An obvious example is not guaranteeing health services to patients with dementia.

When my children were growing up, we began every family meal - which included breakfast and dinner every day - with a prayer. We are Jewish and so it was the prayer over bread, when we were having bread, or the catch-all prayer for everything when we weren't.

We don't have enough solid organs for transplantation; not enough kidneys, livers, hearts, lungs. When you get a liver and you have three people who need it, who should get it? We tried to come up with an ethically defensible answer. Because we have to choose.

Anyone who lives in Washington and has an official position viscerally understands the cost of a lack of privacy. Every dinner - especially ones with a journalist in attendance - is preceded by the mandatory, 'This is off the record.' But everyone also knows, nothing is really 'off the record.

Vaccines are the most cost-effective health care interventions there are. A dollar spent on a childhood vaccination not only helps save a life, but greatly reduces spending on future healthcare.

Medical school education and post graduate education emphasize thoroughness.

Childhood vaccines are one of the great triumphs of modern medicine. Indeed, parents whose children are vaccinated no longer have to worry about their child's death or disability from whooping cough, polio, diphtheria, hepatitis, or a host of other infections.