Dan checks in sick from the field with a short episode that opens up into a much bigger conversation. Today's reflection digs into the American healthcare system, the myopic lens of employer provided coverage, why the Affordable Care Act never delivered what this country actually needed, and the brutal reality that 36 percent of insured Americans still skip medical care because they cannot afford it. This is about more than insurance. It is about the myth of rugged individualism and what happens to the least among us when there is no real safety net to catch them.