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WHY DO WE NEED TO INCREASE OUR "Best alternatives to a negotiated agreement" (BATNA) in Health Care Reform ?

Because if we don't, there is no "negotiation" only their DICTATION to us. They care not for human lives, only MONEY.

International travelers are familiar with the situation. Americans, stranded in a hostile healthcare environment, surrounded by dangerous, potentially life threatening practices, buy what is known as "Medevac insurance" that promises to literally pick them up and fly them away to the nearest civilized country for medical care, if they should suffer a life threatening emergency.

The cost, although high, is often nowhere near as high as the potential cost of inaction, of letting the local "doctors" and chiefs, perform their potentially dangerous rites, life draining "policies".

Local 'providers' are feared because they charge what they CAN, in an extremely in-elastic "free market".

To increase your negotiation power, increase your BATNA. Politicians have all the power, and people none. Politicians like that. People need to increase their BATNA.

Increasing our BATNA. (this piece about it is from Wikipedia, which is a better place to read it because there, it has live links)

Basically, BATNA proposes that in any negotiation, negotiators be prepared to take care of their needs via some alternative method. They should be able and willing to walk away from any bad agreement. Before negotiation - and in this case, until satisfactory resolution is found, which may take decades.

Drug reimportation was a powerful tool for BATNA, but of course, the extortionists could not allow that, they destroyed our hopes for that, in one of the clearest indications of what their real intentions are.

BUT, this is a potentially life threatening situation for millions of Americans. By making provision for alternative means of survival, even if it means for many, leaving the United states and thriving elsewhere, we each increase all of our BATNA. We must show them that they may need us, (as food?) but ideally, via smart thinking, we don't need them. Because UNLESS we do that, we will never get anything even marginally acceptable.

BATNA stands for "Best alternative to a negotiated agreement" and its described thus..

"In negotiation theory, the best alternative to a negotiated agreement or BATNA is the course of action that will be taken by a party if the current negotiations fail and an agreement cannot be reached. BATNA is the key focus and the driving force behind a successful negotiator. BATNA should not be confused with the reservation point or walkaway point.

A party should generally not accept a worse resolution than its BATNA. Care should be taken, however, to ensure that deals are accurately valued, taking into account all considerations, such as relationship value, time value of money and the likelihood that the other party will live up to their side of the bargain. These other considerations are often difficult to value, since they are frequently based on uncertain or qualitative considerations, rather than easily measurable and quantifiable factors.

The BATNA is often seen by negotiators not as a safety net, but rather as a point of leverage in negotiations. Although a negotiator's alternative options should, in theory, be straightforward to evaluate, the effort to understand which alternative represents a party's BATNA is often not invested. Options need to be real and actionable to be of value[1], however without the investment of time, options will frequently be included that fail on one of these criteria.[citation needed] A Program on Negotiation Executive Seminar experiment and other experiments have demonstrated that most managers overestimate their BATNA whilst simultaneously investing too little time into researching their real options.[citation needed] This can result in poor or faulty decision making and negotiating outcomes.

BATNA was developed by negotiation researchers Roger Fisher and William Ury of the Harvard Program on Negotiation (PON), in their series of books on Principled Negotiation that started with Getting to YES, unwittingly duplicating a game theoretic concept pioneered by Nobel Laureate John Forbes Nash decades earlier in his early undergraduate research."

What are some of your BATNA-increasing ideas.. What would you do now if you had a crystal ball, and saw the future, and saw that the politicians planned to lead us around in circles, indefinitely, until they lose to the GOP, making HCR their problem. And of course, nothing will happen then, either.

If you have a chronic illness, what do you need to do to insure your survival? How can you get better? How can you reduce your reliance on evil or expensive people? Can it be leveraged to help other people too?

If this seems a little fragmented, its because I'm not feeling well, and writing on a tiny laptop screen.

Originally posted to Andiamo on Sun Jan 24, 2010 at 07:36 AM PST.


Does American need to increase its BATNA?

36%4 votes
63%7 votes

| 11 votes | Vote | Results

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Comment Preferences

  •  Tip Jar (2+ / 0-)
    Recommended by:
    marina, HoundDog

    End Corporate Personhood! SCOTUS1886 Santa Clara County v.Southern Pacific Railroad was fraudulent!

    by Andiamo on Sun Jan 24, 2010 at 07:36:03 AM PST

    •  Tip: Suggest Moving Definition to the 1st or 2nd (1+ / 0-)
      Recommended by:

      sentence instead of all the way at the end.

      We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

      by Gooserock on Sun Jan 24, 2010 at 07:50:56 AM PST

      [ Parent ]

  •  This wasn't quite clear to me (0+ / 0-)

    Maybe you could expand on it a bit?

    •  In a deal, each party wants to reach... (0+ / 0-)
      their goal, whatever that is.

      When goals are conflicting, each side reaches it's goal at a cost to the other side.

      This triggers negoiation, in that decisions about that cost and matters of worth come into play.

      There is a truism:

      If you can't walk away from a deal, you will pay the highest cost you can bear, and the deal will not be equitable.

      This diary is about making sure you have a place to walk to, so that you can walk away from a deal, and reach an equitable solution.

      It works because the other side, upon learning you can't walk away, will simply extort you, forcing the high cost.

      If they know you will walk, then they will deal equitably, because achieving their goal is worth something to them, and something to you, resulting in an equitable arrangement.

      This is an extremely important life concept.  Comes into play all over the place, not just business deals.  It can be as simple as who drives to the grocery store!


      by potatohead on Sun Jan 24, 2010 at 10:48:04 AM PST

      [ Parent ]

  •  You can't look at one party's BATNA ... (1+ / 0-)
    Recommended by:

    ... in isolation. In a negotiation, the party with the better BATNA will usually get more of what it wants. The GOP already have the best possible BATNA: Do nothing at all.

  •  I spend a lot of time in a country without what (0+ / 0-)

    is considered a modern medical system. Contrary to what many think it does have a fairly good medical system if you can get to a big town. Another couple hours and you are in a modern hospital Aek Udon a half hour flight and you are in one of the most modern equiped hospitals in the world. No they have no socialized medicine but prices are so cheap you can just pay for things. I'd give anything to have medical insurance that would pay for a flight to Bumrungrad and out of the United States in the event of a real emergency.

    Unfortunately for the 30 million without insurance, and the untold millions with very poor insurance, any health care is much better than none. That is the conundrum the bill killers never seem to realize. Easy to allow others to die, but what if it was you? When it's 11pm and my kid's temperature has broken 106 we go to the closest place.

    Until we have good health care for all in the US I'd like to please ask you not to work to deny care to me, my wife, and my children. Thanks.

    "Don't fall or we both go" Derek Hersey

    by ban nock on Sun Jan 24, 2010 at 08:00:35 AM PST

    •  Your're wrong (0+ / 0-)

      Without good BATNA there will never be any "good HCR" only false hope. Your trust is like money to them, but they wont "spend" it the way you want them to, they will SPEND it the way they want to. They have NO intention of ever giving you anything.

      People have to INCREASE THEIR BATNA.

      End Corporate Personhood! SCOTUS1886 Santa Clara County v.Southern Pacific Railroad was fraudulent!

      by Andiamo on Sun Jan 24, 2010 at 08:03:19 AM PST

      [ Parent ]

      •  Time = money (0+ / 0-)

        Every year of delay is worth TRILLIONS to them.

        End Corporate Personhood! SCOTUS1886 Santa Clara County v.Southern Pacific Railroad was fraudulent!

        by Andiamo on Sun Jan 24, 2010 at 08:20:24 AM PST

        [ Parent ]

      •  I think you should forget about your BATNA (0+ / 0-)

        and think about real people sometime. SCHIP, Medicare, and Medicaid, aren't an illusion. I see no difference between your "just say no" and the "just say no" of the Republicans, in the end it's nothing.

        If we had gone ahead and passed a bill we'd have one now. We took too long and peole know that now. My senator told me yesterday that he has learned from his mistake of going too slow, extending a hand across the aisle, and expecting others to negotiate in good faith.

        What about you, do you learn from mistakes?


        Mahosot Hospital Vientiane compound fracture with metal both sides around $300 extra for meds and bandages.

        "Don't fall or we both go" Derek Hersey

        by ban nock on Sun Jan 24, 2010 at 08:22:59 AM PST

        [ Parent ]

        •  I'm not saying "just say no" (1+ / 0-)
          Recommended by:

          I'm saying just say "know" KNOW YOUR BATNA and learn what you can do to survive without politicians and their lies if need be.

          And share it. The way they enslave people is through debt. The fewer people they ensnare with their lies, and false hopes, the better.

          End Corporate Personhood! SCOTUS1886 Santa Clara County v.Southern Pacific Railroad was fraudulent!

          by Andiamo on Sun Jan 24, 2010 at 08:30:12 AM PST

          [ Parent ]

        •  The problem with this, is often they simply (0+ / 0-)

          won't grant that consideration, or value it much lower than you do.

          Information in dealings is king.  The more you understand the other party, the more you know about their value judgements.  

          You then can employ this concept, express it in very high value terms they can understand (because you know them), and see an equitable arrangement.


          by potatohead on Sun Jan 24, 2010 at 10:50:21 AM PST

          [ Parent ]

  •  I like this diary. Well Done. (0+ / 0-)


    by potatohead on Sun Jan 24, 2010 at 10:38:09 AM PST

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