56th week: Integrity (3) – underpaying
I talked to the wound care doctor about the least intrusive option that I could think of : the Wound VAC. He agreed that, with the currently much improved blood supply to the wound site, it was a very reasonable thing to try before the skin graft that would open a second wound. (I can avoid the skin graft if the VAC heals the wound completely. Even if it only reduces the size of the wound, the donor site would be smaller and therefore easier to heal.) With some paper work and phone calls, I am again attached to one. It does increase the pain level and it really hurts when the dressing is changed. Hopefully, the pain will lessen in a few days.
The results of the blood work ordered to assess my nutrition status have come back. Everybody was surprised because everything was virtually normal in spite of my continuous slow weight loss. This means that my intake is pretty balanced, and all I have to do is to increase the intake and slow the passage of food through my digestive track. I want to thank my wife for her persistent efforts in trying to feed somebody who is constantly nauseating, bloated and has frequent diarrhea.
Integrity (3) – underpaying
Self-interest or greed has been the biggest driving force in modern commerce and politics. Furthermore, it is theorized that acting in accordance with one’s self-interest will produce socially beneficial results. For example, Adam Smith claims that, in a free market where each consumer is allowed to choose freely what to buy, and each producer is allowed to choose freely what to sell and how to produce it, an individual pursuing his own self-interest tends to also promote the good of his community as a whole through a principle that Smith called “the invisible hand”. Efficient methods of production will be adopted in order to maximize profits. Low prices will be charged in order to undercut competitors. Investors will invest in those industries that are most urgently needed to maximize returns, and they will withdraw capital from those that are less efficient in creating value. Students will be guided to prepare for the most needed (and therefore most remunerative) careers. All these effects will take place dynamically and automatically, and the market will settle on a product distribution and a price that is beneficial to the individual members of a community, and hence to the community as a whole. In summary, self-interest or personal greed will drive actors to behavior that is beneficial to collective good.
Recently, economic super powers have risen in Western Europe, followed by North America and now Asia based on the basic idea of free markets that give freedom to most, if not all the players. The prosperity of these economic super powers has inspired many other groups of people to follow their footsteps. However, the limitations of greed driven free-markets have also become obvious in this still evolving social economical experiment.
The thinking that the sum of individual greed will become a collective good is flawed due to our ignorance and lack of integrity. Take an automobile as an example. A car has many parts made of metal, plastics, etc. In order to maximize profit and minimize the cost, we manufacture them by avoiding, shifting and deferring a significant part of its real cost such as the cost of polluting (e.g., buying plastic pellets and steel from developing countries to dump the pollution in their backyard), the cost of disposal (look at the junkyard and mounts of used tires), the cost of depleting natural resources, the environmental impact of its manufacturing processes, etc. Simply speaking, an automobile, like almost everything else, is way under-priced. The lack of integrity in pricing has caused us to deceive ourselves and to overconsume, which has led to even bigger problems. The over-usage of automobiles has lead to sprawling (hence loss of land and plants that remove carbon dioxides), increased greenhouse gas emission and pollution, social economical segregation, reliance on foreign oils and hence handicapped foreign policy, etc.
Again, lacking integrity (e.g. avoiding paying for the real cost of things we consume) creates an illusion of temporary affordability and chronic problems (e.g., pollution). These chronic problems eventually become acute problems (e.g., environment related illness and extreme weathers) that require immediate attention.
May this find you and your loved ones in good spirit and health.