Health barriers are a mix of concrete turf wars to preserve income, market share and price control, mixed with loam binders like poor transparency among physicians, payers and patients. The result is lower quality at higher price. Medical care is a personal touch affair. Though experts may craft a treatment plan, its delivery or follow up after an invasive surgical event requires skill, compassion, and handholding delivered by nurses. Nurses live with hospital patients and form super-glue bonds that may fade on discharge. But leave a tattoo on the soul.