 I think that health care in America is changing, and it is for the better. We're starting to see a major shift away from a Fix Me system, and that is a system in which we wait in the health care industry until something goes wrong, and then we fix you. Kaiser Permanente has always focused upstream on prevention, early detection, early diagnosis, and early treatment. We're now becoming even more comprehensive in understanding the social determinants of health. How do we think about you and the environment in which you exist? What's your social network? How are you doing with eating and exercising? Do you live in a safe environment? Are you breathing good air? All these factors affect the health of an individual. The health system of the 21st century needs to connect the dots to get to what we call Kaiser Permanente total health.