“Having no national system of catastrophic health insurance, we have, through the courts, managed to patch together pieces of a not very satisfactory one.”

— Andrew Tobias

Source: The Invisible Bankers, Everything The Insurance Industry Never Wanted You To Know (1982), Chapter 10, Too Many Lawyers, p. 174.

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Andrew Tobias 19

American journalist 1947

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“I often liken the process of physics research to solving a jigsaw puzzle. As we put together pieces to form patches, a certain image of the overall picture emerges, but until the game is sufficiently progressed, we are not quite sure. I feel much the same way about the wealth of signs for new particles. We have patches that have been put together, but we are not quite sure how all pieces will fit together into a coherent whole. There are also certain pieces which do not seem to fit into any patches at all. For the most part, the experimental findings have not been completely unexpected, but there have been certain surprises that I, for one, had not foreseen. This is what makes particle physics exciting and tantalizing. At moments of despair and frustration, I feel as though somebody has scrambled two boxes of jigsaw puzzles for me to put together.”

Benjamin W. Lee (1935–1977) Korean American physicist

about his work as a particle physicist, at the Fermilab History and Archives Project: Benjamin Lee comments on HEP discoveries http://history.fnal.gov/significant_staff.html#Benjamin_Lee (May, 1976).

“We would like every country to be self-sufficient so that both in terms of running a good primary health care system and funding a good primary health care system, it’s all OK, and they just participate in regional bodies that have standby capacity to deal with these things. Africa, of all the places in the world, is the furthest behind on being able to do that. And through aid, health and health systems in Africa have improved very, very dramatically.”

Bill Gates (1955) American business magnate and philanthropist

politico.com http://www.politico.com/story/2014/09/transcript-bill-gates-lessons-from-leaders-interview-111470.html
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“The reduction of poverty is the over-arching objective of the MDGs. Progress is not measured by national or global averages, but by how well the health of the poor improves. If we miss the poor, we miss the point. A health system that lacks commodities for managing high-mortality infectious diseases and the main killers of mothers and young children will not have an adequate impact.”

Margaret Chan (1947) Director-General of the World Health Organization

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“Obamacare is forcing the American people to buy health insurance or else pay a tax. Our health care system is moving toward one that rations care and negatively impact millions of Americans.”

Paul LePage (1948) American businessman, Republican Party politician, and the 74th Governor of Maine

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“I have always been a proponent of a national health care system. It just seemed eminently fair and right. How can we call this a civilized society when the children or parents of the rich get the medical attention they need in order to stay alive, while members of working-class families, who lack health insurance, have to die or needlessly suffer--or go hopelessly into debt to get the care they need? This is an outrageous injustice and it cannot be rationally defended.”

Bernie Sanders book Outsider in the House

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“There are information asymmetries in this story. Health insurance is limping along. It's limited in scope, and then you other consequences. Insurance companies have high premiums to protect themselves. The ones who come to the insurance company are sicker and the people have to pay more. You have adverse selection. You have moral hazard. And the doctor does what's on the safe side -- defensive medicine -- without regard to cost. These are fundamental conditions that make health insurance difficult. You have some things that help. Some doctors understand that they shouldn't abuse the system. But you still see problems in the way doctors behave towards patients. They goof off. Sometimes it's too much work. Some things are difficult and risky to diagnose.”

Kenneth Arrow (1921–2017) American economist

quoted in Conor Clarke, An Interview with Kenneth Arrow, Part Two https://www.theatlantic.com/politics/archive/2009/07/an-interview-with-kenneth-arrow-part-two/22279/ (2009)
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“We don't have a health care system. We have a health care maze. And we don't have a health care crisis. We have a health crisis. Eighty percent of the $2 trillion we spend on health care in this country is spent on chronic disease. If we don't change the health of this nation by focusing on prevention, we're never going to catch up with the costs no matter what plan we have. … And we've got a situation with 10,000 baby boomers a day signing up for Social Security, going into the Medicare system. And I just want to remind everybody when all the old hippies find out that they get free drugs, just wait until what that's going to cost out there.”

Mike Huckabee (1955) Arkansas politician

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“The genius of culture is to create an ontological system so compelling that what is inside and outside of a person are viewed as of a piece, no seams and patches noticeable.”

Richard Shweder (1945) American anthropologist

"Cultural Psychology — What Is It?", Cultural Psychology (1990)

“What we have in the United States is not so much a health-care system as a disease-care system.”

Ted Kennedy (1932–2009) United States Senator

1994. Attributed without source by telegraph.co.uk http://www.telegraph.co.uk/news/worldnews/northamerica/usa/6094226/Ted-Kennedy-quotes.html, 26 August 2009
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“As control engineers and scientists, we have greatly altered the way people and nations live and interact with one another. We have helped to create a world in which people live longer, enjoy better health, are better educated, and can travel and communicate over greater distances. But the systems that provide these better lives are fragile systems subject to unpredictable failures and possible destruction. We have also helped to create a world in which international relations are such that the very civilizations we have helped to build over centuries can be destroyed in a matter of hours.”

Harold Chestnut (1917–2001) American engineer

Harold Chestnut (1986) " Applications of Control Principles to International Relations http://www.ieeecss.org/CSM/library/1986/dec1986/w13-14.pdf" In: IEEE Control Systems Magazine, Vol.6, No. 6, Dec. 1986. pp. 13-14

“Having no national system of catastrophic health insurance, we have, through the courts, managed to patch together pieces of a not very satisfactory one.”

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Andrew Tobias 19

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