A man is but a little thing in the midst of the objects of nature, yet, by the moral quality radiating from his countenance, he may abolish all considerations of magnitude, and in his manners equal the majesty of the world.
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.
We each appear to hold within ourselves a range of divergent views as to our native qualities.. And amid such uncertainty, we typically turn to the wider world to settle the question of our significance.. we seem beholden to affections of others to endure ourselves.
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.
We think that we are generous because we credit our neighbor with those virtues that are likely to benefit ourselves. We praise the banker that we may overdraw our account, and find good qualities in the highwayman in the hope that he may spare our pockets.