A central notion in the Affordable Care Act was we had an inefficient system with a lot of waste that didn't also deliver the kind of quality that was needed that often put health care providers in a box where they wanted to do better for their patients, but financial incentives were skewed the other way... We don't need to reinvent the wheel; you're already figuring out what works to reduce infections in hospitals or help patients with complicated needs.
Where virtue is, sensibility is the ornament and becoming attire of virtue. On certain occasions it may almost be said to become virtue. But sensibility and all the amiable qualities may likewise become, and too often have become, the panders of vice and the instruments of seduction.
But there's this one difference: one is gold put to the use of paving-stones, and the other is tin polished to ape a service of silver. Mine has nothing valuable about it; yet I shall have the merit of making it go as far as such poor stuff can go. His had first-rate qualities, and they are lost, rendered worst than unavailing.
He wa'n't no common dog, he wa'n't no mongrel; he was a composite. A composite dog is a dog that is made up of all the valuable qualities that's in the dog breed-kind of a syndicate; and a mongrel is made up of all riffraff that's left over.