X-Message-Number: 4566 Date: Wed, 28 Jun 1995 21:53:29 -0800 From: (American Cryonics Society) Subject: WHAT DUMB OL' MIKE DID! The post which follows was written prior to Mike's posing in answer to Guy Gipson's comments on ACS-BPI contract cancellation. I had thought enough was said on the subject, and withheld the posting. Since it appears this subject is still alive, I am proceeding with what is, I realize, a late response. Accompanying this post is a more timely direct response to Steve Bridge's post #4556. I appreciate the interest Guy expresses in what are important questions to someone contemplating enrolling in a suspension program. First, Guy, please understand that neither BPI nor ACS have any obligation to discuss their business on Cryonet. ACS, as a membership organization where our members vote for Governors and on other important matters, tries to keep its members informed on questions related to its own business operations. That is not to say that there are still not proprietary considerations and obligations as well. No company could remain in business without some degree of privacy in its operations, BPI, on the other hand, has obligations only to its stockholders. Since your interest, Guy, is because you are a potential cryonaut, let me first set the context by telling you a little of the American Cryonics Society. I'll attempt to do this without it being (much of) a sales pitch. The American Cryonics Society was first founded in 1969 and is the oldest cryonics society. The first suspension, for which ACS received the (whole body) anatomical donation was in 1974. We also are the first company, of those in existence today, to offer an "unbundled" program, and have been innovators of that concept. We have an obligation to our members to provide suspension services. We don't have an obligation to provide them through any particular contractor. We may use contractors, or may perform these services ourselves. Recognizing that we should not be dependent upon any contractor, especially for initial suspension services, a number of years ago we begin a program of in-house training, and equipment acquisition. We also developed contracts and cultivated working relationships with companies and people who could assist with suspensions. We believe the program of any cryonics organization can be strengthened by the use of service companies. BPI, for example, because it also does contract research, can spend much more on equipment and training than can most cryonics organizations. Currently there are only two to four suspensions per year (by all organizations and companies combined). This means that the equipment and training of any organization is used infrequently. Equipment used for contract research, on the other hand, may be put to daily use. Unfortunately there just aren't that many private companies who are capable and willing to contract for complete suspension services. There are, however, quite a number of companies and individuals who can provide important services in time of suspensions. For example, we have made use of air-ambulance services, cooperating physicians, medical technicians, and morticians, for our suspensions in recent years. The people and companies have provided these services to ACS, and the continued availability of this assistance is not dependent on any service provider. This model: in-house service supplemented by outside professionals plus contracting for more complete (bundled) services when appropriate, is likely to be that followed by all or most start-up organization in the future. In summary: while we wish to contract with any cryonics organization or company we deem reliable, we try to avoid dependency on such contracts. Any organization who has this dependency is simply too vulnerable. For what it is worth, Mike Darwin and BPI have probably contributed more to our development of in-house capability than anyone else, with Mike encouraging this self-sufficiency; and this assistance from BPI continues. Mike's obligations to CryoCare are rather different than those to ACS. >From the outset, CryoCare was expected to use BioPreservation's services. Also, if past history is any indication, the time Mike might need to devote to his CryoCare obligations are less than to ACS. Apparently, CryoCare, too, is following a path to greater self sufficiency, if needed, with arrangements for equipment availability and training. No, Guy, time out of research to do a suspension is not "a refreshing break." There are many hundreds of hours BioPreservation may need to devote to a suspension, which, unlike research, cannot be "scheduled." This means that when an ACS patient is "on the short list" BioPreservation must effectively shut down its research operation and devote time almost exclusively to the impending suspension. Anyone who doubts that such time in needed should simply read Mike's report on the suspension of ACS member Jerry White. First you have your preparation and training; then you have your standby; then you have your coordination of auxiliary personnel; then you have your standby; then you have transportation of people and equipment to the location where we expect the patient will "go down"; then you again have your standby; then you have your suspension; then you have your clean-up and inventory and order supplies; then you have your re-stock of the ACS in-field kits; then you have your in-house critique; then you have to obtain medical records and spend many hours writing up the report. Along the way there are always fires to be put out: the patient is transferred to a different hospital and we have to explain the suspension requirements to the hospital administration all over again; another ACS patient is in critical condition and the in-field equipment must be duplicated and a plan worked out for simultaneous suspension if needed; the suspension must be explained to local police who are called to the scene when concerned neighbors see what looks to be medical personnel unloading, then loading, a huge quantity of ice and equipment into an ambulance. After having said all this, I don't want to, in any way, imply that ACS is just as well-off without a contract with BioPreservation as with one. Anyone reading the above much-abbreviated discussion of what is really involved with a suspension should certainly understand that being able to transfer much of that responsibility to BioPreservation is highly desirable. I am grateful that Mike's continued advisory services are still available to us. I also want to suggest that anyone who thinks it is necessary or desirable to "peel away more layers of the onion" to discover the "real" reason for the cancellation of the ACS-BPI contract, is wasting time. Mike stated that his primary reason for cancellation was to make more time for research. We took that at face value. Did both ACS and BPI have discussions on other things we think should be done different or better? Of course. Such critique was an on-going process. Do readers of Cryonet or the cryonics community in general need or deserve to be enlightened on all matters of business dealings between ACS and BPI. No, neither of us will supply a "short list" to Cryonet of what we think the other company "does wrong," beside which (no bull), we were both genuinely pleased with our relationship. Is it true, as Guy suggests, that "if suspensions are contracted out, either the contracts need to be longer, or multiple contracts are indicated, or both."? No. This would be true only if the cryonics society were entirely dependent upon outside help. In reality, ACS is a bit of a hybrid. The ACS "model" has elements of both the bundled and unbundled models. Any society deciding on what, and how much, to do in-house needs to look closely at risk-benefits. Any bundled company who ignores the possible benefits to its members by use of contract companies isn't taking advantage of all of the available resources which might be applied to benefit its members. Any unbundled company whose ability to deliver services is entirely dependent on just one contractor puts its members at risk from over-dependence. Wouldn't it be wonderful if all cryonics resources were available to all cryonicists? We think so. But we don't live in that ideal world. Personality conflicts, lack of trust, previous bad experience, and ego gratification, get in the way of achieving that ideal. I also disagree with Guy when he writes: "...the highest level possible of reliability in providing suspension services is second only to dependable long-term storage, in assessing the qualifications of a cryonics provider." Our goal is to make the time trip successfully. ACS, as the oldest cryonics organization, has spent a lot of time and efforts in playing the "what-if?" game. It is easy to play what-if, and I am continually surprised that so few cryonics are skilled players. First, look at the failures in cryonics, the people who have been thawed, the companies who have gone out of business. Study your history! Try, as best you can, to analyze these failures and build into your program "fail-safes" to try to avoid these past sins. Then, in recognition that we haven't yet experienced all the bad or good things which could happen, ask what should be done if a particular even, be it fortune or misfortune, should occur? Then ask: what could or should be done now in anticipation or to avoid that event? Then: how can the relatively meager resources now available to cryonicists be used most effectively to address the "what ifs"? This informal risk-benefit study will show that there are times and circumstances where you must balance the good of the individual against that of the society, and the interests of some members against others, and the interests of animate members against those in suspension, etc. The ACS answer to these moral dilemmas is our emphasis upon individual responsibility. While we will do a lot to assist an individual member we don't take on charity cases and it's possible for one of our members to take actions which get him into trouble. It is also possible for a member to do a lot to maximize his own chances of making that time trip successfully. Back to my disagreement with Guy's statement. Far too little attention has been paid by both the individual cryonicist and the cryonics community to the legal and financial aspects of a suspension program. It doesn't matter how good a suspension you may have gotten, or how dependable the long-term storage operation available to you may be, if your suspension funding or legal arrangements fail. Over ten years ago the American Cryonics Society revised its suspension program to make use of individual trusts for management of long-term suspension assets. As a result of our recent suspensions, we have gotten much more involved with the practical application of that decision than ever before. Although the bugs are not yet all shaken out of the plan, the practice seems to be vindicating the decision. We use trusts. They are easily understood by most lawyers and financial planners. Indications are this practice will help protect frozen members from fraud or mismanagement or from failure of the society itself. Yet most potential recruits spend very little time considering this apparent advantage. Rather, they are wowed by claims of superiority in suspensions when, in reality, even if we could waive a wand and suddenly have all suspension capabilities from all companies to call upon, it would still be problematic that the member would get a good suspension most of the time. Delays in notification, lack of full cooperation by family or friends, or resistance from the established medical community, can all make our best efforts and intentions count for naught. I am firmly convinced that most cryonicists, be they members of whatever cryonics organization, or none at all, LIVE IN A FOOL'S PARADISE. When a potential recruit asks a society about its suspension services, the society points to its best cases. The question is not "What services does your society offer?" rather it is "What services am I likely to get?" The answer to that second question depends very much on individual efforts and understandings (which includes the arrangements you have made) and how much you are willing to pay. There is a lot the American Cryonics Society can do, WITH MAXIMUM HELP FROM THE MEMBER, to provide a good send-off and legally and financially sound time-travel. Let me follow up on my FOOLS PARADISE statement with a concrete example: How many of you fools (just an attention-getting figure of speech, guys) really believe you are going to get standby service? You are in an auto accident and the nurse calls your bracelet number and, within hours, the crack suspension team from your society is sitting at your bedside. Right? Well, maybe so, maybe not. At ACS, although we want to be available (for standby as opposed to suspension), we have no automatic obligation to do so, and would evaluate the situation on a case-by-case basis and make a decision. There are ways you could either provide funding for standby (through certain insurance options, for example) or designate another person with the authority and access to funds to evaluate the circumstances and make the decision for you. Only a small percentage of our members have such arrangements in place, and there is very little attention given to this matter in cryonics publications. I would be willing to bet (and in some instances I know for certain) that this is the case with other organizations as well. There is so much attention given to the myth of the crack suspension team which is immediately at your bedside to whisk you away to the future, that common sense, easy to do procedures (like selecting options on your insurance policy to pay for standby), are often completely ignored and not even discussed. Let me attempt to "peel away the layers of the onion" to determine what Guy's question really is: what Guy really wants to know is if he signs up with CryoCare in the expectation that Mike's services are going to be available to him, is it likely that Mike will then cancel his contract leaving Guy and other CryoCare members to "flap in the breeze," so to speak? Highly unlikely. CryoCare was set up with the expectation that BioPreservation (or some such company run by Mike) would be available for suspension services. However, (and I think most CryoCare enthusiasts would agree), one should not joint CryoCare (or ACS) because of expectation of high-tech suspensions from any one service provider. What you do get with ACS or CryoCare, is a suspension plan designed to depend upon the market-driven free enterprise system for its success. When the Bay Area Cryonics Society (to become the American Cryonics Society) was established, many of its founders believed that the success of cryonics would depend upon using the time-tested market-enterprise business model. This philosophy has continued through our organization's history. In reality, because of the very small cryonics market, there has been far less application of this concept than we thought. When CryoCare was established, it's advocates recognized the small market impediment to a system designed to use free-market forces. They also believed that cryonics would not remain a small market forever, and setting CryoCare up as an organization friendly to contracting would encourage the development of new cryonics enterprises. If you agree with this market-economy, non-paternalistic, philosophy, and you determine that the service offered, as well as actually provided, is good, then ACS or CryoCare are good choices. As I indicated earlier, there is a big difference between what a society has done in its best cases and what it is likely to do for you. We are all too small, and membership too disbursed, to be able to deliver a good suspension under all circumstances. Mike may die (sorry Mike), or you may not die, or the horse may talk. Don't join a society to get the services of one person (or a small group of people) or fail to join because of fears that the services of one person may not be available. Jerry Leaf was probably the best there was. His contribution to cryonics, to ACS, to Trans Time, to Alcor, and (ultimately) to CryoCare, was tremendous. He is gone now, and we still have good suspensions. Join a society where you like and respect the people. You will be dealing with them for a good long time. Join a society whose philosophy, operations, and history you are comfortable with. Don't worry that Mike will cancel his contract with CryoCare, its not likely to happen, and if it did, CryoCare would survive and offer respectable suspensions. And don't cry for the poor ACS members who will now have to stay out in the warm because Mike is the only one in the whole wide world who can freeze people right. Mike is damned good, we know it, he knows it, but he is also a damned good teacher. Mike is also not very smart. In his ignorance, he sold us equipment and clued us in on his best technology. Shucks, he even gave us a suspension manual that has a passing resemblance to one another company had kept under lock and key for years! No smarts. That guy has absolutely no smarts! =+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= American Cryonics Society (408)734-4200 FAX (408)734-4441 P.O. Box 1509 Cupertino, CA 95015 =+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=4566