Saturday

Letter to the Editor (Surrey Leader) - December 9, 2006

Dear Editor,

This is in response to a letter (“Supply Demand Health Care”)

When proposing Supply and Demand solution for health care, the write of the letter forgot to consider a little economic nuance referred to as “elasticity”. Let me explain. In essence, the concept of supply and demand works well when there is a scale of options for just about any price point. Using the restaurant food analogy employed by the letter writer, if one does not have enough money to buy caviar he could always revert to ordering piles of bread, or if going to Four Seasons is prohibitively expensive one could always consider Denny’s or McDonald’s.

When one’s ample choices to spend as little or as much he wants are met with ample offerings ranging from lobster to haggis, the system works like a charm. In this case, supply and demand are referred to as “elastic” by people with large craniums at UBC. Now, let’s consider health care.

A rich person and a poor person have just broken their arms. Both want their arms fixed ASAP. Who gets the service? There are no scaled-down solutions outside of a hard white cast, and neither is prepared to wait for another minute, they are united in unbearable pain. Suddenly, our demand side just become “inelastic” i.e. either patient is willing pay what it takes. The poor is willing to mortgage his house just to get his hands on that white cast, there are simply no alternatives and the concept of “market” price simply ceases to exist. Unrestrained, suppliers are free to set prices at will.

Let’s consider the supply side. It is hardly more elastic with their ranks controlled by medical schools seats and residency openings. Remember you need years in school and a licence to practise, a way more restrictive process than opening a restaurant. Now, with medical school, residency and licensing, the process is controlled by governments in consortium with a little cartel called the Canadian Medical Association. Result: inelastic supply and even higher prices.

In conclusion, industries that exhibit inelastic traits beg for regulation. Just look at California where they tried to de-regulate another inelastic commodity called electricity in the late 90s. Now Californians pay sky-rocketing tariffs, some lost their shirts and Enron brass found themselves behind bars – splendid!


Respectfully,
Alex Posoukh, Surrey

Thursday

Letter to the Editor (Surrey Leader), December 7, 2006

Dear Editor,

This is in response to your recent editorial on health care (“The Popular Choice”)

Reading your latest salvo in the health care debate, one could not help noticing a certain lack of balance in your latest instalment.

Firstly, measuring health care costs versus total public expenditures is less objective than measuring them to our total national income, a much more objective measure. The very nature of total public expenditures is dependent on various levels of desired taxation and commensurate services. Consequently, comparisons between health care costs and total public expenditures could vary wildly and widely in response to drastic changes in various governmental policies relating to taxation and services. Just imagine cutting one’s food budget by 20% through forgoing junk foods. Will this not result in dramatic increases of carrots costs when compared to the remaining food budget? Have carrots become less affordable? Of course not!

When we use GDP, we don’t run into such issues as the cost of carrots remains the same versus one’s total income. By this measure, our health care costs have hardly budged over the past ten years, growing at mere 1.5% per annum in growth adjusted dollars, and all increases are due to introduction of new drugs, therapies and treatments. There is hardly a crisis, as Canada annually spends $60 BILLION less when scaled against the US system while producing better health outcomes.

Secondly, if we believe that our public system is breaking, why do we lean on private solutions? According to World Health Organization, best health outcomes with no wait lines are exhibited by France and Sweden, the very systems that already incur more in public health care expenditures than Canada. Would promoting heavier private expenditures be simply illogical?

How do the French manage their system and yet spend roughly the same? The answer is surpsingly simple: they have 50% more doctors per capita and these doctors make considerably less than ours. Can we replicate their system? Not likely. Can we improve? Probably. This depends on the will of our governments, as one cannot expect much cooperation from the Canadian Medical Association. Their new leader, Dr. Day of False Creek Surgical Clinic, will do much better with private although it is unequal in access and certainly no less expensive. Just check out his fees and compare them to fees paid by the government for identical procedures. Will his efforts reduce wait lines? Not in our lifetimes, but he will certainly do better financially. Who can blame him?

Respectfully,
Alex Posoukh, Surrey

Wednesday

Health Care Debate as if There Was One


A brief history of Health Care and More

Being relatively young and healthy is a great gift bestowed by the Almighty on most of us at some point in our burdensome lives. During these blissful moments everything around us shines with perpetual gloss of unbound enthusiasm and freedom. Alas, such moments are not the only ones we would have to live through. Sure, some would be lucky enough as to just drop dead, unexpectedly in full swing of seemingly healthy existence. Some would achieve the almost impossible through some unfortunate air collision or a car crash. The rest of us are not as lucky as we would witness our own slow exit from our Earthly existence in an incessant succession of personal misery and pain otherwise known as dying of age-related causes or of a long-fight against a serious disease.

Unfortunately, God hardly ever gives us any indication of solid timing. He does not typically shed light on our current situation that marred in strong preoccupations with survival. Had he done so our health care system could have cost us less than its worth to give any sizeable thought to – just like a daily cup of coffee. Well, He does not…

The result is perpetual preoccupation with health care drain on our budgets, wallets and anything else remotely resembling things of value. We all have to have it regardless of circumstances and priorities. When it comes to health only big “I” is capable to give all the answers one truly needs. Even in the direst of situations compounded by multiple wounds and aged wrinkles, an instinct of self-preservation rules paramount, demanding the best and the latest - a plain unmitigated nightmare in other words. Perhaps…


Early Dabblers
Let’s have a brief look at history for whatever educational value it might be worth to see how our ancestors coped with lack of X-rays machines and vasectomy. Starting with ancient Egypt, we find some of the earliest signs of what is currently referred to as health care system. Some folks then, claiming to possess some special and inordinate knowledge, achieved a highly regarded and professional status of healers. They were true privateers. Loathing to till their Nile-drenched fields, they felt smart enough to con others into believing their powers. Conning the next door neighbours was kind of pointless though, as these barely survived most of the time and could not afford much of health care. Those conscripted into slavery trains of pyramid builders did not fare much better. Healing rich officials and priests was a considerably superior business. Getting into the pharaoh’s chambers was the sign of ultimate success save for certain mood swings of their charges that threatened windy gallows on occasion. If avoided, the rest was a piece of cake – scrape some rodent dung, cook up some rat-hide stew and viola, you have a magic potion for everyday needs. All future pharaohs loved the results, as one did not have to wait too long to succeed a previous god, dead in his late teens with an incomplete tomb and chest-full of treasuries – marvellous! Contractors could hardly believe their luck in having all those orders for ever more megalomaniac piles of rubble. Healers hardly did worse as ubiquitous rat-hide stew worked even better on dead people since even maggots refused gold-plated offerings in opulent sarcophagi.


True Fathers
Many scholars argue about reasons of Egypt’s ultimate and somewhat untimely demise. I do not harbour any such nuances – the doctors killed them! Just think who came in their stead – the Greeks. These guys were way more successful due to their much more egalitarian zeal that resulted in bringing health care to the masses. Suddenly, with all that equality, new standards and daring breakthroughs in the profession, doctors disowned their rodent friends. Indeed, our medicinal fathers indulged in dissecting, testing and studying; hence actually managing to bring enormous and positive change. In addition, an upright colossus of a physician named Hippocrates designed a special code of ethics denying some particularly sanguinary brethren a chance to experiment too much – calling patient care a virtue paramount. Imagine that! All were called to some unusually enlightening complex of egalitarian and ethical treatments – what a notion. Not surprisingly, ever since such benevolent approach to treatment of ever cranky, selfish and even some outright non-paying customers led to a rise of one of the greatest civilizations whose core values we still extol.


Unworthy Followers
Then came the mighty boot of Rome. These folks loved to pay lip service to Hippocrates and the like. One of their rank with a humble name of Octavian designed a funny habit of calling himself “first among equals” while seating on a whole pile of porphyry marble atop the Palatine – what a gall! Well, at least he still had some access treasury left, showering his subject with much games, bread and general welfare. Doctors, still somewhat regulated by “do no harm” principle still figured in the scheme of social equality. Well, not for long as Octavian’s many and expansionary successors managed to deplete his treasury and kill his very creation otherwise known as the Eternal Empire. Now, with only rats left running in the rotten treasury boxes, doctors, being above average in smarts, ran off the mythical ship. Everyone in that inconvenient pain and death realm was now back on their own just like in good old days – with the best Greek advances available only to those with purse or sword, or preferably both. The Rome was rotten, slowly dissolving into grey and brutish fabric of Middle Ages. The state was no longer responsible for your unhealthy choices of poverty, bad wine and general lack of luck. C’est la vie, buddy!

It seemed that our great human experiment made its final and irrevocable turn, attending to better fed, housed and sworded with some valiant exceptions moved by God and touched by compassion. Unfortunately, likes of St. Francis of Assisi could not single-handedly assuage all the ravages of egotistical desire to live, the very desire that finds its apogee on the bed of sickness like no other. No amount of holy compassion was enough to revive altruistic roots of Hippocrates and the profession was set firmly on rails of deregulation, private payments and underinsurance. Needless to say, it did not bode well for majority of patents. Rats had a particularly good time. Some of their travelling cohorts even managed to bring much in a way of exotics. Humans were finding some spices and artefacts particularly attractive, rats were not far behind managing to smuggle in a little known novelty that came to be feared as Black Plague.

The results were quick and decisive – the Plague wiped out about third of living humanity that called Europe home. Fortunately, among the victims were some doctors whose alchemic ways could always have done even more harm. Was Hippocrates turning in his bed yet? I do not know exactly, but the deplorable state of private health care persisted all the way to the edges of the Victorian rule with some minor exceptions.


Recalling the Roots
The first ones to disrupt the insolent parade of needless blood draining were the Dutch who aspired to some sort of equality when seated on the pile of riches they acquired through ship building and trade. Besides, I do not think the rulers of this tiny dot on the map could do otherwise. Had they hoarded the treasures from wider masses, we might still be calling it Spain. Here in the low flood planes around trading Amsterdam and ship-building Rotterdam, people realized the social value of keeping the populace generally healthy – a good but not a novel idea. After all, if you lose a couple of knowledgeable captains, a whole multi-million guilder expedition might go to pot. Needless to say that despite all that water the rats did not like the place, and health care, although still very private, became somewhat affordable and certainly available as many seemed keen on keeping some of the ancient Greek idealism. There were true progressives.

OK, OK, sure it is easy to talk about tiny Holland as a paragon of virtues. But what about a bigger place, with much less wealth, health and way more in political scores to settle. Here, looking at Holland the folks scratched their heads for nearly a century, itching to affect change. Then came Marat, Robespierre and the bunch. They tinkered with empty sloganeering, destructive parading and general nuisance for a short while. When all their attempts at raising hell fell mostly on deaf and well-perfumed ears in Versailles, they got a bit pissed off and pulled a few nasty stunts. Gone was the king, and Maria Antoinette’s pale head rolled off the scaffolding. In exchange, the rag-tag masses got their “Liberte, Egailite et Fraternite” with better health care to boot. Now, the state was no longer their enemy and hospital bills, although still private, dropped and those still trapped in desperate poverty even received few freebies. Suddenly very selfish impulses of the sick were greeted with societal rationality and general sense of purpose. Some doctors did not like their dimishing incomes and new expectations of treating worthless peasantry and urban riff-raff alike. The state was clearly stepping on some very individual toes. Many longed for good old times of absolutism and income-scaled services; forget about that “Fraternite” BS. Lucky for them, the disorganized revolutionaries lost their track in the turbulence of events. Marat got killed in his bathtub; rats got their revenge; and a certain Corsican found an outlet for his violent emotions stemming from a “short man” syndrome. For an average destitute French peasant the news was not particularly good. The only reasonable advice was to keep drinking cheap local wine, stay outside (rain or shine) and keep away from pricey help with stethoscopes.


Saxon Ambition
Well, what about those across the Channel? There, things were developing pretty well along the same lines except the revolution was not in the cards following the dark times of ominous Cromwell. Instead, endowed by much new independence from the Crown, nobles tinkered with their large and sprawling estates. Some, having done particularly well in inheriting their castles, decided to indulge in things more noble and elevated. Some wrote unforgettable love stories; others preferred humour and one little man named Adam Smith came up with a revolutionary idea. He thought that greed, so despised and ridiculed by many enlightened, was actually a great thing because it could be self-regulating. In other words, greed was the only thing that propelled progress and since it fed on weaknesses of others, it was always to be counter-checked by popular outrage and disbelief should it get out of control. And if it is so, then why worry about higher ideals of compassion and other similar junk when greed was the best way to produce socially pleasing results. Forget about French regulations and Dutch planning, let each one be for his own and much good will result. Splendid! The rats triumphed; their past golden age born under the shades of mighty pyramids was coming back.

Then came the industrial age. This beast required much in a way of sacrifice. It demanded bodies, healthy ones preferably, to churn out newly found wealth for the lucky elites. At first, the supply was great and there was no need to care for anybody. Impoverished stream of cheap and dispensable labour seemed endless. The economy was picking up steam and good health care for everyone was just out of the question. A little by little, the rats were getting alarmed though as the ship developed some slow but persistent leaks. Working poor, despite many a deprivation, were getting more educated, powerful and demanded change. The word “revolution” was on everyone’s lips. The pressure was growing and some wily rulers developed their own set of coping techniques. Americans found weaker species known as American Indian. British feasted on the spoils of the Empire and French indulged in spreading the beautiful tongue below the equator. Others were not so lucky and desperately needed a popular outlet to let the steam out. Germany deprived of colonies and besieged by internal calls for revolution was the most put out and prepared. After all they were the healthiest of them all with their newly created Bismarck-ian social net. Figuring that the win was in the cards they stomped on tinder box of history as it exploded on one fateful August day in 1914.

The ensuing ravages of stubborn imperial appetites otherwise known as WWI produced much in a way of wonton destruction and waste. Entrenched in deep and muddy holes somewhere in Belgium, the war meat was becoming more valuable with every passing day. The supplies were drying up, culling the youngsters and old geezers alike. The value of human live, noble or common, suddenly acquired a new sense of worth. Armies of newly educated doctors were sent to rat-infested trenches to provide for the troops. Suddenly, the medical science was producing one breakthrough after another, caring for everyone almost regardless of rank. Carrying a bayonet versus a pince-nez was becoming an advantage. Medical socialism got to rule the trenches on both sides. After all the health of everyone, I mean everyone, was important.


Fighting Amnesia
Then came the Treaty of Versailles and good old lessons were forgotten once more. The world burdened Germans with reparations; threats of revolutions subsided and need for socialism was left in the closet once more, as the masses were herded back into the slums to produce wealth for others capable of paying their doctors. The private access to personal sufferings ruled once more.

The party did not last long. Rich and poor asses alike lost their shirts on Black Tuesday; Germans elected a new chancellor with a comedic moustache and a wicked “small man” syndrome; French exclaimed “c’est dommage”; and clueless president Hoover lost his job. The house collapsed and a cure larger than was life seemed to be the only solution. The whole world searched for right ideas as unabashed selfishness of Adam Smith did not produce any improvements. Everyone has suffered under unaccountable individualism; the time for change was ripe. We desperately needed new heroes when John Maynard Keynes
[1] arrived on the scene. A Cambridge man with strikingly Greek ideals of collective responsibilities, he proposed things strikingly new. THE RATS DID NOT LIKE HIM.

He proposed something completely different in the world of selfishness that is modern capitalism. He evoked long-lost ideals of collective responsibility. Three rods together are harder to break than each one separately – an old adage was quickly acquiring new taste. Suddenly, amidst economic and political carnage, some influential people heeded his call for larger role of the state. One man suffering from a partial paralysis for most of his life understood it best – FDR. He took on the new ideas with zeal of a recent and most fervent convert. The ideas of non-private health care lurched forward among other good things. Suddenly, even the poorest got some attention as they were once again valued as part of the larger society and their ability to pay was somewhat secondary. The Great Depression was collective in its dire effects, why would one deal with it individually – of course not. Sure, some doctors did not like diminishing income streams but seeing ensuing and growing tides of tangible improvements could hardly spoil the party. FDR got re-elected again and again.

Alas, other men with much more sinister ideas and no less common sense took control of collective impulses across the pond. As a result, a comically moustached German dude found some similarly minded allies in Franco, Mussolini and Hirohito. They all liked collectivism but using it for productive purposes was unfortunately beyond their pail. Bristling with new economic successes they could not control their juvenile curiosity in “what if”. They expanded their experiment, searing a new brand of suffering and destruction on our collective world – WWII. The ensuing carnage revealed our other common and unsavoury proclivities. Our ability to kill, smash and annihilate was paramount. These were only matched by an equal degree of self-preservation. Fortunately, our best impulses prevailed, sending most of the angry and moustached men stumbling down into the abyss of history.


Greater and Lesser Societies
We emerged victorious. Our economy renewed, people enthusiastic and society re-invigorated. What followed was a golden age of health care. Of course, most of it still proceeded along the lines of private, but much more compassionate private, somehow checked and directed by productive emotions of common good at the detriment of individual selfishness. The rats started sailing towards less generous locales.

Little by little, the economic lessons of war and new squalls of human compassion managed to give a good name to the notion of socialism despite the bad connotation with evil regimes in Moscow and other less hospitable places. One by one, progressive countries of Europe and beyond, ultimately realized that the health of the nation as the whole was more important than individual advantages of some. People started getting healthier, wealthier and, surprisingly, at reasonable cost, as new approaches to medicine were finding their permanent anchors in souls traumatized by wars and deprivations. It looked as if ancient Egyptian cures could be discarded once and for all.

The things on this side of the pond did not transpire as fast as our individualistic values were still looming large in many a mind enthralled by Social Darwinism. It took true courage and zeal of some to break the mould. When some dared, they were rewarded with common admiration reserved for those capable of wakening the proverbial silent majority. In Canada, the father of universal health care Tommy Douglas became a national hero eclipsing many others with skates on. He led a wave of reform that eventually saw Canada join the rest of the progressive world in setting a right balance of equality of suffering regardless of means. It has not been perfect but it works most of the time. Since then, universalism has proven to be a model to continue with and improve. It behoves to remember that universal health care is not a natural law such as greed or gravity; it is a model to work on. The results so far have been remarkable with improving trends in access, general health, life span and outright piece of mind.

Alas, the biggest chunk of the free world never found enough resolve beyond efforts of FDR and a couple of his followers to propel the idea far enough. The USA, the land of acclaimed equality, just could not overcome forces of greed and selfishness that led in profound dichotomies as those of the brightest achievements for some and complete lack of coverage for others.

Without its largest ally as a flagship in the seas of economic change, the rats saw an opportunity to come back into the leaking ship. The Egyptians were back in force helped on by a myriad of irresponsible thinkers of tremendous political clout who advocated abolition of the entire social safety net with the health care taking its beatings early on.

No, they argued. Complex artificial models do not really work, they are doomed to collapse and the only way to avoid it is to let greed and self-interest reign in every field, health care or retirement savings alike - let the natural laws of supply and demand settle the equitation. Above all, with much less governmental intervention, private had to be more affordable and efficient. It had to. The rats rushed back.


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When I first moved to the United States in the early nineties, I had to sort out my medical situation pronto since I was then going through some significant health difficulties. Stepping into the magic land of opportunity felt exhilarating and intimidating, all at the same time. My condition required some medical oversight, and it did not promise to come easily or cheaply. Finally, I found a way through an employment health care scheme that easily ate fifteen percent of my entire budget and required deductibles and co-payments but I could not complain. At least, it was something for the shocked product of the free Soviet health care system.

However, even with coverage my problems did not end as getting sick was still an expensive proposition. More so for my co-workers most of whom did not purchase any insurance and at times had to kiss good-bye to their weekly paycheque just to get some fillings done. And as if it was stressful for me, I could only imagine what really sick people felt in this society. I surely did not want to be in their shoes. Hearing tales of people getting financially wiped out by disease just did not sit right with the notion that we still lived in something called a “society” as opposed to “vacuum”.

Work insurance with its costs still did not solve things entirely as it basically expired if one changed work, and when starting at a new place there was always a requirement to wait for three additional probationary months. This felt a little unfair as if I was hiding something, but this was the system. Once, in between jobs, I had to go to a hospital with severe cold. Two hours, one test and a package of pills later, I was back home reading a bill that swallowed by entire weekly paycheque. Well, at least they had a payment plan and I did not hive a kidney stone or worse.

This was in New York but the story did not change as I moved across the country meeting people left and right with fear of sickness on the forefront of their minds. No wonder, depression was becoming a disease “du jour” and Prozac was getting to be as prevalent as candy on Halloween.

Truth be told though, as when in need of medical attention under the insurance coverage I could not really complain. Doctors appeared thorough, polite and attentive. Pills were prescribed, blood pressure measured and even some high tech testing performed. But all at a cost of fear – “what would happen tomorrow?” For some it was not much of an issue but for paranoid character like me it was enough to trigger some sleepless nights.

After four years in American health care, I managed to escape back into a medical nirvana otherwise known as Canada. Shortly after landing, I received a package from the Ministry of Health noting that I was ENTITLED to the universal health care. One could hardly imagine the relief. All of a sudden, I was transported in a place of some assurance and tranquility. Sure, taxes here must be higher but who cares.

My move also coincided with my business studies at UBC and corresponding commute. Being a debate animal of sorts I could hardly forgo a long-acquired habit of talk radio. I twiddled around the Vancouver dial and found just about the only purveyor of constant debates – CKNW
[2] (otherwise known as Conservative Knowledge Network). At first, I was delighted in the station that leaned heavily one controversy or another. Besides, it was sort of American in its views making my general transition easier. I loved the controversy. But listening to it for a while I realized that most of the hosts cared little about actual debate, what they cared about were incessant one-directional rants and ratings. I listened carefully – what was burning Canadian psyche?

Universal health care solidly featured in the top three. “What could be wrong?” I pondered. According to the radio hosts it was rotten, inefficient and outright expensive. Really!? It sounded as we urgently needed move to the American model if our health care were to survive. The problem was further compounded by weak and “uncompetitive” Canadian dollar and taxes, prompting many qualified professionals to head south of the border. Oh no, something was wrong and my economic juices were flowing. I had to investigate. I needed clarity but debate was not happening. The ranting hosts constantly bemoaned a lack of debate but never invited anybody with opposing views, preferring to quote some convenient luminaries with Milton Friedman on the top of the list. I waited for the debate to happen anywhere – newspapers, books etc. Alas, outside some tepid governmental pronouncements nobody was standing up on the other side.

I had to get through the clutter on my own. Are any these claims true and we should move back to the dog-eat-dog American style of health care delivery? Well, I started finding out things…


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Since my primary preoccupation at the time was that of a business leader with my newly-baked MBA, I had to approach things as a quasi-economist, and no less. Otherwise I did not have a chance to be honest to myself regardless of compassion levels which were then low but rising.


Magic of Supply and Demand
First, I looked at the whole issue of supply and demand as it is the only one loved by Milton Friedman
[3] conservatives and acknowledged by more nuanced men of the opposite camp. In other words, on paper there was some common ground here. The conservative folks point out that in a free unrestrained market environment, demand for any service or good will be met by a corresponding supply with both meeting some place commonly referred to as market price. If one inadvertently produces too much of any one thing, the less his demanded price would be as those who demand would not be rationally willing to pay the same amount for higher quantity of the thing. The opposite happens and less than a needed number of the thing is produced. I learned the equation first hand standing for hours at a time, waiting in line to buy a decent pair of shoes in the cold streets of Moscow. It was the depth of the communism and the only way to get around was to pay black market prices, i.e. actual market prices. The wait as tedious as it was not necessary and with every passing minute I was willing to pay more than the governmental asking price. Many in line were there precisely to cash in the difference, as they profitably re-sold their shoes to those not willing to wait. Who said that laws of supply and demand did not work behind the Iron Curtain?

Back to our Canadian health care and I was finding out very interesting things. First of all, the laws of supply and demand postulate that every incremental change in price was to trigger a change in quantity and visa versa. Well, let’s consider an actual case of a sick and very cranky grandma. She is a brave and well-weathered soul; she went through depression and escaped a POW camp. Now in arthritic pain she is an entirely different person. She is winy, begrudging and really unpleasant at times, even to her beloved grandkids. A while ago, her doctor prescribed a strong, newly marketed drug that has far cost her $3 per day. Well, just this morning she found out that it is going to cost her $3.50 per day. To buy or live with a nasty pain? Do you really think that our grandma would forgo her drug? No way, maybe she will buy cheaper bread or use less margarine, but tinkering with her pills, no way!

As it commonly turns out, no self-respecting and moderately egotistical person would ever dream of rationing his or her supply of life-saving drugs unless outright hunger was in the offing. What this means for our neat laws of supply and demand is that health care is a so-called “inelastic” good/service on the demand side. In other words, suppliers could manipulate prices, at least on the margin, with a complete impunity of rejection or lack of patients. Just imagine someone waiting for a life-saving operation and finding out that it would cost ten thousand instead of eight. Would this person in pangs of unbearable pain be in the position to rationalize and haggle – unlikely!

So of this is the case then our suppliers (medical professionals, pharmaceuticals etc.) cannot claim free markets as the only “natural” regulator of their activities. Why is so important? Because the very push behind the private health care delivery emphasises markets, and only markets, in their miraculous ability to turn selfish ambition in a collective good. When in comes to sports shoes it might be so, but what about health care? Maybe not… I needed to dig deeper.

As we have just seen above, the rigidity of the demand side of the equation makes one issue abundantly clear – people and services on the supply side cannot be left to their own devices to deliver cost effective management. It is like letting a robber into a bank’s vault and hoping that no coloured pieces of paper would go missing. Now, I am not implying for a minute that medical professionals are dishonest or worse, what I am saying is simply a view of their naturally occurring motives of healthy greed that drives them just like the rest of us left to our own devices.

Increase the price of a pair of shoes by five bucks and your sales could plummet. Jack up costs of knee replacement by 10% and revenue would definitely increase. Many indignant members of the economic profession are now ready to pummel me with ridicule and rotten tomatoes - “you forgot that competition can still improve service and depress prices!” Good call in a perfect world, alas it is not about to happen any time soon, as doctors, nurses and other professionals acting in well-intentioned self-interest keep driving their remuneration nowhere but up. They do not operate independently of one another; instead they function as a cartel or a union with no intention to lose. Who is there to counter-weight the push? Consumer? Hardly, do you remember all those gravely sick who are cranky and selfish, willing to do and ingest anything to alleviate pain and suffering? They are not in a state to negotiate rates with hard-selling counterparts. Well, basically one is on his or her own unless helped on by their insurers, public or private.




The Land of the Free

“In perfectly free world both, the rich and the poor, have an "equal right" to sleep under a bridge” – an old joke

In the American system, the counter-weight to costs is provided by private insurers who take your premiums on the one hand, and try to minimise their costs on another, thus creating room for profit. Are they better in controlling costs and improving efficiencies as compared to governments who act as universal insurers with premiums mostly paid through a pull of taxes and additional fees, as we have it here in British Columbia? This is a truly pivotal question. I decided to check the stats on the WHO (World Health Organization) website and what a revelation that was. United States with its system of mostly private delivery managed its total health care bill at 15% of its total Gross Domestic Income (GDP, a measure of national income)
[4], far outspending majority of other states that boast much heavier public delivery component. In fact, hardly any other country came close with Canada stuck amidst many others spending anywhere between 9.9% of GDP in 2003. What is going on?

The most obvious first question was - why would we want to emulate the American delivery model as it is much more costly. In fact, so much so that its equivalent here would see every Canadian, young and old, sick and healthy, spend on average $ 1,500 more per year on their health care. The only possible explanation lied in potential superiority of the American system, the superiority that stems from wider access and quality that would inevitably result (all other things assumed equal) in better infant mortality numbers, in longer life expectancy and a variety of other medical outcomes. Well, I checked and Canada shows to lead the United States just about in any category here. But why would the good people at CKNW keep pounding on their chests, convincing the whole world of accepting something as irrational as the US-based health care system?

Maybe there was some more. It did turn out that when one sliced very unequal American health care model in chunks of delivery by income strata, the results reveal some of the answers, as top 30% to 40% of American pay for and receive excellent care that has no waiting lines, offers latest technology and other goodies. The bottom twenty, surprisingly, did not fare too bad either they are frequently covered by Medicaid, a limited state sponsored health care scheme for the poor. The people who really got screwed are those who are just too rich to qualify for bona-fide poverty and too poor to buy coverage. By some latest accounts, there are more than forty million of these folks; they tend to be hit hard by lacking health care coverage altogether, which frequently exposes them to financial ruin and hardship. To emphasise the point further, American bankruptcy statistics show that approximately 80% of all personal filings are related to mounds of unpaid medical bills. In Canada, this category of bankrupt citizens hardly exists.


The Roots of Trouble
The ability to pay clearly is as a major indicator of health care access in America, strengthening my personal experience that straddles the border. But why would this system cost more was still a conundrum. I really wanted to discover deeper roots of this system and why it performed the way it did versus its Canadian and other counterparts. On further examination it turned out that out of the 15% of GDP that Americans spent on their health care in 2003, a whopping 3% percent was qualified as administration. In Canada by comparison, administrative costs were less than 0.5%. Not only this discovery threw a deathly shadow on the CKNW’s argument against Canadian inefficiency but also made me wonder as to the reasons for this high number.

I did not to scratch my head for too long. You see, while in Canadian system everyone is eligible, no-precondition requirements exist and overall risks are pulled in one unmistakable cauldron of health care risks. In the United State it is a completely different picture. Since a typical insurance company is after profits as a matter of their existence, the last thing they want to do is to insure high-risk people who are going to cost them more than their premiums are worth. These folks pre-select their customers, individually or through collective employment pools, assess their risks and charge commensurate premiums. Such system while extremely sophisticated and nuanced is very expensive and time consuming on the front end. And if this is not enough, these folks design many a way to monitor and shrink their coverage in order to pad up their mostly honest profit motives. While these legal activities sometimes echo in our own, very Canadian, haggling over issues mostly relating to elective services, they could at times become something else entirely. While here in Canada we have seen cases of citizens suing some provincial health care services for undue delay in service delivery, some cases in the United States have shown a much worse picture of criminal neglect leading to undue suffering and death. Remember John Grisham’s “Rainmaker”? The only developed country in the developed world where its intriguing and sinister plot was a little more than figment of one’s imagination was America...

OK, let’s subtract the bureaucratic inefficiencies and sweep them under the table. Once insurers assess and accept their clients, after they take their premiums and skimp some on the delivery end of things, the American health care is still costlier than most even after accounting for ever present profits. Why is that?

You see, in the privately run system, insurers are the ones who stand to counterweight cost pressures of medical help, emerging technology and new drugs. And if they are so profit conscious, should they not be able to fight for their profits effectively? For starters, it is difficult as insurers are precluded to put pressure on the closed ranks of service providers on a collective basis. Since many insurers besides fighting for profits, also fight with one another, their ability to exert a coherent countervailing position is limited at best. Quite unlike the government when it acts as the only negotiator – would you not think?


Taxes – the Root of All Evil
There is more to the story and here I have to utter the most repulsive word of the western lexicon than ranks just above Osama Bin Laden and Iran – taxes. These, long made to be the worst evil by politicians and other responsible citizens, play a key part in this debate. But only on one side of it though, the universal side that is. When private American insurers cannot make enough profit fighting rising health care costs from many a side, they frequently resort to a very basic business practice of rising prices or premiums. Citizens, corporate and individual alike, complain but so what. Life goes on, inflation is its inevitable side and ultimately everybody just puts up with unavoidable. Those who cannot cope just drop out altogether. Companies stop offering coverage and individuals prefer to do it at the risk of personal ruin. All of these things are well documented and indisputable, as less and less employers in the United States offer any kind of employer-sponsored plans. In fact, the current levels of corporate health care sponsorship are the lowest since Lyndon Johnson spoke of Great Society. It is so dire that even GM teeters on the brink of collapse mainly to its inability to compete with foreign makers on the basis of its health care costs. While German and Japanese makers derive enormous benefits from their respective universal systems, GM has to do it along and even despite its giant size it is sort of hooped.

On the tax side of equation things are not as simple, as universal coverage and corresponding laws exert high levels of responsibility from governments, provincial and federal alike. And these, collecting their revenue almost exclusively from taxes, cannot pass the buck as easily as their private counterparts. Instead they are mandated to address rising costs in much less popular and more obvious fashion that could include, Heaven forbid, raising taxes – what a horror for conservatives of all persuasions! Taxes, an awkward waif of democracies, make it difficult for governments of any ilk to avoid the wrath of those advocating for private health care advances. When in comes to taxes one does not even need to be awfully objective in order to scare general public to their point of view. For example, in British Columbia perennial levels of health care spending has been relatively constant over the past twenty years when juxtaposed to the overall income (GDP) of the province
[5]; and yet that is not what you will hear from the airways. Here the picture is stagnantly different, complete with predictions of imminent apocalypse and rising taxes. “Private is the only option” has become the ever present mantra.


Other Scary Things

“Health care costs rise faster than inflation” is the most amusing centre-piece of the conservative disinformation campaign. They usually forget to tell you the following; since on average our collective income (GDP) rises faster than pace of inflation, the very fact of health care costs rising past inflation is not a cause for concern, it only matters insofar as such rises do exceed our pace of economic growth. Over the past twenty years (on average)
[6] they have not, thus not necessitating any raises in hated taxes. But you do not hear much about that. Instead our “beloved” universal health care is about to collapse thus making private the only option. The only thing I fail to understand as to how costs, when transferred from your taxes to private premiums, could actually decrease when cranky sick people of all walks of life still demand very personal and particular attention amidst their plight, regardless of cost. The only way of saving money is to deny services, essential services, feature that universal system can hardly deploy.


We Love the French
Month after month and year after year of endless CKNW pro-private rants, their sell was still having rather hard time finding support among sensible citizens of Canada. People were clearly not inclined to buy the pro-American remedy, especially after inefficiencies of their system started becoming ever more apparent with eighty-old Buffalo grandmas flocking to sunny Ontario not to sightsee the CN Tower but to buy drugs, the very drugs they could not longer afford within the “efficient” system of their. CKNW and their supporters had to re-think their talking points if they were ever to succeed in swaying public opinion that now was counter-balancing many a pro-private government across the county like those of BC and Alberta. These have been rather effective in undermining the very public health care they purported to protect but more about this later.

After some deliberation, CKNW commentators decided to engage in much more subtle campaign of distortive propaganda. It was a dawn of the new century and things American were not selling anymore. Even the pervasive brain drain was becoming ever less apparent. What to do? How about proposing other universal health care solutions that are found in other countries like those with entrenched socialist practices like France, Denmark and Sweden?

Now, before I attempt to repudiate some specific talking points of theirs, let’s be clear. CKNW does not really like socialism any more than the next conservative guy, and would only use examples of France and Sweden when it highly convenient, as hardly any western social democracy, regardless of its fiscal pressures, is likely to abandon universality of access. Canada on the other hand is more susceptible.

One of their propaganda techniques centres on a small number of privately run hospitals that exist in Sweden and France. It follows that of these Pink Commies decided to give in to private, it must irrefutably good and advisable for Canada to follow. To emphasise the point CKNW then would use Sweden’s and France’s higher performance ratings by the WHO to drive the point home: they do better, they have more private facilities, hence private facilities are beneficial and we should follow. A straightforward point that is very attractive and…false. Let me explain.

Yes, Sweden and France do have some privately owned and run facilities but here the true story ends and myth-building begins. For starters, there is no direct link between their existence and favourable outcome ratings by WHO. The only way one could find a connection of any kind would be a proportionately larger share of private expenditures versus public having an effect on the county system as a whole. For example, if Sweden had higher levels of private expenditures and performed better than Canada then one can plausibly make out a link of private delivery achieving better outcomes. Well, the reality is actually quite the opposite as Sweden and France already have lower private heath care expenditures than Canada, making it illogical to connect higher levels of private care with improved outcomes. In fact, the logic of the matter implies the opposite – Canada should increase public portion of all health care expenditures and not decrease it. In addition, looking through some additional info on the web regarding private clinics in Britain and Sweden, it appears likely that some private clinic successes in these countries are primarily attributable to downloading of less profitable procedures from private to public clinics while uploading more profitable ones in the opposite direction. For example, private clinics tend to perform way less heart surgeries while piling up on inordinate amounts of hip replacements. Knowing human weakness for financial success I am not surprised, are you?


Inconvenient Facts
Why do these countries do better in health outcomes than Canada if it is not for private delivery? There is a simple, two-prong answer – national drug policy and higher proportion of doctors per capita. These factors contribute not only to better overall health outcomes and also reduce elective surgery line-ups. So much so that these are virtually non-existent amidst the French health care bliss, the new and unlikely poster child of Canadian conservatives – a strange love connection indeed! The next question to answer is that why with substantially higher levels of doctors and correspondingly better health outcomes, Sweden and France do not spend any more than Canada. It must their private delivery efficiencies, right?

To be blatantly honest, CKNW does not even pose this question correctly as they constantly harangue us on how France and Sweden spend less on health care than Canada. This is not quite true as many other things according to WHO. Canada actually spends fractionally more than Sweden and fractionally less than France, but this is not the key question. The key question is “how come they boast doctor per patient ratios of 50% higher than those of Canada?” This is key factor in improving outcomes.

The answer, unfortunately for my conservative friends, has nothing to do with so called “efficiency” gains that always point towards the private delivery option. No, it is much simpler; doctors in Sweden and France get paid substantially less than their counterparts in Canada. Why is that? Are the followers of Hippocrates more altruistic on the other side of the pond? Hardly! It is just that their governments, and not private insurers, are the ones who not only control key aspects of wage negotiations but also heavily influence professional licensing associations and direction of health policy – precisely the wrong prescriptions for the lovers of unfettered markets! Moreover, these governments have had a gall as to compel many health care professionals to be employed as salaried employees and not independent practitioners as it is done in Canada. Socialism reigns and CKNW supports it, amazing! Not really, CKWN only supports selective and convenient facts.

Another interesting aspect of universal health care system that is heavily touted by CKWN is the notion of co-payments. In fact, these are quite frequently used in France and Italy as an example. The argument for these is to ration health care at the till in such a fashion as to reduce unnecessary system over-use by some perpetual health cranks. Here, I have to admit that my position is ambivalent as it is clear that some positive rationing could be accomplished this way, except that one has to place a carefully-crafted sliding scale on such co-payments lest these become yet another tax on those who can least afford it. And on the flip-side, to set up programs on income test basis might be costly in itself. To sum up, a debate is surely needed, a healthy debate with opposite views getting enough airways. Instead I keep getting daily one-sided rant earfuls. Besides, CKNW never mentions that France, as an example, primarily requires deductibles in a funny area of public health care called dentistry – the very one that is just about entirely private in Canada!

In addition, when using France and Sweden examples of private care delivery, conservatives omit another important fact proclaiming Canada’s inability to deal with incoming crises of relatively rapid ramp up of health care costs in the last few years. Checking WHO stats once again revealed that just about all countries, regardless of whether they offered universal health care or not, experienced similar increases with Canada being right in line. In fact, the system that has feared worse than others between 1999 and 2003 is the very private USA model.


Ageless Age Dilemma
Assuming that I am not the only one who found certain holes in the conservative logic, lately their focus shifted to ageing population – a seemingly good discussion that always leads to private health care, somehow…OK, let’s consider the issue. First of all, let me sat this: ageing demographics affects many, many countries, especially developed ones and as much as it is a fact of life we cannot do much about it other than start outright culling all those pesky baby-boomers. Fortunately, not many are into blood-letting, forcing this question on the higher plain. Yes, the ageing issue is upon us. Yes, it will increase (at least on absolute level) health care costs. Yes, we can undertake some improvements around the edges. That’s it and the rest is simple. Since we are going to assume responsibility over ageing folks anyway, universal health care seemed to be the best option and as it has shown to be way more effective that its private counterparts – why should we change the course now? Once again – the ageing demographics in itself is not produce a case for expanded private care options.

Besides, there is more to it than just ageing. While health care costs for healthy people over 65 do increase when compared to their younger compatriots, the resulting difference is not as significant as one would expect. For example, per capita average annual expenditures while increasing about fifty percent between these broad groups (under and over 65) are actually not that significant in absolute dollar terms amounting to just around $300
[7] per annum. This difference, converted even at the highest aged to young population ratio projected for 2031(the very peak of baby boom) amounts to less than 0.2% of our GDP (BC figures). A much bigger factor that really weighs heavily on health care expenditures is the nefarious issue of death, as the final year of life for individual of any age tend to multiply about 75-fold versus any other year of life. So it is not ageing that is an issue, but human efforts at prolonging our lives at all costs that tends to drive health care expenditures. But even so, there is really no particularly case for private care. Moreover, it seems to be the opposite, as under private care option discomforts and anguish of the last year of one’s life could substantially vary depending on financial means! I bet many would find it simply cruel. I find it abhorrent that ageing is used as the reason for introduction of private health care. If we are genuine about end-of-life care than we should have a debate about this on the basis of ethics and not dollar signs, after all it is the fastest growing and most profitable field of private health care in the modern world, and starting the debate with dollar signs strikes me more than unproductive. What do you think?


Queue Rumours
It is about time we delve into the wait-lists as they tend to mostly affect people of age who wait in line for knee and hip replacements. To begin, let me emphasise that these procedures were not even in existence at the outset of the universal health care in Canada. As recently as twenty years ago, we simply suffered without it. So the very idea that our extremely “inefficient” public system even offers these procedures should sound somewhat disconcerting to the proponents of private care. Alas, the issue of waiting lists in the realm of ELECTIVE surgeries is real. Now, how did we get here? For two reason – governments’ complicity in advancing private agenda and unduly restrictive licensing and medical school graduation requirements that remain under firm control of “impartial” professional bodies such as CMA (Canadian Medical Association) and Nurses Unions.

Before, we go any further. Let me tell you a little anecdote. Imagine a town with ten thousand inhabitants with each going through a pair of shoes a year, making it necessary for the local and only shoe store to offer for sale about four pairs daily, Monday through Friday, Let’s say of twenty weekly pairs of shoes, the store decides to supply nineteen instead in the first two weeks. In two weeks two people are without shoes. Why only two, well it is the proportion of folks on waiting lists to the total population. Now, for the rest of the year the store sells all the shoes needed thus skimping only on two pairs out of ten thousand resulting in savings to the overall shoe budget of about 0.02% percent annually at the expense of private pain of two individuals. To correct the situation the town needs to spend a fraction more in order to correct the situation but they do not, creating a huge wave of negative publicity. Most of us take such news on a personal and very emotional level, prompting many unanswered questions. While legitimate, these questions could be debated and answered, instead CKNW and friends jump into the fray with one goal in mind – to prey on our emotions and churn up support for their private solutions.


Government – “Enemy” of People
The governments here play a very subtle and complicit role. They could choose to explain the situation and discharge a workable solution. On the contrary they remain silent. They do not want to admit that relatively small incremental increases in total expenditures would eliminate the waiting lists – why? They need them just like CKNW. In case if you have not noticed, every government, provincial or otherwise, plays this game. The more conservative the ruling party in each given province, the harsher exploitation of facts on the ground – just have a quick look at BC and Alberta. Both ruling parties in these provinces are heavily beholden to various, shall we say non-public, interests who are first and foremost beholden to profits. Now I do not intend to demonize people for their desire to extract profits under the general accepted economic framework. But one has to admit that letting 7% (universal portion of health care) of our entire GDP go untouched leaves many wishing it were not so. This is a perfectly legitimate individual expression of greed, would you not think? Many of us know that for example government in Alberta is very comfortable with oil and gas industry, why not health care INDUSTRY? A good question…

CMA
[8], a self-regulating body of physicians alongside of others, provincially based organizations, plays a major part in the whole debate too. Which side of the divide do they stand on? Historically, its stance has varied but the allegiance to its members has always been paramount and for a good reason, as anybody in their shoes would do the same. I would. Sure, all that gobbledygook about Hippocrates and his bloody oath could be used when convenient, but ensuring the livelihood of the members is way more important. If in doubt just check out who is the current president of the body – Dr. Day, indeed! One of the most ardent and ferocious proponents of private care and, incidentally, one of the owners of much maligned and controversial False Creek surgical centre in Vancouver, he and his colleagues are very smooth and sophisticated operators who even manage to ask right questions of the Supreme Court of Canada when in comes to advancing their agenda as shown by the famous Quebec case just heard past summer. They like to use the guise of efficiency and public need when really pursuing crude self-interest, helped on by many a complicit individual in elected positions.

I do not begrudge the fact that majority of individually practicing professionals put their own as opposed to system’s interest on the forefront of their ideology. Remember, the government is there to provide a counter-balance – ideally. Alas, our governments have tended to have much more deference to CMA than to its very own principles. Consider licensing and service procurement as an issue.


“Worthless” Diplomas
Our country is a country of immigrants, recent and well-established. Many of our recent newcomers are qualified medical professionals who are willing and ready to practice their professions in their new homeland. Alas, it is much harder to do so that it seems. Of course, I understand that our standards are different and perhaps more stringent than in many other countries, and yet it escapes me as to how a surgeon with ten years of experience in South Korea has to go through at least four years of additional schooling and residency to resume his or her craft here. Considering that some of these immigrants are burdened with age, families and financial pressures, it becomes hardly a simple task to qualify. Why not? CMA, again with full governmental acquiescence, is not interested in too much professional competition that could depress the financial successes of current members, Heaven forbid! Instead, they stringently cling to artificiality of many barriers to protect them.

On the other side of the coin, CMA and others persistently lobby for North American uniformity of qualification standards - a seemingly benign and even progressive practice that could and probably does result in some efficiency gains. However it poses a major dilemma for our universal system. Remember, the system in the United States is probably more favourable to upward cost pressures, i.e. salaries of medical professionals, thus making many doctors, especially the ones in rare specialties, fabulously wealthy. So by lobbying for open across border interchange, CMA not only introduces some system improvements, but also holds a gun to the head of Canadian governments, essentially saying that they are all but ready to leave if too much downward pressure is placed on them. Much of it of course is just rhetoric but rhetoric potent enough to keep governments, especially conservative governments, very timid indeed.

Again I can understand their position. CMA and Nurses Unions just exploit the system for the benefit of their members. As you see, nobody is perfect. However, the government does not need to sit idle and not resist. For starters, governments can and should expand number of places in medical schools. But this is not all. Remember that even with higher than average tuition rates our medical school students still receive hefty educational subsidies. Why not introduce a mechanism whereby such subsidies would be clawed back if newly baked graduates decided to ply their art abroad. Of course, in the free nation of ours, we cannot prevent freedoms of physical movement, but we sure as heck can place financially redeeming caveats around our public expenditures.

The next issue to tackle is the issue of residency as in order to become a medical doctor for example, one needs to complete several years of residency regardless of speciality. Well, so far CMA and others have been very successful in restricting residency spots, making it difficult for governments to expand medical schools enrolment. Perhaps it is the time when government took a more proactive role?


Other Public Solutions
Finally, it is has been proven that further efficiencies could be gained through expansion of preventative medicine as opposed to the reactive mode that our system frequently finds itself in. Facilitation of such practices requires an introduction of medical centres built around salary-plus incentive models. For example now in the system that is based on fee for service model, many practitioners find themselves prompted by unproductive economic incentives. These stem from the fact that each incremental visit means incremental dollars in doctor’s pocket triggering an avalanche of unneeded visits for renewed prescriptions and discussion of test results. Reduction in such activities could provide more cost savings than co-payment options that we have discussed above. Why not put some of these professionals in salaried positions that could reduce their financial stress and increase the level of care, all the same time? I know that some might say that doctors would become lazy due to lack of financial incentives. Well, when I mean salary, I am not suggesting the system without performance targets and corresponding bonus structure. I am just suggesting a slightly more balanced approach that emphasises core premises of the health care as a whole – compassion and not dollar signs. The emphasis on preventative versus reactive medicine has proven to be extremely workable beyond well-endowed Sweden and France. How about Cuba? This financially poor system somehow managed to beat the United States in child mortality rankings, how is that possible? Simple, the system designed around patients as opposed to individual profit motives could work much better even on a shoestring budget. Maybe there is something to learn here. Well, not in your life time when it comes to CKNW.

Needless to say, governments do very little in the way of suggested; instead they cower in their own shell of ideology that in its essence in not aligned with universal health care as permanent institution. For many, universal health care just simply does not have a future just like hikes in minimum wage. After all poverty does not exist, right Mr. Kline?


It Is All Dope
So far I have spent much time discussing the ways to debate and deal with cost pressures when it comes to services. How about drugs? To be objective, cost pressures of various drugs have come on the forefront of the debate in the last few years and have become major cost drivers in health care delivery of all countries regardless of access, public or private. These of course are mostly driven by very large and powerful multinational pharmaceutical companies who are in pursuit of profits as any other sane individual. The problem is the primarily their size and ability to exert undue pressure on already shaky politicians. So much so that when, under the American public health care program for the seniors (Medicare), the American government introduced a new drug prescription benefit the policy makers agreed on a very strange caveat – states would be prohibited from negotiating drug policy prices with drug manufacturers. A truly astounding achievement of democracy! What is the reason? Well, the drug benefit was introduced after much pressure was brought to bear by senior groups outraged over prohibitively high prices of drugs that drove people even across borders (mostly US-Canada). The new bill is supposed to alleviate the program – but, Goodness Gracious, not at the expense of pharmaceutical companies! Instead, the state budgets (TAXES) are to bear the entirety of the expense as US Fed so far contributed dick all beside the piece of paper.

Of course, the long-standing American tradition of raiding taxpayers for private gain is all too illuminating to the issue of incentives. On this front, to be fair, Canada has done better as its provincial governments dare negotiate with pharmaceutical lobby. The direct result is a well-documented positive cross-border price differential between US and Canada. Is this all we can do? Of course not, as we can manage the issue on country-wide level beyond just bulk purchasing of drugs. We can change the patent laws themselves in order to benefit the public purse. Here, just about anybody off centre is crying foul! How can you say that?! The laws are laws, they untouchable! Hogwash, the laws are there to benefit public interest at the benefit of every individual interest subject to Charter of course. And if there is enough interest in helping our struggling health care, should not we able to change some laws? Of course!

Now, I am not proposing to lead a war of annihilation against pharmaceutical industry. What I am suggesting is to re-evaluate our mutual positions in few of public interest. Sure, it might result in lower profits for large drug developers but given the fact they are already one of the most profitable international business segments, it might be in order. Besides, if these folks are true free market believers in the laws of supply and demand, should they not favour lower prices that trigger huge swings in sales volumes of Prozac and Viagra?


Last Punch
As you can see after the years of non-debates on CKWN I have managed to convince myself of their obvious lack of objectivity. Gone are American solutions, defeated the falsehoods around Swedish private therapies and dealt with are the private incentives. One last straw of an argument worth bringing up is that against those arguing that introduction of private health care alongside the universal system will reduce waiting lists and thus improve the system. Let’s consider. After this, I promise, I will shut up.

OK let’s assume a perfect world in which the only culprit is the government that is not willing to open its wallets and shell out 0.02% more to deal with waiting lists. In this perfect world the doctors are compassionate and constantly lobby the government to release the purse-strings and let them reduce the wait lists. These folks are altruistic and are willing to do it for the same rate as all other operations the governments have so far let them perform. Right…

In reality this is not what happens as by and large the most vocal voices on the CMA side are of those setting up private clinics. Sure, there are conscientious groups of doctors who do not agree with that but by judging the vote outcome at their last general meeting these folks are in minority. So let’s see what happens when private health clinics do get set-up. I would like to do it from a high level perspective, using Vancouver as an example.

Mr. Day set up his False Creek surgical centre to “alleviate” the public waiting lists. He invested a lot of his own money, borrowed some, built/leased a building, invested in latest technology and purchased additional private liability insurance. He is ready to start. He is efficient and mean, ready to take on the government. Let’s see, can BC government do the same in reverse? Employ Dr. Day himself and still do it cheaper. After all, the new wing of VGH still boasts available space making leasing entirely unnecessary. BC government can borrow money way cheaper than very private Mr. Day and his practice within the universal system would be way less litigious, making all his additional liability insurance purchases unnecessary. He would still be a private, fee for service, practitioner with very healthy income and much less headache. Why would he want to go through a painful and argumentative private route of opening his own clinic? Simple, he would never do it unless provided with governmental assurances, implicit or explicit, of its own inaction. I.e. waiting lists would remain as long as Mr. Day and many like him are willing to pursue larger, profit oriented, agenda. By the way if in doubt call him for a fee schedule. Sure as heck his prices are way higher than those paid by the government on a fee-for-service basis. To sum up, yes Mr. Day can reduce wait lists somewhat but at what cost? And how will the lucky patients be selected if not on the basis of their ability to pay, an ability that is hardly commensurate with patients therapeutic needs? I suspect that Dr. Day would not care and why should he? Besides, seeing Mr. Day successes, many in similar situations would be willing to shorten their public hours to earn more on the private side, which could perhaps even further exacerbate the very waiting lists they are trying to alleviate. Good Luck!

THE END

Thank you for managing to get this far, as digesting murky postulates of non-existent debate is never an easy task. But not all is lost, as struggles for clarity continues and universal health care has not breathed its last, yet. The fact that a simple a gesture as your vote at a next provincial or federal election could be of a more informed nature is solace enough. Anything beyond that is just gravy. Just remember, universal health care is not a servant of natural greed laws but a product of well-conceived and sometimes courageous policymaking.

[1] John Maynard Keynes (1883-1946) author of famous “Theory of Employment, Interest and Money”, a staunch proponent of governments’ ability to intervene into economic matters.
[2] From here on when I refer to CKNW, I mean a much larger array of mass media of similar persuasion including TV, magazines and newspapers.
[3] Milton Friedman (1912 – 2006), author of "Monetary History of United States", Nobel Prize 1976, the most prominent and influential force behind arguments for minimal role of government in economic matters.
[4] 2003 number (WHO)
[5] They actually increased at about 0.15% of GDP per year for the past five years. These increases have been primarily attributable to the expansion of new services and not the cost of existing services.
[6] This is the same as the previous point.
[7] Canadian Policy Alternatives BC Health Care Review - 2006
[8] I use references to CMA throughout the paper. These references could equally apply to Nurses and other unions.

Prophesy - 21st Century Style

The Bible teaches us many a story and shows us many a lesson, exuding the very wisdom of God and His plan of dealing with recalcitrant humanity. Much of His teachings are plain and open to anyone willing to listen to his call. Some are not as obvious, presenting parts of the overall picture in obscure and, at times, in outright indiscernible tones. Much of this “hidden” heritage constitutes a huge field of prophetic expressions that deal with many events, past and future alike. Many in our ranks feel compelled to respond either by simply devoting our time to deep moments of inner contemplation or diving right into the action packed material that frequently bursts out of the very pages, the fateful words occupy.

When considering prophetic teachings accorded to the events of long past, a plethora of useful and ready to use lessons could be drawn much to the benefit of the Christian cause. Take for example Isaiah 53. The passages in this chapter and their very fulfillment in the figure of the Christ himself constitute the largest and the most insurmountable block in the way Judaic scholars to dismiss Christ’s claims to Messiah-ship. In fact, this passage has been widely used as a focal point of reference when witnessing to Jewish people. When I participated in the Jews for Jesus work in Berlin, Isaiah 53 was the most oft quoted scripture during our morning devotionals. This was for a good reason, as it proved very useful on many occasion during the three week long street ministry.

Clearly delineated historic events such as the live of Christ and preceding prophesies make it for a very potent witness. Prophesies dealing with events whose time has not arrived are much more nebulous and yet extremely exciting to get familiar with. I learned this first hand shortly after becoming a Christian back in the early nineties. I, still very much a product of the Soviet system that espoused materialism at its core; was very excited about some very “scientific” mysticism promoted by some well-known Christian writers in their attempts to de-code certain prophesies. I was utterly fascinated by their erudition and craft. Not only I found their predictions interesting from a scholarly perspective but also their very authoritative styles seemed to make for a great witnessing tool to those who accepted hard-core scientific proofs as a sole measure of authenticity. I understood that a claim to science could hardly be granted to subjects dealing with punditry on future events; but this was the closest thing going.

I was so enthused by these writings that even some discrepancies failed to put me on the alert. My enthusiasm eventually went on the wane only after years of prophetic disappointments. I have learned my lesson and for good reasons. Just check out a current world map and you will hard time find a country called USSR – an irksome omission since it is supposed to play a key role in the battle of Armageddon that is yet to take place. Or remember the impending gloom of Y2K when our New Year’s lights did not flicker once while many were predicting cyber chaos if not the end of the world. If you do not believe me, just check out various prophetic bestsellers of those heady times.

Today, with my antennas a little more alert I can hardly miss a chance to marvel at pseudo science so easily accepted in Christian circles. I think we can and should do better than this. If you are not sure, just check out Grant Jeffrey’s “Armageddon”, which laced with unfulfilled predictions and much obvious looseness around its many “scientific” assertions. One of these deals with probabilities of Christ being an “accidental” fulfillment of relevant prophesies. Instead of mounting his counter-odds using extra-biblical references to those of the Bible, Mr. Jeffrey mostly used duality of Biblical references to build prodigiously huge odds against Christ “Accidental”. While thoroughly agreeing with Mr. Jeffrey’s beliefs, I cannot disagree more with his methods, which are like constructing pre-game guesses after the final whistle has been blown. Such weak construction of presumably “statistical” arguments could be easily used by Bible’s opponents bent to undermining Bible’s authority with the famous “I told you so”. One has to be cognisant that such writings, while serving a marginally positive purpose of grounding the faith of some “fact”- based individuals, can do a tremendous amount of disservice to Christianity when subjected to external scrutiny and ensuing ridicule.

We should be extremely careful when using word “science” or purport to describe events of the future. Some of these can and probably will come true through a simple law of coincidence without attesting too much in a way of true prescience to their authors. Some such claimants seem unable to cede certain amount of sovereignty to God in the area of prophesies. Or at least as long as such works continue to sell, I guess…

Alas, Mr. Jeffrey is not the only one to participate in the wild parade of outlandish claims, which, while exciting, do not accomplish much in a way of witness to the world unbelieving. In fact, he is of a milder ilk when compared to some exhibitions I recently caught on Christian TV. Some of those would have been impossible without the fateful events of September 11, 2001, the tragedy that spawned more pollution in futuristic punditry, prophetic and otherwise, than any other event of recent memory.

On the one hand one could hardly fault the increased interest given the presumed magnitude of the event itself and the change it engendered. On the other hand one could not be too careful when making categorical statements in the field of prophesy. God is sublime in his mysteries and trying to elevate one’s position to the point of certainty could be even a little blasphemous. In other words use of moderation and caveats should be a preferred course of action. But this would not do as any lack of sensationalism is bad for TV ratings, Christian TV ratings…

Unfortunately, sensationalism is a second name of the prophetic fundamentalism, the phenomenon that feeds more on current cultural values than on the long-standing biblical truths. Less and less attention is paid to well-balanced and nuanced, more and more time is devoted to empty claims lest ability of modern seers to goad the masses is heavily compromised. It is hard to ask for donations on the basis of doubt; certainty is the only weapon it seems. Maybe there is another road (?) - the road that does not lose the bigger picture of God’s plan for humanity and yet is circumspect enough to attest to our own frailties. I am perfectly content with this approach especially when it comes with a higher purpose of warning unbelievers of the upcoming wrath. After all even the first twelve did not shy away from using apocalyptic language on more than one occasion, most notably in Acts II. But one has to be careful here as certainty of the upcoming wrath is cloaked in much mystery when it comes to certain events, their purpose and timing.

Regretfully, this is hardly the case as so many broadcasters invite numerous prophets of doom regardless of inherent contradictions of views and at the expense of much more balanced discussion. All for the sake of sensationalism and ratings it seems.

>>>>>>>>>>>

Here, I have to admit to some things personal and little ugly as despite my disagreements with some Christian TV personalities, I have a nagging habit of spying on their latest activities with some consistency when twiddling around the morning dial. A couple of weeks ago, one ministry that is heavily into addressing sickness and diseases decided to feature a prophesy scholar who seemed to do very little with the ministry itself other than a penchant for heavy self-admiration.

This time the invitee, a purported nuclear expert (Prophet A) preached inevitability of a nuclear conflict with certain “rogue” states. According to his “well-founded” sources, an attack on the United States with a nuclear terrorist weapon was inevitable and it was only a matter of time before such horrendous event takes place. I found his convictions interesting in view of the biblical witness, which he used fluently. First of all, Bible seems to be silent with respect to a certain little country called the United States of America, making it difficult for the dim-witted fellow that I am to follow. Second of all, the “rogue” states Prophet A loved to refer to, appear to have very little of current nuclear capabilities that could only be rivalled by their complete lack of an ability to deliver such weapons across the seas, as North Korea aptly proved with its recent failure to launch a single rocket with a meagre range of less than 1,000 clicks. The idea of this one rocket actually working looks like a bit of a stretch when juxtaposed with a small pond of water named Pacific Ocean. The second “rogue” state, firmly entrenched in Prophet’s vernacular, was of course the Evil himself otherwise known as Iran. Here Prophet engaged in a long laundry list of misdeeds that have one factual basis in common – imagination. Not yours or mine but that of the American war machine. The machine that has long had a habit of inculcating certain beliefs based exclusively on hard facts as well-demonstrated by famous weapons of mass destruction in Iraq.

Now, as all of the above was not enough, Prophet ploughed right into another tantalizing possibility – a bomb brought aboard a tanker, or a ship of some kind. Again he spoke of his predictions as facts indisputable, cleverly failing to mention that such a possibility would be of some challenge as proven by many a nuclear expert. First of all, procuring necessary amounts of highly enriched uranium would be a challenge to say the least, especially considering the safeguards imposed on nuclear states by International Atomic Agency. Besides, if even acquired, such weapon cannot fit in suitcase and is a nightmare to transport, making it more than dicey.

As sensing some weakness amidst his fear-mongering rhetoric, our Prophet, encouraged by vigorous and profound nods from the host, resorted to describing yet another remotely possible event that was sure to take place in the near future. Now, he was authoritatively talking about a so called “dirty” bomb, one that is based on low-grade uranium and other funny chemicals. One thing he forgot to mention was that viability of such “deadly” devise had long been put in question by many, as it became evident during the fateful proceedings, judicial and PR alike, against the “dirty bomber” himself, Mr. Padilla.

Finally, as summing up, Prophet proceeded along the lines of “what do we need to do given the virtual certainty of such an attack” heavily hinting at something parallel to Armageddon itself. Finding such summary to be particularly amusing, I decided to do summing up of my own.

The Armageddon is a biblical certainty, which is going to take place regardless of our best intentions and actions. While unlikely to take place on either extremity of the United States, it seems peculiar to worry about as if we can do something about its timing or place short of whispering direct commands in the ear of God Himself. So if we are not to worry about Armageddon, why do we fret about a very remote if not entirely fact-less nuclear threat, why do we engage in featuring such discussions under the guise of Biblical prophesy? In my mind the purpose is clear - to seed fear into the audience. And since the audience is more likely to be Christian anyway, why do not we need to buy into this fear-mongering when we have more than enough faith-based material in twenty two chapters of Revelations? And if some of the audience happens to be searching for salvation why not offer them Gospel unadulterated instead of chaotic mishmash of worthless predictions.

Wouldn’t it more productive to mention the coming wrath without near lunacy of representing hardly possible as thorough, well-researched and complete facts? Sure, Iran might in the end develop a nuclear weapon, and North Korea could commit suicide by launching one against San Francisco. Anything could happen. But is it a reason enough to pollute our expensive airways. And if history is any guide, just ask folks in Hiroshima about what they think about it.

Needless to say, by the end of the program I felt amused and saddened by this puppetry. However, this was not the end of the proceedings as Prophet had a book to sell and judging by its heavy promotion, it was going to sell like hot pancakes. Amazing!

>>>>>>>>>>>>

The following week, most likely out of boredom, I unwittingly flipped on the same show. Lo and behold, the host was interviewing yet another apocalyptic guest (Prophet B). I could not resist the temptation.

At first, Prophet opened by numerous debunking prophetic myths regarding European Union, its evil origins and the birthplace of the anti-Christ himself. “Great!” I felt some relief; at least somebody was willing to challenge some far-fetched assertions of prophetic status quo. Well, my lighter feelings were short lived as Prophet promptly proceeded to make “factual” statements of his own. Mercifully, his insight did not take as far as anti-Christ occupying some nook in the White House; instead he gleefully pounced on Assyrians, or modern day Iran to be exact – a very convenient bunch of whipping boys headed by the psycho in charge, Mr. Ahmadeenajad. How convenient! Now we were rolling. It turned out that Iranians (Shiite Muslims) await their own version of a messiah who is supposed to emerge out of the chaos of the current Middle East and more specifically, the blessed nation of Iraq.

Having established these facts, our Prophet indulged me in naming things as they should be. The hereto unknown Muslim messiah was no less than Anti-Christ himself, thirsting for ever more violence to be in a truly good form to emerge at the world’s stage.

You see, their (Shiite) dream is to see their messiah (or last Imam) to arrive pronto. Unfortunately, this providence from Allah is a little delayed, waiting for ever more precipitous amounts of violence to slake messiah’s sanguinary appetites. In “fact”, the escalating violence in Iraq is to be blamed on these psychotic Islamists bent on advancing the prophetic age of their own. Most of killings and kidnappings in Iraq these days takes place for this very reason alone. How cares about “tooth for a tooth” when higher purpose is on the line? “They are for violence and we are against it” tersely summed up Prophet, implying that continuing warfare was the only option.

“The same line as the previous dude!” I thought, i.e. as if being against or for violence was going to adjust God’s timetable one iota. Besides, there is nothing new about the fratricide that is taking place in Iraq today. Why it is about messiah now and not hundred years ago when the British were calling the shots. Beats me! All of this is just as laughable as if we stood yet another chance to whisper in the ear of the Almighty. And as far as the current root of the latest cycle of violence in the Middle East?

Hmm… Shall we say “the United States of America” since it is precisely the US (God’s country to some) that started the ill-fated war back in 2003, it is precisely George Bush who conjured up the “Axis of Evil” that included Iran, and it is the very TV program participants who, among many other notable evangelicals, cheered him on. Pitiful! The only one prophesy they can bet on coming true – a self-fulfilling one. “Eye for an Eye!”

How far our standards have fallen!

Do not forget though! God is merciful and rejoices when we, instead of feeding our unfounded fascination with “facts” connecting the ageless Biblical prophesy with momentary geopolitics, seriously reflect on the Biblical prophesy by standing on the firm ground of what we know for sure – our faith in Christ as God, Messiah and World’s Redeemer and Judge; all these while keeping his two greatest commandments “Love Your God with All Your Might” and “Love Your Neighbour as Thyself”. The latter commandment might, just might, include Iranians.

Tuesday

High Finance

”F$%#! F&%! F*&%!” – were the only sounds mustered by Steve Wagman, as he was running toward his perching spot in the corner of the trading floor. Having just left for a couple of minutes for a rare bathroom break, he could hardly comprehend his misfortune. The horror paralyzed his rather extensive university vocabulary, as his weakening hands were struggling to finish a zipping job on his pants. At this moment no amount of air could have saved him from the apoplectic feeling of utter hopelessness and despair – a phone call from his golden and almost only client was answered, oh horror, by a first year flunky fresh from an MBA school!

No matter what amount of telephone manner training he put into this foreign born clod, he was never satisfied with results. No amount of “hellos” and “how can I help yous” could adequately reflect Steve’s desire to please his most important money maker – Laidlaw Inc., whose every little whim, intonation and sigh meant worlds to his bonus and bragging rights. He could not waste a single syllable on things that could upset Sandy, the assistant treasurer at the fateful outfit. She could have been just a regular everyday working person for anybody who knew her. To Wagman though, her voice invoked the most reverent of feelings that can only be bought with hard cold cash.

Now he could hardly keep himself from hurling a full-sized office chair at the cowering serf. On the brink of having to be restrained, Steve slowly calmed down by repeating the three-word twelve letter mantra of a professional investment banker. After all, the damage had been done, as this fart of an MBA had informed Sandy that Steve was away. This was a “No, No” on the trading floor – one could not simply insinuate from Steve’s absence his unavailability. Being on the toilet simply did not qualify as a sufficient excuse – an apparent fact hidden from the only person on the floor who happened to answer the phone, me!


If I Had a Job

The dreary wet Vancouver autumn constantly reminded everyone taking the MBA program at UBC that our previously solid and fraternal world was showing many a foundational crack with some as wide as the continent itself. Just over a short year ago all of us seemed equal, like apples on the shelves of Safeway, all shiny, new and hopeful. Nobody seemed to have an advantage and everybody poised to gain on the basis of pure and unadulterated merit.

In the past few weeks, though, we started finding out that the apparent solidity of the façade was crumbling – origins, experience and connections were ultimately coming home to roost. The ever -growing minority of those with jobs could no longer relate to those still looking. They have already entered the Neverland of salaries, bonuses and career growth. The majority, biting their lips in utmost and, at times, ill-conceived envy, were looking for their own revenge. The majority status hardly provided any solace and less of them remained here, the colder it got. Going down in bunches does not hurt as badly when nobody has a chance. Alas, this was not the case.

I did not particularly relish the idea of staying in this group too long. Forget about an all-illuminating curriculum, I needed to act and do so fast in order to move to the ranks of the gleeful. Unfortunately, those of us who failed to secure a job on the basis of personal connections and other things smelling of luck and patronage had only one avenue – knock on doors of strange people who were hardly disposed to give you a minute of their precious corporate time. Now, there are a number of ways of finding these very busy individuals. The worst is cold calling since getting these people to return messages and ceding, as much as an inch of space on their perpetually overbooked calendars, is a monumental challenge. The best method to meet this folks is companies’ information sessions. These were happening with some degree of frequency to accommodate just about any flavour in the scarce job market – marketing, I.T. and, of course, finance.

No option was as ever as attractive as Finance when in comes to the whole concept of MBA. In fact I think the entire notion was designed by some bright people to provide a quick way for redemption for all those who “wasted” their time taking arts in the undergrad. By chance and due to very effective branding, having an MBA also allowed many people with very useful skills such as engineering and science to leapfrog their careers into much greener pastures. In any case, the main promise of the whole undertaking is about making more money and not much else.

Nothing, of course, provides a quicker access to money than finance itself. There is no point of beating around the bush with more circumspect schemes such as marketing or IT. Why not take finance and forget about everything else. A healthy portion of us did just that.


Magic of Finance
Apart from the most direct access to money, finance also offered another unbeatable advantage – much lower specific minimum job requirements for most opportunities. Say, if you wanted to get a management job in IT. Ok, no amount of MBA IT training was going to be all that appealing to prospective employers without some prior exposure to the subject. A similar line of thinking went into marketing and logistics. Well, when it came to managing other peoples’ money, none of that was as nearly important – just take a few courses on futures, options and M&M theory and, viola! You qualify to roam the financial world with just about any degree of impunity or usefulness.

This approach, while disadvantaging some hard working accountants, economists and other similar types, worked just splendidly for those with the majority of their adult working career in retail and ethnic eateries. Fantastic! Being reasonably well disposed to numbers and having a somewhat presentable personality, with a pinch of aggression, were the only necessary attributes. This all came especially handy when the competition heated up around the most desirable jobs of all – Wall Street-type of employment. Surely, late into the last autumn session it was great to get any sort of employment, but money jobs still figured in wet dreams for all wanting a warm place next to the treasure.

When saying Wall Street, I do not necessarily mean swarms of high investment types descending on balmy Vancouver in search of raw and rare talent. Such a scenario would be almost an unconscionable waste of precious gold minting hours of Armani-trudging managing directors. They have much more proximate and abundant pastures right under their noses – Wharton, Harvard and Columbia. Of course, our ambitiously self-deluded bosses at UBC tried their hardest to dispel the notion of their superiority. All to no avail, as hardly any New York based and self-respecting recruiter was about to spend any time in our picturesque and placid campus. It boasted exceptional views of ski hills and sweeping ocean sunsets, but not much else.

So instead of sharp and undoubtedly most successful New York types, we were happy to pick through the crumbs from Calgary, Toronto and the US west coast. Vancouver, qualifying as an ultimate financial backwater, hardly sent any hope our way with few minor exceptions touting virtues of start-up and junior exchange capital. With these scarce options in mind, most fought a tough competitive battle on the way to a brighter future. One lesson was clear from the outset – cheap tuition does not feed your future needs nearly as well as a nice dinner date with a managing director on the prowl for some warm bodies.

Luckily and unlike some completely forgotten MBA programs that pepper North American landscape in thicker fashion than stars in the Mediterranean sky, we did get some visitors from busier and definitely more moneyed places. Some came with solid vacancies to fill in our midst, others showed up to spend a couple of days in the mild climate and tout their own fortunes without a slightest intent to seriously give any of us a chance. These were sort of rude stabs at gloating self-congratulatory hand-slaps designed to exercise demons of “Nah, Nah, Nah, Nah” syndrome.

The tour provided desperately overworked investment bankers not only with a chance to relax but also to wallow in glee peering at the misfortunes and poverty of future generations. The rest was easy as these boys and gals usually showed up armed with glossy presentation materials that included up-beat videos of nirvana that awaited anyone able enough to impress the bosses. Oddly enough, fast-switching, attention-grabbing video images failed to reveal a single sour, sleep deprived and crumpled face of someone working in the, hundred hours per week, twilight zone. All looked fresh, happy and well pressed with latest fashions hardly making an appearance from behind mounds of monitors, telephone cords and trend charts. Cheerful smiles and unadulterated work ethic in ethnically diverse environment reminded me of something else I had had a chance to experience – Amway promotional videos.


Goldman Minds

Goldman Sachs went as low as bringing actual live specimens to depress a heck out of us. Truth be told, however, as Goldman, despite being the most prestigious perch in Wall Street pecking order, did in fact hired from the ranks of the lowly UBC. Most of it, however, came on the account of younger undergrad set claiming an exclusive membership in the highly touted Investment Club. These thoroughly trained in all aspects finance youngsters served a perfect gun fodder for the lowest investment banking ranks – the analysts. They typically ended up in a sort of three-year Wall Street boot camps that required tireless and cheerful allegiance that easily exceeded any imaginable notion of overtime in the outside world. By comparison, a fourteen hour stint at a Victorian steel mill might have been a blessing.

On the other hand the older, more discerning and broader educated set of the MBA program did not stand a chance when competing for straight output. And this is not even evoking Wall Street’s most sacred taboo of money. Anyone with an MBA degree would automatically qualify to work on the next tier of the pecking order – Associates’ Camp. This meant more money, experience and responsibility for slightly shorter hours. The trade-off was prior experience of course. For most of us without prior Wall Street experience, dreams of working for Goldman remained just that – dreams.

But, in the “true” spirit of meritorious existence at the top, Goldman opened a recruitment session to all – MBA and undergrad alike. They sent over a very slick managing director with a long crooked nose and a handkerchief in the breast pocket of his undoubtedly pricey striped suit. He came in tow with a guardedly cheerful HR type and two second-year analysts brimming with youth, enthusiasm and complete lack of personal life. They slavishly exhibited a total religious devotion to the firm and its well-tentacled purposes. After the first open session on campus that featured an overstuffed auditorium with anyone reasonably familiar with a concept of money, a select group of us was invited for a more intimate encounter at the local Goldman offices.

Predictably, the offices occupied one of the most expensive towers perching on the edge of Coal Harbour. The views afforded by wide floor-to-ceiling windows were magnificent, extensive sushi spread scrumptious and furnishings sumptuous. The rest betrayed a certain degree of chicanery as few imposing monitors and Bloomberg screens vainly flickered unto empty seats of those fortunate enough to carry a Goldman employee ID. The atmosphere was sterile with no evidence of victorious sweat drippings, instead every square inch of space was covered with many a glossy financial publication exuding uniform and complete lack of usefulness judged by their unsmudged covers.

This place served mainly as a representative office – another term for an expensive retirement program designed to provide respite for kindred spirits on their jaunts from Tokyo to New York. Afforded by the best and the richest firms, these reclusive pads are given to those who outlived their usefulness in the jungles of New York and London. Re-charged and re-shined, the local jungle types did not bother to keep a real Wall Street edge about them. They worked 40-hour weeks, ate well, skied and did yard work at home. The hard years in Manhattan had paid off – they did little, got paid a bunch by Vancouver standards, and seemingly relished visits from wide-eyed applicants from sub-standard schools.

While the New York based managing director in the striped suit tended to plough right into his zigzagging and upbeat presentation with pre-canned enthusiasm of a Wal-Mart clerk, these folks did not mind to chat up a bit on topics ranging from fishing to modern art – moneyed retirement is a happy paradigm. They had all time in the world to entertain us; the guy from New York did not. With his cloyed-eyed HR sidekick he did not want to spend a minute extra than necessary with losers from UBC. They had bigger fish to fry, mostly down south around Berkeley and other smarter and more prestigious locales.

I weighed my odds well below of those with 6/49. Consuming large portions of fresh sushi was the only option not smacking of masochism. The New York based analysts provided the rest of the evening entertainment. One of them, Kim, a diminutive and tireless Oriental type never ceased beaming her effulgent Goldman minted enthusiasm our way. Noting could drop her bright disposition by even few lumens. At first, I attributed the lack of very human moodiness to chronic insomnia, technical charts and multiple lunch orders that typically fill analyst’s life to the brim. But when requested by her superiors to bring in yet another sushi tray, she deliriously exclaimed “I Love This Place!!!” – I felt like reaching for a panic button. May be it was time to split.

Gingerly moving from Kim’s circle of influence, I longed for some little more earthly and critical attitude. Since mostly available from calm, and already sparred with, local office occupants, I had to divert my attention to yet another high prised analyst – Sandra. With a neat short hair, tight business suit and a couple of austere silver rings on her almost athletic fingers – she did not bode all that well. And yet, I persevered in finding akin human spirit. Much to my delight she turned out to reside right in my old digs – around 44th and 8th, in the heart of Midtown Manhattan. Unguardedly I plunged right into reminiscing of old glories - theatres, restaurants and other attributes of good life. Part into my monolog I felt a little less affinity on Sandra’s part. Few more moments later and I realized that she managed to drag her way into her apartment only on those few select occasions when she did not find herself catching few ZZZs right in front of her monitor. Her blank stare into my happy memories quickly insinuated her geographic attachments – she could have been living on the moon for all what mattered. Interesting…

Undeterred, I moved the topic closer to her heart – Goldman Sachs. Once back on the familiar turf, her hands, eyes and entire posture came back to life in one efficient albeit jerky motion. Recent blank stare of indifference was gone with fires of unbridled enthusiasm threatening to burn my last decent suit. The words were coming out faster than I could process - figures, facts and pizza lunches were having a heyday. I was feeling dizzy. The apogee came with Sandra declaring her particular passion for “Big Deals”. With this her blue eyes blazed like that of a mythical Greek goddess. For the longest time, I had naively thought that one hundred one-dollar bills added up to an exact equivalent of one one-hundred dollar bill, apparently not… Asking why “Big Deals” mattered so much to her brave heart appeared a little superfluous. With sushi nearly gone and topics exhausted my candidacy was happy to re-emerge into mild shore breezes of normality.


Citi Contention
The rest of the last semester was spent in very similar and often desperate activities. At times, recruiters seemed to be actually disposed to hire. These usually came in stultified mid-range suits so common to any commercial banking man. Shorter work days and smaller pay packets was their dull lot in life. Alas, the pickings were dearth and we were just as delighted to meet these guys with their offerings of cheap chicken wraps and coca-cola. One such man, Albert, was a proverbial HR man from Scotia Bank. His bolding and shiny occiput exuded nearly fatherly warmth and his trilingual business card featured English, Mandarin and Brail. His manners felt reassuring and hopeful. Sure enough, few days later he called back to inform that I was among some fortunate sods to partake in a trip to the home office in Toronto. My elation was boundless, eventually some sort of breakthrough!

Just few days before the trip, we felt another beam of real tropical sunshine - a visit from a Calgary Citibank man. John was a toll, gangly and shy teenager in his early thirties who had hard time fitting into his shortish suit. He clearly was not a standard issue HR man with glossy brochures; instead he came for a reason, with some jobs to be filled and pronto. I could not lose the opportunity, especially since the proposed job description sounded nearly cosmic - “Financial Engineering” – this sounded very close to my dear options and futures.

I put on my grey suit, revised latest cutting edge terminology and dug aggression out of the tool kit of behaviours. Despite certain contrast with the shy Calgary man, my efforts seemed to be paying off, as I was invited to a dinner for eight in one of the most exclusive city gourmet corners. Being among some other potential contenders, I pushed on, further capitalizing on the latest superficialities in oil and gas hedging techniques. All was going well except John, joined by his Toronto boss Derek, was not going to capitulate right in the midst of lobster and steak. Their early morning departure next day was not helping either. I had to wait.

Two days later, I went for the jugular. Piggybacking on the invitation from Scotia Bank, I called Derek and requested another interview. A no lose proposition for him, since he was not to be burdened by my expenses, which were to be stoically born by commercial banking men. He seemed to appreciate my frontal assault set a couple of meetings with “Financial Engineers” from Citi. Well, things were really rolling. Feeling elated, I even managed to successfully fit an interview with the Canadian technology wonder – Nortel. I felt like a fat Toronto squirrel on a fitness kick.


Big TO

Those forty-eight hours in Toronto, were some of the most intense of my short job searching career. After a jet-lag adjusted wake-up, I headed straight to the burnished surroundings of Scotia Bank. They were serving rubber chicken, water and Nanaimo bars. Most of the event, thickly attended by wannabees from eastern schools, was peppered with self-adulation of lending to debt strapped nations of South America and other dubious undertakings emerging amidst the technology bubble in North America. After an obligatory question-and-answer period covering anything from bland to stupid; we were led to private interviews by some of the brass. My particular encounter with Mike was very pleasant.

After years of service at the temple of finance, Mike eagerly looked to quiet retirement with fishing by mosquito ridden lakes north of Toronto, just like generations of bureaucrats before him. His numerous and dated awards of all shades of gold dotted his table and evenly matched his slightly crumpled and predictably outdated suit. His soft and benevolent features only predisposed to a “relationship” discussion that shied away from technicalities and specifics. I tried to relax, smile and bounce in the gentle waves of Mike’s day that proceeded at its habitual snail pace only to be interrupted by lunches and meetings with muffins. We parted like dear friends, as I was delivered right back to my dear soft HR man with Brail on his business cards. Here the mesmerising horizons of gloriously grey banking career opened up to plethora of possibilities, outcomes and general happiness.

Albert proceeded describing my bright career steps in vivid detail that included wing-tipped shoes, dry cleaned shirts and opportunities to play a “fly on the wall” in very important executive meetings. I was melting like cheese on a grilled sandwich. In fact, I was ready to be even fly’s assistant, I would have done fly’s laundry and fetch its lunch, and anything else to acquire a modest career with predictable bonuses and tight smiles at performance reviews.

Mercifully, before I could turn in a completely unrecognisable soft gooey mass, Albert ended his futuristic tales with promises of future contacts and best wishes for my undoubtedly budding career. Surrounded by architectural giants of downtown Toronto with a golden pen from Scotia people, I was ready for rougher challenges. Bring on the Citibank!


No Muffins for You!
Citibank Tower, situated a kitty corner from the architectural excesses of Royal York, at first promised a similar plush banking story with golden pens and all. The bright expectations turned upside down, as soon as I emerged on the fateful 10th floor. Things suddenly appeared austere to the point of lunar – no hand-woven carpets, bright lights and stately secretary help. The only piece of furniture resembling a reception desk was covered with primordial dust and had not been occupied since the last re-org that hit the trading folk pretty hard, pulverising at least 60% of warm bodies into expandable statistics. On my arrival the only remaining people here were “Financial Engineers”, a couple of currency salespeople and a bunch of lowly money market personal mercilessly shoved in the furthest reaches of neon-lit floor.

Luckily, the brutish clean-up was long over and the local cohorts were looking to add to the remaining Canadian business. Financial Engineering, or more aptly Structured Finance, was one these places looking to step up. I guess in the preceding year they made more money than expected hence prompting the forever prescient internal audit folk to strongly recommend some hasty additions to handle the burgeoning mass of dollars.

Since it was late fall, most MBA types were still in school. UBC offered winter crop and Western did not – “nah, nah, nah, nah” – at least for once we could beat out self-conceited folk from Lower Canada. It was too early to celebrate though as I was still to go through a battery of interviews with Structured Finance types – none of that commercial banking myrrh, bring on bond math and aggression. Mercifully, I was not thrown into the churning cauldron right away, as I was eased in by friendly and easily impressed HR princess Julie. Being just out of the undergrad and about five years my junior, she was ready to buy my gobbledegook about teamwork, ambition and SKILLS. She was duly impressed and promptly forwarded me to the good old Derek.

We met just like a pair of old unlikely friends – one is fully stocked up and charged with MBA bullshit and the other chiselled and tested through the years at the front lines of Wall Street warfare. We were ready to spar – my uncertain but irrefutably stellar academics in a cheapish pre-employment suit versus his understated Armani crowned with bolding egg-head of a certain genius. This no nonsense man fired first – “Let’s talk about Real Return Bonds”.

Not to bore anyone with technicalities let’s just say that these were the most remote from my mind - stunning and cutting my tracks almost instantaneously. I was ready to talk anything but these beasts designed by the Government of Canada to appease pensioners stuck in perpetual fear of inflation. This was outright ambush. If derailed my train was not going to make it all the way to the Citi stop. Braking at this late juncture was not an option so I applied maximum speed designed for certain crash landing. The rest was a matter of luck. My feverish stumbles in bond mathematics worked like a charm as I even managed to get praise from our stoic priest of finance. From here on it was going to be a piece pf cake and it nearly was.


Wagman

When I set my eyes on his diminutive figure in a dark suit for the first time, the clock was rushing well past normal office hours. He just breezed into the room illuminated by the best of moods. This was not unusual as I found out later. Wagman was a real night bird. Completely unsocial and disgruntled around breakfast time, he usually regained some semblance of life by noon and was ready for anything by the time I was ready to go to bed. This time around 7PM he was in a particularly rosy mood. It was nearly poetic, as we sang a duo of options and futures. The scene was just as harmonious as a honeymoon departure under a rice shower. The interview nearly ended in embrace by the wall-to-wall window revealing flickering majesty of the Toronto skyline. The city and scintillating lake waves beaconed prosperous future with the palpable certainty. “It would be a great place to rent, just steps from work and the centre” – Wagman’s midnight eyes wistfully glistened with brotherly myrrh and reflection of the lakeside hi-rises. I felt like I had arrived.

After Wagman I also met Chris who was going to be my grunt buddy on the front lines. A recent MBA graduate from Western with few years of CA experience under his belt, this surely bright and mildly mannered fellow did not exude any undue pride or haughtiness. Instead, his soft spoken tones and dark sleepless circles under his eyes alluded to some other concerns, which did not include any direct competition with me. He was on his way to slow but sure ascent up the corporate ladder without making anyone mad or jealous. He was the best type of competition one could find – ambitious and yet unassuming and certainly entirely above board.

Stars were surely lining up and the only thing left was to actually ask for the job itself. This was not much of an issue with my relatively recent retail experience. If you want to sell anything, you have to ask for a sale unless a “lay-down” type of customer was upon you. Citibank was not one of them, so as soon as I got back home I had to busy myself with devising a proper approach. One was to call the HR lady and softly murmur in her sensitive ear. The other was to call Derek directly and not beat around the bush. I chose the latter only to find out that Derek was going to be away for a couple of days giving me a chance to fire in the HR direction implying that me having some new job offers (true) clearly put Citibank right about the decision time. My direct salvo worked like a charm with Derek promptly firing an offer letter with only my signature missing. Now was the time to play a “little hard to get” after Derek assured of this being “non-exploding” offer and even offered a fully paid for trip to Toronto with my dear wife. After all moving from the laid-back West Coast to the workaholic Toronto clearly required at least some persuasion. I could not resist.


Lotus Land
Very onerous and tiring in the best of times red-eye flights could really dampen one’s spirits during grey December days. Depressed with a thought of the impeding move and thrashed by sleepless travel, Tracy was not in the best of shapes. Add the glum, uniform and thoroughly brick outlines of Toronto suburbia swept up winter desolation, and she wept uncontrollably. I hoped this to be just a momentary weakness and not a sign of things to come. After all I felt heavy just as well, something about this place did not sit right. For now anyway…

Our mood managed to find a bright spot once we reached the beautifully ornate reception hall of the Royal York. After all, this was the most famous Toronto hotel that had long served demanding and powerful and did not fail to create a much needed feeling of an oasis. After a short nap, I was ready to plunge into the world of High Finance just across the street. The mood inside was upbeat as it was Friday – the day of great enthusiasm for all workaholics. Not only Fridays offered a reprieve from formal wear calling itself casual, but it also promised two days away from the office for those who “LOVED” their calling and yet wanted to escape at first opportunity.

It was way better than Mondays when general mood was grim and mechanical. Wagman greeted me in his standard Friday fare consisting of a golf shirt, jeans and loafers with no socks. Who cares about the weather when Friday is here to celebrate! Even jittery markets failed to dampen the mood. Retreating at the first sign of some phantom inflation, the hordes jumped right back driving their bulls ever closer to the precipice. Many suspected that crash was coming but with its timing always uncertain much celebrating was in order – “live, for tomorrow we die” is the hallmark of Wall Street and that day it ruled for yet another day.

So happy to see his future charge, Wagman smiled so widely as to nearly break his small face into smithereens. Vigorously shaking my hand, he announced my appearance and took me for the rounds on the floor or whatever was left of it. The Finance Engineering crowd occupied the prised location next to the huge wall-to-wall windows revealing just about any detail of the famed Toronto skyline garnished with all sorts of delicacies such as Royal York, Union Station and Highway 401. The rest of the lowly employees consisting of money-market folks were shoved to the dim far corner where they belonged. The space of fifty feet in between was as blank and vast as the worst stretch of Sahara desert. It was hopeless there; on this side though things seemed sparkling as deep blue of Mediterranean.

The desk was divided in two. Once side, facing the view, were the dudes dealing with financial institutions. The others, backs to the view, were the corporate handlers. I was to belong in the latter. Guys facing the view seemed cheerier. A couple of them actually graduated from UBC and were happy to see their compatriot in the sea of Westerns and Queens. One of them, Greg with a very fragrant name of Chanel, invited me for a dinner at his suburban home that night. The corporate set on the other hand, apart from effulgent and myrrh-eyed Wagman, was a little less welcoming; hulking behind many a monitor and heavy jargon they seemed happy to confuse the rooky. “Regulatory capital this, swap curve that” – my head was quickly taken for a spin. Seeing a bit of desperation on my face, Wagman quickly came to my rescue explaining some particulars – all of a sudden it was not all that complicated and somebody was clearly blowing some star dust my way.


Take Me for a Spin
Few hours later I felt sufficiently indoctrinated, enough for the first time. Besides, we had an appointment with a Royal La Page realtor to show us around at the behest of HR Julie. This turned out to be a great treat. Excited about our real estate tour we jumped in worn-out jeans and sneakers, so typical of perpetual students. This audacious move was much in contrast to our vis-à-vis, Richard, who was all chic and glitter. Donned in the best fashions of Bloor Street in his brand new Audi A4, he could not have been impressed with the pair. Being a true professional though, he let us into his leather and wooden paneling without a sigh. In any case, my executive future surely counted for some future credit in his real estate annals.

At first everything went just splendidly as Richard took us around the best Toronto had to offer. All was just perfect: busy and bright streets, swirls of shoppers and spectacular real estate undoubtedly suited for executive ilk. Tracy was getting intoxicated with his German engineered auto, regal treatment and dreams of careless corporate wifeship. Floating in the stratosphere was as pleasant as it was dangerous as peeking at yet another multi-million dollar mansion, she inquired whether there were any “nice basements suites” on offer. You see, while back in Surrey, it is a perfectly reasonable request for a newcomer, in Toronto it nearly degenerated into fiasco.

Predictably, Richard’s features betrayed as a swift cloud of disappointment momentarily shadowing his well-maquillaged visage. Being a proud member of a cosmopolitan gay community, his whole being cringed at the notion a basement suite. His whole 100% commissioned future was on the line as he was about to discover our true and less than promising nature. Suddenly, we slid to the very edge of the knife that cleaves cavemen from city dwellers. You either belong or not.

I desperately sought to change the topic in order to save face and appear unfazed. It took a serious and sweaty effort. I had to indulge our sophisticated guide in his own stories for a change. It turned out that Richard double-shifted as a film reviewer for Canadian film authorities. And since every movie coming on the market requires a rating, Richard was always happy to provide his valuable efforts in this tiresome public service – for a fee of course. The only caveat of this job was that one spent very little time reviewing “Saving Private Ryan’s” and “Doctor Zhivago’s” Instead the bulk of the time was consumed by less known titles that usually referred to things slightly less elevated with content boasting much in a way of consensual behaviour – how peculiar...

The rest of the tour went well with Richard showing a couple of very nice digs right on the lakefront with views. I loved them but rents! These were bent to easily obliterate half of my executive salary – who said Toronto was affordable?!


New Life
Leaving Tracy back in Vancouver until the end of the school year was as much as a financial as a strategic decision. What if things did not work out for me? It could happen considering sour and Napoleonic faces behind the corporate desk. “Who knows?” – it was necessary and sad to depart on my own with half of our things to be moved by a corporate mover who did not want us to touch as much as a speck of dust. They hand-wrapped and packed every little knick-knack at some exorbitant rate – alas, there was no way to scheme this perk. It felt very corporate.

Leaving Vancouver on a rainy dark day did not make matters easier ushering in a very wet parting. On the receiving end, snow-swept Toronto hardly beaconed “welcome” to yet another fortune seeker. Ensconced in an apartment-hotel for few weeks, my task was simple - find a place and start my exciting high finance career. The rest was the matter of mechanics – eat, sleep etc. Waking up on the last day of freedom, I decided to survey the rental market of this great city. Obviously priced out of the lakefront, I moved on northward toward Bloor, Eglington and other usual suspects. After few passes at local rental accommodations, I discovered a great dearth of middle market in this thriving metropolis. You either had to rent something really smelly at $1,000 or under, or you jumped right at the freshly painted and well-plumbed stock starting at $1,500. What a dilemma. Surely my executive future looked brilliant but $1,500 for one bedroom felt a little excessive. At least, I had time delighting in paid-for accommodations, courtesy of Wagman and Co.


First Act
Ironed, scrubbed, sporting a tight marine cut I showed up for my first day at work. It turned out that Wagman, whose seat was right next to mine was away on a business trip, so I had to navigate through induction procedures all on my own. Getting set up in any institution of Citibank size is never a speedy task as I had to clear a security camera, endure a couple of HR meetings and stare at my numerous monitors displaying all sorts of very exotic tools. It was all exciting of course but one could do it only for so long as my attention span and boredom were never far apart. Now these two were bracing for yet another clash. Mercifully, I was rescued by Derek to fetch a lunch for the whole crew – a nice tradition where everybody took turns regardless of rank. This time the lot was Derek’s and mine, I felt privileged to spend more time next to the bone fide owner of a Jaguar and a house on the ravine – a Toronto’s equivalent of waterfront minus the fishes. Derek was all ease and chattiness – a proud father of two silver-spoon fed teenagers he could not shut up about their latest lacrosse successes. Far removed from such posh notions, I just blissfully smiled and nodded while lugging a decent share of Chinese take-out boxes to stink up the whole upstairs for the remainder of the day.

After lunch, the surrounding lull was barely interrupted by muted private phone calls coming from the direction of ominous Amar and boastful Paulus. Being totally in the open, the nature of phone calls here dictated the timbre. Loud and exuberant when actually on bank’s business, soft and quiet when on personal matters – most seemed to be particularly soft and quiet that afternoon. The only animation came from Amar and Derek who kept trying to figure out how to skirt some internal and industry regulations on one of their deals. The bank, constrained by many industry and consumer protection safeguards, was at times unable to do certain, inevitably lucrative, deals. This one was held back since perpetually vigilant and “anti-business” internal credit guys refused a “go ahead”. Alas, their gobbledygook kept me awake for just a few minutes.

The last part of the day was filled with extreme inactivity. Once an average person, especially male, gets to about six at night, all signs start pointing in the direction of the couch. Now this typically functions well for regular working stiffs. In investment banking with high salaries and enormous bonuses, many feel compelled to prove their worth by filing as much face time as possible. It is like a poker game with everyone bluffing and refusing to be the first sod to leave. So when average human productivity plummets, when the whole world is about to watch six o’clock criminal chronic usually christened as “News”, very rich investment banking folks huff and puff, hunkering by their numerous screens in desperate attempts to out-duel their peers in the game of “workaholic” poker. While everywhere is the world, the corporate lies of “balanced lifestyle” are usually rebuffed with smirks of irony and schedules of midnight brain storming sessions, people in investment banking do not even try. Instead, having sold their souls, they strive to cram whatever most of the world calls “life” into what is known as “short weekends” and “golf business trips”. Who cares about productivity? French could be the most efficient on an hourly basis. But working only 35 hours per week does not make you rich as cleverly taught by MBA schools. On the contrary, we beat everybody by staying at our desks for 14-16 hours per day. Is it not what Japanese did to bring about their economic miracle? The only difference is that theirs was communal and ours is purely individual undertaking.

My first night was just like any other with everybody just getting closer to their screens to avoid distractive cleaning ladies with mops, rags and paper towels. “Sure, my old school buddies might be at home already watching TV, but who can survive on sixty grand?” – rang rhetorically from the perch of our middle-eastern warrior Amar. He obviously needed more and was not about to leave the battleground.

“Losers…” - just hissed Paulus – sixty grand was an equivalent of utter misery that made anyone on the floor just shudder. Everyone nodded without turning away from their venal efforts.

The steady clicking and “how can one be a human on sixty grand” exclamations progressed steadily into the night. Fortunately for me the local culture made allowances for late night TV with Amar and Paulus departing shortly after Derek who hit the door just after eight. Nobody of junior rank budged from their screens for another half hour – consternated at the prospect of leaving a minute earlier than the next guy. Luckily, some final vestiges of common sense mounted their last and successful effort at the bastions of “workaholic” poker with everyone storming out of the hated fluorescent environs into the hush tones of the night. Another one done, three thousand to go, to the retirement that is.


Morning Dew
After my first restless night contemplating many more in front of those damn monitors I was in early to anticipate the arrival of my next of seat – Steve Wagman. I desperately needed some of his smiles and enthusiasm to last through another day. Alas, my hopes of a bright new day were summarily dashed - Wagman hated mornings with a passion. He showed up with the sourest disposition, death-in-the-family kind, which barely registered my presence. Grumbling something under his nose, he just heavily plunked himself into his chair, slammed his morning paper on the floor and assumed a stoic posture of suffering, starring at the screen whirring up for yet another day. Nothing could cheer him up – I was just a blank spot and early calls from his wife seemed to only make matters worse.

With markets about to open, he quickly perused the basics such as treasury and swaps curves, checked FX and plunged into his beloved spreadsheets – the warmest place to spend much of his days. The longer he banged at his spreadsheets, the brighter his visage became. At first I attributed the metamorphosis to his longing for anything technological. After all an engineering graduate with an MBA from Michigan, he could hardly stay away from all things convoluted. However, then I noticed that it was the same old spreadsheet. A little alarmed by striking resemblance to the famous “Shining”, I slid away assessing my chances of survival. Much to my relief, the menacing grimace of Jack in “Red Rum” gave way to Shylock and company, as the holy spreadsheet turned out to be none other than one accounting for all deals and their profitability. It was actually quite simple, and more banging meant higher bonuses and bigger smiles, the rest was irrelevant. Maybe money could buy happiness?

By lunch time, Steve Wagman was almost his old self happily countenancing phone calls from his three-year old – just about the only chance he got at parenting. His wispy smiles and astute intellect were heavy at work – interjecting, arguing and settling deal mechanics was what he did best. He hardly needed anyone’s help. After all, he was a type-A who loved to control every detail hence not requiring any help from the likes of Chris and myself. Only some grunt work that usually involved cutting, pasting, copying and binding went to us. His business was lucrative, compact and needed no one. Who cares what internal audits say?

Further, much to my surprise, I discovered that despite his title as an investment banker, Steve did very little calling around to line up deals. In fact, hardly anybody called around here. Instead, the whole corporate desk concentrated their efforts on very few choice and very plum clients. Being the derivative guys, Wagman and Co. knew very well that many of their efforts were of rather nebulous nature that required equally adventurous counterparts. Since these did not come around all that often, they pampered their existing milking cows with utmost degree of care and indulgence. After all, it took much care and a real slight of hand to convincing a company A of rising interest rates in the morning, and a company B of exactly the opposite by noon.

The rest of the clients were mostly a lost cause as they usually knew too much, only calling for quotes that were inevitably lost to more aggressive rivals such as Royal and TD. Some did not even bother to call. They were smart, calculating and in no need of derivative deals. These hardly ever bothered to take time for marauders like us. Steve and Amar surely made some lukewarm attempts to conquer the unwieldy infidels, but such efforts were just done for a “check mark” with not much in a way of real expectations other than business class travel, nice dinners and five star beds.

To emphasize singular importance of some clients, Wagman’s living space around his monitors was nearly entirely filled with stacks of paper. Some were puny and cowered in the shade of a giant skyscraper that nearly encroached on my territory. This one belonged to Laidlaw, a famed Canadian conglomerate that miraculously found ways to feast on school buses, ambulances and fertilizer, all at the same time. What did school buses and fertilizer have to do with derivatives? A lot! To some extent derivatives could be very helpful. You are unsure of future price of gasoline – you can lock up your costs for years to come. You want to protect yourself from rising interest rates – you can convert your floating debt into a thirty year instrument etc, etc, etc. Just about any large corporation has some degree involvement into such operations. The real trick is to figure out where risk mitigating ends and risk taking begins. Had all corporate clients just decided to engage in risk mitigation, many jobs like mine would not even exist. This market craves fools and speculators to cleave its living and avoid “sixty grand a year misery”. Alas, fools do not often advance to positions of corporate treasures, so the speculators are the best bet. They do not come often and are not easily caught. But once ensnared, this valuable fish has to be cultivated, pampered and pandered to. There is no other choice.

Laidlaw was exactly the client. Their treasury department seemed to have a great of appetite to try their fortunes in non-core businesses. All of it came under steady and indulging supervision of dear Wagman who devoted hours and days to their amusement. He knew Laidlaw better than Laidlaw knew itself. He collected every bit of reports, correspondences and presentation in one huge paper sky-scraper on the left side of his desk. His photographic memory did not need a file organiser as he could easily snatch anything out of this pile with precision of a robot. One needed last year’s annual report – here it is! Looking for the last piece of advice we gave them – voila! Steve always coordinated his personal calendar with folks at Laidlaw and vastly preferred to communicate with them personally. Surely, in worst case scenario their calls could be answered by Amar or Derek but never by lower flunkies.

“Hello, Citibank Alex speaking!” – I had to repeat the mantra numerous times before Steve was even remotely satisfied.

“Now, as soon as you feel as much as a hint it is Laidlaw – immediately give to one of us - never, never say that we will call them later!” – were his most oft used instructing passages.

Alas, apart from telephone training there was no other. Anybody hardly needed help on our side of the aisle and when required my buddy Chris was always there to pick up the slack. I just stuck out as a sore thumb, trying to learn as much as I could without stepping on anyone’s toes. I went to fetch lunches, subscribed to sterile ambience of the corporate library, prepared many a useless presentation to many a useless client and stayed away from Amar. He seemed to be always there to mercilessly land me in some trouble. Grammar mistakes, frozen screens and unworkable spread sheets always showed up on his account. He was my bad luck and seemed to revel in it, loving to torment the junior.

Anything to do with Laidlaw was even further out of my reach. In fact, had it been, I would have been well-served to have graduated with an English degree, as my finance prowess seemed much less appealing when compared with vexing conjugations, verbs and above all - spelling. Also, an apparent temperament mismatch between me and my job was the most annoying. You see, in some glorious writs, investment banking is frequently portrayed as a sort of game between ferocious lions, ready to shed their restless energy in a deathly match. In reality it is often quite the opposite with docility being the best personal quality. Just imagine sitting hours on end in front of hated monitors – editing, crafting and binding. On such diet any real lion would die in a matter of weeks. Something was not right. Even when reaping some good Laidlaw winnings I heard no hand-slaps, shouts and other manly expressions of triumph. Instead they just exchanged smiles like prudish sixteen year-olds belonging in a boarding school.


Turning on the Egg Beater
A typical deal with Laidlaw went down like this…

“Hi Steve, this is Sandy. Rates look good and I want to do that bond forward deal” – Laidlaw was about to issue a goodly deal of fresh debt. An issuance date was not yet exactly known but they wanted to ensure a lock-in on interest rates. If rates went up they would be a winner, and they went down “oh, well we locked in with certainty”.

“Oh, Sandy”- Wagman just lit up despite the earlish hour – “no problem, I am calling New York”

“Eh, Periv Laidlaw wants to do that bond forward for 100 bucks ($100 million). Do you best, will you, and do not screw around with me. They are on the phone and want to do it now!”

The whole place went on code red, everyone stopped, and Wagman sweated clutching the phone as it were a spare floating vest on Titanic. He actually clutched two – Laidlaw on the right and Periv on the left. He was relaying the conversation back and forth, sort of like a live 230 kilovolt wire. With each new quote and update from Periv he voice went up a pitch hire. In about forty second the only thing he could do was to scream at Periv at the top of his lungs “Done yet?!”

“Sandy you are done at 5.823%” he triumphantly purred back.

Having hung up he just slumped back into his seat in total exhaustion. After few minutes and few breaths of rarefied air Steve was back to his keyboard, banging in the winnings. He just took in about $130K for his tireless travails. It did not take much, 0.001% here and 0.001% there and a very healthy year-end bonus was guaranteed. More churning the better – with Laidlaw it was particularly great.

Few days later…

“Steve, I have noticed that we are in the money. I would like to close out the position” – Sandy preferred firmness to cover-up her relatively novice skills. Gone were the good intentions of fixing the interest rate when some visible and bonus-able profit was on the line.

“Sure, a great idea” – “Done yet?!” – “Sandy you are done at 5.835%”. Steve just made another cool $100K or so. Sandy was even happier with winnings of over a million. Everybody was a winner – amazing!

This routine repeated many times over with ever vacillating interest rates. Sandy always came in as a prudent money manager in search of a hedge and left a ruthless speculator with booty in tow. A proverbial money machine, sought after for ages by the brightest of human race, was finally produced, born in front of my very eyes. Wagman kept banging on his spreadsheet, Sandy bought a new Volvo and Laidlaw management did not have a clue.

When reported at our weekly meetings, the Laidlaw winnings were met with utmost admiration and glee. After all everyone would benefit from risky churning at shareholder expense, the irony lost just about on everyone despite two or more university degrees.


Evening Conquests

Numerous marauders throughout history reached their victories through things clandestine and nocturnal. After all Caesar was knifed down after a late Curia session, Soviets started their Stalingrad operation in the middle of the night and Richard III met his treacherous end once everyone went to sleep. Things in Citibank were not that different as I learned on my first day. Alas, this was enough to prepare me for…

“Great! Everyone is gone and now is the time to get some real work done. I love evenings!” – Wagman was just feverishly rubbing his hands as in anticipation of caviar and champagne dinner. His maniacally glistening pupils were pulsating in pools of unspent energy. It was past 6PM and Steve was ready for some real work. “Family, what family? – “Now we can really do things, no phone calls and distractions, just work” – his dreamy eyes were filling with myrrh very fast.

So while a wife with two small children in a large rental house (Steve did not believe in real estate) were biding their evenings in bland solace of dinners consisting of broccoli and fish, daddy was easily tripling his output feverishly banging on his spreadsheet. Not a penny of daily loot could go missing. Above all, the hush settling over the desk was perfect to churn out more smoky ideas and tasty presentations.

I was just cringing at the unwelcome thought of staying past my bedtime so early in my innocent clerical career of holding vigils with Wagman. Midnight perhaps? Luckily, after eight years at his seat Steve was loosing some of his youthful steam and was typically ready to depart at around 9PM. Surprisingly, the idea of spending an evening with a remote was no more foreign to him than an average Toronto workaholic. Children have already gone to bed removing much in a way of unnecessary distractions and wife on the stand-by to heat up late dinners. Perfect – “Now I could leave with Chris and Alex holding the fort”- he mused.

Suddenly shortly before the take-off Steve faced a wondrous sight – a junior employee was getting his stuff together and was about to leave himself. Stunned, barely comprehending such flagrant sin of insubordination he stuttered “want a ride?” “Indeed?” - instead of a threat I got an offer that escaped his undoubtedly constrained trachea. “Sure” – boss’s company to do some brown nosing and saved subway fare were definite inducements. Minutes later we were zipping past sleepy pedestrians to our respective remote controls - his in a $2,500 per months red brick on a ravine and mine in a smelly $700 per month two-room bachelor affair.


Toronto Chic
Whenever asked where I weighed my anchor, the answer of Yonge and Eglington inevitably caused positive emotions akin to upward mobility and a cell phone. And justifiably so since the area posed as a proverbial centre of chic, youth and better tomorrow – expensive houses and upscale apartments clustered around this fateful intersection like mushrooms. The fact, that many a sleeping pad in the area was actually a throw-back into desperate seventies with high gas prices, orange carpets and love for cockroaches, was never mentioned. For a good reason mind you, as my sublet, from “a friend of a friend of a friend” on a long-term consulting gig, consigned me to the precise replica of dark imagination that beset architects in the wake of Woodstock and Vietnam War.

I could not really complain – TV still worked and supply of dishes was more than ample for my “fast rice and tuna” needs, heat worked and a small store in the basement carried all sort of movies, pop corn and frozen pizza. It really was nearly perfect save for frequent fumigations and random fire alarms. While the former had a tendency to interrupt my elaborate cooking routines, the latter always happened right in the middle of the night to disturb my fitful investment banking attempts at sleep. After all, I stood to make millions in the near future and dreaming about it was no easy feat.

The only question I was at a complete loss to answer had to do with “how many of these millions exactly” I could count on. Nobody would tell me. It turned out to be a very interesting conundrum. The whole world knows what people make flipping burgers at McDonalds, teaching grade eight and running Fortune 500 companies. All of this information is widely publicized, debated and compared. However, when it comes to Wall Street the only word that comes to mind is “a lot”. When on the outside it is a purely philosophical question with a masochistic hue. However, on the inside I really wanted to know. The more I tried the more I ran into an amazing paradox – while admonishing the rest of the world to engage in careful financial planning, Wall Street folks themselves are just groping in the dark waiting for their annual bonus. Anybody I asked just shrugged and refused to even remotely engage in a numbers discussion. When you want to find a plausible price range for a barrel of sweet crude, no problem – it would be done in a minute. Do you want to know the next of seat compensation? – good luck and stay tuned. I really struggled to breach such unified front – sort of stealing secrets of Knights Templar. The only thing I knew with certainty was that my salary amounted to $80K plus a $40K first year bonus. Or was it?


Alan the Wise

The only guy that stood apart from the corporate desk was a South African Alan with a very soft and soothing accent so common to many a beneficiary of apartheid. It was not his accent but his whole demeanour that revealed much more contemplative soul than the rest of my venal compatriots. Just to prove the point he even sat on the opposite side together with the Financial Institutions folks. He was very perceptive and smart, qualities that did not necessarily make him a top producer. He might have lacked a certain killer instinct and did not prosper like the rest. Somewhat hurried after a Masonic ritual called “Annual Bonus Day”, he clearly sensed that his time to move on was coming.

“Eh, Alex, want to go for coffee?” – he suggested after a lengthy session on the apparent magic of his Excel swaps model.

“Sure” – I was just as grateful to change the scenery. Besides, Alan clearly wanted to tell me something destined for my exclusive consumption.

Having found a room, he did not beat around the bush. “You know, I have never seen any rookie being treated as badly.”

“Oh, well that’s just in the morning. Once he is awake by 6PM, he is not so bad. He even gives me rides home”

“Trust me buddy, I have known Steve for years and nothing he does is accidental. He is a very smart and calculating type. If I were you, I‘d be thinking of looking elsewhere. In fact, I am leaving in two weeks to join to be an account manager on the credit side – more independent work, reasonable bosses and shorter work day. Surely, a bit less money – who cares though, eh? ”

“Great, congratulations! What about Steve? ”

“You see, they have hired you after this internal audit that told them they had to throw another warm body at the place. Unfortunately, if there is anything to do here it is for someone with experience and contacts. Helping Steve or Amar is hardly full-time work, save for lunch duty. They have enough to be busy themselves but unless there is more stuff coming there would be not much else.”

“Just listen – look around and plan for a way out. You have time” – were his parting words.

Well, whatever rosy paint left on my glasses, it fell off instantaneously. I had to plan a retreat. “To where” was definitely a question. Staying in Toronto was certainly a plausible option. However, after some contemplation my preferences weighed against nasty weather, workaholic bent and the lack of family - features that strongly smelled Toronto. Going to Vancouver felt like a retreat to paradise after an expedition to Soviet Arctic. Few days later I called to see if Vancouver Stock Exchange was willing to revive its previous employment offer. It took a bit of MBA charm not to sound desperate. Somehow they were still open to my candidacy. More work was still needed but the option was on the table. At least now I could breeze easier facing mornings with Wagman.


Randy – a Falling Star
For now things went along the same way. Sour mornings with Steve, silent treatment by perpetually burly Amar, not much to do during the day, and much to say on the way back home in Steve’s humble Infinity G20. The better things went with my Vancouver prospects, the more amusing it became back here. With every week I knew that my local career was not likely to rival that of Michael Milkin, so my sleep improved with burdens of future millions becoming ever less tiresome.

Having extra time to lift my head was a great chance to see what went on around. Guys from Financial Institutions Desk were much friendlier, more open, had actual new daily business to face and went home earlier. At least someone was having fun. A month later, I also had something else to celebrate as they hired Randy from my MBA class. They even asked me what I thought of him before they made the decision – what an honour! Now I had some company. We could compare notes, make fun of Wagman and design Amar-repellent strategies together.

Randy was a Toronto native and had a father who was a Maple Leafs season ticket holder. Not much of a find with Leafs lingering at the bottom of the standings, he came through with flying colours when it counted - a pair of tickets for a game with NY Rangers. I was only happy to oblige. This turned out to be my last and only chance to see the Great One himself – Wayne Gretzky. He had a fantastic game easily grabbing the “Man of the Match” honours displaying his amazing talent spraying pucks to his team mates with accuracy of a laser and imagination of Picasso. The rink itself was also a super treat. One of the oldest in the NHL, it had ancient seats, open players’ benches and a scoreboard with no replays – a fantastic archaeological specimen close to rivalling those of Luxor. I was on cloud nine. Thanks Randy!

Being a very introverted and thoughtful individual Randy kept a lot to himself when working on his own first steps along the swaps curve. He definitely had more to do and tried his best to fit in. Alas, even much thinner jungle on his side was a little too much for his spirit, longing for staid cold columned halls of back office. He did not let on with me only suspecting his future intentions. Six weeks in, Randy called in sick and never came back. Not knowing his exact status for few days Wagman started taking bets on his return – “eh, Amar I bet $50 he is not back, what’s your call?”


March Madness
Nobody was more avid than Steve when in came to betting. Even his sour morning routines frequently softened at a first chance to bet – basketball, football and personnel decisions were clearly on the agenda. Being a bright and calculating double-university graduate Steve was never in the mood to bet on things stupid and random. He loved all things complex and competitive. Forget about slot machines and give me some basketball!

Nothing could rival his betting fever when it came to the famed March Madness. Since graduating with his MBA from Michigan, Steve was a rightful insider eager to prove his bragging rights. Once the grid of 64 top college teams was determined, he went to work phones like I had never seen before. Forget about options, who cares about bond forwards when there is a chance to jockey your horse to the finish line ahead of everyone else’s. Steve did not play small, entering few huge US pools with entrée fees ranging in the hundreds - pulling in his friends, weighing his chances and following each free throw on the overhead monitor. He made celebratory winner circles around the floor when guessing right and sulked behind his spreadsheets when proven wrong.

It was very amusing time for me with chances to learn just about anything there was to know about Duke, Florida or USC. For poor Chris it was quiet different experience, as poor guy had to carry the Laidlaw load since the business had to go on and new schemes had to be proposed just in case Laidlaw ever actually managed to issue its debt thus abolishing the need for fateful bond forward schemes. On a couple of occasions he even pulled in all-nighters with yours truly staying by his side till 2 or 3AM – a great introduction to amateur sports!


NY Guys
All our charm, panache and aggression were not really worth a dime without the real guys behind every Laidlaw transaction – our dear New York traders. They really were the bread and butter of our murky business. After all they were the ones that undertook actual transaction on our behalf with outside parties, ran accounting and compiled complicated models that our spreadsheet creations were meant to mirror but never to override.

With our lives in their magnanimous hands, these obscure characters were in the least inclined to take our nonsense as they did not have to. In fact much contrary to wavy, imploring and at times threatening Wagman’s timbre, they preferred to be concise, technical and almost unintelligible with some cryptic terms that made even some seasoned people stumble at times. In addition to belonging to the famed New York trading floor, our derivative geniuses were all Pakistani and Indian engineers from MIT. Sukhi, Derip and Periv were cool and very smart customers who were never in a mood to have a fast one pulled over them. Short on idiomatic English, their accented tongues were always there to lash out at our shenanigans.

“Steve, do not give me this bullshit”

“Amar, I told you thousand times already, I cannot find those bleeding bonds anywhere”

“Paulus, I need to unwind my 30-year long position instead of piling it up!” – were the typical icy retorts from prodigies of the overcrowded subcontinent.

Moreover, these guys really knew what they were talking about despite their apparent lack of formal financial education. What’s up with that? Well, coming from someone who had a chance to assess both sides of the coin - just about any engineering subject, especially elevated at the MIT level, is way harder, more demanding and complex than any finance taught at Harvard or Wharton. Since trading inevitably requires much more elevated levels of technical IQ and quickness, former English and history graduates with newly baked finance MBA are not likely to cut the muster. Sure, they can pontificate on markets, wear well-pressed and expensive suits, and tirelessly smile during glitzy presentations. But when the rubber hits the road, many tend to be useless. Wall Street bosses are well aware of this paradox and usually consign these people to investment banking and sales – the departments requiring highly polished skills in affected British. The traders, on the other hand, are not there to impress but to make money with decisive key strokes, brief phone calls and lightning-quick mental acrobatics. Consequently, many banks draw on their talent from top notch engineering and mathematics departments instead of relying on crapshoot crops of MBA schools.

In this endeavour Citibank is no exception. What is unique about Citibank however is the number of Pakistanis and Indians working at the place. Well, this seemingly inexplicable preference is just outgrowth of Wall Street’s propensity for all things clannish. For example, Goldman Sachs has been known for its Jewish tendencies, while Merrill loved Wasps and Solomon Brothers was in love with Italians. It all typically depends on who rules the roost at any given time plus some long-standing tradition. In Citibank, the descendants of the Indian subcontinent have made a name for themselves over the years. Still very much connected culturally and ethnically to their homeland, many preferred to keep it this way hence paving a way for Sukhis and Parveens. These guys were hungry, smart and deadly. Put through a three-month indoctrination into high finance they were typically ready to take on anyone with masqueraded by “insightful” MBA accreditations. Once let into the shark infested waters of derivative finance, these characters typically survived with admirable consistency and zest. After all, it beat just about any engineering options even after MIT.

Originators with more experience and finesse were not particularly inclined to appreciate the indispensable upstarts. This created, at times healthy, tension needed to keep everyone straight. I admired these guys since it helped me to see through Napoleonic tendencies of my bosses. They were a breath of fresh air amidst the stale stratosphere of the tenth floor. A prospect of seeing them in person was definitely a welcome one.


Bourse Course
Just before my three-months review I was sent to the Bourse Course in New York. What is this beast? – was my first reaction.

“No big deal, just a foreign exchange simulation course. You just seat there with a bunch of other people and play a fictional market” – Wagman was his late night nonchalance swaying in his amply oversized chair.

I was overjoyed, at least a got shot of something outside the office for a couple of days. I hated the place and getting away on their dime was a perfect stab at revenge. But “there must be something wrong with this, it cannot be this easy”. I had been here enough to know that there was this something, some caveat, I was yet to discover. “Oh, well, I’ll just go and see what happens”.

Travelling on company business was a serious affair that was taken very professionally here. While there was no requirement to fly first class on any occasion as it was habitual for the likes of Goldman Sachs, our office employed a dedicated travel agent who was always ready to assist hurried and short-tempered bankers. Not only that, anybody going to New York had to stay in just a handful highly priced five star digs. Forbidden were the talks of anything smelling of half-priced Broadway tickets and pizza, instead I had to contend with exclusive opulence of Drake Hotel on Park Avenue. How splendid!

Just before I left, I learned what was really expected of me – “You know, anybody who goes there from Toronto, wins. So keep up the tradition”. This was blasted Amar with his subtle grin that was about to send me to roast in inferno – “have a nice trip”, in other words.

Amar’s words did not produce their full frightful effect as once in New York I plunged into the merry-go-around of social visits to old friends. This was a time to relax before I could show my snobby jungle co-workers what I was made of. I could have lousy phone manners but when it came to propensity for quick head arithmetic I had something to contend with. On the morning of the first day, I was ready for a battle. Bristling with sharp awareness of my surroundings I departed for Citibank tower in Queens. Situated in the heart of a questionable neighbourhood with spectacular Manhattan views, this one stuck like a large fish carcass in the middle depressed low red brick architecture of previous housing booms. Unimpressed by boarded up storefronts and general propensity for uncollected garbage I was happy to slink into the safer lobby surroundings of corporate America.

Once in the penthouse, I assessed my peers and soon to be contenders. Some, from IT departments, were easy pickings. They were friendly, uncanny and certainly in no particular compunction to attain the trophy. Some other sales types seemed a bit more threatening. Certain characters had been around for years and had to be sharp enough to play the wretched game. My true competition was represented by a whole new crop of treasuries’ and money market traders. Not nearly as dangerous as derivative characters, they definitely presented an ominous threat – “we will see…”

Waiting was the worse part, as the foreign exchange trader from London, Lydia, took nearly two full days in explaining currency trading in all its splendour. She beamed with perennial confidence of an experienced shark in skirt. Possessing certain charms and aplomb, she smoothly drove her delivery from the very basics to complex, sweeping across the entire spectrum – from spot contracts to derivatives. Most folks were in awe, feverishly writing down every note and tenor that came out of her mouth. I was not worried about them; instead I kept assessing my rivals bunched up at the end of the table. They had heard this crap many times before and were exceedingly bored and relaxed in their tie-less jungle attire. I felt like David in front of the ruthless Goliath.

Finally, it came to the game itself. The rules were spelt out and I prepared for the worst since we were not to play as individuals. On the contrary and in line with latest corporate abracadabra we were to pair up and form teams. Now I had to haul somebody else’s ass up to the pedestal – great! My miserable chances took a quick downturn when I was paired with Irene, a sales lady from Chicago. Nice in all possible respects including her long career peddling financial instruments to all sorts of municipal clients, she did not really have a clue how to play this game, she just kept staring at a couple of black voice boxes – the only piece of technology to assist in our, otherwise primordial, instincts. Weighing my chances, I had a bit of luck quickly assigning Irene to clerical tasks of recording trades. She quickly and sheepishly agreed. Now I was all alone in front of those treasuries’ blokes.

“Here came the starting gong” – just like in a boxing match. “Bong” – every team nervously plunged in deal making with paper flying all over. Now we all stood at the altar of ultimate market maker Lydia. She started the trading with ferocious oscillations between “bids”, “asks” and “spreads” that bobbed in a wild frenzy spurned on leg breaking news cycle that constantly threatened “an upheaval” in thirty second intervals. I felt like a US Marine in a boot camp goaded by ever demanding staff sergeants on the second marathon of the day. I looked right – Irene was there to record my first transaction into the smoke of history. I looked left and my trading rivals had already made their first trade.

“I bid hundred at 50!” – I screamed. It felt frightening but exhilarating. Realizing how wide the spreads set by the market-maker were made me breeze easier. I kept taking thin slices out of each round-trip transaction hereby making my first steps at profitability. More trades on my books, the bigger the profits. The only other way to play the game was to take a heavy one-sided position and keep your fingers crossed. That’s exactly what my trader boys did. They just accumulated a precipitous one-sided position and waited for the gamble to materialise.

“Boom” – precipitous news moved their way and they made a killing. I just kept trading. “Boom” another windfall with congratulatory hand-slaps at the next table. “Crap!”

“Gong” the game came to its merciful end. This was the first round; tomorrow we would play another round to determine the ultimate winner. For now, I was sitting third with thirty something trades and my adventurous rivals sat on the very top with only five trades and a whole pile of imaginary dough to boot. Hopefully, tomorrow will be a better day…

The second round promised to be another test of the opposing strategies – patience versus gamble. “Gong” we went at it like real pros, no more hesitation – Irene was marking the trades and I kept calling the voice box. “Gong” – we are done. The only thing was to tally up. I could not predict the outcome as my main rivals kept their faces straight in a manner of true gamblers - same hand-slaps, same smiles and much trepidation. Finally, Lydia revealed the results. “Number three – a couple of IT guys, number two – two sales people from San Francisco”. I felt desolate; my heart was sinking faster than Titanic.

“The first place goes to Irene and Alex” – Victory! Phenomenal! I was beside myself with joy. I could hardly believe my luck. After all, our tireless trading in thin margin waters paid off, beating the treasuries’ boys hands down. They went in the same direction as my heart few minutes ago. Now they floated with the famous wreckage at the bottom of the Atlantic. Having bet their house on one directional trade, they were lost under the ways of bad market news, wiping out their entire position in a matter of minutes. Hallelujah! Now I could at least claim the same bragging rights as Amar, Wagman and the rest of the stuck-up Toronto crew. Now I could march in with my head high, just like Octavian after beating the crap out of the treacherous Anthony.


Detour
Before I could jump on my parade bandwagon, I had chance at a dry run around the New York trading floor. Having checked out of the Drake with calls to Russia pulling in at least $8USD per minute and a painful ensuing explanation by the front desk, I was loaded up for a bear. Expecting to be a bug-like specimen under the microscope of corporate scrutiny in the nearly sterile, bright and glistening computer land, I was much relieved to discover that New York trading floor was a huge dingy cavern that glowed computer green for nearly complete lack of natural sunshine – a great place to hide! One nearly needed a flashlight to proceed in any direction; otherwise creeping along the walls was the only plausible way to get about for a novice like myself. Rows upon rows of desks revealed multitudes of bodies hunched in all sorts of lounging positions – chatting, screaming and starring at the abyss. It was like another world ruled by ruthless techno-slave drivers goading their victims to a perpetual drudgery in this subterranean hole. Feeling unseen and secure, I inched closer and closer to the derivative desk. Past defeated treasuries’ boys in white, over yesterday’s pizza boxes of foreign exchange desk with heavy Italian bent, I finally arrived at the derivative fortress. Surrounded by hardware on all sides, the enclave resembled that of a tight-knit pioneer desperation attempt at defence behind their encircled wagons in the scorching wild west of 19th century Nevada. The first man in the sentry position betrayed surprisingly pale complexion under a mound of impenetrable curly hair – a Pierre Richard style.

“Hi, what can I help you with?” – a tired and unwelcoming gaze measured yours truly as though an incoming torpedo through a submarine periscope.

“I am Alex from Toronto, and you are?” – I quickly spat out the password.

“Oh, Yaa I am Pierre-Yves”

I was stunned. Nothing had prepared my imagination for this familiar heavily accented and sharp timbre to belong to anyone hailing from the homeland of the Sun King himself. My Indian Periv had just wilted into nothingness that had instantly re-reincarnated into Pierre-Yves, how sub-continental! I could hardly close my gaping mouth almost permanently warped by the shock of betrayed serendipity.

Pierre-Yves just swished back to his screens and my persona was no more interesting to him than yesterday’s hot dog. Feew! I got a second to recover before meeting the rest of the crew. Much to my relief there were no more surprises in store. Their appearance, manners and wit confirmed my preconceptions. And as much as I appreciated their Amar-less existence, their pale sunless faces and dearth of counteroffers consigned me back to Toronto land in a very short order.


Time to Move
Back on arrival my re-entry failed to generate as much as a ripple of congratulatory chatter, the parade flags were collecting dust in the closet. Even my impending one-day vacation following the generous Canadian phenomena of Easter Monday caused much concern for dear Wagman – “people do not take vacations here in the first year”. My employment contract said otherwise but it did not seem to matter. Even a slight hint at a lack of “work ethic” was reprehensible.

Few days later after a near commitment from Vancouver Stock Exchange to extend their employment offer once again, I was ready to face my fate in more certain terms. The timing was just perfect as I was about to face-off my dear boss in my three-month review. Thank God!

This was predictably a dismal affair with me assuming a very humble, almost monastic, pose of penance. Talking back at these torture sessions is usually only to one’s detriment. Instead I just shut up and listened. After few congratulatory opening remarks of my New York conquests, Wagman swerved right into the meat of things. His lingo was impeccable as it is the favourite tool of corporate HR bullshit and usually goes like “he decided to leave to pursue a new career opportunities” instead of “he was fired”, or “she decided to spend more time with the family” as opposed to “ruthlessly downsized”. Even those fired for cause usually go for “violation of corporate IT policies” versus “downloading porn”.

This time it was no different, as my candidacy as experiencing post-hiring blues and betrayed a certain “lack of fit”. “Useless” would have been a better term for the perpetually underutilized. Since starting at my gloriously paid position, I had managed to spend most of my time developing talents in the Copy Room - printing, collating and binding much hated presentations. Hence after three months of tireless efforts there was very little to attest to my worthiness. Never good at all things detailed above, I constantly managed to bungle binding jobs, muffed Power Point presentations and jammed the corporate printer. Even few of my involvements of note such as one fateful presentation to Laidlaw did not contribute anything to the opposite side of the blind scale of justice.

I was getting ready to be sacked when suddenly Wagman decided to unfurl the actual decision – “we will give you another month of trial…” Oh goody, I had few more chances to screw up.


Stars line up once again
In all other circumstances, the following month would have miserable for just about anybody trying to override their fate. It would have been so much fretting, tossing, turning and nail chewing that comparable amount of time in Gulag could have been a relief. In my case it was a great time. Having an offer from Vancouver and not having to look for another job in Toronto felt almost like a vacation. Days were getting longer, trees were blooming and beautiful east coast spring was in full swing. I could not have felt any better.

Did I entirely write off my Citibank career? Almost as I knew that even slightest mistake was not going to be forgiven. I knew that real test was going to show up in just a few days. So I prepared to give my best shot, provided my blasted hardware did not freeze. Giving a full week’s of descent effort was certainly doable. Feeling the near resolution in the air I was only happy to show up earlier and leave later, demonstrating my worthiness of a Wall Street clone after all.

Later in the week the test came in the ominous form of Amar. Never a good omen this one promised to be a real test of fortitude as his impending business trip next morning demanded a complete full-blown presentation. The fact that he knew about the trip for at least a week did not seem to matter. Nothing had been done so far and we had only few hours to concoct yet another tale of impending demise that could only be helped by a healthy infusion of derivates. At first everything went smoothly but then we hit a usual snag as our “up-to-date” hardware could hardly handle anything measuring in megabytes. Staying late was looming on the horizon. A couple of hours later, it was inevitable. All in all, we ended up staying until about 2AM. Truth be told, Amar was not about to miss a chance to earn some face time points himself keeping me company till the bitter end. After having read and re-read the presentation, he remained satisfied, bound for the west coast he left in a good mood.

Next day in the course of his useless presentation in front of suspicious corporate folks he discovered “Oh Horror!” a glaring misspelling of a powerful name. The waiting in the wings Prime Minister of Quebec was re-christened as “Sharest” instead of “Charest”. By all accounts a phenomenal blunder in the world of the humongous confidence trick that is modern investment banking!

You see, I was still new to Canada and subtleties of French names with their crushing weight on country’s fortunes were still eluding my humble English. The name Charest, while very potent to vacillating fortunes of world’s interest rates, failed to register its spelling on the Microsoft machines of the day. The worst was that my French was non-existent ruining any last defences. I was cooked. Surely Amar proofed and re-proofed his material; of course, the laid-back and underpaid west coast types were not going to buy into his ruse in the first place; most definitely Derek did not count on much when sending Amar into the known concession territory for the likes of TD and Royal. None of it mattered and I was undone.

Spending my last few weeks at the place was a pure bliss. Knowing that my future was not going to going to be aligned with Blue and White I just met bare minimum to comply with decorum – i.e. showing up for work, turning on my computer and pretending to be a good corporate rat fetching lunches for my overworked and underutilized colleagues. The only remaining question was ‘how much?” How much severance could I get?


Take Money and Run
“Not much” according to a couple of labour lawyers, my clueless self decided to consult with. The only potential hook had to do with potential misrepresentation of the position in the first place. After all, I was hired to do a “big job”. Instead I served lunches, made photo-copies and had much satire to sharpen my teeth on. The internal audit said “Hire!” and hire they did. Whether there was an actual job there in the first place was less certain.

All of this of course sounds fine, except any potential legal action was not a slam-dunk making most lawyers less than enthusiastic to take it. I decided to wait and see instead. I even started building some figures in my head, trying to determine “what my valuable departure would be worth to the almighty bank”. Numbers between five and ten grand kept popping up as worthy figures. After all, I would be hard pressed to eke out an annual pension out of this damaging experience unless moving to Chad or Sudan, which were less than feasible options.

Having compiled a rough sense of my worth I decided to force an issue with Derek. After all, my extra month was up and Vancouver Stock Exchange was anxious to set a starting date. Relaxed and happy to bring this chapter to a close, my chin-wag with the boss was rather pleasurable. As if playing the cue he was the most pleasant self, as if at the last kilometre of a painful marathon run. I did not let on about the VSE of course, saying that I would be just happy to undertake a job search in the Big TO.

Sure enough, a few days later Wagman received a brown envelope from HR. Right away I knew the meaning and cast a last glance in the direction of my nice and tormenting colleagues alike. Our paths were about to part, perhaps never to cross in vast and turbulent waters of high finance. I even felt a pinch of slight sadness.

My last meeting with Wagman was just another positive experience. He assured me of his “best efforts to line up the best package there was” and I could only gloat at the magnanimous offer of twenty grand that easily doubled my best expectations. I felt like kissing his youthful rosy cheeks. Our eyes, his and mine, were fast filling up with fraternal myrrh. They surely hired and fired in style. It was a pity they usually did it only once… Oh, yea I forgot to tell you – Laidlaw went bankrupt two years later.