This inescapable duty to observe oneself: if someone else is observing me, naturally I have to observe myself too; if none observe me, I have to observe myself all the closer.
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're getting rid of the D [in PTSD]. PTS is an injury; it's not a disorder. The problem is when you call it a disorder, [veterans] don't think they can be treated. An employer says, 'I don't want to hire somebody with a disorder.