Of days we remember

A group of my friends meets to discuss soul searching questions like how does one live a purposeful happy life. Recently we talked about the purpose of commemorating dates - birth(day)s, anniversaries (of events and people), graduations and so on - in our lives. Dates are an opportunity to reflect on the paths taken, the successes achieved and the lessons learnt. They are also a way to remember the people who came into and those who left our lives, and to renew our old resolutions and make new ones.

With this thought, here is this post, to commemorate a day in mine!

Life Changers - Finding meaning through Amy

As I look back, whenever I thought I was struggling (professionally or personally) in life is when I have done the most meaningful work. This post is meant to be a part of the series of reminisces of those time periods.

A few years ago, I was involved with an organization dedicated to the cause of the domestic violence victims in the tri-state (New York - New Jersey - Connecticut) area.  Let’s call it – ‘Life-Changer’. Life-Changer is very particular about confidentiality to ensure the safety of their clients and people who work with them, their staff and especially volunteers.  It office location and shelter addresses are secret. It doesn’t give references to its volunteers. It also avoided social media presence and web activism till recently.

Apart from the fact that women’s causes naturally resonate, a big reason I joined Life-Changer was guilt. I regret not doing enough for someone very close who went through a tough situation in her life. But as I look back I realize that the work I did gave me a sense of purpose to anchor my own life. Apart from helping with their outreach, marketing and activism, I worked closely with few of Life-Changer’s clients. This portion of my work was the most rewarding.

On my first such case I advocated for Amy (by now you know that’s not her name). Amy married someone from her own country and moved to the United States with him.  She needed to get a US passport for her recently born baby. The Life-Changer staff member who was working with me had told me the details of the case. Amy had been here for less than a year. Like many women who move with their husbands, Amy wasn’t eligible to work, and had no source of income.

I met Amy at the steps of the court-house. This was her third visit. Passport application for a child needs to be signed by both parents. Only problem was that Amy’s husband deserted her before the child was born and Amy had no idea where he was.  We said hello and talked a bit using signs. Amy spoke little English. This was a woman living alone with a newborn baby in a shelter. Amy was in a country different from her own; she was not very fluent with the language and had almost no support structure. For someone going through all this Amy was really strong. I was worried earlier, but I realized apart from the language, Amy didn’t need me much.

We went in the court. I did my part – filled up the baby’s papers, presented them to the officer and just before she was about to put the rejected stamp on our application - told her Amy’s story, mentioned the relevant exception to the law and presented the documentary evidence. She was sympathetic and filled an additional document to expedite the case while we were standing at the window and the others were waiting. I thought she must have seen many such cases before.

Amy was happy when we came out of the court.  She understood that her application was accepted because the officer hadn’t given it back to her. I tried to tell her that she should get her son’s passport in week to ten days.  I wanted to walk with to her public transport location and make sure she could take the right route to the shelter. She politely refused. As we said good-bye she hugged me. I watched her go. Amy was ready, to take the world on her own. She would be first of the many women who I will learn from.

Now that I am in a different geography, not actively involved I think I can actually use the real name instead of Life-Changer. I should think about that.

Book Update :  After my recent tryst with psychology and history am back to fiction. Read, 'A Walk Across the Sun' and 'The Girl Who Played with Fire'.  

Why Do I Volunteer?

The most important of life's lessons do not come to you while you are managing P&L's and fretting over project schedules. They often land in your lap when you take the time (or are forced to) to sit back and reflect.

Nice Guy is this American teenager I met during one of our outreach sessions. The weather was biting cold and we were distributing hats, gloves and sweaters. He told me he didn't need any. We started talking to the other kids. He stood in a corner and then came around to ask me if he could take a cap and a pair of gloves for a homeless friend who wasn't around. I have often met kids/ young adults do not trust adults immediately. One of the first lessons homeless kids learn on the street is that admitting you are homeless makes you an easy target for predators. I thought Nice Guy wanted this stuff for himself and he was either shy of asking or lying to us. Nevertheless, I gave him whatever he needed. He told me that he lived with his aunt in Brooklyn for personal reasons. He didn't give me the details and I didn't push. I thought his eyes were misty when he asked me, "Why do you do this?" I didn't know what to say. I had started getting involved with non-profits in the US initially to find something to do with my long empty days. But you don't want to say that. You want to give a grand answer about how you want to change the world. I blabbered something inconsequential.

Suddenly Nice Guy spotted someone. He called over and handed over everything I had given him. I tried to find out more about Nice Guy. He worked at a Pizza outlet. I asked him if he made enough money. I wanted to make sure he wasn't going to go hungry that night. He told me, "I work 12 hours a day and overtime pays very well. I can even buy stuff for my friends sometimes." He had applied to college and had received an admission offer. He was going to do a bachelors degree and major in finance to get a job that, "will lead to great career." (To put things in context he was most likely planning to work through college to pay for his tuition and living expenses). Nice guy didn't want anything from the world except opportunity and he had no complaints. We shook hands and I wished him well before leaving.

When someone asks me next time, "Why do I do this?" I think I know better. I volunteer because it gives me opportunities to meet people like Nice Guy. It motivates me and makes me feel grateful for what I have. For the sake of Nice Guy I also wish and hope that Finance does lead to a great career, in spite of everything that is going on.

Book Update: SuperFreakonomics (Levitt and Dubner) – The book is an easy breezy read with interesting stories. However some parts are oversimplified such as those about climate change solutions. Often correlation is taken causation. It looks like the interest of the authors was in telling memorable stories from uncommon point of view than real research.

The Wharton India Economic Forum: Healthcare (India versus US)

On Saturday, March 27, 2010 I attended the 14th Wharton India Economic Forum. So I believe the event started in 1996 marking five years of liberalization of Indian economy. There was an impressive list of speakers. You had people from Private Equity, Information and Technology, Social Sector, Healthcare, and Education and Training. There also was panel of woman leaders talking about issues of glass ceiling at workplace.



In the morning, I attended the healthcare panel. I found the Sangita Reddy, (Director, Apollo Hospitals) had the most memorable insights. She pointed out the efficiency of health care services in India by comparing the back office & administrative costs in the two countries; 7 percent in India versus 25 percent in US. I am impressed that India has basically managed to keep the cost of a by-pass surgery stable for 27 years despite the high rate of inflation. She underscored her point by mentioning that Indian doctors were more willing to do a 'Beating Heart Surgery', a very complicated procedure that saves costs and has a greater probability of recovery. Apparently, 97 percent of heart surgeries are beating heart in India versus less than 10 percent in the US. You would think that a country as technologically advanced as the US would have adopted an advanced technique. This underscores the discussions about healthcare that I have with my friends, some of them healthcare professionals. They insist that in India doctors are more efficient and more willing to actually 'treat you'. My take on this has always been that a society with such a high instance of law-suits and 'do no harm' principle causes doctors to cover their backs first with multiple tests, before initiating any treatment. The inefficiency in the system is greater because the payment is made by a third party. Since the money appears to go from the insurance company's pocket, neither doctors nor patients are concerned about efficiency. Remember, your insurance premium is actually a 'sunk cost', money that you have spent anyway.



Bhargav Das Gupta, CEO and MD, ICICI Lombard talked about the new products to finance healthcare in India, especially for really poor people. The low penetration on insurance (less than 5%) is an opportunity for insurers, but the low awareness a huge challenge. Only yesterday I was reading how Indians do not care much about health insurance. There was the perennial subject of drugs patents and generics and branded drugs, and the long winded process to discovery of new drugs. What really stayed on with me was an interesting tit bit about ingenious water filters. Homi Khusrokhan, Advisor to Tata Healthcare explained how the Tata's successfully developed an extremely cheap water filter that removes 99.7% bacteria from water using burnt rice husk and nano silver, without power. On a personal note, I really liked Khusrokhan, the man had a wealth of experience with a really humble Lucknowi demeanor. The composition of the panel was extremely impressive. The organizers had ensured that there were representatives from delivery (Apollo), pharmaceutical (GSK and Excel life sciences) and the payers (Tata Healthcare, ICICI Lombard and GSK Venture), ensuring that all aspects of this complex issue are covered. I hope to write about other panels and speakers in my later posts. In the meantime you can have a look at the complete list of speakers & panel members here

Books Update: I am back to fiction for the time being. Finished 'Memoirs of Geisha' sometime back. Loved the portrayal and discovered few unknown aspects of the traditional Japanese culture

Canadian Impressions: February 2010

Recently, I was in Canada for a few days. It was my first visit ever to the country, and left me desiring for more. Canada may not appear foreign if you are an American, because you don't need a visa to travel there. But I did find Canada to be very different from USA. And, since I am comparing apples to apples - Toronto to New York - I think my impressions are representative. First, the Canadian winters. The average daytime temperatures are about 10 degrees lesser than those in the New York east coast area.

I landed there pretty early in the morning on a Sunday, 7 am, hoping to make the most of day (and also for some reasons beyond my control). We later walked the streets of Downtown Toronto scouting for breakfast. We moved from shop to shop looking at the operating hours. None of them would open before 10 am. By 9:30 am some Starbucks opened up. Though I was grateful, if you have been up since 3 o'clock in the morning, you want food by 9 am, not just a coffee with a snack. Lesson number one - Canadians are in no hurry to open their shops on a Sunday. Be prepared to wait till 10:30 am if you want a proper sit down breakfast. There weren't too many (rather any, when we started) people at the Younge Street - believed to longest in the world - even in the downtown area. Finally by midday few people started venturing out.

In a few hours you understand the reasons for the Canadian way of life. It was freezing. Further movement was subject to a hat and a pair of warm gloves. We finally gave up and had a juice and a pretty average Thai soup. The only thing great out the soup was the potion. I closed my day with a very early dinner. The biggest reason, almost all dining places closed by 6 pm. I returned back to the hotel by 6 pm to sleep for a good 14 hours. What better lesson in hibernation can you ever get.

Armed with the lessons of day 1, we begin day 2 in a relaxed Canadian way. Monday is the first day of the week and I noticed is the laid back and balanced Canadian life versus New York. The operating hours of a bank branch that I visited- 9:30 am to 4:30 in the evening. Compare it to 6:00 pm for a similar institution in New York. Or Indian public sector institutions, which work from 9:30 am to 5:30 pm. ICICI Bank, a private bank I was closely associated with as a part of my job in India, has its branches open from 8:30 am to 7 pm. Indian public sector banks which used to have their customer service hours from 9:30 am to 2:00 pm, have extended them as computerization has reduced the amount of manual work involved. However, the merit of timings become apparent after 5 pm when the winds become really chilly. You feel a strong desire to not go out unless you really have to. But a lot of eating and drinking places are open late on weekdays. I mean late by Canadian definition – 11 pm. We adapted to style of Canadian commerce and skipped our breakfast for an early lunch instead.

The rest of our stay passed nicely. Though we saw all around the Downtown, the Financial and the Theater districts, I decided against venturing too far out. I also tried this great place that serves vegetarian cuisine from around the world. We also met an old friend Karan, who is now settled in Toronto. Few other takeaways from the visit, Toronto isn't full of Indians as a lot of us think. I spotted fewer Indians than I usually do walking in Jersey and New York. Karan insists that it is the most cosmopolitan city in the world though I disagree. I believe the place has far fewer people of Asian – Chinese, Korean, and Japanese – origin too. The population is largely Caucasian White. I didn't visit the Greek, Chinese or Indian settlements around the city. But it does have food from all over the world, lots of Thai places, tea houses, Chinese restaurants, Sushi places and Pizza outlets. The public transport if good with Subway in the north to south and streets cars (buses or trams if you prefer) that run on rails in the east west direction.

Colder Toronto weather; higher transient population or the tougher corporate life in New York could all be possible explanations. But all of them lead to the conclusion that Toronto is more focused on family and having a relaxed balanced life as compared to New York. (Btw, Toronto is a more expensive city than New York.)

HOPE 2010 New York: A lesson in involving volunteers

Last week, I got an opportunity to lead a team for New York's annual HOPE (Homeless Outreach Population Estimate) survey. I didn't know what to expect while entering the public school near 33^rd street. But there was anticipation because we were there to help the Department of Homeless Services (DHS) plan out their services. Outreach itself didn't scare me much. I have been doing that for three months for my own non-profit. Though the idea of staying out to walk the streets the whole night was slightly unnerving.

The volunteers signing us in were glad to find that I was a team leader. Good! The materials you need are on your table, they said. In the large room probably used for the school grade assembly I found almost 200 people sitting with their teams. I hadn't signed up with friends. It worked out well because I made four new.

The training, instructions, press coverage and all took us about an hour. Time the efficient me utilized for checking the maps and plotting our most efficient path one end to the other. It was good because we were given four staggered areas to survey.

We discovered before leaving we were one of the few teams with police escorts. Looking at our volunteer tags the MTA driver let us in without swiping our metro cards. Royal Treatment. We walked the streets for the next few hours, offered help to homeless that me met and even got a ride on the NYPD vehicle. When we returned, there again were clear printed instructions on what to do with the data we had gathered.

The whole event was very organized. The training material was simple with flowcharts, checklists and color coding. I shouldn't have been surprised. The material was designed by School of Professional Studies (SCPS), NYU for DHS. I made a mental note that to involve volunteers for activities like this you need to have material as crisp and clear as that. The organizers made sure we had everyone's contact information and note down ours. In a operation like this, steps like these ensure that everyone feels and is safe. Apart from a satisfying experience, I returned home with valuable lessons in how to best use of volunteers.