Affordable Health Care Quotes

It is hard to talk about a middle ground for something that is a fundamental right.

Proximity to power has an unsurprising ability to mutate a politician's spinal cord into bright yellow jelly.

Health is a human necessity; health is a human right

If you can't afford the good food or if you can't afford health care or if you don't have a job or if your car is dangerous because you can't get it fixed and you DIE, you just lost the game-bzzzzz-thanks for playing extreme capitalism.

The Affordable Health Care for Americans Act, passed by the House of Representatives on November 7, 2009, was 1,990 pages long. You could stand on it to paint the ceiling. The entire U.S. Constitution can be printed on eight pages. That's eight pages to run a whole country for 221 years versus four reams of government pig latin if you slam your thumb in a car door.

Though nothing Donald did surprised me, the speed and volume with which he started inflicting his worst impulses on the country—from lying about the crowd size at the inauguration and whining about how poorly he was treated to rolling back environmental protections, targeting the Affordable Care Act in order to take affordable health care away from millions of people, and enacting his racist Muslim ban—overwhelmed me.

But when it comes to basic human rights issues—like trans bathroom laws, affordable health care, or same-sex marriage—agreeing to disagree feels nearly impossible. An opinion stops being “just an opinion” when it supports the mistreatment or oppression of others,

He told us that it was important to eat right, exercise, and treat your body as a temple. But he didn't tell us how to get health care services that people with no money could afford. He didn't tell us how we could quickly obtain birth control and other reproductive health services. He didn't recommend any solutions for behavioral or psychiatric care, and for sure some of those broads needed it. He didn't say what options there might be for people who had struggled with substance abuse, sometimes for decades, when they were confronted by old demons on the outside.

The whole idea of "leaners" and "lifters" is the central teaching of the right wing ideologue, Ayn Rand, who penned books like The Virtue of Selfishness. It’s a self-serving crock. Rand found out the hard way. After a lifetime proselytising on behalf of the "producers" and denouncing anyone needing government assistance as "parasites," when Rand became old and sick, she discovered that even a bestselling author could not afford health care in the neoliberal US. She availed herself of Medicare and ended her life on what she had despised – social security. ~ an edited extract from "The Life of I: the new culture of narcissism" ~Anne Manne~

The thing they're trying to stop is 30-million people getting health insurance. That's the substance.

This is the opposite of the free market.

Arizona Center for Integrative Medicine

Hi there, cutie." Ash turned his head to find an extremely attractive college student by his side. With black curly hair, she was dressed in jeans and a tight green top that displayed her curves to perfection. "Hi." "You want to go inside for a drink? It's on me." Ash paused as he saw her past, present, and future simultaneously in his mind. Her name was Tracy Phillips. A political science major, she was going to end up at Harvard Med School and then be one of the leading researchers to help isolate a mutated genome that the human race didn't even know existed yet. The discovery of that genome would save the life of her youngest daughter and cause her daughter to go on to medical school herself. That daughter, with the help and guidance of her mother, would one day lobby for medical reforms that would change the way the medical world and governments treated health care. The two of them would shape generations of doctors and save thousands of lives by allowing people to have groundbreaking medical treatments that they wouldn't have otherwise been able to afford. And right now, all Tracy could think about was how cute his ass was in leather pants, and how much she'd like to peel them off him. In a few seconds, she'd head into the coffee shop and meet a waitress named Gina Torres. Gina's dream was to go to college herself to be a doctor and save the lives of the working poor who couldn't afford health care, but because of family problems she wasn't able to take classes this year. Still Gina would tell Tracy how she planned to go next year on a scholarship. Late tonight, after most of the college students were headed off, the two of them would be chatting about Gina's plans and dreams. And a month from now, Gina would be dead from a freak car accident that Tracy would see on the news. That one tragic event combined with the happenstance meeting tonight would lead Tracy to her destiny. In one instant, she'd realize how shallow her life had been, and she'd seek to change that and be more aware of the people around her and of their needs. Her youngest daughter would be named Gina Tory in honor of the Gina who was currently busy wiping down tables while she imagined a better life for everyone. So in effect, Gina would achieve her dream. By dying she'd save thousands of lives and she'd bring health care to those who couldn't afford it... The human race was an amazing thing. So few people ever realized just how many lives they inadvertently touched. How the right or wrong word spoken casually could empower or destroy another's life. If Ash were to accept Tracy's invitation for coffee, her destiny would be changed and she would end up working as a well-paid bank officer. She'd decide that marriage wasn't for her and go on to live her life with a partner and never have children. Everything would change. All the lives that would have been saved would be lost. And knowing the nuance of every word spoken and every gesture made was the heaviest of all the burdens Ash carried. Smiling gently, he shook his head. "Thanks for asking, but I have to head off. You have a good night." She gave him a hot once-over. "Okay, but if you change your mind, I'll be in here studying for the next few hours." Ash watched as she left him and entered the shop. She set her backpack down at a table and started unpacking her books. Sighing from exhaustion, Gina grabbed a glass of water and made her way over to her... And as he observed them through the painted glass, the two women struck up a conversation and set their destined futures into motion. His heart heavy, he glanced in the direction Cael had vanished and hated the future that awaited his friend. But it was Cael's destiny. His fate... "Imora thea mi savur," Ash whispered under his breath in Atlantean. God save me from love.

It contributes greatly towards a man's moral and intellectual health, to be brought into habits of companionship with individuals unlike himself, who care little for his pursuits, and whose sphere and habilities he must go out of himself to appreciate. The accidents in my life have often afforded me this advantage, but never with more fulness and variety than during my continuance in office.

Calls from the antis to overturn Roe, to repeal the Affordable Care Act, and to defund Planned Parenthood are growing ever louder. Each one of these backward moves will not only restrict women’s access to safe, affordable abortion care, but will diminish women’s access to good health care in general, putting their lives and the lives of their children at risk.

We are taught so little about the health and safety of our physical bodies and also so little about how to protect them. Women have been kept in the dark of our own light, having to go to extraordinary lengths to educate others about what we need, from our basic rights to affordable health care, to our own sexual pleasures, to our emotional well-being. The burden is on women to be self-taught in a world where most men are already self-made—the latter being defined by expectations, the former by limitations.

If you are in a season of life when there are simply more care tasks to be done than time or energy available to you and you have the means to afford help, it is the most functional thing to do. Does embarrassment stop you? “I could never let a housekeeper see the state of my home” is about as logical as “I could never let a doctor see the state of my health.” And so what if the housekeeper judges you? It is not their mental health you are responsible for but your own.

It's WW2 and there are wage controls in place. Instead of health care, companies decide to offer employees shoes. Having absorbed those costs, they later lobby for every company to be required to offer shoes. That calls forth regulation and monopolization of the shoe industry. Shoes are heavily subsidized. Every shoe must be approved. Producers must be domestic. They must adhere to a certain quality. They can't discriminate based on foot size or individual need. Prices rise, and some people lack shoes, so the Affordable Shoe Act forces everyone to buy into an official shoe plan or pay a fee. Here we have a perfect plan for making shoes egregiously expensive. The entire country would be consumed with the fear of being shoeless if they lose their job. The left wing calls for a single shoe provider to offer universal shoes and the right wing meekly suggests that shoe makers be permitted to sell across state lines. Meanwhile, libertarians suggest that we just forget the whole thing and let the market make and deliver shoes of every quality to anyone from anyone. Everyone screams that this is an insane and dangerous idea.

The negative focus on single black motherhood is also not about helping black communities. If it were, those who rail against unmarried mothers would spend at least equal time calling for affordable family planning and reproductive health care, universal access to good child care, improved urban school systems, a higher minimum wage, and college education that doesn't break the banks of average people. And they would admit that the welfare-queen image is a distortion and a distraction.

We're constantly judging and grading other parents, just to make sure that they aren't any better than us. I'm as guilty as anyone. I see some lady hand her kid a Nintendo DS at the supermarket and I instantly downgrade that lady to Shitty Parent status. I feel pressure to live up to a parental ideal that no one probably has ever achieved. I feel pressure to raise a group of human beings that will help America kick the shit out of Finland and South Korea in the world math rankings. I feel pressure to shield my kids from the trillion pages of hentai donkey porn out there on the Internet. I feel pressure to make the insane amounts of money needed for a supposedly 'middle-class' upbringing for the kids, an upbringing that includes a house and college tuition and health care and so many other expenses that you have to be a multimillionaire to afford it. PRESSURE PRESSURE PRESSURE.

Let's run the experiment.

Our school lies between two worlds: the side of town where the rich people live, and then our side, where people can’t afford food or health care.

How stupid is it of us to ask those who brought us “affordable” housing to now turn their attention to bringing us “affordable” health care?

The United States spends more than twice as much per capita on health care as other rich capitalist countries —around $9,400 compared to around $3,600—and for that money its citizens can expect lives that are three years shorter. The United States spends more per capita on health care than any other country in the world, but 39 countries have longer life expectancies. [...] Under the current US system, rich, insured patients visit doctors more than they need, running up costs, while poor patients cannot afford even simple, inexpensive treatments and die younger than they should. Doctors spend time that could be used to save lives or treat illness by providing unnecessary, meaningless care. What a tragic waste of physician care.

Contemporary American politics also revolve around this contradiction. Democrats want a more equitable society, even if it means raising taxes to fund programmes to help the poor, elderly and infirm. But that infringes on the freedom of individuals to spend their money as they wish. Why should the government force me to buy health insurance if I prefer using the money to put my kids through college? Republicans, on the other hand, want to maximise individual freedom, even if it means that the income gap between rich and poor will grow wider and that many Americans will not be able to afford health care.

Do you work a job that slowly kills you so you can afford health coverage to pay medical expenses? Or do you live right with the earth and make your own way, keep things simple, and take care of yourself?

Thank God for the American Affordable Care Act. It was passed in a limited form right before the Rising began, despite the opposition of one hell of a lot of people who thought that providing health care to their fellow citizens was somehow, I don’t know, inappropriate. Honestly, it was a miracle the thing passed at all, considering that we’re talking about the era of vaccine denial and homeopathic cures for everything from autism to erectile dysfunction. If the Rising hadn’t come along when it did, most of the United States would probably have died of whooping cough before 2020, leaving the middle part of the continent ripe for Canadian invasion. But

Investment Owner’s Contract I, _____________ ___________________, hereby state that I am an investor who is seeking to accumulate wealth for many years into the future. I know that there will be many times when I will be tempted to invest in stocks or bonds because they have gone (or “are going”) up in price, and other times when I will be tempted to sell my investments because they have gone (or “are going”) down. I hereby declare my refusal to let a herd of strangers make my financial decisions for me. I further make a solemn commitment never to invest because the stock market has gone up, and never to sell because it has gone down. Instead, I will invest $______.00 per month, every month, through an automatic investment plan or “dollar-cost averaging program,” into the following mutual fund(s) or diversified portfolio(s): _________________________________, _________________________________, _________________________________. I will also invest additional amounts whenever I can afford to spare the cash (and can afford to lose it in the short run). I hereby declare that I will hold each of these investments continually through at least the following date (which must be a minimum of 10 years after the date of this contact): _________________ _____, 20__. The only exceptions allowed under the terms of this contract are a sudden, pressing need for cash, like a health-care emergency or the loss of my job, or a planned expenditure like a housing down payment or a tuition bill. I am, by signing below, stating my intention not only to abide by the terms of this contract, but to re-read this document whenever I am tempted to sell any of my investments. This contract is valid only when signed by at least one witness, and must be kept in a safe place that is easily accessible for future reference.

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.” People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The hard question we face, then, is not how we can afford this system’s expense. It is how we can build a health-care system that will actually help dying patients achieve what’s most important to them at the end of their lives.

Another example is the modern political order. Ever since the French Revolution, people throughout the world have gradually come to see both equality and individual freedom as fundamental values. Yet the two values contradict each other. Equality can be ensured only by curtailing the freedoms of those who are better off. Guaranteeing that every individual will be free to do as he wishes inevitably short-changes equality. The entire political history of the world since 1789 can be seen as a series of attempts to reconcile this contradiction. Anyone who has read a novel by Charles Dickens knows that the liberal regimes of nineteenth-century Europe gave priority to individual freedom even if it meant throwing insolvent poor families in prison and giving orphans little choice but to join schools for pickpockets. Anyone who has read a novel by Alexander Solzhenitsyn knows how Communism’s egalitarian ideal produced brutal tyrannies that tried to control every aspect of daily life. Contemporary American politics also revolve around this contradiction. Democrats want a more equitable society, even if it means raising taxes to fund programmes to help the poor, elderly and infirm. But that infringes on the freedom of individuals to spend their money as they wish. Why should the government force me to buy health insurance if I prefer using the money to put my kids through college? Republicans, on the other hand, want to maximise individual freedom, even if it means that the income gap between rich and poor will grow wider and that many Americans will not be able to afford health care. Just as medieval culture did not manage to square chivalry with Christianity, so the modern world fails to square liberty with equality. But this is no defect. Such contradictions are an inseparable part of every human culture. In fact, they are culture’s engines, responsible for the creativity and dynamism of our species. Just

No, I mean I'm sorry that you've inherited such a miserable, collapsing Old Country. A place where rich Bankers own everything, where you've got to be grateful for a part-time job with no benefits and no retirement plan, where the most health insurance you can afford is being careful and hoping you don't get sick, where --

What unites conservatives and modernizers and young and old, is a hunger not for freedom but for justice; for genuine rule of law, not rule by royal whim. They want a government that is a transparent and accountable, one that provides standards services such as are available in far less wealthy societies: good education, job, affordable housing , and decent health care.

My approach is completely different. I approach complicated problems such as how to provide health care for most Americans at a price we can afford the same way I solve the toughest business problems. We should hire the most knowledgeable people in the world on this subject and lock them in a room—and not unlock the door until they’ve agreed on the steps we need to take.

had campaigned hard to the very end, but Barack had won and now it was time to support him. The causes and people I had campaigned for, the Americans who had lost jobs and health care, who couldn’t afford gas or groceries or college, who had felt invisible to their government for the previous seven years, now depended on his becoming the forty-fourth President of the United States.

Is it honestly possible to feel safe and secure in a capitalist society that defines our human value based on what we do and how much we make, rather than who we are? Is it honestly possible to feel safe and secure in a society that bombards us with messages asserting (even aggressing) that in order to be secure in our self or with our place in the world we need to acquire more money, more religion, more objects, more products, more body-altering procedures or more property? Society teaches us how to love and who is worthy of love via the media, commercials and through institutionalized practices such as tax benefits for married couples. Relationships are defined as valuable and potential partners are evaluated as worthy based on how much money is spent on dinner, date nights, vacations, diamonds and wedding arrangements. Flipping to the other extreme and thinking that money doesn’t matter or is unimportant in a relationship can also be damaging, since we live in a society where money is a basic requirement for survival. It’s difficult to show up and thrive in relationships when we can’t feed ourselves, pay the bills or afford basic health care.

The truth is, I don’t really believe that Republicans are ever going to come up with a real replacement for the Affordable Care Act. Because it seems to me that they don’t actually care about making sure that every American has access to quality, affordable health care. What do they care about? They want insurance companies to be able to sell you junk policies. They want drug manufacturers to be able to gouge people who rely on medications to stay healthy. They want to make it harder for people who’ve suffered from medical malpractice to get their day in court. They want rich people to not have to pay for health care for poor people. And, most of all, they want to keep using this issue to rally their base, reward their donors, and punish Democrats. I don’t know what’s going to happen going forward.

if we are serious about creating a truly free society, we must take the next step forward and guarantee every man, woman, and child in our country basic economic rights—the right to quality health care, the right to good education, the right to decent and affordable housing, the right to a secure retirement, and the right to live in a clean environment. And the right to a secure, well-paying, and meaningful job.

Unlike most other health-care systems in the world, health care in the United States is largely profit driven. The reconstruction of the U.S. medical system around managed care led to the closure of hundreds of hospitals across the country,697 leaving many cities with little surge capacity to deal with an abnormal influx of patients.698 HMO corporate stock profiles can ill afford to provide extra beds and ventilators for some indeterminate future surge of patients.

I have often witnessed this at hospital billing counters, where salaried or reasonably well to do people typically have a health insurance to take care of their bills, while a common man loses out. In such a pesky situation, these commoners are compelled to either take loans or sell their personal assets to be able to afford a reasonable medical treatment. Lack of home insurance has always been another concern. People lose out on their entire life’s savings when their homes get whisked away due to calamities.

At the same time that middle- and upper-middle-class mothers were urged to pipe Mozart into their wombs when they're pregnant so their kids would come out perfectly tuned, the government told poor mothers to get the hell out of the house and get to work--no more children's aid for them. Mothers like us--with health care, laptops, and Cuisinarts--are supposed to replicate the immaculate bedrooms we see in Pottery Barn Kids catalogs, with their designer sheets and quilts, one toy and one stuffed animal atop a gleaming white dresser, and a white rug on the floor that has never been exposed to the shavings from hamster cages, Magic Markers accidentally dropped with their caps off, or Welche's grape juice.... we've been encouraged to turn our backs on other mothers who pick their kids' clothes out of other people's trash and sometimes can't buy a can of beans to feed them. How has it come to seem perfectly reasonable--even justified-- that one class of mother is suppoed to sew her baby's diapers out of Egyptian cotton from that portion of the Nile blessed by the god Osiris while another class of mother can't afford a single baby aspirin?

There is little doubt, Denmark is becoming a two-tier country. More and more Danes who can afford it are turning to private health care—850,000 at the latest count—and poll after poll shows that, though they have the largest per capita public sector in the world, the Danes’ satisfaction levels with their welfare state are in rapid decline. It is probably true that they have especially high expectations given the amount of money they contribute to it, but in one survey by management consultants Accenture only 22 percent of Danes thought their public sector did a good job.

Make school affordable. For example, provide family stipends for keeping girls in school. Help girls overcome health barriers. For example, offer deworming treatments. Reduce the time and distance to get to school. For example, provide girls with bikes. Make schools more girl-friendly. For example, offer child-care programs for young mothers. Improve school quality. For example, invest in more and better teachers. Increase community engagement. For example, train community education activists. Sustain girls’ education during emergencies. For example, establish schools in refugee camps. Today,

Other international organizations—the Organization for Economic Co-operation and Development (OECD), the European Union (EU), the World Economic Forum—now encourage their member nations to guarantee their workers paid parental leaves and subsidized day care. They do so because it’s clear that these things are good for economic growth. Studies demonstrate the ways that family-friendly policies tailored to today’s realities benefit a country’s economy. Family leave policies and affordable day care increase women’s participation in the labor force, help employers retain workers, and improve the health of women and children.

The federal government could make a Rolls Royce affordable for every American, but we would not be a richer country as a result. We would in fact be a much poorer country, because of all the vast resources transferred from other economic activities to subsidize an extravagant luxury. [...] To have politicians arbitrarily change the price tags, so that prices no longer represent the real costs, is to defeat the whole purpose [of an economy: to make trade-offs, with the prices of a market economy representing the costs of producing things]. Reality doesn't change when the government changes price tags. Talk about "bringing down health care costs" is not aimed at the costly legal environment in which medical science operates, or other sources of needless medical costs. It is aimed at price control, which hides costs rather than reducing them. [...] Whether in France during the 1790s, the Soviet Union after the Bolshevik revolution, or in newly independent African nations during the past generation, governments have imposed artificially low prices on food. In each case, this led to artificially low supplies of food and artificially high levels of hunger. People who complain about the "prohibitive" cost of housing, or of going to college, for example, fail to understand that the whole point of costs is to be prohibitive. [...] The idea [that "basic necessities" should be a "right"] certainly sounds nice. But the very fact that we can seriously entertain such a notion, as if we were God on the first day of creation, instead of mortals constrained by the universe we find in place, shows the utter unreality of failing to understand that we can only make choices among alternatives actually available. [...] Trade-offs [as opposed to solutions] remain inescapable, whether they are made through a market or through politics. The difference is that price tags present all the trade-offs simultaneously, while political 'affordability' policies arbitrarily fix on whatever is hot at the moment. That is why cities have been financing all kinds of boondoggles for years, while their bridges rusted and the roadways crumbled.

I think the more accurate answer as to why Trump has won working-class support lies in the pain, desperation, and political alienation that millions of working-class Americans now experience and the degree to which the Democratic Party has abandoned them for wealthy campaign contributors and the “beautiful people.” These are Americans who, while the rich get much richer, have seen their real wages stagnate and their good union jobs go to China and Mexico. They can’t afford health care, they can’t afford childcare, they can’t afford to send their kids to college and are scared to death about a retirement with inadequate income. Because of what doctors call “diseases of despair,” their communities are even seeing a decline in life expectancy.

A Brand New Day Yesterday was beautiful you did everything at your best. Yesterday was fair whatever happened was acceptable. Yesterday was miserable nothing going your way. Yesterday was unfortunate you couldn’t afford to waste another day. Yesterday was history everything was history, but you can work on the fate of yours today. Today is a brand new day, an opportunity for everything, another chance to make it better, another day to live for you and love ones, another moment to create special moment making historical moment. The day you have today is a perfect day, Living the life with every opportunity, every chance, every moment to live. Having today you are free to live. Living is what you have been given today. Go live. by Tina Leung: I Face Forward poem

What could happen if we changed our emphasis from push to pull? What if much more of the $143 billion spent on official development assistance in 2016 was channeled to support direct market-creation efforts in poor countries, even when the circumstances seemed unlikely? Imagine how many markets could be created; imagine how many Tolarams, Nollywoods, M-PESAs, and other new-market creators could emerge; imagine how many jobs could be created. As I think about this problem, I can’t help but wonder how many fathers and mothers would be afforded the dignity of work and the resources to provide simple things for their families—like food, health care, and quality education. Imagine how many people would have a renewed sense of hope and purpose when they begin to see their suffering can become a thing of the past.

whether lack of privacy isn’t the worst thing about a small town, and she says, And also the best. I love going to the post office in the morning and knowing everybody. The only time we honk a car horn is with a wave. It’s touching when somebody asks about my son or my dad’s health. We can’t afford not to care about other people in a place this small. Our survival, in a way, depends on minimizing privacy because the lack of it draws us into each other’s lives, and that’s a major resource in a little town where there aren’t a thousand entertainments. There’s an elderly man who lost his little granddaughter to a drunk, a hit-and-run driver, a few months ago. Every time the old gentleman comes into the Emma Chase, he retells the story, and every time people listen. What’s that worth to a person? Or to a community? A café like this serves to bond us.

The conventional approach to community building and development addresses problem areas such as public safety, jobs and local economy, affordable housing, youth, universal health care, and education. Every city has thousands of institutions, programs, and agencies all committed to serving the public good. From the standpoint of building community and social capital, these institutions and programs are just treating the symptoms. Safety, jobs, housing, and the rest are symptoms of the unreconciled and fragmented nature of the community—what Lopez calls the breakdown of community. This fragmentation or breakdown creates a context where trying to solve the symptoms only sustains them. Otherwise, why have we been working on these symptoms for so long and so hard; and even with so many successful programs, why have we seen too little fundamental change?

We will need comprehensive policies and programs that make low-carbon choices easy and convenient for everyone. Most of all, these policies need to be fair, so that the people already struggling to cover the basics are not being asked to make additional sacrifice to offset the excess consumption of the rich. That means cheap public transit and clean light rail accessible to all; affordable, energy-efficient housing along those transit lines; cities planned for high-density living; bike lanes in which riders aren’t asked to risk their lives to get to work; land management that discourages sprawl and encourages local, low-energy forms of agriculture; urban design that clusters essential services like schools and health care along transit routes and in pedestrian-friendly areas; programs that require manufacturers to be responsible for the electronic waste they produce, and to radically reduce built-in redundancies and obsolescences.

The church is a people called out of the world to embody a social alternative that the world cannot know on its own terms. We are not simply asking the government to be what God has commissioned the church to be. After all, even the best government can’t legislate love. We can build hundreds of units of affordable housing (a good thing by the way) and people still might not have homes. We can provide universal health care and keep folks breathing longer (another nice move), but people can be breathing and still not truly be alive. We can create laws to enforce good behavior, but no law has ever changed a human heart or reconciled a broken relationship. The church is not simply suggesting political alternatives. The church is embodying one. The idea that the church is to be the body of Christ is not just something to read about in theology books and leave for the scholars to pontificate about. We are literally to be the body of Jesus in the world. Christians are to be little Christs—people who put flesh on Jesus in the world today.

The idealized capitalist system first and foremost emphasizes “freedom from” external restrictions on one’s ability to rise in society’s ranks. At least in theory, people are given equal opportunity to succeed or fail based on their own merits. But a world without restrictions is a competitive one, and people who are more talented, harder working, or simply luckier will have an advantage. As a result, a wide variety of goods and services will exist, but not everyone will have access to the full range of choice available; some people may even be unable to afford basic necessities such as food, housing, and health care. The idealized communist/socialist system, by contrast, aims for equality of outcomes rather than of opportunities, guaranteeing all its members the “freedom to” obtain an adequate standard of living. The rub is that the additional resources given to those in need have to come from somewhere, or more specifically someone, which means reducing others’ “freedom from” and having the state commandeer their property and dictate their economic activities.

Working-class whites are victims of the system, too. They have been tricked into voting against their own self-interest by a ruling class that has convinced them that allegiance to their whiteness is more valuable than health care or any other social programs that would lift them up. Superiority over Blacks, they have been told, just as the white laborers in the colonies were told, is more important than financial gain. Joining forces with the wealthy and powerful would be more beneficial symbolically, if not materially, than joining forces with the Black working class. Of course, none of that is true, but it's a compelling narrative, so much easier than facing the truth of your having been used and lied to. If you are white in America and feel you've been left behind and shut out of the prosperity afforded to others, it's not because of Black people and immigrants. It's because the politicians you continue to vote for stoke your bigotry and sense of grievance while exploiting your ignorance in order to keep you exactly where you are -- disempowered, angry, and fearful.

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

In other words, path dependence means that the institutions and arrangements created before—often created haphazardly or as an expedient—now constrain and shape the changes that are possible today.

What the research shows is that the charge master and commercial insurance company prices for the same test or treatment will also vary substantially even at neighboring medical facilities where, presumably, basic input costs such as rent and wages do not vary substantially. Colonoscopies in New York City can vary fourfold—between $2,025 and $8,700—depending on the hospital. This variation in price is very hard to justify. Typically, neither patients nor physicians have access to the price, so they cannot shop around for lower prices. Imagine you were shopping for a new shirt but there was no price tag and you could not know until weeks after you bought it whether the shirt cost $25 or $200. This would make shopping a crazy experience.

Today 60% of workers in the private sector receive their insurance through their employer. I believe that by 2025 fewer than 20% of workers at private companies will continue to receive their health insurance through an employer-sponsored program. Nevertheless many will still receive an employer contribution, a so-called defined contribution toward the purchase of health insurance in the exchange. I believe the majority of private-sector workers will get their coverage through the exchanges.

With the lens of Jobs to Be Done, the Medtronic team and Innosight (including my coauthor David Duncan) started research afresh in India. The team visited hospitals and care facilities, interviewing more than a hundred physicians, nurses, hospital administrators, and patients across the country. The research turned up four key barriers preventing patients from receiving much-needed cardiac care: Lack of patient awareness of health and medical needs Lack of proper diagnostics Inability of patients to navigate the care pathway Affordability While there were competitors making some progress in India, the biggest competition was nonconsumption because of the challenges the Medtronic team identified. From a traditional perspective, Medtronic might have doubled down on doctors, asking them about priorities and tradeoffs in the product. What features would they value more, or less? Asking patients what they wanted would not have been top of the list of considerations from a marketing perspective. But when Medtronic revisited the problem through the lens of Jobs to Be Done, Monson says, the team realized that the picture was far more complex—and not one that Medtronic executives could have figured out from pouring over statistics of Indian heart disease or asking cardiologists how to make the pacemaker better. Medtronic has missed a critical component of the Job to Be Done.

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The day Speaker of the House Paul Ryan announced that he was going to do everything he could to repeal the Affordable Care Act and defund Planned Parenthood, [...] we saw a 900% increase in requests for appointments to get IUDs, a form of birth control that lasts for several years. Women wanted to make sure their birth control would outlast the [new] Administration.

As I wrote in Still Broken, many factors contributed to the failure of past reform efforts.11 They include that paranoid “political culture” rooted in an “ambivalence toward government and . . . bias toward private solutions to public problems”;12 the absence of a strong labor movement; race, especially during the period prior to the 1960s when Southern Democrats dominated the Congress; and the structure of government, which gives veto power to even small numbers of opponents. The fact is that many different bodies—most important, the two houses of Congress—must agree to pass a major piece of legislation, but it takes only a few determined individuals to kill it.13 But

Currently, the wealthy who have no pre-existing conditions can afford high-quality health care, while the poor and sick are relegated to hoping for and negotiating whatever health care safety net might exist in their area. This neoliberal form of capitalism structuring health care in the United States has led to those with the highest burden of sickness being simultaneously those with the least access to care.

I can assure you that ‘Obamacare’ did not diminish our research efforts in any way,” he said. “However, the sequestration efforts of the right-wing conservatives and their Tea Party colleagues have hampered progress in medical research. The National Institutes of Health is suffering greatly, and it is very difficult for all investigators to obtain funding. You can’t blame the Affordable Care Act, but you certainly can blame the Republicans.

There had been seventy-five straight months of job growth under President Obama, and incomes for the bottom 80 percent were finally starting to go up. Twenty million more people had health insurance thanks to the Affordable Care Act, the greatest legislative achievement of the outgoing administration. Crime was still at historic lows. Our military remained by far the most powerful in the world. These are knowable, verifiable facts. Trump stood up there in front of the world and said the exact opposite—just as he had throughout the campaign. He didn’t seem to see or value any of the energy and optimism I saw when I traveled around the country. Listening to Trump, it almost felt like there was no such thing as truth anymore. It still feels that way.

Former Health Minister Khaw Boon Wan has said that the public sector should always play the dominant role in providing care services, but there needs to be a private healthcare system to challenge it. In his view, the public sector is necessary to set the ethos for the entire system—which should not only be about maximization of profits, a primary focus of the private sector.

Consider that the white men in the Rust Belt are rarely told that their anger is bad for them. Rather, and correctly, we understand that what’s bad for them are the conditions that have provoked their frustration: the loss of jobs and stature, the shortage of affordable health care, day-care, the scourge of drugs.

Finns are rightly proud of the strong foundations of their society. Famously high tax rates mean the nation is well equipped to look after its citizenry with some of the world’s best health care and education. Despite the high excise on alcohol, Finns appreciate the reliable public transport and world-class universities, libraries and other infrastructure these same taxes afford. Like much of the world, the country is holding its breath as ageing baby boomers retire and it attempts to maintain high pensions.

Living in safe communities, with adequate health-care services, outdoor space, clean air and water, public transportation, and affordable healthy food—as well as education, employment, and social support—contributes to longer, healthier lives. And the opposite is true: when residents lack a healthy environment and basic services and support, their lives are cut short. When I returned to the South Side of Chicago in 2020 to see where my Mississippi-born grandparents and their siblings settled during the Great Migration—and which my immediate family left in 1969—I could see the outsized effects of race and place on health.

Many of the financial burdens of middle-class life in Danish society are relieved via the state: universal health care, social security, free education at universities, plenty of paid family leave and generous paid vacation time, as well as a highly functional infrastructure.  Thus, Danes can enjoy the small comforts of life and the inherent joys of family and friends because they are not ridden with anxiety over how to afford a decent, comfortable middle-class existence

My Choice Health Insurance is a black-owned health insurance agency in New Orleans that specializes in helping the underserved black community in New Orleans to obtain affordable health insurance through the ACA Marketplace (Affordable Care Act) also known as Obamacare. We are dedicated to empower individual and black families to make sure they are educated, supported, and provided all the resources to help them take advantage of free or low-cost Obamacare health insurance plans.

Reproductive justice, a phrase coined by Black feminists at a conference in 1994, remains elusive for African American women who struggle to access affordable health care due to social and economic inequalities. The abortion rate for Black women is nearly five times that for white women. African American women are three to four times more likely to die in childbirth than white women. Furthermore, health conditions that disproportionately affect Black women, such as uterine fibroids, receive very little government research funding. My hope is that this novel will provoke discussions about culpability in a society that still deems poor, Black, and disabled as categories unfit for motherhood.

These numbers demonstrate that we can absolutely afford an aging society. In fact, enhanced longevity is essential for our society. That’s because if longevity increases without better health, it will mean higher costs of medicine and health care as people live longer. And that financial burden can overwhelm a country’s ability to handle an aging and unhealthy demographic.

Keep in mind that doctors are frequently paid thousands of dollars to promote drugs to other doctors and allied health care professionals. The cozy (and lucrative) relationship between the pharmaceutical industry and physicians has become such a problem that the Affordable Care Act mandates public disclosure of these payments.

This threat of unsustainability is the constant, and most compelling, cry of those who would establish a private health care system in parallel to Medicare. Driven by the belief that health care is a commodity that can be best delivered through profit, they argue that the current system would be helped and not threatened by this change. The evidence is clear: this is rubbish. Wherever it has been tried (in other countries and in limited ways here in Canada), a parallel system has increased waiting lists and practitioner shortages in the public system. It also erodes commitment to funding the public system by those who can afford to sidestep the queues, ultimately leading to two systems that are very different in quality and cost.

can assure you that ‘Obamacare’ did not diminish our research efforts in any way,” he said. “However, the sequestration efforts of the right-wing conservatives and their Tea Party colleagues have hampered progress in medical research. The National Institutes of Health is suffering greatly, and it is very difficult for all investigators to obtain funding. You can’t blame the Affordable Care Act, but you certainly can blame the Republicans.

The state also spurned the expanded Medicaid coverage for the needy that it was eligible for at no cost under the Affordable Care Act. This show of defiance denied free health care to 500,000 uninsured low-income residents. A study by health experts at Harvard and the City University of New York projected that the legislature’s obstruction of these benefits would cost residents between 455 and 1,145 lives a year.

Actually, folks on the station don’t have it so bad. Our apartments are a whole lot bigger than most of the affordable ones in Manhattan.” “But we can’t own them,” Barrel said. “We don’t have to pay rent either. Or pay for food. We even get a clothing allowance, free schools, free health care, free Internet and entertainment programing. Free admission to concerts and sporting events. Free art and music lessons. There’s no traffic and clean air. On

groggily

clearly remembers the Soviet Union collapsing, so when I was a kid, he kept saying that the Affordable Health Care Act, and the way the NSA, DHS, EPA, and TSA were acting, was inching us closer to that system of government. Now, along with the United Nations’ Agenda 21, we’re almost there. I really wish the Conservative Party and Victor Tyson could win the Presidency, because he would ask the U.N. to leave and try to get us back to being a federal republic,

This is the way it is with all people, I’ve learned. A person’s strengths almost always have a flip side. Obama’s strengths are prodigious, but he’s not perfect or exempt from blame for some of the disappointments I hear expressed about him ever more frequently these days. The day after the Affordable Care Act passed, a slightly hungover but very happy president walked into my office to reflect on the momentous events of the night before. “Not used to martinis on work nights,” he said with a smile, as he flopped down on the couch across from my desk, still bearing the effects of the late-night celebration he hosted for the staff after the law was passed. “I honestly was more excited last night than I was the night I was elected. Elections are like winning the semifinals. They just give you the opportunity to make a difference. What we did last night? That’s what really matters.” That attitude and approach is what I admire most about Obama, the thing that makes him stand apart. For him, politics and elections are only vehicles, not destinations. They give you the chance to serve. To Obama’s way of thinking, far worse than losing an election is squandering the opportunity to make the biggest possible difference once you get the chance to govern. That’s what allowed him to say “damn the torpedoes” and dive fearlessly into health care reform, despite the obvious political risks. It is why he was able to make many other tough calls when the prevailing political wisdom would have had him punt and wait for another chance with the ball. Yet there is the flip side to that courage and commitment. Obama has limited patience or understanding for officeholders whose concerns are more parochial—which would include most of Congress and many world leaders. “What are they so afraid of?” he asked after addressing the Senate Democrats on health reform, though the answer seemed readily apparent: losing their jobs in the next election! He has aggravated more than one experienced politician by telling them why acting boldly not only was their duty but also served their political needs. Whether it’s John Boehner or Bibi Netanyahu, few practiced politicians appreciate being lectured on where their political self-interest lies. That hint of moral superiority and disdain for politicians who put elections first has hurt Obama as negotiator, and it’s why Biden, a politician’s politician, has often had better luck.

I try to keep my feminism simple. I know feminism is complex and evolving and flawed. I know feminism will not and cannot fix everything. I believe in equal opportunities for women and men. I believe in women having reproductive freedom and affordable and unfettered access to the health care they need. I believe women should be paid as much as men for doing the same work. Feminism is a choice, and if a woman does not want to be a feminist, that is her right, but it is still my responsibility to fight for her rights. I believe feminism is grounded in supporting the choices of women even if we wouldn’t make certain choices for ourselves. I believe women not just in the United States but throughout the world deserve equality and freedom but know I am in no position to tell women of other cultures what that equality and freedom should look like.

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Actually,” Matthew said mildly, “the available figures indicate that as soon as soap is mass-produced at an affordable price, the market will increase approximately ten percent a year. People of all classes want to be clean, Mr. Mardling. The problem is that good quality soap has always been a luxury item and therefore difficult to obtain.” “Mass production,” Mardling mulled aloud, his lean face furrowed with thought. “There is something objectionable about the phrase…it seems to be a way of enabling the lower classes to imitate their betters.” Matthew glanced at the circle of men, noting that the top of Bowman’s head was turning red—never a good sign—and that Westcliff was holding his silence, his black eyes unreadable. “That’s exactly what it is, Mr. Mardling,” Matthew said gravely. “Mass production of items such as clothing and soap will give the poor a chance to live with the same standards of health and dignity as the rest of us.” “But how will one sort out who is who?” Mardling protested. Matthew shot him a questioning glance. “I’m afraid I don’t follow.” Llandrindon joined in the discussion. “I believe what Mardling is asking,” he said, “is how one will be able to tell the difference between a shopgirl and a well-to-do woman if they are both clean and similarly dressed. And if a gentleman is not able to tell what they are by their appearance, how is he to know how to treat them?” Stunned by the snobbery of the question, Matthew considered his reply carefully. “I’ve always thought all women should be treated with respect no matter what their station.” “Well said,” Westcliff said gruffly, as Llandrindon opened his mouth to argue. No one wished to contradict the earl, but Mardling pressed, “Westcliff, do you see nothing harmful in encouraging the poor to rise above their stations? In allowing them to pretend there is no difference between them and ourselves?” “The only harm I see,” Westcliff said quietly, “is in discouraging people who want to better themselves, out of fear that we will lose our perceived superiority.

Ellis had a history of creating fake movements in support of unpopular corporations and causes. In the 1990s, he had headed a company called Ramhurst, which documents revealed to be a covert public relations arm of R. J. Reynolds, the giant tobacco company. Under his guidance, Ramhurst organized deceptively homegrown-looking “smokers’ rights” protests against proposed regulations and taxes on tobacco. In 1994 alone, R. J. Reynolds funneled $2.6 million to Ramhurst to deploy operatives who mobilized what they called “partisans” to stage protests against the Clinton health-care proposal, which would have imposed a stiff tax on cigarette sales. Anti-health-care rallies that year echoed with cries of “Go back to Russia!” If the outbursts bore a striking resemblance to those against Obama’s health-care proposal fifteen years later, it may be because the same political operatives were involved in both. Two of Ellis’s former top aides at Ramhurst, Doug Goodyear and Tom Synhorst, went on in 1996 to form DCI Group, the public relations firm that was helping Noble foment Tea Party protests against the Affordable Care Act.

Conversely, there are other services in which Medicare is required to pay whatever it is charged. For instance, Medicare Part B pays oncologists for intravenous cancer chemotherapy drugs administered in the office. The

It may just mean that the best way to cut the ever-increasing costs of health care around the world will be to provide cheap smartphones with Internet service to those who otherwise could not afford to buy them.

turned the majority of their kingdom — the peasants, workers, and slaves — against the wealthy members of society. They encouraged hatred of the rich for their ostentatious conspicuous consumption —all the rich, that is, except for the royal family, whose wealth was needed to rule beneficently. Then they confiscated most of the wealth of these “greedy” rich through excessive taxation, in the name of spreading the wealth around, so that “all would be equal.” But the rich were ruined and could no longer afford to employ the poor commoners in their fields and storehouses. The government then had to confiscate the means of production and place all citizens in their care as wards of the state. So commoners ended up not much different than slaves. They depended upon the government for their daily bread, their shelter, and even their health. The daily survival of the citizens was completely in the hands of Semiramis and Mardon.

Why do national reform priorities keep getting misinterpreted on the ground? The federal Department of Education has no power over state legislatures or education departments. There are no federal inspectors of local schools to make sure principals, superintendents, and school boards understand how to use complex new tools like value-added measurement of teachers. Unique among Western nations, our national government does not produce or select high-quality tests, textbooks, or reading lists for teachers to use. Lastly—and perhaps most importantly—we consistently expect teachers and schools to close achievement gaps and panic when they fail to do so. But we do not provide families with the full range of social supports children need to thrive academically, including living-wage employment and stable and affordable child care, housing, higher education, and vocational training, in addition to decent nutrition and health care.

Universal health care: Health is the foundation of a full, productive, meaningful life. Without good health, you cannot be what you want to be; you cannot enjoy life to the fullest or be a productive member of society (moral value). Our country was founded on the principle that all Americans have the right to life, liberty, and the pursuit of happiness (fundamental principle). Illness can interfere with all of them—it can bankrupt a family. Illness does not affect only the weak or the aged—illness touches everyone. No one can afford not to have adequate health care. It is our job—as a free, civilized, and wealthy nation—to ensure that our citizens are free from want and needless suffering. A prosperous First World country can afford to guarantee all citizens the right to basic health care and preventive medicine (commonplace frame). Other First World countries do. Health care is not a privilege for those who can afford it (fundamental principle). Because our fundamental freedoms include freedom from want, health care is a basic right. And it is our responsibility as a nation to secure that right for all (moral value). Minimum

DISPARITIES AND HIGH COSTS FUEL THE HEALTH CARE CRISIS America’s health crisis is really three crises rolled into one. The first is public health: America’s average life expectancy is now several years below that of many other countries, and for some parts of the population, life expectancy is falling. The second is health inequality: The gaps in public health according to race and class are shockingly large. The third is health care cost: America’s health care is by far the costliest in the world. The Sustainable Development Goals put good health for all in a central place in sustainable development, notably in SDG 3. This goal calls for massive reductions of the burdens of both communicable and noncommunicable diseases. SDG 3 (Target 3.8) also emphasizes the need for universal and equitable access to quality health care, in order to “achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines

DISPARITIES AND HIGH COSTS FUEL THE HEALTH CARE CRISIS America’s health crisis is really three crises rolled into one. The first is public health: America’s average life expectancy is now several years below that of many other countries, and for some parts of the population, life expectancy is falling. The second is health inequality: The gaps in public health according to race and class are shockingly large. The third is health care cost: America’s health care is by far the costliest in the world. The Sustainable Development Goals put good health for all in a central place in sustainable development, notably in SDG 3. This goal calls for massive reductions of the burdens of both communicable and noncommunicable diseases. SDG 3 (Target 3.8) also emphasizes the need for universal and equitable access to quality health care, in order to “achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

For some politics has become a battle ground that allows them to vent their frustrations, while at the same time hide behind the anonymity of the social media. For others it has become a weapon to overwhelm their opponents by the weight of the number of comments sent to the originator of the blog or article. Fair or not, this method of cyber warfare works and could possibly change the course of history. A continuance of this cyber activity is still not totally understood by most bloggers, but certainly can be threatening and intimidating. Recently we have witnessed where foreign countries become involved in the attempt to rig elections by altering the mind set of those receiving overwhelming amounts of mostly altered news. This is certainly presently true in France. In Pakistan a student was murdered by his fellow students, simply because he had a difference of opinion. Art has become a victim of this form of attack, being accused of being a financial drain on the country’s economy whereas it, in all of its forms, is a stabilizer of civilization. Helping and feeding those less fortunate then ourselves also stabilizes a good society. On the opposite side of this topic a destabilizing activity is war, which cost us much more, however it does get us to alter our focus. It is the threat of nuclear annihilation that really gets our attention and may even eventually offer job opportunities to the survivors. I feel certain that the opposing sides of these issues are already marshaling their forces and stand fast to their beliefs. You would think that funding for the arts should be non-political, however I have found it to be a hot button issue, whereas going to war is accepted by an overwhelming majority of people, even before we attempt peaceful diplomatic negotiations. Building a wall separating us from Mexico is a great idea that is embraced by many who still believe that Mexico will eventually pay for it, but our “Affordable Health Care” must be thrown out! What will give our people more bang for the buck? An improved health care Bill or a Beautiful Wall? I’ve heard that Medicare and Social Security are things we can no longer afford, but it’s the same people who still believe that we can afford a nuclear war. These are issues that we can and should address, however I’ll just get back to my books and deal with the pro or anti Castro activists, or neo-Nazis, or whoever else wants to make a political statement. My next book “Seawater One….” will have some sex in it…. Perhaps we can all agree that, that’s a good thing or perhaps not.

She would initiate three “races to the top” from the federal level—with prizes of $100 million, $75 million, and $50 million—to vastly accelerate innovations in social technologies: Which state can come up with the best platform for retraining workers? Which state can design a pilot city or community of the future where everything from self-driving vehicles and ubiquitous Wi-Fi to education, clean energy, affordable housing, health care, and green spaces is all integrated into a gigabit-enabled platform? Which city can come up with the best program for turning its public schools into sixteen-hour-a-day community centers, adult learning centers, and public health centers? We need to take advantage of the fact that we have fifty states and hundreds of cities able to experiment and hasten social innovation. In

There are places where you can live only when you are healthy, in those places when you fall ill it's the end of you for most people there can’t afford medical care.

In other advanced industrial countries, families don’t have to worry about how they will pay the doctor’s bill, or whether they can afford to pay for their parent’s health care. Access to decent health care is taken as a basic human right.

Kien Long, Emperor of China. He was inquiring of Sir George the manner in which physicians were paid in England. When, after some difficulty, his majesty was made to comprehend the system, he exclaimed, 'Is any man well in England that can afford to be ill? Now, I will inform you,' said he, 'how I manage my physicians. I have four, to whom the care of my health is committed: a certain weekly salary is allowed them; but the moment I am ill the salary stops till I am well again. I need not tell you that my illnesses are usually short.'" Zimmerman

Meanwhile, expecting expensive institutions to become more cost efficient, and asking expensive professionals to take pay cuts while squeezing in more and more patients, are not viable avenues for making health care affordable and available. Afford-ability and accessibility come instead from disruptive innovations that enable less expensive caregivers, and less expensive venues of care, to become capable of doing progressively more sophisticated things, with equal or better quality than their high-cost counterparts.

People with serious illness have priorities besides simply prolonging their lives. Surveys find that their top concerns include avoiding suffering, strengthening relationships with family and friends, being mentally aware, not being a burden on others, and achieving a sense that their life is complete. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The question therefore is not how we can afford this system’s expense. It is how we can build a health care system that will actually help people achieve what’s most important to them at the end of their lives.

As the United States continues its quest to provide health care to more people in more affordable ways, there will be temptations to mandate treatments that are shown to be grossly equivalent, but less expensive. It will be important to maintain flexibility in such a system, so that we do not denigrate the art of medicine, which allows individuality in the sacred relationship between doctor and patient.

The District outranks the neighboring states of Maryland and Virginia as a place suitable for aging in place, while Montgomery County edged its suburban counterparts, according to a new online rating tool that ranks nearly every neighborhood in the United States. The AARP Livability Index, which went live on Monday, uses factors such as safety, security, ease of getting around, access to health care, housing affordability and the prevalence of WiFi, farmers markets and public policies that promote successful aging. Users punch in their Zip code or street address, and the Web site crunches data to show how a community stacks up against others. Ratings come on a scale of zero to 100. Users can also rejigger the weight placed on certain factors to suit themselves. For an older person on Raleigh Avenue in Garrett Park, Md., the livability