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When I taught in Christian school and worked at the church, our many bulletin boards, church publications, and classroom decorations often depicted brightly colored kites, hot air balloons, and steps rising into the air. Our theme was to rise higher, accept challenges, and grow to be the “you” that you had envisioned. Some of us started on an exciting journey but got waylaid and have not had the strength or courage to start again. But as long as there is breath, there is hope.

As the Affordable Care Act is deployed by the federal government, there is more and more anxiety about whether there will be enough primary care providers to take care of all of the new people who will have insurance. Regrettably, the problem might be less severe than previously thought because it now appears that there will be tens of millions who will still be without insurance. One of the solutions to the primary care dilemma is seen in reforming the way physicians are paid.