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Fire Your Inner Critic

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Most of us are our own worst critics. It’s easy to understand why. After all, no one knows us better than us. Who better to uncover and critique all our foibles, follies and failures than our own inner critic?

There’s a fine line, of course, between self-criticism and self-awareness. Maturity requires that we view ourselves with objectivity and correct those faults that can be corrected. The kind of criticism that comes of self-awareness and that leads to self-improvement is a prerequisite for happiness and love.

But when it comes to work, self-criticism can be crippling. Carl Richards, a certified financial planner, author, and regular New York Times contributor, makes that point in his fine article for the Times, “Free Yourself of Your Harshest Critic, and Plow Ahead.” Richards argues that we accomplish much of our best work when we stop critiquing and just do it.

“Think of how liberating it would be to free yourself from the role of being your own harshest critic,” he writes.  What might happen if you took all the energy that goes in to judging your work and put it right back into the wellspring of creating the work instead?”

Writer’s Block

Richards article mainly concerns writing, and the common experience of writer’s block. But he notes that letting go of your inner critic is good advice for “anything meaningful you do. Singing, painting, entrepreneurship, giving financial advice, museum curating, boat building, skiing, whatever.”

Like Richards, my own experience with the shadow side of criticism concerns writing. I was a journalist for 15 years before tackling PR. Most days, my livelihood, to say nothing of my self-esteem, depended on my ability to crank out large amounts of decent copy on deadline. As a newspaper reporter with daily deadlines you either get over writer’s block or you get out. There’s no time for self-criticism when they’re holding the front page for your story.

It was after I left newspapers to become a freelance magazine writer that my self-criticism blossomed. I blame my editors. I learned shortly after starting to freelance that deadlines mean something very different for magazine editors than for newspaper editors. Magazine editors give their freelancers early deadlines, days or weeks before they intend to actually edit the article. They do that to guard against precisely the sort of writer’s block that often crippled me.

Yet, ironically, it was because I knew that my deadlines were fake and therefor moveable that my self-criticism could work its evil. With several days to write, no beginning was ever clever enough. Writing is rewriting, as every good writer knows. But when you reach the hundredth rewrite of your lede, you know you’re in trouble.

The Godfather of Gonzo

I’m reminded of the story of Rolling Stone Books editor Alan Rinzler who, in trying to wrangle the manuscript for Fear and Loathing on the Campaign Trail out of legendary procrastinator Hunter S. Thompson, ended up chasing the godfather of gonzo journalism around a hotel room for 48 hours with a tape recorder in hand. Unable to write, Thompson literally dictated the bestseller.

I never reached that point. What saved me, every time, was a deadline. Faced with no alternative but to produce, the words flowed. In the end, I simply lowered my standards and trusted that what came out of my experience and craft would be good enough.

In his article, Richards quotes a letter from reader Chip Scanlon. Scanlon, a writer himself, recounted how he overcame writer’s block: “I do my best to not have any standards at all. I abandon my standards. I urge myself to write badly, and once I do that my fingers begin to fly, and the inner critic is powerless.”

Does your inner critic ever keep you from completing work? How do you overcome it?

The fire swamp of health reform PR

What the Princess Bride Can Teach Republicans About Health Reform PR

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Dear Republicans, welcome to the Health Reform PR Fire Swamp (HRPRFS)! Like the Fire Swamp from the Princess Bride, the HRPRFS features several obstacles that did tremendous damage to the Affordable Care Act. As Republicans are hurtling forward with their ACA replacement bill, now called the American Health Care Act, it’s time to reflect on the Democrats failures. Here’s how Democrats fared against the Fire Swamp’s terrors, and how Republicans might avoid the same fate:

Flame Spurts: In the Princess Bride, flame spurts erupt seemingly unexpectedly in the Fire Swamp. But on closer inspection, it is discovered that a distinctive popping sound precedes each flame spurt, making them easier to avoid.

In the HRPRFS, it’s very clear that flame spurts erupt every time a blanket claim is made by a health care reform bill’s proponents. Case in point: former President Obama’s claim that “if you like your health care plan, you can keep it.” This statement will go down as one of the worst PR blunders of the Obama Administration. The reality was that 4 million people on the individual market had to switch plans, in many cases because their old plans did not meet the minimum creditable coverage standards imposed by the ACA. But it’s too late for explaining once the flame spurts have burned you ask Princess Buttercup.

Republicans seem to have learned something from the Democrats failure to avoid these flame spurts. HHS Secretary Tom Price, speaking earlier this month, stopped short of saying everyone would be able to keep their doctors with the ACA replacement bill, instead saying “Our goal is absolutely to make certain that individuals have the opportunity to select their physician.”

Rodents of Unusual Size: The Fire Swamp in the Princess Bride featured giant, gnarly rats with sharp teeth. The ACA, meanwhile, got hit with Premium Increases of Unusual Size. When it was reported last fall that premiums on the Arizona Health Exchange would grow by an average of 116 percent for a mid-level plan, those affected were outraged, and Republicans found a new rallying cry for their claims that “Obamacare is collapsing”.

Just one insurer remains in the market, down from eight health insurers last year, after the payers priced the products too low to adequately cover the costs of a sicker risk pool than had been predicted. It was reported at the time that just a small percentage of Arizona’s population buys their insurance on the ACA marketplace and that most of those receive subsidies to absorb those large increases. But it almost doesn’t matter.

After hearing those Premium Increases of Unusual Size, everything else just sounds like a dull hum. Those big numbers stick in the imagination of the public and explaining, again, is fruitless. Earlier this month, The New York Times tried again, publishing an interactive feature explaining that only 3 percent of Americans face ACA premium increases, because everyone else either has employer-sponsored health plans, which have faced modest increases in recent years, or they receive subsidies to cover large premium increases.

Republicans faced their own Rodent of Unusual Size when the Congressional Budget Office estimated that 24 million Americans would lose their health insurance under their proposed replacement bill. They attempted to defuse the anticipated RUS by discrediting the CBO ahead of time, explaining that the non-partisan agency had previously been wrong on ACA insured estimates. But that tactic mostly failed, and Republicans are busily amending the bill to try to reduce that 24 million uninsured number, while also appeasing conservatives who want to further limit Medicaid spending.

Lightning Sand: Another of the three terrors of the Princess Bride’s Fire Swamp is lightning sand, a drier and quicker form of quicksand that swallowed up Buttercup in an instant. When it comes to health reform PR, the lightning sand tends to suck in any positive PR, making it instantly disappear in the shadow of bad news.

The dominant story of the ACA over the past several months has been high prices and few choices for consumers. This narrative has drowned out more positive stories, such as how the ACA has enabled a large number of small business owners and entrepreneurs to access health coverage. The health reform PR lightning sand has also tended to bury encouraging ACA cost data. For instance, the federal government saved $7.4 billion in avoided payments to hospitals to cover the uninsured known as the uncompensated care pool in one year alone, 2014. More than two-thirds of these costs were avoided due to Medicaid expansion, a part of the ACA which is now in Republicans crosshairs.

Republicans are getting their first taste of the lightning sand, as the CBO estimated that their ACA replacement bill would save $337 billion, but it was quickly buried by the fact that the bill would increase the ranks of the uninsured by 24 million (See: RUSes, above).

**BONUS**

Bog of Eternal Stench: The pitfalls of health reform PR cannot adequately be contained by one 1980s fantasy film. So, I’ll offer Labyrinth’s Bog of Eternal Stench as an important cautionary tale for Republicans as they move their ACA replacement bill through Congress.

When it comes to PR, a botched launch stinks for a long, long time. The healthcare.gov debacle haunted the ACA for years. It severely hobbled the credibility of the Obama Administration’s health reform efforts, as well as causing actual harm for some consumers who were unable to sign up for new health plans in time. Reporters continued to write about it as late as 2016.

Republicans will necessarily have to overhaul or completely replace the federal exchange. State exchanges will also have to change dramatically to accommodate new plan designs, pricing structures and tax credits.

If Republicans decide to eliminate the exchanges, they will need to figure out how Americans will access these new plans instead. In any event, this upcoming transition is ripe for technical and operational challenges that are likely to have real human consequences. Republicans would do well to prepare the public ahead of time for road bumps, while maintaining realistic internal timelines.

Putting the Fire Swamp in the Rearview

In the Princess Bride, Buttercup and Westley manage to best all the Fire Swamp’s challenges and live happily ever after. Robin Wright has moved on from hapless Princess to shrewd First Lady, as Claire Underwood on House of Cards, with a very promising political future.

But that’s only in Hollywood. The only escape from the health reform PR Fire Swamp, it seems, is to hand off responsibility for crafting and executing the legislation to the other party. Democratic House Leader Nancy Pelosi has been clear, it’s the GOP’s Fire Swamp now. It’s Republicans turn to listen for the popping sounds before the flame spurts, and do their best to set Americans expectations about what this new incarnation of health reform will and won’t accomplish, and within what timeframe.