Make America Great again by learning how to navigate the collapsing United States HealthUncaring Money Making System.

1. Get your records and keep copies.

Get the disc of any radiology studies: MRI, xray, CT scan, echocardiogram. Keep them. Hand carry to your visit with the specialist. Yes, I know your doctor said they'd be sent and I know the specialist's office said they'd get them, but I have two friends so far this week in two days who traveled 2 hours or more to a specialist who DID NOT HAVE THE STUDIES. Do NOT give your only copy to the specialist. Demand two. Either get them on different days or just pay for the second disc.

A clinic closed in our area a year ago. It was in three counties, 3400+ patients. The physician owner was not paying the bills, including the electronic medical record. We couldn't get records, the emr company wouldn't release them. Gone. Thirteen people called to be new patients with me the day the clinic…

Happy Birthday to me. I am 40 today.

I know 40 is a subjective number in a giant pile of subjective numbers, but this age is hitting me harder than I had expected. I thought I would sail right through. I was rather wrong.

Turning 30 felt easy. I just kept being whatever it was that I had been, and there was no skip in continuity. No greater philosophical evaluation of life or technique. Just the changing of a number. This is different somehow. I suppose it's part…

The outer edges of the Galactic Embassy's conference room were shrouded entirely in darkness, and the only light came from powerful hanging lamps that lit the table at the center of the room and very little else. At the far edge of the table sat the Grand Councilwoman of the Galactic Alliance, Cowal Ze'elld. There was one available seat, directly across from her. Greg walked uncertainly though the darkness and sat himself at the table.

"Gregory Namanarra," she said. "Do you know why you are here…