“Poor health was not just the result of random acts, bad luck, bad behavior or unfortunate genetics. Deliberate public policy decision about housing, education, parks and streets were the key drivers of racial differences in mortality. Crime kept people off the streets and limited their ability to exercise. The lack of grocery stores limited dietary choices. The lack of primary care doctors and specialists in these communities made chronic disease care more difficult. The degradation and loss of hospital services in these communities affected hospital-based outcomes. … The chronic underfunding of critical health services at Cook County Hospital and other safety-net providers contributed to these poor outcomes as well. The deleterious impact of social structures such as urban poverty and racism on health has been called 'structural violence.”

“Anywhere you have extreme poverty and no national health insurance, no promise of health care regardless of social standing, that's where you see the sharp limitations of market-based health care. ”

“The health care bill is nothing about health care- it's about controlling the people.”

“The English, who look on stoically as national health hospitals in run-down metropolitan areas close their wards through lack of support and patients spend time on trolleys in corridors, are comforted by the knowledge that wounded hedgehogs are tenderly cared for in a hedgehog hospital.”

“When medicine is socialized, when you have true universal health care, when everyone's treatment is the same regardless of socioeconomic station, those strong-arming attitudes of entitlement just aren't part of the vocabulary. This atrium, this lovely space in a hospital with a world-class reputation, is actually the equivalent of a state hospital. That American sense that someone somewhere else is getting what you're not, and the attendant demands that go along with that perceived injustice, well, it's just not in the equation here.”

“In any case, seeing care for certain groups as an excessive cost reflects an arguably perverse way of thinking about health care in terms of human need. [...] In other words, care for the sick is an economic burden only in health care systems where profit is the bottom line and public services are underfunded and politically unsupported - that is, systems in which only market logic is considered legitimate.”

“So Medicare decided to pay hospitals like ours for internship andresidency training programs, get it? It’s a win-win, as they say—the hospitalgets patients cared for by interns and residents around the clock,people like us who live on site, and whose stipend is a bloody fraction of what the hospital would pay full-time physicians. And Medicare delivers health care to the poor.”