free to do the teaching.  In one week’s time, I lost ten pounds along with all of my little aches and pains and rediscovered my energy.  For the record I am a “50 something” who expected the constant touring and pasta consumption to have the opposite effect.

So, to what do I attribute this? Was it happiness, engagement, meaningfulness, achievement, exercise, sunshine, rest, and food quality?  Notice I did not say stress-less.  In fact, keeping an eighth grade Latin class out of the Arno is anything but.   But it was good stress, as in what I was doing was difficult but important and getting the students home in one piece and with fine memories was all the achievement and satisfaction I needed. 

Seems like such a simple formula, right?  I submit that it is a contributing factor to why Italians spend 9% of GDP on health care and we spend over 16%.  We can pass all the laws we want and vilify insurance companies, doctors and the government all we want but until we get healthier our spending will never come under control. 

Employers need to take a close look at my list because they can impact every item on it.  For many, the workplace is their primary source of engagement, meaningfulness and achievement.  The workplace must engender these things.  And, while an employer cannot turn unhappy people into happy people or fix everything that is wrong in an employee’s life, it does control what happens during the work day.  And, employers certainly can have a large influence on wellness by using the company medical plan to drive it and all employers should do so.

As far as our country’s efforts to get our health equation under control via Federal legislation, note that Massachusetts, the State with the laws most closely resembling the bills before Congress, finished third in the study.  This suggests that legislation can help.  But at the end of the day, the Vermont model with its outdoorsy lifestyle and ample supply of medical services works even better.

Grahall can help your organization get control of your medical costs, improve outcomes, and increase productivity.  Contact us and let us show you how.  

For more information about renting Grahall Properties for conferences, training sessions or simply for rest and relaxation in an environment that inspires reflection and creative thinking contact Robert Cirkiel at robert.cirkiel@grahall.com.

Filed under: Expert Perspective



Swine Flu Update #7

by Robert Cirkiel 

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expert perspective telescopeExpert Perspective by Grahall’s Robert Cirkiel

According to the article “H1N1 has killed 2,837, but not more serious: WHO”, by Reuter’s journalist Stephanie Nebehay, the World Health Organization has reported updated information on the H1N1 virus based on data from South America, which is coming out of winter, and parts of Asia, which are experiencing an early flu season.  So far, in terms of its deadliness, the H1N1 has not evolved into a very deadly strain.  So far, so good.
Continue reading “Swine Flu Update #7″ »

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We Wish We Were WRONG

by Robert Cirkiel 

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Expert Perspective by Grahall’s Robert Cirkiel

expert perspective telescopeAn August 28, 2009 article by Reuters journalist Maggie Fox (WHO Warns of Severe Form of Swine Flu) shares that “Doctors are reporting a severe form of swine flu that goes straight to the lungs, causing severe illness in otherwise healthy young people…”.

Grahall could be gloating.  We predicted way ahead of the “experts” that H1N1 was trending badly (see H1N1 (Swine Flu) Update #4 ) and that it was affecting young adults more than children and the elderly, and that its virulence was its attack on the lungs (see Swine Flu Update #6 .)

However we are not gloating; in fact, we would have preferred to be wrong.

Now, let’s take a look at the cost impact on employers. 
Continue reading “We Wish We Were WRONG” »

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Swine Flu Update #6

by Robert Cirkiel 

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Expert Perspective by Grahall’s Robert Cirkiel

expert perspective telescopeIn a Reuters article published on CNBC.com (“Novavax Reports Progress on Swine Flu; Shares Jump”) Novavax reports that they have developed a “new kind of influenza vaccine works against the new swine flu virus in animals… in fewer than four weeks after the U.S. Centers for Disease Control and Prevention released the genetic sequence of the H1N1 swine flu virus, which is now causing a pandemic.”  Novavax may be the first to report, but there are a number of pharmaceutical companies developing H1N1 flu vaccines.  This attention bodes well for lowering concerns about scarcity or delays, in North America and Europe where flu season is soon approaching.
Continue reading “Swine Flu Update #6″ »

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Grahall News Alert: Obama’s Death Panel Plan Unveiled By Palin

by Robert Cirkiel 

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Expert Perspective by Grahall’s Robert Cirkiel

expert perspective telescopeAny doubt that the Health Care Reform debate is all about politics should be dispelled by the August 8, 2009 article by AP reporter Mark Theissen titled “Palin Says Obama’s Health Care Plan is ‘Evil’” summarizing  a  posting on Facebook attributed to Sarah Palin (although its interesting that her statements need to be authenticated, like those of another reclusive “freedom fighter” ).  
Continue reading “Grahall News Alert: Obama’s Death Panel Plan Unveiled By Palin” »

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Update #5: H1N1 Flu Could Be a Big Problem in US

by Robert Cirkiel 

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Expert Perspective by Grahall’s Robert Cirkiel expert perspective telescope

A recent news story by Mike Stobby, AP Medical Writer  “Swine flu could hit up to 40 percent in US” caught my attention.  He writes:  ”In a disturbing new projection, health officials say up to 40 percent of Americans could get swine flu this year and next and several hundred thousand could die without a successful vaccine campaign and other measures.”

I have been blogging on the subject of the H1N1 flue for several weeks now (find link to prior blogs below) and I agree that this could become pretty bad.   I’m a “prediction guy” so my focus is on the trends and there are a few indicators I don’t like.  The fact that it’s summertime and there’s no abatement in the number of new cases is the most concerning. Viruses mutate continuously and whether this one turns into a mass murderer or not is anyone’s guess. Tamiflu has already been ineffective in a number of instances so if everyone with the flu takes Tamiflu, the resistent strain will eventually prevail and perhaps become the virulent strain.  I can just imagine how five years from now TV talking heads with 20/20 hindsight will be expousing about how giving everyone Tamiflu was the turning point in the losing battle against H1N1. Stay tuned for more on this subject. 

Email Robert Cirkiel at robert.cirkiel@grahall.com

Link to Robert’s prior blogs on this subject:   Link to Original Post.   Link to Update #2Link to Update #3. Link to Update #4.

Filed under: Expert Perspective



The President’s Other Pitch

by Robert Cirkiel 

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expert perspective telescopeExpert Perspective by Robert Cirkiel

The House bill was announced earlier this week. Details are forthcoming but the tab is 1.2 trillion over 10 years. Half of the funding will come from cost reductions, mostly in Medicare. The other half is raised by…

Drum roll…
Continue reading “The President’s Other Pitch” »

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