18% of GDP is health care Haufmann - racist against national health insurance, beginning 20th century, anti-american, first german (national health care was law in Germany in late 18th century then bolshevist 1924-1929 AMA shut dow federal pre-natal care program expelled and harassed doctors offering group plans Truman offered national health plan: AMA bulked Kennedy proposed precursor to medicare, AMA opposed, had reagan record a rebuttal CHWC hospitals Stow average life expectancy 89 years, Franklinton(Columbus) - 60 Louidiana white death rates 30 % higher than in Minnesota, blacks 37% 7 year life expectacy difference between states 3hours - Ohio health rankings in Williams county 12% adults 16% of all males 27 %of all people over 65 are diagnosed diabetic Hill-Burton law: hospitals receivingvfederal money shoulbcare for poor an charity cases uncompensated care doctors/nurses: israel, jordan, pakistan, india, iraq, philippines, mexico, egypt, lebabon US doctors demand premiums to work at Brian, cost of living us lower, $200K in student loans CHCW 700 employees in main and 2 branch campuses limited choice in groceries shugared drinks and salty snacks are available to purchase with food stamps looming sexual harassment suit inequality: US is one of the most unequal country on earth, life expectancy tracks inequality, persusta across generations as social mobility declines pre-lapsarian utopia social determinants of health medical care accounts for only 15% of inequity in mortality employer-based insurance private equity firms