Those Who Try Japanese Toilets, Praise Them with “Cultish Devotion”

(p. D12) Last year, Bennett Friedman, who owns a plumbing showroom in Manhattan called AF New York, took a business trip to Milan. On the morning of his return he faced a choice: stop in the bathroom there or wait until he got home. The flight was nine hours. He waited.
The move seems almost masochistic. But in his home and office bathrooms, Mr. Friedman had installed a Toto washlet. To sit upon a standard commode, he said, would be like “going back to the Stone Age.”
“It feels very uncivilized,” he said.
For those who own Japanese toilets, there is a cultish devotion. They boast heated seats, a bidet function for a rear cleanse and an air-purifying system that deodorizes during use. The need for toilet paper is virtually eliminated (there is an air dryer) and “you left the lid up” squabbles need never take place (the seat lifts and closes automatically in many models).
. . .
Most washlet owners, then, are converted after trying one out in the world. At a boutique hotel, say, or on a trip to Asia.
Such was the case with Robert Aboulache. Before he and his family went on a vacation to Japan, he said, friends who had visited the country told him he would love the toilets. “I thought, ‘How great can the toilets be?'” Mr. Aboulache said. “They were amazing. Some have noisemakers to cover up the sound. You can pivot that little sprayer. The water can be heated or not. We got home, and I thought, ‘This is not the same.'”
Three days later, Mr. Aboulache went online and bought a Toto washlet, which he installed in the shared upstairs bathroom of his home in Los Angeles as a surprise for his wife and son.
“We’ve been delighted,” he said. “It’s our favorite toilet.”
. . .
Mr. Friedman, too, is an enthusiastic proselytizer for washlets, in his showroom and out in social situations, something you gather he would do even if he didn’t sell them.
Whenever he talks about their virtues, he said, “I feel like one of the Apostles passing the word of God.”

For the full story, see:
STEVEN KURUTZ. “For Its Devotees, the Seat of Luxury.” The New York Times (Thurs., NOV. 19, 2015): D12.
(Note: ellipses added.)
(Note: the online version of the story has the date NOV. 18, 2015, and has the title “The Cult of the Toto Toilet.”)

Health Care Mandate “Freezes You at a Time When You Need to Be Moving Fast”

(p. B4) When LaRonda Hunter opened a Fantastic Sams hair salon 10 years ago in Saginaw, Tex., a suburb of Fort Worth, she envisioned it as the first of what would eventually be a small regional collection of salons. As her sales grew, so did her business, which now encompasses four locations — but her plans for a fifth salon are frozen, perhaps permanently.

Starting in January, the Affordable Care Act requires businesses with 50 or more full-time-equivalent employees to offer workers health insurance or face penalties that can exceed $2,000 per employee. Ms. Hunter, who has 45 employees, is determined not to cross that threshold. Paying for health insurance would wipe out her company’s profit and the five-figure salary she pays herself from it, she said.
“The margins are not big enough within our industry to support it,” she said. “It’s not that I don’t want to — I love my employees, and I want to do everything I can for them — but the numbers just don’t work.”
. . .
For some business owners on the edge of the cutoff, the mandate is forcing them to weigh very carefully the price of growing bigger.
“There’s kind of a deer-in-headlights moment for those who say, ‘I have this new potential client, but if I bring them on, I have to hire five additional people,'” said Philip P. Noftsinger, the payroll unit president at CBIZ, a financial services provider for businesses. “They’re really trying to assess how much the 50th employee is going to cost.”
. . .
For businesses that use many seasonal, variable-hour or temporary workers, like those in the hospitality industry, simply figuring out how many qualifying employees they have can be a challenge.
“I think companies are going to have to work with their payroll processor for the basic data, and then their accountant or attorney about what certain items mean,” Mr. Prince said.
The expense and distraction of all that paperwork is one of the biggest frustrations for one business owner, Joseph P. Sergio. His industrial cleaning company, Polar Clean, which is based in South Bend, Ind., but dispatches teams nationally, has just under 50 core employees. One of its business lines is disaster restoration, and after a flood or hurricane, its temporary staff balloons.
Mr. Sergio offers health insurance to his permanent staff, but the premiums have risen so quickly that he had to switch to a more restrictive plan, with a higher deductible. He is reluctant to go over the 50-employee line and incur all of the new rules that come with it. That makes bidding for new jobs an arduous and risky exercise.
“I’ve had to pull my controller and a couple of top people to sit and spend days going through this,” he said. “If you ramp up, and it pushes you over 50, there’s all these unknown costs and complicated rules. Are we really going to be able to benefit from going after that opportunity? It freezes you at a time when you need to be moving fast.”

For the full story, see:
STACY COWLEY. “ENTREPRENEURSHIP; Health Care Law Leads Business Owners to Rethink Plans for Growth.” The New York Times (Thurs., NOV. 19, 2015): B4.
(Note: ellipses added.)
(Note: the online version of the story has the date NOV. 18, 2015, and has the title “ENTREPRENEURSHIP; Health Care Law Forces Businesses to Consider Growth’s Costs.”)

Quiet Author Founds Start-Up to Help Introverts

(p. 10) Last month, 50 executives from General Electric gathered on the fourth floor of a SoHo office building for a “fireside chat” with Susan Cain, the author of the 2012 book “Quiet: The Power of Introverts in a World That Can’t Stop Talking,” which has sold two million copies worldwide.
. . .
A talk about “Quiet” she gave at a 2012 TED conference has been viewed more than 11.6 million times online. And she has delivered more than 100 speeches since then, sometimes commanding five figures for an appearance. (She also does pro bono work, she stressed.)
. . .
“Writing a book is rewarding,” Mr. Godin said he told her. “But it doesn’t change most people’s lives.”
And so Ms. Cain, who has been coached in public speaking, is now promoting Quiet Revolution, a for-profit company she has started that is focused on the work, education and lifestyle of introverts, which she defines roughly as people who get their psychic energy from quiet reflection and solitude (not to be confused with people who are shy and become anxious in unfamiliar social situations). Extroverts, by contrast, thrive in crowds and have long been prized in society for their ability to command attention. Many people share attributes of both, she said.
Ms. Cain and Paul Scibetta, a former senior executive at J. P. Morgan Chase whom she met when they both worked at the law firm Cleary Gottlieb Steen & Hamilton in the 1990s, have set up a Quiet Leadership Institute, working with executives at organizations like NASA, Procter & Gamble and General Electric to help them better understand the strengths of their introverted employees.
. . .
Mike Erwin, a former professor of leadership and psychology at West Point who served in the Iraq and Afghanistan wars, invited Ms. Cain to speak to cadets in 2012 after he finished reading “Quiet.” He didn’t understand students who were reticent to talk in class or who wanted to explore every risk before jumping into a task. “I’m an extrovert,” he said. “And, as I look back at my career, I wrote off a lot of people who didn’t speak up or want to be in charge.”
In May, he was appointed chief executive of the Quiet Leadership Institute, where he is helping project managers at NASA learn how to lead teams populated with introverts (a common personality type in science). At Procter & Gamble, Mr. Erwin said, executives in research and development are exploring, among other things, how to help introverts become more confident leaders.

For the full story, see:
LAURA M. HOLSON. “Instigating a ‘Quiet Revolution’ of Introverts.” The New York Times, SundayStyles Section (Sun., JULY 26, 2015): 10.
(Note: ellipses added.)
(Note: the online version of the story has the date JULY 25, 2015, and has the title “Susan Cain Instigates a ‘Quiet Revolution’ of Introverts.”)

The Cain book mentioned above, is:
Cain, Susan. Quiet: The Power of Introverts in a World That Can’t Stop Talking. New York: Crown, 2012.

How Democratic Operatives Fight Innovation-Crushing Regulations

(p. B1) SAN FRANCISCO — Over the last few years, so-called sharing companies like Airbnb and Uber — online platforms that allow strangers to pay one another for a room or a ride — have established footholds in thousands of communities well before local regulators have figured out how to deal with them.

. . .
Chris Lehane, a Washington political operative who now serves as Airbnb’s head of global policy and public affairs, framed Proposition F (p. B10) as a hotel-industry-led attack on the middle class.
In this city of about 840,000 people, roughly $8 million was raised by groups opposed to Proposition F — about eight times the amount raised by the proposition’s backers, according to records filed with the San Francisco Ethics Commission.
Much of that money was spent mobilizing Airbnb hosts and users, Mr. Lehane said. Still, he repeatedly homed in on one of the company’s most important talking points: Airbnb’s victory was a win for the middle class.
“Cities recognize where the world is going, right, they understand that you’re either going to go forward or you’re going to go backward,” he said. “They understand that in a time of economic inequality, this is a question of whose side are you on: Do you want to be on the side of the middle class, or do you want to be opposed to the middle class?”
. . .
Companies like Airbnb and Uber have become multibillion-dollar companies by employing a kind of guerrilla growth strategy in which they set up a modest team of workers in a city and immediately start providing their services to the public, whether local laws allow them to or not.
. . .
Mr. Lehane, a former political operative in the Clinton administration, was nicknamed the Master of Disaster for his no-holds-barred approach to winning political fights. David Plouffe, a former adviser to President Obama, is now a senior adviser to Uber and a member of its board.
Mr. Lehane and Mr. Plouffe have both tried to frame their companies as middle-class saviors in a moment of economic anxiety and income inequality — themes that are playing out in the presidential election as well. Jeb Bush and other Republicans have bragged about their Uber rides on the campaign trail, praising these companies as the future of self-sufficient employment.

For the full story, see:
CONOR DOUGHERTY and MIKE ISAAC. “Airbnb and Uber Mobilize Vast User Base to Sway Policy.” The New York Times (Thurs., NOV. 5, 2015): B1 & B10.
(Note: ellipses added.)
(Note: the online version of the story has the date NOV. 4, 2015.)

Producer of “The Godfather” to Make Six Hour TV Version of Atlas Shrugged

(p. D1) LOS ANGELES — It took a while — more than 40 years, actually.
But Albert S. Ruddy, a movie and television producer who does not like to quit, has landed rights to make his passion project: a screen version of “Atlas Shrugged,” Ayn Rand’s Objectivist bible.
Mr. Ruddy, whose canon includes films as varied as “The Godfather” and “The Cannonball Run,” almost had a deal back in the early 1970s, when he wooed Ms. Rand personally while sitting on a small couch in New York.
But Ms. Rand, who had left the Soviet Union in the 1920s and feared the Russians might acquire Paramount Pictures to subvert the project, wanted script approval; Mr. Ruddy, as adamant as she was, declined. “Then I’ll put in my will, the one person who can’t get it is you,” Mr. Ruddy recalls being told by Ms. Rand, who died in 1982.
. . .
The main thing, Mr. Ruddy said, is to honor Ms. Rand’s insistence on making a film for the future. That means redrawing its capitalists and creators, who go on strike against creeping collectivism, as figures more familiar than the railroad heiress and industrial titans who figured in a book that was first published in 1957.
“When you look at guys like Jeff Bezos, he’s not only doing Amazon, he wants to colonize Mars,” Mr. Ruddy said. He spoke by telephone last week of his plan for a mini-series in which an Internet blackout led by Bezos-like figures might shut down cellphones, banks and almost everything else.

For the full story, see:
MICHAEL CIEPLY. “Film Producer Lands Rights to ‘Atlas Shrugged’ Novel.” The New York Times (Mon., NOV. 2, 2015): B8.
(Note: ellipsis added.)
(Note: the online version of the story has the date NOV. 1, 2015, and has the title “Producer of ‘The Godfather’ Lands Rights to ‘Atlas Shrugged’ Novel.”)

Sense of Purpose, Not Greed, Is Reason Multimillionaires Keep Working

(p. 10) I’ve often wondered why the so-called Masters of the Universe, those C.E.O.s with multimillion-dollar monthly paychecks, keep working. Why, once they have earned enough money to live comfortably forever, do they still drag themselves to the office? The easy answer, the one I had always settled on, was greed.
But as I watched the hours slowly drip by in my cubicle, an alternative reason came into view. Without a sense of purpose beyond the rent money, malaise sets in almost immediately. We all need a reason to get up in the morning, preferably one to which we can attach some meaning. It is why people flock to the scene of a natural disaster to rescue and rebuild, why people devote themselves to a cause, no matter how doomed it may be. In the end, it’s the process as much as the reward that nourishes us.

For the full commentary, see:
TED GELTNER. “ON WORK; Bored to Tears by a Do-Nothing Dream Job.” The New York Times, SundayBusiness Section (Sun., NOV. 22, 2015): 10.
(Note: the online version of the commentary was updated on NOV. 21, 2015.)

What If Steve Jobs Ran the I.C.U.?

We’d like to think that medical intensity and competence in the real world mirror the intensity and competence of television shows like ER and House. But too often it is like the horrible surreal story told below. What if we deregulated medicine to open it to the product and process innovations of intense innovative entrepreneurs like Steve Jobs, Jeff Bezos, and Sam Walton?

(p. 7) Omaha — I’ve been watching the monitor for hours. Natalie’s asleep now and I’m worried about her pulse. It’s edging above 140 beats per minute again and her blood oxygen saturation is becoming dangerously low. I’m convinced that she’s slipping into shock. She needs more fluids. I ring for the nurse.

I know about stuff like septic shock because for more than 20 years I was a transplant surgeon, and some of our patients got incredibly sick after surgery. So when I’m sitting in an I.C.U. in Omaha terrified that Natalie, my 17-year-old daughter, might die, I know what I’m talking about. I tell the nurse that Natalie needs to get another slug of intravenous fluids, and fast.
The nurse says she’ll call the doctor. Fifteen minutes later I find her in the lounge at a computer, and over her shoulder I see a screen full of makeup products. When I ask if we can get that fluid going, I startle her. She says she called the resident and told him the vital signs, but that he thought things were stable.
“He said to hold off for now,” she says.
“Get me two bags of saline. Now,” I tell her.
She says, “I’m calling my supervisor,” and she runs out of the lounge.
. . .
I know I shouldn’t be my daughter’s doctor. They taught us the problems with that during my first week in medical school.
. . .
But right now, I don’t care about any of that. I’m the one with experience taking care of really sick patients, and if I know she needs more fluids, she’s going to get them.
I break into the crash cart, a box on wheels full of stuff they use to resuscitate patients. I pull out two liters of saline solution and run both into Natalie’s IV in less than 20 minutes. Natalie’s pulse slows and her blood pressure rises. An hour later, after the nursing supervisor and on-call resident finally arrive, I’ve finished infusing a third liter. Natalie finally looks better.
This wasn’t the first time during Natalie’s illness eight years ago that I broke my promise to just be her dad. It started a week earlier when she came into the den and showed me the blood she’d coughed up. I suspect a father without my experience might have chalked it up to flu. Maybe because I was a transplant surgeon, and always considered the worst possible cause whenever a patient had a hiccup, I took her to the hospital. I was worried the blood meant she had a bacterial pneumonia, a bad one. And it did.
On the way to the hospital, Natalie took a deep breath and looked at me. “Am I going to die?” she asked. I’m convinced that she would have been dead before morning had I not been a doctor, and one who could recognize septic shock when it affected a normal teenager.

For the full commentary, see:
BUD SHAW. “A Doctor at His Daughter’s Hospital Bed.” The New York Times, SundayReview Section (Sun., SEPT. 6, 2015): 7.
(Note: ellipses added.)
(Note: the online version of the commentary has the date SEPT. 5, 2015.)

The commentary quoted above is adapted from the book:
Shaw, Bud. Last Night in the Or: A Transplant Surgeon’s Odyssey. New York: Plume, 2015.

Haiti Stagnates Under Crony Capitalism

(p. A13) A May 2015 World Bank “systematic country diagnostic” on Haiti is instructive.
. . .
As the World Bank report notes, Haiti suffers from crony capitalism that holds back economic growth.
. . .
The record of Haiti’s elected politicians, since the transition to democracy at the beginning of the 1990s, is dismal. The political class still uses its power for personal aggrandizement, as the infamous dictators François Duvalier and his son Jean-Claude did for almost 30 years.
Just as discouraging is that after more than two decades of going to the polls, Haitians have yet to taste economic freedom, and emigration has become the only option for those who hope to get ahead by hard work. The World Bank reports that between 1971 and 2013 gross domestic product per capita “fell by .7% per year on average.”
. . .
The World Bank authors gently speculate that there is “little competitive pressure.” They observe this “could be the result of high legal or behavioral entry barriers” and this “could facilitate tacit agreements among families/groups to allocate markets among themselves, which may harm productivity and incentive to innovate.”
This is polite jargon for collusion, which Haitians already know. They also know that absent the political will to open markets to competition, elections won’t matter much.

For the full commentary, see:
MARY ANASTASIA O’GRADY. “Diagnosing What Ails Haiti’s Economy; The World Bank fingers cronyism, of which Bill Clinton was for years a symbol.” The Wall Street Journal (Mon., Oct. 12, 2015): A13.
(Note: ellipses added.)
(Note: the online version of the commentary was updated on Oct. 11, 2015.)

The World Bank report mentioned in the passages quoted above, is:
HAITI: TOWARDS A NEW NARRATIVE SYSTEMATIC COUNTRY DIAGNOSTIC, May 2015.

Give Entrepreneurs “the Solitude They Need to Think Creatively”

(p. R1) . . . , numerous entrepreneurs and CEOs are either self-admitted introverts or have so many introvert qualities that they are widely thought to be introverts. These include Bill Gates, co-founder of Microsoft, Steve Wozniak, co-founder of Apple, Larry Page, co-founder of Google, Mark Zuckerberg, co-founder of Facebook, Marissa Mayer, current president and CEO of Yahoo, and Warren Buffett, chairman and CEO of Berkshire Hathaway.

As entrepreneurs, introverts succeed because they “create and lead companies from a very focused place,” says Susan Cain, author of “Quiet: The Power of Introverts in a World That Can’t Stop Talking” and founder of Quiet Revolution, a website for introverts.
. . .
Many people believe that introverts, by definition, are shy and extroverts are outgoing. This is incorrect. Introverts, whom experts say comprise about a third of the population, get their energy and process information internally. Some may be shy and some may be outgoing, but they all prefer to spend time alone or in small groups, and often feel drained by a lot of social interaction or large groups.
. . .
Introverts not only have the stamina to spend long periods alone–they love it. “Good entrepreneurs are able to give themselves the solitude they need to think creatively and originally–to create something where there once was nothing,” says Ms. Cain. “And this is just how introverts are wired.”
. . .
While extroverts are networking, promoting or celebrating success, introverts have their “butt on the seat,” says Laurie Helgoe, author of “Introvert Power: Why Your Inner Life is Your Hidden Strength” and assistant professor in the department of psychology and human services at Davis & Elkins College in Elkins, W.Va. “An introvert on his (p. R2) or her own is going to enjoy digging in and doing research–and be able to sustain him- or herself in that lonely place of forging your own way.”
They don’t need external affirmation
Another important characteristic of introverts is that they tend to rely on their own inner compass–not external signals–to know that they’re making the right move or doing a good job. That can give them an edge in several ways.
For instance, they generally don’t look for people to tell them whether an idea is worth pursuing. They tend to think it through before speaking about it to anybody, and rely on their own judgment about whether it’s worth pursuing.
With extroverts, the need for social stimulation, for getting the idea in front of other people, can make them leap before they’ve thought something out, Ms. Buelow says. “It’s very important for them to get outside feedback and motivation.” Feedback is great, of course. But at a certain point a leader needs to decide on a plan and execute it.
Following their own compass also helps introverts stay focused on a venture. Extroverts can get sidetracked by seeking external validation, such as awards or media attention for a project, which can divert them from their main goals. While introverts welcome external validation, they won’t let it define them or distract them. “It’s about keeping the long-haul perspective,” Ms. Buelow says.
What’s more, because introverts aren’t looking for outside events to validate their plans–or themselves–they don’t take setbacks as personally as extroverts. Somebody who relies on external affirmation tends to take setbacks personally and may get dispirited if the company hits a rough patch.
. . .
. . . , in a 2009 study looking at how introverts and extroverts approached an “effortful task,” Maya Tamir, director of the Emotion and Self-Regulation Laboratory at Boston College and Hebrew University in Jerusalem, found that extroverts sought a happy state while completing the task, while introverts preferred to maintain a neutral emotional state.
“The introverts’ happy space is a quieter space with less interruptions,” says Ms. Buelow. “They won’t have that overstimulation.”

For the full commentary, see:
ELIZABETH BERNSTEIN. “The Case for the Introverted Entrepreneur; Conventional wisdom says you need to be an extrovert to start a successful business. That’s wrong for all sorts of reasons.” The Wall Street Journal (Mon., August 24, 2015): R1-R2.
(Note: ellipses added; bold in original.)
(Note: the online version of the commentary has the title “Why Introverts Make Great Entrepreneurs; Conventional wisdom says you need to be an extrovert to start a successful business. That’s wrong for all sorts of reasons.”)

The Cain book mentioned in the commentary quoted above is:
Cain, Susan. Quiet: The Power of Introverts in a World That Can’t Stop Talking. New York: Crown, 2012.

The Helgoe book mentioned in the commentary quoted above is:
Helgoe, Laurie. Introvert Power: Why Your Inner Life Is Your Hidden Strength. Naperville, IL: Sourcebooks, Inc., 2013.

The Maya Tamir article mentioned above, is:
Tamir, Maya. “Differential Preferences for Happiness: Extraversion and Trait-Consistent Emotion Regulation.” Journal of Personality 77, no. 2 (April 2009): 447-70.

FTC Retaliated Against, and Destroyed, Innocent Firm that Stood Up for Rule of Law

(p. A17) Sometimes winning is still losing. That is certainly true for companies that find themselves caught in the cross hairs of the federal government. Since 2013, my organization has defended one such company, the cancer-screening LabMD, against meritless allegations from the Federal Trade Commission. Last Friday, [November 13, 2015] the FTC’s chief administrative-law judge dismissed the agency’s complaint. But it was too late. The reputational damage and expense of a six-year federal investigation forced LabMD to close last year.
. . .
Unlike many other companies in similar situations, . . . , LabMD refused to cave and in 2012 went public with the ordeal. In what appeared to be retaliation, the FTC sued LabMD in 2013, alleging that the company engaged in “unreasonable” data-security practices that amounted to an “unfair” trade practice by not taking reasonable steps to protect patient information. FTC officials publicly attacked LabMD and imposed arduous demands on the doctors who used the company’s diagnostic services. In just one example, the FTC subpoenaed a Florida oncology lab to produce documents and appear for depositions before government lawyers–all at the doctors’ expense.
Yet after years of investigation and enforcement action, the FTC never produced a single patient or doctor who suffered or who alleged identity theft or harm because of LabMD’s data-security practices. The FTC never claimed that LabMD violated HIPAA regulations, and until 2014–four years after its investigation began–never offered any data-security standards with which LabMD failed to comply.
. . .
. . . , the FTC is likely to simply disregard the 92-page decision–which weighed witness credibility and the law–and side with commission staff. That’s the still greater injustice: The FTC is not bound by administrative-law judge rulings. In fact, the agency has disregarded every adverse ruling over the past two decades, according to a February analysis by former FTC Commissioner Joshua Wright. Defendants’ only recourse is appealing in federal court, a fresh burden in legal fees.
That’s what happens when a federal agency serves as its own detective, prosecutor, judge, jury and executioner. As Mr. Wright observed, the FTC’s record is “a strong sign of an unhealthy and biased institutional process.” And he puts it perhaps most powerfully: “Even bank robbery prosecutions have less predictable outcomes than administrative adjudication at the FTC.” Winning against the federal government should never require losing so much.

For the full commentary, see:
DAN EPSTEIN. “Hounded Out of Business by Regulators; The company LabMD finally won its six-year battle with the FTC, but vindication came too late.” The Wall Street Journal (Fri., Nov. 20, 2015): A17.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the commentary was updated on Nov. 19, 2015.)