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The forces that have worked hard to stoke populist anger against reform are the very ones that benefit from a health system which puts profits ahead of quality care for its patients.
Sep 30, 2025
Before we even consider expanding Medicare, or another program based on its rates, we must reform our Medicare payment system so that it rewards value, not volume, and doesn't disadvantage states like Minnesota that provide high-quality care in an efficient way.
To me the early childhood story is an ecumenical one. You take poverty seriously. You take seriously maternal depression. You take seriously children under stress and you take seriously the effects of extended hours participation in poor quality care. Those are the facts I begin with.
Without greater support for childcare, parents of young children may be forced to choose cheaper, poor quality care for their children or fail to provide it entirely.
Thailand has good medical care and even though I haven't tried it, Singapore is said to have high quality care also.
Obviously, it's a big problem how do we provide quality care to the maximum number of people. And it's not an easy problem to solve.
Be a yardstick of quality. Some people aren't used to an environment where excellence is expected.
Nothing is more valuable to people than health care, and by paying, they feel less like beggars and more like 'customers' who can and should demand quality care.
As soon as you honor the present moment, all unhappiness and struggle dissolve, and life begins to flow with joy and ease. When you act out the present-moment awareness, whatever you do becomes imbued with a sense of quality, care, and love - even the most simple action.
The national debate on health care once centered on improving access to quality care, yet the effect of Obamacare will be the exact opposite, resulting in the shameful degradation of care for the neediest individuals.
Whether it's making sure that families have access to quality health care and child care, or making sure that our children receive the best educational opportunities we can give them, we must remain committed to these needs because our children are our future.
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