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.
Rising before daylight is also to be commended; it is a healthy habit, and gives more time for the management of the household as well as for liberal studies.
The sense of wellbeing! Its often with us When we are young, but then it's not noticed; And by the time one has grown to consciousness It comes less often.
When I go into the garden with a spade and dig a bed I feel such an exhilaration and health that I discover that I have been defrauding myself all this time in letting others do for me what I should have done with my own hands.