Category Archives: Health and wellness

Central planners interfering with human progress

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Copied the article available at equity-master link

Aristotelian logic came to dominate western thought after the Renaissance. It is essentially a forerunner of ‘positivism,’ which is supposedly based on objective conditions and scientific reasoning. “Give me the facts,” says the positivist, confidently. “Let me apply my rational brain to them. I will come up with a solution!”

This is fine, if you are building the Eiffel Tower or organizing the next church supper. But positivism falls apart when it is applied to schemes that go beyond the reach of the ‘herald’s cry.’ That’s what Aristotle himself said. He wrongly thought only a small community could work at all. Because only in a small community would all the people share more or less the same information and interests. In a large community, you can’t know things in the same direct, personal way. So, it’s hard for people to work together in the same way.

In a large community, you have no idea who made your sausage or what they put in it. You have to rely on ‘facts’ that are no longer verifiable by direct observation or personal acquaintance. Instead, the central planners’ facts usually are nothing more than statistical mush, wishful thinking or theoretical claptrap – like Weapons of Mass Destruction, the unemployment rate, and Ubermensch.

Large scale planning fails because the facts upon which it is built are unreliable, frequently completely bogus. Also, it fails because people don’t really want it. In a small community, the planners and the people they are planning for are close enough to share the same goals. In a large community, the planners are a small minority. Usually, the planners have their own agenda…often a hidden one. They may call for more strict law enforcement, while getting campaign contributions from the prison industry. They may seek a cure for cancer, and depend on the pharmaceutical industry for job offers. They want a united Europe… and hope to be its head man.

But though large scale planning provides almost countless opportunities for corruption, it’s not the dirty dealing that dooms it. Instead, it is the fact that the planners don’t know (or care) what people really want…and don’t have the means or the information necessary to achieve it anyway.

As we have already seen, practically all the “public information” used by central planners is empty and most often misleading. But the problem is much more basic than the quality of the information or the corruption involved.

When we think of what people ‘want,’ we are not really talking about their conscious, stated desires. We are speaking broadly of what they might be able to get…if allowed to do so…given the facts on the ground. People in Hell may want ice cream; they won’t get it. But people will do the best they can with what they have to work with. Large scale central planners can’t help them. Partly because they don’t know what the conditions in the man’s private Hell really are. And partly because they don’t have any ice cream.

You might better describe this process of getting as much of what you want as possible as the progress wrought by evolution, where trials and errors result in “the best we can do.” Not perfect. Not the end of history. Just another step toward a future that is unknowable.

Large scale, central planners fail because they believe three things that aren’t true. First, that they know current conditions (wants, desires, hopes, capabilities, resources); that is, that they know the exact and entire present state of the community they are planning for. Second, that they know where the community ought to go; that is, that they know what the future ought to be. Third, that they are capable of creating the future they want.

None of those things is more than an illusion. Together, they constitute what F. A. Hayek called “the fatal conceit, that man is able to shape the world around him according to his wishes.”

As to the first point, central planners cannot actually know current conditions because that would require an infinite amount of information. It would require “minute knowledge of a thousand particulars which will be learnt by nobody but him who has an interest in knowing them,” wrote Samuel Bailey in 1840. The planners have nothing like that. Instead, they have a body of public knowledge, which – as we have seen – is nothing more than popular theories, claptrap and statistical guesswork.

As to the second point – that they are blessed with some gift that tells them what the future should be for complete strangers – we pass over it without argument. No one really believes that people in US Congress or the French National Assembly, or in the bureaucracies and think-tanks of these nations, has anything more to guide him than anyone else – which is to say, only his own likes and dislikes, prejudices and fears, and self-serving ambitions.

Of course, each man always does his best, at his own level, to shape his world in a way that pleases him. One will want a fat wife…and likely get one. One will want a fortune…and maybe get it, if he is lucky and diligent. One will want to spend his time playing golf; that too, may be within his means. Each will try. Each will win…lose…or draw, depending upon the circumstances. And the future will happen.

The central planner steps in try to impose his own version of the future. Evolution follows its own course, as the plans of individuals and groups succeed or fail. Where evolution is taking us, no one knows. But the large-scale central planner thinks he knows where it ought to go…and he doesn’t mind giving it a shove, disrupting the plans of millions of people in the process. As soon as the smallest bit of time and resources are shanghaied for the central planners’ ends rather than those of individual planners, the rate of evolutionary progress slows. The trials that would have otherwise taken place are postponed or canceled. The errors that might have been revealed and corrected are not discovered. The future will have to wait.

People are easy to deceive, especially when they only have access to ‘public information.’ Out of range of the herald’s voice, they have no more idea of what is going on than the planners themselves. They are encouraged to believe that the collective plans are beneficial. Often, they go along with the gag – for decades — even as the evidence of their daily lives contradicts its premises and undermines its promises. That was the story in Russia and China after the communist takeovers, where the planners’ extravagant schemes endured 70 and 30 years, respectively.

Not everyone goes along, however. When people resist, the planner sees them as obstacles to his success. Ruthless planners then begin purges, cleansings, regulations, famines, deportations, disappearances, tortures, drone attacks, and mass-murders in order to encourage compliance.

But their plans are wrecked anyway, because not only do they retard the future, they also don’t lead to the outcome the planners expect. Typically, the designers argue that the people must make sacrifices but that it will all come right in the end. “You can’t make an omelet without breaking some eggs,” said Lenin. People go along with breaking a few eggs (particularly if they belong to someone else) for a while. Ultimately, the problem is the omelet; it never makes it to the table. And the meal that ultimately does arrive is disgusting.

No ‘workers’ paradise’ ever happens. The War on Drugs (or Poverty…or Crime…or Terror…or Cancer…) ends in a defeat, not a victory. Unemployment does not go down. Or, if any of these grand programs ‘succeed’…it does so at a cost that is far out of balance with the reward.

Why do these plans fail? The simple answer is because that’s not the way the world works. Life on planet Earth is not so ‘rational’ that it lends itself to simpleminded, heavy-handed intervention of the naive social engineer. Bridges are designed. So are houses. And particle accelerators. Economies are not. Neither are real languages. Customs. Markets. Love. Marriages. Children. Or any of the other really important things in life.

Not to overstate our case, however, it is also true that humans can design and achieve a certain kind of future. If the planners at the Pentagon, for example, decided that a nuclear war would be a good thing, they could bring it about. The effects would be huge. And hugely effective.

But this extreme example reveals the only kind of alternative future that the planners are capable of delivering way large scale, central planning can be effective: that is, by pulverizing the delicate fabric of evolved civilized life. It is a future that practically no one wants, because it means disrupting the private plans of most of the world’s people – for marriage, business, babies, baptisms, hunting trips, shopping, investment and all the other activities of normal life. Stopping those private plans means arresting the particular trials and errors of ordinary people upon with the civilized future depends.

Not all central planning produces calamities on that scale, of course. But all, to the extent they are effective, are repulsive. The more they achieve the planners’ goals, the more they interfere with private goals, and the more they interfere with the progress of the human race.

Can we look health, medical insurance and IT industry connected?

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My wife had got the movie John Q and we watched tonight. It describes of a worker father who loves his son and wants to get a heart transplant for his son and the hospital is not supporting due to lack of insurance and he is forced to a corner to take a violent approach to make doctors and the setup to work in human approach. I watched the movie and it was extremely emotional for me and my wife. I am angrr, feel helpless and not able to sleep after the movie, thinking and wanted to write this blog.

Like medical insurance in USA, Indian corporates took the lead to migrate people to  insurance schemes. I also see that government is also pushing insurance scheme top on priority and no more developing new hospitals. I also see new start-ups that are making access to medical happen to only a few people at the top of the pyramid more accessible. It makes you to feel good to see advent of  hospitals like Narayana Hrudayalaya with community consciousness. I also read the cost of setting up Narayana hospitals by Devi Shetty’ Frugal innovation and needs investment of about Rs 45 crore.

Turning back, my father worked for NLC, a public sector. NLC has a huge hospital and provided medicare with more than 350 bed hospital supported by peripheral dispensaries. This hospital has the cream of doctors and I am sure that Neyveli did not pay medical insurance or asked its employees to pay medical insurance.  I also had my friends whose father worked for BHEL and were in Neyveli for commissioning plant and they could also use the hospital facility and also the villages around Neyveli. It is fact that my wife was born in Neyveli hospital as her grand parents were in Vadalur and no one in her family worked for NLC. How many employees worked in Neyveli 30,000 at maximum.

Some time back I have read this article Infosys Takes Cover For Its Employees. I am sure all IT companies in Bangalore( with employee strength more than 100) take medical insurance of  at-least 50  crores or more. Is there a business idea?

Few days a friend commented that we have started to become collaborative and have IT park bus rather than company bus and all people working in IT park use the bus and it is really helping. Is there a way that companies could take one year insurance payment and build a hospital and ask Narayana Hrudayalaya to run the same? After having experienced Neyveli hospitals, I think this can be a possibility. Is there a social entrepreneurship opportunity here?

These hospitals could take care of not only IT employees, but other employees also.  Once the hospital is completed, the IT companies can stop paying money to medical insurance company and contribute the money to local hospital development and surplus can be contributed to larger community. When we reach 58 years, this hospital would be able to provide us with medical care and also for lot more people and perform research?

 I see Glocal Healthcare Systems as a start of this revolution. Looking for inputs to take my above idea forward. How to make IT companies sign up with this idea? Will some one donate money to build the first hospital make IT companies act? Will the government provide the land for this cause? Let me think more on this.

Some of you might question whether I want  IT companies to build schools and run buses? I would be happy if they can collaborate in those areas and I strongly feel that  they need to collaborate in terms of medical issues.

Growth & Inequality

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I had the privilege of attending two APU Public Lectures in last 2 weeks and have been overwhelmed with the sessions

Some pointers from the first session are

  • A large finance company can file bankruptcy in USA and not a student who has enormous debts or the concerned parent of the student who supported him. Should we not treat them equally?
  • There seems to be nexus between economics and politics. Is the money being moved from the bottom of the pyramid to the top?
  • Why do speculators pay less taxes than people who work hard?
  • Does inequality in relationship  lead to instability?
  • Can we start realizing that the root cause of Bad times start in good times?
  • There is lack of opportunity at the bottom of the pyramid without money
  • Focusing only on more growth brings more inequality. if there are structural inequalities, there are going to growth inequalities. Can we focus on  creating equality that drives creation of  growth.

Some pointers from Harsh talk( I am reader of Hindu articles) were

  •  Have we exiled poor people from our life? The fact that there is inequality does not worry us. We are indifferent to the suffering of people near to us.
  • How are children and students brought up in middle class? Are they brought up with Indian caste system, English class system and American neo-liberalism?
  • What is legacy we are giving to our young people? Why do young people lead protests? What are the role models for them to look to make the world a fair place for all?
  • Schools are empty for 16 hours. Why they cannot be used for homeless people who are affected by winter?
  • He talked about merit and prejudice. Merit is related to  privilege  and people need to be made to be aware that ” I am where I am because of the Privileges I got”.
  • We are prejudiced on people. We are prejudiced on people as their ancestor committed wrong? How can some one be asked to shoulder responsibility for his history even before he was born?
  • The most difficult job for a hungry woman is to ask their children to sleep with hungry stomach.
  • Are we stopping to care?Can we respect others with their differences and celebrate diversity?

Can I identify opportunities beyond known problem?

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The tiger needs to kill other animals for its survival. The tiger does not call killing other animal as problem. The tiger does not choose between what to do and what to be.

In the software world we term the scenarios as problems. We start defining the scenario as a problem, prior to coming with steps to move forward from the scenario. We term the steps as solution. for the problems. May be I am used to getting a bug/report from the field and there is opportunity to fix the same. This was not possible in mechanical world or other world. Once cannot term that failure of brakes of the vehicle as foreseen problem and find solutions. In my past, I used to be proud of scenarios where i can identify scenarios as problems and see it as my strength. That thought process helps for sure to have zero bug delivery and seems to suit for computers and devices. In the start-up ecosystem, one hears the question “what is the problem you are solving” and is followed with “Do I have skills to solve the problem?”. Does it make sense to bring the habit of creating problem to life?. Whatever might be your answer, I see that it is easy for the habit to crib to personal life.

Let us come to world of human beings. When something happens, we assign meaning, make judgement,prioritize them, term it as problem and start thinking how to resolve the problem. Some times the only thing we have done about the scenario is termed the scenario as problem and found solutions for the problem and have not taken any actions. Effectively, we have added a problem to our past memories and continue to see our life through the lens of problem and map future experiences onto those past “truths/scenarios.” This is start of vicious circle and we tend to forget that we created/defined the past “truths/scenarios.” and have the power to change them.

We get engulfed in our own concerns, judgement, or positions and surrender our power to be taken over by fear. Fear stops one from expressing and experiencing the power of what is possible and makes me tell myself that it is enough to just to get by or escape from fear. When some one points, We might end up saying, “No, thanks—I don’t want any! Let me stay just as I am.”. I need enormous courage and courage to try out new ways continuing to be present in the space where fear used to be.

Let me start with promise not to create “truths/scenarios” and be aware of the urge to define problem in my mind. May be I can identify opportunities and possibilities in my life beyond known problems. This is a framework i can follow during scenarios.

  • There are a lot of scenarios to worry about or anxious about that
  • Does this matter to me? Do we know whether it might or might not happen in future? if yes, find the right way to express emotions.
  • Do I have control over this? if not, please do not make it problem and still look for a solution.
  • Let go things that we cannot control and things that does not matter.

Make me think beyond my own children

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Liked these lines in Genieids email for parents and bookmarking them. They apply to all our relationships and interactions.

  • When something undesirable happens to me, do I have the license to misbehave? What happens when I takes responsibility of my behaviour? How do we make a child reflect on his/her behaviour while still acknowledging the feelings?
  • Each loves the other but does not express their feelings freely. While love remains unexpressed, complaints and expectations also remain unshared and hence, unclarified. People use indirect channels and how effective they can be. How often are we aware of our emotions on a day to day basis? What happens when a child is aware of his/her emotional state, associates a word to his/her feelings and more importantly what happens when we acknowledge his/her feelings?
  • We at times identify a feeling in our self which we feel ashamed of. Either the feeling is labelled taboo or I know it would lead to some undesirable results. How would I feel if someone offers a help to get rid of this feeling? What if someone exposes me and tells me that I should be ashamed of this feeling? How often do we tell a child ‘it’s okay to feel jealous’? Can we look at each feeling of a child as something important to him/her? Can we respect each feeling? What would have happened if someone allowed child to figure out his own solution?

Why is Change needed?

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  • Winners win by pushing their limits until their limits become the norm. Life has all sort of problems, it’s up to an individual how to take it and make it.Life is meant to enjoy not to worry about the past.
  • Our lives are not determined by what happens to us but by how we react to what happens, Not by what life brings to us, but by the attitude we bring to life.
  • A positive attitude causes a chain reaction of positive thoughts, events, and outcomes. It is a catalyst, a spark that creates extraordinary results. Let’s change to make a change!!!

Public Transport @ Bangalore

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I have used public transport in Bangalore for the last 4 years and compiling my observations

1. Bu usage has increased in Bangalore compared to the situation 4 years old.The 500 series buses are jam packed in work areas. This is positive effect.
2. The number of cars with one passenger seems to be increasing in leaps and bounds. This is not a good news.
3. Transit from one bus to another bus is a cumbersome process. The flyovers are designed with a perception that bus passengers can walk a long distance but people driving should be able to be more comfortable. For example, the bus leaving ITPL and reaching silk board would drop passengers on this side of silk board flyover. The passengers need to cross the flyover and then cross the silk board entrance to board the next bus. This makes me think should I have my own vehicle. If this is my case, what about elderly people or families with children.
4. I happened to visit a tech park which is situated on the Hosur high way after the elevated high way to electronic city starts,. There was no footpath for miles and kilometers for me to get down on one side and cross the road. There was no subways even. On needs to go all along one side and needs to walk all along the other side and hence doubling the distance. Why are pedestrians made to walk a long distance
5. There is a flyover at agara. Are the flyovers build for minority population? The buses are still having the traffic signal and the bus commuters spends a large time. I find that the flyover is not getting used to its capacity and why was a flyover build for small number of vehicles.

Stick to it. – interesting read

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Copied from equitymaster newsletter

In every discipline, the phenomenon is the same – in school, the complexities of real life are removed so that students can be tested on set groups of memorable, learnable, understandable bits of stripped down, sanitized ‘knowledge.’

That is why more education does not always lead to more success in the real world. In fact, it could go in the opposite direction. The better you get at handling the artificial world of academia, the worse you may do at solving the real world’s infinitely nuanced challenges.

Problem solving in the academic world typically involves a part of the brain – but only a part of the brain. It is the ‘rational’ part…the part that remembers facts, reads, writes, and connects the dots. That is the skill measured by the SAT tests, for example. They are tests of “scholastic aptitude.’ And they are pretty good at it. If you able to do the kind of tricks the tests require, you’ll be able to handle the kind of work they give you in school.

But life sends very different tests your way. Life’s tests involve many, many more variables – so many that your ‘rational’ mind is frequently overwhelmed. The human face, for example, is capable of hundreds…or thousands…of different expressions. Some people seem better able to read these messages than others.

In the world of textbooks, other people scarcely matter. You read. You write. You check the boxes. But once you get into a workplace, you are faced with an entirely new test. How well can you get along with others, motivate them, lead them?

In school, tests are anticipated. In real life, you never know when you will be tested. You never know what you will be tested on. And even when you are in the middle of an important test, you often don’t know it.

In some careers you are able to apply the body of knowledge you picked up in school, but not many. In most careers, you have to learn on the job — a new body of knowledge, often additional, sometimes completely new and different. And unless your job is to throw the switch on a toll bridge, or to collect tolls on a toll road, your new knowledge is likely to involve a great many things that are uncertain…unknowable…and variable.

Even in ‘routine’ careers there is still plenty of room for career advancement and money-making. But it requires you to step beyond the routine. If you are a school teacher, for example, you might have to write a book on education…or start a school of your own. Or, if you are a carpenter, you could set up a carpentry business…or use your skills to build something rare and interesting enough that it could be sold at high margin…or mass produced.

Generally, the more formulaic the work, the less scope for making money at it. The more limited, that is to say, the more like school any job is, the less likely you are to turn it into a source of wealth, power, or outsize success.

But assuming you are doing something that is not routine, not formulaic, and not limited (an assembly-line worker, for example, may be able to earn a good living…but it is not a way to build a fortune), what is the secret to making a success of it? Ah, glad you asked. At least part of the secret is sticking to it. Here’s why…

If your work is not simple and not formulaic, you need to use a fair amount of creative thinking, innovation and entrepreneurship to get ahead. Sometimes your work can be reduced to simple, school-like thinking. More often, it is more complex…involving subtle judgments about people…guesses about how others will react…mastering new technology and leadership skills needed to get others to follow your plan, and so forth. It may involve raising money…’selling’ your ideas…taking a chance on a new career or a new business…convincing clients to leave their habitual sources…or convincing employees to work harder…or better.

You may have to develop a new product. Or, maybe you have an insight that tells you how to invest your firm’s resources more productively.

Whatever it is, it is likely to require more than your ‘school brain’ to make it happen. It is likely to involve wisdom…intuition…and ‘people skills.’ It is likely to require more of you — your brain…your personality…your heart. And maybe soul too.

It is likely to require trusted contacts, seasoned hunches, educated guesses,

Where do these things come from?

Malcolm Gladwell’s book, “Outliers’, makes the point that there is no secret to success. Successful people just put in more hours than other people. Our point today is similar. Success is usually the product of compound effort over time. It takes time to develop contacts. It takes time to develop trust – both of your own team and outside clients/customers/associates. It takes time and experience to develop the hunches and instincts that are useful in real life. It takes time too to understand other people and learn how to work with them. It also takes time to build a foundation of human and financial capital that allows you to take advantage of the insights and opportunities that experience bring you.

Time does not work in a linear, mathematical way. As with compound interest, time pays off geometrically. As contacts, experiences, wisdom, innovations and intuition are added one to another, your opportunities multiply. A $100,000 deal that you might have done when you were 25 grows into a $1 million deal 5 years later. And instead of doing two deals a year…you might do 10 a year.

This is also why it is so important to put in lots of time. Gladwell refers to the Beatles, major league athletes and people such a Bill Gates. In every case, he found that the leading figures in their industries put in thousands of hours – usually far more than their competitors. They may appear to be ‘gifted.’ Their achievements may seem effortless. But they are almost always the product of time.

Not only that, but the time spent at the end is much more powerful than the time at the beginning. You can see this by looking at charts of compound interest. Starting from a low base, the first series of compound interest produce little difference. But at the end, the results are spectacular.

Start with a penny. Double it every day. At the end of a week you are still only adding 32 cents per day. By the end of the third week, however, you’re adding more than $10,000 per day. So you see, the last increments of time are much more important than the first.

It doesn’t exactly work that way in real life, of course. Hang around too long and you get tired…and the lessons you’ve learned might not be applicable to the new realities. Suppose, for example, that you had learned to make the perfect buggy whip, at age 55, in 1910! Or imagine that you were the leading expert on silent movies…just before the ‘talkies’ started. Or maybe you were cornering the classified advertising market…just as Craigslist and e-Bay made their appearance.

But aside from that kind of a setback, time compounds your advantages. At age 20, you may know less than everyone in your business. But then, you work 10 hours a day, while others only work 8 hours. In 20 years, you may know more than just about anyone. Then, who gets the new contracts? Who finds the new opportunities? Who has pricing power?

Who makes money?

Compound interest works because each addition is then put in service to earn another increment of gain. Compound effort works the same way. Every insight, innovation and useful contact helps bring on another, bigger and better one.

Remember, success is competitive. While you are adding to your business capital, your competitors tend to wear out…move on…or retire. Sticking to it is not easy. People tend to get distracted. They often want easier, simpler, faster opportunities. They give up their accumulated capital…and take up something new. That leaves you in a commanding position.

Stick to it.

Cave friends – copied from Kathalaya for my reference

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A snake and a tortoise lived in a small cave on the hillside. Each went about his own way and had not bothered to make friends with the other. One day as the tortoise was sitting on a grassy slope outside the cave; it suddenly occurred to him that he had no friends. He looked around and saw birds hopping on the grass and a family of hares sunning themselves around their burrow. Sheep grazed little way off and their lambs jumped and played with each other. The tortoise felt left out sad and lonely.

As he sat brooding, the snake returned home after his night out. Seeing his cave mate alone the snake went up to him and asked “hey you look sad, what is the matter?” “Yes, I am,” said the tortoise.” I just realized that I have no friends and I was wondering why.” The tortoises’ answer startled the snake and got him thinking. He realized that he too did not have any friends. Though both of them lived in the same cave they felt aloof and friendless. So they decided to ask their neighbor, the rat to sort out the problem and help them break the ice.

The rat decided to facilitate a discussion between both. “ I am short tempered”, said the snake. And am suspicious and strike out without thinking who I hurt.” “I, On the other hand, do not care for anyone’s’ feelings and do not allow anyone to touch me .” I just withdraw into my shell, before anyone can come too close to me.” “Is that true, now do you want people touching you?” “Actually not, said the tortoise. “if that were true then why I want friends and why do I feel sad that I do not have any?” “I too feel good the way I am, said the snake, but am happy and feel lighter after talking things out. “Maybe, Now that both of you have begun to talk and express your feeling it can be the beginning of a friendship. Perhaps you can learn more about each other and learn from one another,” said the wise and rat and went on his way

Practise to be comfortable with silence

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This is in continuation to blog Handling Silence. I realize that I am finding  it hard to be comfortable with silence. when there is silence, I do not ask right question to ask for clarity and talk/blabber something and focused on getting rid of the problem quickly. I do not believe the answer which I am not looking for. But the good thing I am doing is to go and ask for clarity and have identified people whose answer I am ready to believe.

  • Accept that you don’t know. Acknowledge that you don’t know what the silence really means. Resist the temptation to fill in the blanks with your own insecurities.
  • Ask for clarity. Reach out to the person and ask him to tell you why he’s not responding.
  • Believe the answer. Whatever the response — he was too busy, he forgot — don’t read between the lines. Accept it as truth and move on