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From: Nick Gill <nicholas.gill_at_adfa.edu.au>
subject: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 10:42:06 +1100
HI ALL	

the NSWSKC is developing an A5 trip briefing guide for trip leaders.It is intended that laminated copies will be produced and trip leaders can use it to guide them through a briefing prior to launching and to make sure they don't forget anything.

 Such a briefing has proven to be legally useful in cases involving deaths in adventure activities.

the briefing is largely done but suggestions are welcome.

in particular 

We are going to put 'useful info' on the back. We have a list of ideas (eg weather forecast ph. numbers). But if you were a trip leader what would you like to see on this back side? Anything you think you might need to jog your memory about tides, navigation, weather or whatever, or something you might need to know in an emergency, or any last minute bit of info you might need to get/call for.

thanks
nick
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From: Wes Boyd <boydwe_at_dmci.net>
subject: Re: [Paddlewise] briefing guide
Date: Sun, 26 Dec 1999 18:52:27
At 10:42 AM 12/27/99 +1100, Nick Gill wrote:
>HI ALL	
>
>We are going to put 'useful info' on the back. We have a list of ideas (eg
weather forecast ph. numbers). But if you were a trip leader what would you
like to see on this back side? Anything you think you might need to jog
your memory about tides, navigation, weather or whatever, or something you
might need to know in an emergency, or any last minute bit of info you
might need to get/call for.

Next of kin? Not trying to be rude, on that, but it is helpful to have an
emergency contact person in case something goes wrong. Now that I think
about it, potential physical problems among the party -- i.e., allergies,
diabeties, etc.

-- Wes



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From: <Amigh2_at_aol.com>
subject: re: [Paddlewise] briefing guide
Date: Sun, 26 Dec 1999 21:16:48 EST
In a message dated 12/26/99 8:35:53 PM Eastern Standard Time, boydwe_at_dmci.net 
writes:

> Next of kin? Not trying to be rude, on that, but it is helpful to have an
>  emergency contact person in case something goes wrong. Now that I think
>  about it, potential physical problems among the party -- i.e., allergies,
>  diabeties, etc.

maybe, instead of 'next of kin', how about 'emergency contacts'?  it seems a 
good idea to ask for at least two contacts.  this may be too much detail, but 
insurance numbers/patient numbers are as appropriate as allergies, asthma, 
diabetes, esp.for folks enrolled in HMOs.  some ERs may not be willing to 
treat patients without the info. and remember that all areas do not have 911 
numbers.

speaking from personal experience-
a. mariani
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From: Nick Gill <nicholas.gill_at_adfa.edu.au>
subject: Re: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 14:16:54 +1100
> maybe, instead of 'next of kin', how about 'emergency contacts'?  it seems a 
> good idea to ask for at least two contacts.  this may be too much detail, but 
> insurance numbers/patient numbers are as appropriate as allergies, asthma, 
> diabetes, esp.for folks enrolled in HMOs.  some ERs may not be willing to 


thanks for the idea. I'll point out that for an australian this sounds weird. Our health system may be crumbling under lack of funding and privatisation is on, but the idea of not being treated without this sort of info is not yet reality here, in general.

What's an HMO?

>  and remember that all areas do not have 911 
> numbers.
Surely not? this would have to be the ultimate absurdity of the market ruling telecommunications. What sort of areas?

We have a nationwide 000 emergency number. I believe all Telcos are mandated to support it. 

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From: Richard Culpeper <culpeper_at_tbaytel.net>
subject: Re: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 12:36:44 -0500
Hey Nick:

You asked what are HMOs?  HMOs are health maintenance organizations.  They provide health care to voluntarily enrolled individuals and families in a particular geographic area by member physicians with limited referral to outside specialists, and are financed
by fixed periodic payments determined in advance.  Think of them as private hospitals/clinics/Dr.'s offices paid for by private insurance.

Costs are kept down by only treating people who are paid up, thus avoiding having to treat poor people.  HMOs work nicely for well-off people living in countries which have health systems which are generally inadequate to meeting their populations' needs.
Unfortunately, because they shift the burden of providing health services for poor people onto the state while reducing the tax base from the well-off, they contribute to the general collapse of national health systems.

One would think that this would occur only in impoverished nations, but oddly enough it seems to be more related to a national attitude toward both health care and poverty, rather than GDP.  Thus you end up with some very sad statistics, such as the infant
mortality rate in the US (where HMOs are extremely popular) being tied for the worst of any G-7 nation, despite people in the US spending far more per capita on health.  (Similarly, the average life span in the US is the lowest of any of the G-7 nations,
although the gun cult affects these numbers.)  The difference is that while the people of the US spend far more on health care, the spending is done through the private rather than public sector, where again the US ranks last.  While privatization works nicely
for the well-off, it leads to greater costs and fewer benefits for the general population, and this translates directly and most tragically into more dead babies.

In conclusion, HMOs are symptoms of inequitable health systems.  Despite how prosperous a nation may appear, the state of its economy does not necessarily correlate to how socially advanced it is.  For residents of such nations, it is wise to carry proof of
adequate medical insurance to avoid treatment discrimination based on income.  For people visiting such nations, it is important to carry proof of adequate medical insurance which explains that the non-resident's bill will be paid regardless of the residency
issue.

Cheers,
Richard Culpeper

Data from World Health Organization:  "World Health Report 1999:  Basic Indicators for all Member States" at http://www.who.int/whr/1999/en/indicators.htm

Ranked by infant mortality
US-- inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on health 14.0--public sector % of total on health 47
Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on health 07.6--public sector % of total on health 70
UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on health 06.9--public sector % of total on health 84
Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on health 09.2--public sector % of total on health 71
Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on health 09.7--public sector % of total on health 81
Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on health 10.5--public sector % of total on health 78
Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on health 07.2--public sector % of total on health 78

Ranked by % of GDP spent on health
US--inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on health 14.0--public sector % of total on health 47
Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on health 10.5--public sector % of total on health 78
Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on health 09.7--public sector % of total on health 81
Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on health 09.2--public sector % of total on health 71
Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on health 07.6--public sector % of total on health 70
Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on health 07.2--public sector % of total on health 78
UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on health 06.9--public sector % of total on health 84

Ranked by public sector % of of total spent on health
UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on health 06.9--public sector % of total on health 84
Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on health 09.7--public sector % of total on health 81
Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on health 10.5--public sector % of total on health 78
Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on health 07.2--public sector % of total on health 78
Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on health 09.2--public sector % of total on health 71
Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on health 07.6--public sector % of total on health 70
US-- inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on health 14.0--public sector % of total on health 47


Nick Gill wrote:

> > maybe, instead of 'next of kin', how about 'emergency contacts'?  it seems a
> > good idea to ask for at least two contacts.  this may be too much detail, but
> > insurance numbers/patient numbers are as appropriate as allergies, asthma,
> > diabetes, esp.for folks enrolled in HMOs.  some ERs may not be willing to
>
> thanks for the idea. I'll point out that for an australian this sounds weird. Our health system may be crumbling under lack of funding and privatisation is on, but the idea of not being treated without this sort of info is not yet reality here, in general.
>
> What's an HMO?
>
> >  and remember that all areas do not have 911
> > numbers.
> Surely not? this would have to be the ultimate absurdity of the market ruling telecommunications. What sort of areas?
>
> We have a nationwide 000 emergency number. I believe all Telcos are mandated to support it.

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From: Nick Gill <nicholas.gill_at_adfa.edu.au>
subject: Re: [Paddlewise] briefing guide
Date: Tue, 28 Dec 1999 09:44:23 +1100
For those who asked for a copy

I'd rather wait until its finished and approved by the club - its not 'mine' to distribute at the moment. Its still in draft form

When it is done it will probably be posted on our club listserver. If not i'll send it out to interested people.

cheers
nick

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From: Bob Volin <bobvolin_at_bestweb.net>
subject: Re: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 22:21:09 -0500
I was all set to respond to Nick's query about HMOs, but felt that my level
of negative emotion -- generated by the mere mention of HMOs -- was too high
to do the job rationally.  My health insurance has been good to me, but what
I have seen as a health care provider for people in the lower income
brackets has made me seethe.  Richard has it exactly right.  Our third party
payer system is Robin Hood in reverse.

This is off topic.  Sorry Jackie, I won't do it again.  Promise.

-----Original Message-----
From: Richard Culpeper <culpeper_at_tbaytel.net>
To: Paddlewise_at_lists.intelenet.net <Paddlewise_at_lists.intelenet.net>
Date: Monday, December 27, 1999 12:43 PM
Subject: Re: [Paddlewise] briefing guide


>Hey Nick:
>
>You asked what are HMOs?  HMOs are health maintenance organizations.  They
provide health care to voluntarily enrolled individuals and families in a
particular geographic area by member physicians with limited referral to
outside specialists, and are financed
>by fixed periodic payments determined in advance.  Think of them as private
hospitals/clinics/Dr.'s offices paid for by private insurance.
>
>Costs are kept down by only treating people who are paid up, thus avoiding
having to treat poor people.  HMOs work nicely for well-off people living in
countries which have health systems which are generally inadequate to
meeting their populations' needs.
>Unfortunately, because they shift the burden of providing health services
for poor people onto the state while reducing the tax base from the
well-off, they contribute to the general collapse of national health
systems.
>
>One would think that this would occur only in impoverished nations, but
oddly enough it seems to be more related to a national attitude toward both
health care and poverty, rather than GDP.  Thus you end up with some very
sad statistics, such as the infant
>mortality rate in the US (where HMOs are extremely popular) being tied for
the worst of any G-7 nation, despite people in the US spending far more per
capita on health.  (Similarly, the average life span in the US is the lowest
of any of the G-7 nations,
>although the gun cult affects these numbers.)  The difference is that while
the people of the US spend far more on health care, the spending is done
through the private rather than public sector, where again the US ranks
last.  While privatization works nicely
>for the well-off, it leads to greater costs and fewer benefits for the
general population, and this translates directly and most tragically into
more dead babies.
>
>In conclusion, HMOs are symptoms of inequitable health systems.  Despite
how prosperous a nation may appear, the state of its economy does not
necessarily correlate to how socially advanced it is.  For residents of such
nations, it is wise to carry proof of
>adequate medical insurance to avoid treatment discrimination based on
income.  For people visiting such nations, it is important to carry proof of
adequate medical insurance which explains that the non-resident's bill will
be paid regardless of the residency
>issue.
>
>Cheers,
>Richard Culpeper
>
>Data from World Health Organization:  "World Health Report 1999:  Basic
Indicators for all Member States" at
http://www.who.int/whr/1999/en/indicators.htm
>
>Ranked by infant mortality
>US-- inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on
health 14.0--public sector % of total on health 47
>Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on
health 07.6--public sector % of total on health 70
>UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on
health 06.9--public sector % of total on health 84
>Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on
health 09.2--public sector % of total on health 71
>Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on
health 09.7--public sector % of total on health 81
>Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on
health 10.5--public sector % of total on health 78
>Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on
health 07.2--public sector % of total on health 78
>
>Ranked by % of GDP spent on health
>US--inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on
health 14.0--public sector % of total on health 47
>Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on
health 10.5--public sector % of total on health 78
>Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on
health 09.7--public sector % of total on health 81
>Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on
health 09.2--public sector % of total on health 71
>Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on
health 07.6--public sector % of total on health 70
>Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on
health 07.2--public sector % of total on health 78
>UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on
health 06.9--public sector % of total on health 84
>
>Ranked by public sector % of of total spent on health
>UK--inf. mort. 7/1000--male life 75--female life 80--% of GDP spent on
health 06.9--public sector % of total on health 84
>Fr.--inf. mort. 6/1000--male life 74--female life 82--% of GDP spent on
health 09.7--public sector % of total on health 81
>Ger.--inf. mort. 5/1000--male life 74--female life 80--% of GDP spent on
health 10.5--public sector % of total on health 78
>Jap.--inf. mort. 4/1000--male life 77--female life 83--% of GDP spent on
health 07.2--public sector % of total on health 78
>Can.--inf. mort. 6/1000--male life 76--female life 82--% of GDP spent on
health 09.2--public sector % of total on health 71
>Italy--inf. mort. 7/1000--male life 75--female life 81--% of GDP spent on
health 07.6--public sector % of total on health 70
>US-- inf. mort. 7/1000--male life 73--female life 80--% of GDP spent on
health 14.0--public sector % of total on health 47
>
>
>Nick Gill wrote:
>
>> > maybe, instead of 'next of kin', how about 'emergency contacts'?  it
seems a
>> > good idea to ask for at least two contacts.  this may be too much
detail, but
>> > insurance numbers/patient numbers are as appropriate as allergies,
asthma,
>> > diabetes, esp.for folks enrolled in HMOs.  some ERs may not be willing
to
>>
>> thanks for the idea. I'll point out that for an australian this sounds
weird. Our health system may be crumbling under lack of funding and
privatisation is on, but the idea of not being treated without this sort of
info is not yet reality here, in general.
>>
>> What's an HMO?
>>
>> >  and remember that all areas do not have 911
>> > numbers.
>> Surely not? this would have to be the ultimate absurdity of the market
ruling telecommunications. What sort of areas?
>>
>> We have a nationwide 000 emergency number. I believe all Telcos are
mandated to support it.
>
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>

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From: Jackie Fenton <jackie_at_intelenet.net>
subject: Re: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 20:48:18 -0800 (PST)
> From: Richard Culpeper <culpeper_at_tbaytel.net>

> Hey Nick:
> 
> You asked what are HMOs? 


<big snip>

Absolutely none of this message had anything to do with PaddleWise so this
discussion ends here.  This is not a forum for you to leap at lame
opportunities to lob insults at your neighbor especially in an area that
has nothing to do with this forum.  Doesn't matter from which country you
hail and which country you target.

Jackie






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From: Doug Lloyd <dlloyd_at_bc.sympatico.ca>
subject: Re: [Paddlewise] briefing guide
Date: Mon, 27 Dec 1999 21:40:45 -0800
Nick wrote:
<snip>
>We are going to put 'useful info' on the back. We have a list of ideas (eg
weather >forecast ph. numbers). But if you were a trip leader what would
you like to see on >this back side? Anything you think you might need to
jog your memory about tides, >navigation, weather or whatever, or something
you might need to know in an emergency, >or any last minute bit of info you
might need to get/call for.

I came up with a _Leader Check List_ a couple of years ago for our club. It
was developed for day trips in local Canadian waters. It may be redundant
to what you have or has been suggested on PW since your post, but I'll add
my list just the same and you can take from it what you like:

Important
No boats in water prior to group talk
Safety talk with group must be done at launch site
Leader should pre-qualify requirements prior to arrival
Check list overlaps for marine and inland waters

Boat
Secure buoyancy, fore/aft (sealed hatches or float bags)?
Sound hull, deck, and sprayskirt?
Self-rescue aides?
Bailer or bilge pump?
Spare paddle, accessible on deck?
Towline/throwbag?

Paddler
Canadian approved lifejacket/pfd of appropriate size/fit?
Immersion suit, or clothing suitable for conditions?
Rain gear, warm change of cloths in waterproof bag?
Head gear (helmet, hat for cold/rain/sun)?
Pogies or paddling gloves?
personal gear, eye glass retainers?

Basic Equipment
Distress signals (flares, watertight light, signal mirror)?
Sound signaling device (if visibility restricted), whistle?
Survival kit (knife, matches, first aid, etc.)?
Fresh water/drink and snack/emergency rations?

Basic Safety
Have you determined everyone can perform a wet exit?
Do you know everyone's name/experience level?
Have you done a head/boat count?
Have you assigned experienced paddlers to novices where needed?
Have you appointed leads and sweeps?
Have you clearly communicated routes, rendezvous, eddy-out instructions?
Do you know water conditions, weather forecasts, tide/currents?
Do you have a method for rewarming a hypothermia victim?
Are there any medical conditions/injury restrictions?
Have you solicited any remaining questions?
Do you know the canadian Coast Guard's minimum standards for group travel?  
 
Additionally, we also came up with a Float Plan. The text below looks odd,
as it is lifted from an official form:

Important
Completion of the form is an essential responsibility
Give a copy to a responsible individual, retain copy for vehicle
Ex[lian extenuating circumstances/delays to above individual
Float plan alterations should be relayed to above individual
Call the Rescue Coordination Centre at 1-800-567-5111 or cellular *311 if
overdue

Paddler Information
Is this a solo trip? If no, provide details on back (names, kayaks/gear)
Level of experience   _Novice   _Intermediate  _Advanced
Name of paddler (family name)       Given names      Telephone number    Wk
   Hm
Health Insurance Number        Gender    _Male    _Female   Date of Birth
Residential address of paddler
Contact name in case of emergency          Telephone number    Wk    Hm
Is the above contact your next of kin?   _Yes   _No   (If NO, provide
name/phone)
Does the above contact have your float plan?  _Yes _No(If NO, provide
name?phone)

Destination Details
Launch site details:
Exact location    Will you be returning to launch site? If No, provide details
Your vehicle description   Make/Model   Colour   License Plate Number
Trip Commencement date    Intended launch time    Intended return date
Brief description of trip (route, layovers/overnight camping areas if
known, alternative plans)

Equipment details
Type of canoe or kayak  Make/model/colour   Registration number
Special gear/safety equipment (flares, etc)
Communication equipment     Call numbers    Time of day for radio check
Immersion gear    colour of PFD   colour of clothing
Food/water supply (maximum number of days you can sustain yourself)
Are you carrying shelter?      Are you carrying an emergency locator
transmitter?

Hope some of this is useful. BTW, my 6 year old daughter asked on Boxing
Day if all the candy she was eating was causing her to be hyper. I said
yes. She said did that mean she would get hyperthermia  :-)

BC'in Ya
Doug Lloyd


    

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From: <Sandykayak_at_aol.com>
subject: Re: [Paddlewise] briefing guide
Date: Tue, 28 Dec 1999 10:49:54 EST
Doug, do we have your permission to share your checklist wither other 
paddlers?

Sandy Kramer (Gypsykayak)

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From: Doug Lloyd <dlloyd_at_bc.sympatico.ca>
subject: Re: [Paddlewise] briefing guide
Date: Tue, 28 Dec 1999 11:00:46 -0800
At 10:49 AM 12/28/99 EST, you wrote:
>Doug, do we have your permission to share your checklist wither other 
>paddlers?

Sure, no problem. Realize that you will need to contextualize it for your
area. In Canadian waters, the Coast Guard cuts us a bit of slack for group
travel in that you are allowed to "share" some items like spare paddles. We
always tell new members to our club that it is still best to be fully
independent; however, the amount of gear required and the cost of all this
stuff is difficult to acquire all at once for some paddlers just getting
into the sport - and that is recognized.

We had a lot of problems on day trips for a couple of years with our local
club. The check list was what came about from a very real need. One hates
to have to hand-hold people and treat them like kids, but human nature
being what it is, people do get lazy with respect to gear and safety. What
we finally had to do was tell people the requirements for a given trip when
they initially phoned or the trip was announced at a club meeting, etc;
then at the launch site, the check list was gone over again. The check list
was also a good tool for the trip facilitator. Laminated and available,
little could be forgotten (the list was done up officially check-box
style). We had a lot of newer paddlers leading trips who not always knew
all the items to go over and consider, so it was a useful prompt for anyone
we could "sucker" into organizing a trip (these were low-risk trips, with
the newer leaders)!

One regular trip leader/facilitator didn't like to turn people away, so
carried spares of everything in his van - like pogies, PFD's (!), etc. HE
has a lot more patience than ME. The other issue we are dealing with is
certification, now that we finally have a national sea kayak program (CRCA)
in Canada. It is a thorny issue indeed. I do know of a case last year where
a group was out in windy conditions in freezing weather. One lady had BS'ed
her way into the trip. My friend had let her come along at the launch site,
despite her lack of immersion gear when she arrived, based on her
self-assessment that she was a highly experienced paddler. She went over in
the freezing water almost right away. (Our winter humidity is so high, 32
degrees (F.) seems like 0, and permeates every pour right into one's
bones). She didn't have a good brace. She was too cold to even paddle once
back in the kayak. Fortunately, a cabin nearby was occupied and the owners
provided a hot bath. The club finally said participants MUST have required
gear or NO GO. Remember, on club trips there are liability concerns.

In another incident, a lady paddler launched early on an inside lagoon
drainage passage that was in flood stage. We were all preparing to launch
on the ocean side of the sand neck.  I assumed everyone knew that, as the
passage was river-like and one would have to paddle against the stream. We
noticed the lady missing. Her husband ran to the top of the neck, then
bolted for the water. His wife had launched, got taken up-stream by the
inward flow, had capsized under a bridge where logs were piling up against
the supports. She was trapped partially under her kayak and the log. It was
a scary moment, and our club's sea kayak program convener (also
affectionately known as the "safety-bitch") had a mouthful for me later, as
I was leading the trip. I had done the check list at the parking lot at the
club where we all met, as the trip was weather dependent and the central
location of the club house gave us an advantage with respect to various
options. I didn't make the same mistake again. No one launches, until we
are at the put-in, and the talk has been done - unless it is a small group
of known quantity, then we are pretty slack.

We have another "club" in town, called a "network" with no rules per se, so
those looking for some action with other paddlers, but are put off by
rules, etc, do have another venue. Self-responsibility is always the
preferred attitude, but the 10% necessitates some kind of censure.
Obviously, there is a balance in all this somewhere.

I have to add, that for me, all the items on the list (and you can add
more) are simply common sense. I take a lot of chances solo paddling (a
risk vs reward thing) and expect a lot out of my friends on planned
expeditions, but when it comes to club paddles, I've gotten totally anal
about safety and ensuring people's first experiences are fun and enjoyable
and safe.

With warm regards and season's greetings,

Doug Lloyd 

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