The conundrum has always been this; work within the system…or in spite of it. Setting up this business is case in point. As licensed health care professionals, we are heavily ingrained (and yes, indebted) to the health care system as it stands. Both a curse and a blessing, it gives us a framework for being, as I believe we are, our brother’s keeper. But at what point do we lose track of that very ideal? Is it when insurance benefits terminate? Having worked in the system for decades, I know and have lived the reason the system is broken. We did it to ourselves by selfish and inefficient behavior. Both as providers and consumers. But that is tangential. The trick is how to be one’s brother’s keeper today….as things stand. Within the system? Or outside it? Can both be done? I think we will see.