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.
This, and no other, is justice: to consider, under all the circumstances and consequences of a particular case, how the greatest quantity and purest quality of happiness will ensue from any action ... there is no other justice.
The fragrance of the heart is made up of the qualities and virtues of our spirit. Most of us have learned how to keep our heart closed in a world that would trample all over us if we let it. Being open hearted today seems to require tremendous courage.