December 27, 2024- The famous scene, in “Oliver Twist”, where Oliver asks for an extra portion of food and is ridiculed by the overstuffed overseers at the orphanage, has frequently been quoted by both those who regard themselves as gatekeepers against greed and those who see society as a place where the needs of all should be met.

I see the requests for more time, more money, more personal attention as reflective of two things: Lack of transparency and lack of preparation. Communication, between businesses and insurers, is often incomplete-and as a result, the consumer is asked to pay what, at first blush, is an “add-on”. It isn’t, but what has happened is that there is rather rushed, or lackadaisical, dealing with the responsibility for meeting the total cost-of health care, automobile repair or replacement of lost or stolen household items.

Either the insurer’s representatives do not give the matter the time it takes to examine costs/reimbursements or the provider does not offer complete information, and has to backtrack, before sending out an invoice to the consumer, with little information other than-“You owe this extra amount.” Before payment is made, though, the consumer is bound to ask for further explanation. No one wants to look upon their health care provider(s) as greedy or as grifters.

Another area in which there is frequently a disconnect is in the scheduling of time. I have had people ask me for “30 minutes” or “an hour” of my time. If it is just between the two or three of us, that is usually kept on track. If there are more people involved, I prefer to request that the time frame be open-ended, or extended. The reason is simple: Afterthoughts, questions and answers, pregnant pauses followed by further expounding all come into play, and it is often unfair to the person(s) raising these, to insist on a cut-off, exactly at the broadcast end point.

This last came into focus this afternoon, when a simple reading of two paragraphs into a cellular microphone, in a sound-proof room, took nearly an hour-instead of the fifteen minutes that had been anticipated. The production manager simply wanted as close to perfection as possible-a reasonable request, common in the world of audiovisual activities. Fortunately, the reader was patient, as was I, the monitor. The producer was satisfied after three readings of each paragraph-and I got in my afternoon nap, at the production site.

My whole point is this: In planning an effort, take some time to consider potential “unforeseen” scenarios. Having contingency plans for time, energy and other resources will go a long way towards avoiding misconceptions, as to the motivations of those asking for more.