Make like Apple: Think Different

About half way through my term of service with AmeriCorps, I have written lesson plans for our new college counseling curriculum and I am building our volunteer managment program from the ground up. I can imagine these activities are similar  to the process needed to write a communication plan for a health behavior intervention and then work to train the community health workers that would education the community about that health intervention, but I can not be sure. I have amazed myself with how much my thought process has changed in such a short period of time. My first concern has become what is probable rather than what is possible for organizational sustainability. Where I used to focus on only the program I worked on, I now have to make tough decisions about our limitations.

I know that professional and personal development has improved as a result of my daring to think differently about my potential and my role in a nonprofit.

GlaxoSmithKline is daring to think different(ly)  as well by expanding access to medicines for neglected diseases in some of the least developed countries. The corporation also plans to open access to their medical technologies in development to other sciences to expand research on treatments for neglected diseases. Whether out of a moral obligation or the pursuit of a financial opportunity, this unprecedented level of access has the potential to help countless numbers of patients. Furthermore, this is the first time that I have heard of a private sector company acting on the reality that universal access to treatment while necessary is not sufficient for eradication of certain diseases.

There needs to be a simultaneous focus on expanding access and improving health systems to build capacity for increased usage. Even then, it is unlikely actions GSK takes now will become the only road for eradication of diseases. As a corporate social responsibility venture, GSK may reap the benefit of positive public relations and somewhat increased profits from the now possible sales. However, it is difficult to tell how many countries will be able to afford medicines even at these discounted profits. The real benefit for developing countries lies in the potential for increased research for neglected diseases that affect developing countries most. OneWorld Health is the only major nonprofit pharmaceutical company that focuses on research and development of treatments for neglected diseases; having a major Big Pharma company devote more time and resources might be enough to tip the balance for some substantive development.

Learn to just say no

Tonight I opened Google Reader for the first time in over a month. I hoped that the feed reader had not exploded with the over 100 feeds I subscribe to. The sight of the 1000+ articles sitting there awaiting my perusal inspired me to do something that I don’t do often enough: say no. I have now dumped half of these feeds. It simply was too overwhelming and frankly ridiculous of me to think that I could consume that much information on a daily basis. It is an ongoing negative habit of mine: take on more and more responsibility until I drive myself crazy.

I miss reading and talking about public health now that my brain is constantly occupied with nonprofit management and education due to AmeriCorps. I love what I do everyday but I know that the issues that I really want to explore are in public health and not education. I did not realize how difficult it would be to devote myself to both disciplines this year.

After reading on change.org about the amazing strides that Frontline: SMS has made in advancing mobile health in Malawi, I knew that I wanted to jump back in. Reading and writing about public health will bring back some of the excitement I felt about going to grad school. I have gotten in to Emory and Johns Hopkins so I definitely need to step up my game so that I will be ready next fall.

It Is A New Day

Obama’s Inaugural Address

My fellow citizens: I stand here today humbled by the task before us, grateful for the trust you have bestowed, mindful of the sacrifices borne by our ancestors. I thank President Bush for his service to our nation, as well as the generosity and cooperation he has shown throughout this transition.

Forty-four Americans have now taken the presidential oath. The words have been spoken during rising tides of prosperity and the still waters of peace. Yet, every so often the oath is taken amidst gathering clouds and raging storms. At these moments, America has carried on not simply because of the skill or vision of those in high office, but because We the People have remained faithful to the ideals of our forbearers, and true to our founding documents.

So it has been. So it must be with this generation of Americans.

That we are in the midst of crisis is now well understood. Our nation is at war, against a far-reaching network of violence and hatred. Our economy is badly weakened, a consequence of greed and irresponsibility on the part of some, but also our collective failure to make hard choices and prepare the nation for a new age. Homes have been lost; jobs shed; businesses shuttered. Our health care is too costly; our schools fail too many; and each day brings further evidence that the ways we use energy strengthen our adversaries and threaten our planet.

These are the indicators of crisis, subject to data and statistics. Less measurable but no less profound is a sapping of confidence across our land — a nagging fear that America’s decline is inevitable, and that the next generation must lower its sights.

Today I say to you that the challenges we face are real. They are serious and they are many. They will not be met easily or in a short span of time. But know this, America — they will be met.

On this day, we gather because we have chosen hope over fear, unity of purpose over conflict and discord.

On this day, we come to proclaim an end to the petty grievances and false promises, the recriminations and worn-out dogmas, that for far too long have strangled our politics.

We remain a young nation, but in the words of Scripture, the time has come to set aside childish things. The time has come to reaffirm our enduring spirit; to choose our better history; to carry forward that precious gift, that noble idea, passed on from generation to generation: the God-given promise that all are equal, all are free, and all deserve a chance to pursue their full measure of happiness.

In reaffirming the greatness of our nation, we understand that greatness is never a given. It must be earned. Our journey has never been one of short-cuts or settling for less. It has not been the path for the faint-hearted — for those who prefer leisure over work, or seek only the pleasures of riches and fame. Rather, it has been the risk takers, the doers, the makers of things — some celebrated but more often men and women obscure in their labor, who have carried us up the long, rugged path towards prosperity and freedom.

For us, they packed up their few worldly possessions and traveled across oceans in search of a new life.

For us, they toiled in sweatshops and settled the West; endured the lash of the whip and plowed the hard earth.

For us, they fought and died, in places like Concord and Gettysburg; Normandy and Khe Sanh.

Time and again these men and women struggled and sacrificed and worked till their hands were raw so that we might live a better life. They saw America as bigger than the sum of our individual ambitions; greater than all the differences of birth or wealth or faction.

This is the journey we continue today. We remain the most prosperous, powerful nation on Earth. Our workers are no less productive than when this crisis began. Our minds are no less inventive, our goods and services no less needed than they were last week or last month or last year. Our capacity remains undiminished. But our time of standing pat, of protecting narrow interests and putting off unpleasant decisions — that time has surely passed. Starting today, we must pick ourselves up, dust ourselves off, and begin again the work of remaking America.

For everywhere we look, there is work to be done. The state of the economy calls for action, bold and swift, and we will act — not only to create new jobs, but to lay a new foundation for growth. We will build the roads and bridges, the electric grids and digital lines that feed our commerce and bind us together. We will restore science to its rightful place, and wield technology’s wonders to raise health care’s quality and lower its cost. We will harness the sun and the winds and the soil to fuel our cars and run our factories. And we will transform our schools and colleges and universities to meet the demands of a new age. All this we can do. And all this we will do.

Now, there are some who question the scale of our ambitions — who suggest that our system cannot tolerate too many big plans. Their memories are short. For they have forgotten what this country has already done; what free men and women can achieve when imagination is joined to common purpose, and necessity to courage.

What the cynics fail to understand is that the ground has shifted beneath them — that the stale political arguments that have consumed us for so long no longer apply. The question we ask today is not whether our government is too big or too small, but whether it works — whether it helps families find jobs at a decent wage, care they can afford, a retirement that is dignified. Where the answer is yes, we intend to move forward. Where the answer is no, programs will end. And those of us who manage the public’s dollars will be held to account — to spend wisely, reform bad habits, and do our business in the light of day — because only then can we restore the vital trust between a people and their government.

Nor is the question before us whether the market is a force for good or ill. Its power to generate wealth and expand freedom is unmatched, but this crisis has reminded us that without a watchful eye, the market can spin out of control — and that a nation cannot prosper long when it favors only the prosperous. The success of our economy has always depended not just on the size of our Gross Domestic Product, but on the reach of our prosperity; on our ability to extend opportunity to every willing heart — not out of charity, but because it is the surest route to our common good.

As for our common defense, we reject as false the choice between our safety and our ideals. Our Founding Fathers, faced with perils we can scarcely imagine, drafted a charter to assure the rule of law and the rights of man, a charter expanded by the blood of generations. Those ideals still light the world, and we will not give them up for expedience’s sake. And so to all other peoples and governments who are watching today, from the grandest capitals to the small village where my father was born: know that America is a friend of each nation and every man, woman, and child who seeks a future of peace and dignity, and that we are ready to lead once more.

Recall that earlier generations faced down fascism and communism not just with missiles and tanks, but with sturdy alliances and enduring convictions. They understood that our power alone cannot protect us, nor does it entitle us to do as we please. Instead, they knew that our power grows through its prudent use; our security emanates from the justness of our cause, the force of our example, the tempering qualities of humility and restraint.

We are the keepers of this legacy. Guided by these principles once more, we can meet those new threats that demand even greater effort — even greater cooperation and understanding between nations. We will begin to responsibly leave Iraq to its people, and forge a hard-earned peace in Afghanistan. With old friends and former foes, we will work tirelessly to lessen the nuclear threat, and roll back the specter of a warming planet. We will not apologize for our way of life, nor will we waver in its defense, and for those who seek to advance their aims by inducing terror and slaughtering innocents, we say to you now that our spirit is stronger and cannot be broken; you cannot outlast us, and we will defeat you.

For we know that our patchwork heritage is a strength, not a weakness. We are a nation of Christians and Muslims, Jews and Hindus — and nonbelievers. We are shaped by every language and culture, drawn from every end of this Earth; and because we have tasted the bitter swill of civil war and segregation, and emerged from that dark chapter stronger and more united, we cannot help but believe that the old hatreds shall someday pass; that the lines of tribe shall soon dissolve; that as the world grows smaller, our common humanity shall reveal itself; and that America must play its role in ushering in a new era of peace.

To the Muslim world, we seek a new way forward, based on mutual interest and mutual respect. To those leaders around the globe who seek to sow conflict, or blame their society’s ills on the West — know that your people will judge you on what you can build, not what you destroy. To those who cling to power through corruption and deceit and the silencing of dissent, know that you are on the wrong side of history; but that we will extend a hand if you are willing to unclench your fist.

To the people of poor nations, we pledge to work alongside you to make your farms flourish and let clean waters flow; to nourish starved bodies and feed hungry minds. And to those nations like ours that enjoy relative plenty, we say we can no longer afford indifference to suffering outside our borders; nor can we consume the world’s resources without regard to effect. For the world has changed, and we must change with it.

As we consider the road that unfolds before us, we remember with humble gratitude those brave Americans who, at this very hour, patrol far-off deserts and distant mountains. They have something to tell us today, just as the fallen heroes who lie in Arlington whisper through the ages. We honor them not only because they are guardians of our liberty, but because they embody the spirit of service; a willingness to find meaning in something greater than themselves. And yet, at this moment — a moment that will define a generation — it is precisely this spirit that must inhabit us all.

For as much as government can do and must do, it is ultimately the faith and determination of the American people upon which this nation relies. It is the kindness to take in a stranger when the levees break, the selflessness of workers who would rather cut their hours than see a friend lose their job which sees us through our darkest hours. It is the firefighter’s courage to storm a stairway filled with smoke, but also a parent’s willingness to nurture a child, that finally decides our fate.

Our challenges may be new. The instruments with which we meet them may be new. But those values upon which our success depends — hard work and honesty, courage and fair play, tolerance and curiosity, loyalty and patriotism — these things are old. These things are true. They have been the quiet force of progress throughout our history. What is demanded then is a return to these truths. What is required of us now is a new era of responsibility — a recognition, on the part of every American, that we have duties to ourselves, our nation, and the world, duties that we do not grudgingly accept but rather seize gladly, firm in the knowledge that there is nothing so satisfying to the spirit, so defining of our character, than giving our all to a difficult task.

This is the price and the promise of citizenship.

This is the source of our confidence — the knowledge that God calls on us to shape an uncertain destiny.

This is the meaning of our liberty and our creed — why men and women and children of every race and every faith can join in celebration across this magnificent mall, and why a man whose father less than sixty years ago might not have been served at a local restaurant can now stand before you to take a most sacred oath.

So let us mark this day with remembrance, of who we are and how far we have traveled. In the year of America’s birth, in the coldest of months, a small band of patriots huddled by dying campfires on the shores of an icy river. The capital was abandoned. The enemy was advancing. The snow was stained with blood. At a moment when the outcome of our revolution was most in doubt, the father of our nation ordered these words be read to the people: “Let it be told to the future world … that in the depth of winter, when nothing but hope and virtue could survive … that the city and the country, alarmed at one common danger, came forth to meet [it].”

America. In the face of our common dangers, in this winter of our hardship, let us remember these timeless words. With hope and virtue, let us brave once more the icy currents, and endure what storms may come. Let it be said by our children’s children that when we were tested we refused to let this journey end, that we did not turn back nor did we falter; and with eyes fixed on the horizon and God’s grace upon us, we carried forth that great gift of freedom and delivered it safely to future generations.

Quote of the Day: In Honor of MLK and the National Day of Service

I thought that this quote was particularly important to consider on this day of service. Action is and will be crucial going forward to make the world a better place for everyone. I believe that the great danger of our time is not a hot button issue such as global warming, global health or the economic crisis. The real enemy is indifference. I hope that today’s day of service becomes a wake up call that prompts people to be engaged and get involved.

“The global economy is giving more of our own people and billions around the world the chance to work and live and raise their families with dignity… But the forces of integration that have created these good opportunities also make us more subject to global forces of destruction — to terrorism, organized crime and narco trafficking, the spread of deadly weapons and disease, the degradation of the global environment. The expansion of trade hasn’t fully closed the gap between those of us who live on the cutting edge of the global economy and the billions around the world who live on the knife’s edge of survival. This global gap requires more than compassion; it requires action. Global poverty is a powder keg that could be ignited by our indifference.”

— President Bill Clinton’s Farewell Speech

The True Meaning of Service

I came across a memo from the Heritage Foundation entitled “How Americans Can Provide Real Public Service.” The memo agrees with Obama’s proposals to expand service programs such as AmeriCorps and Peace Corps except the following key differences:

1. They encourage the wrong motivations for volunteering;
2. They confuse government work with public service; and
3. By centralizing control, they reduce the individual and community empowerment that fosters public spiritedness.

I completely disagree with this characterization of service as it perpetuates a romanticized version of Adam Smith’s invisible hand of charity.

1. The author assumes that financial incentive is the only reason why people participate in government service programs. From my personal experience and from others I have met who have participated in these programs, I would have to strongly disagree. The money that AmeriCorps and Peace Corps members receive is technically not considered an income but rather a living stipend. Without this stipend, Corps members would not have the time and resources to fully devote their time to improving the communities that they are serving in. Furthermore, it is faulty logic to assume that altruistic motivation is a necessary quality to volunteer and that financial incentive either eliminates or repels altruistic motivations.

If the author of the memo had read some of the research done regarding the impact of AmeriCorps, he would have seen that the majority of AmeriCorps members increase volunteering the communities they serve in and continue to volunteer after their term of service and often enter into public service and similarly related careers. If that is not an increase in volunteering, they I do not know what you would call it.

2. It is a tragedy that hundreds people are turned away due to lack of funding. This rate of refusal is not an indication that members work for bureaucracies but rather the type of relationship that AmeriCorps members have with the community they serve is not directly exchangable through weekend volunteering. Once again, this is a question of committment, particularly in the case of AmeriCorps VISTA members who are assigned to a specific organization to build capacity within the organization to better serve the community. While short-term volunteering opportunities such as helping in food banks and mentoring children are needed and essential, some of the long-term activities that AmeriCorps members do are not and can not be done in a part-time capacity. Nonprofit organizations may lack the funding, expertise or manpower to complete these activities which are vital to the survival and improvement of the organization. AmeriCorps members help to meet these needs of the organizations that participate.

3. Expansion of service programs will meet the needs of organizations and communities that are currently slipping through the cracks. This expansion is not an intrusion but rather a way of coordinating matches between the needs of organizations and the interests of volunteers. Participation on the organizations’ part has and will remain voluntary. AmeriCorps members will learn to adapt their approach to the needs and ways of the communities that they serve in. It seems to be a rather extreme approach to assume that the ability of a community to better themselves is compromised or even eliminated due to the addition of a so-called “inhabitant.”

AmeriCorps members are not puppets for the federal government to make them do as it pleases. I would think that someone who had faith in “the civic force that is the American citizen” would have enough faith to see that people wanting to serve would put the community’s best interests before their own or anyone else’s.