Health Problems Quotes & Sayings
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Top Health Problems Quotes
I think the sad fact is, there's a long history in this country at looking at African-American as subhuman. And I think that's reflected in the fact that, when we have problems that really are problems of employment, that are really problems of mental health, that are really problems of drugs, our answer is the police. — Ta-Nehisi Coates
Through scientific discovery and technological innovation, we enlist the forces of the natural world to solve many of the uniquely human problems we face - feeding and providing energy to agrowing population, improving human health, taking responsibility for protecting the environment and the global ecosystem, and ensuring our own Nation's security. Scientific discoveries inspire and enrich us, teaching us about the mysteries of life and the nature of the world. — William J. Clinton
We need to stop using fossil fuels as soon as possible. Unfortunately, the two leading replacements of wind and solar have emerging health and environmental problems. — Steven Magee
It's time to look beyond the budget ax to assure access to health care for all. It's time to look for bipartisan solutions to the problems we can tackle today, and to work together for tomorrow - building a health care system that works for all Americans. — Ron Wyden
A healthy diet is a solution to many of our health-care problems. It's the most important solution. — John Mackey
Losses and other events - whether anticipated or actual - can lead to feelings of shame, humiliation, or despair and may serve as triggering events for suicidal behavior. Triggering events include losses, such as the breakup of a relationship or a death; academic failures; trouble with authorities, such as school suspensions or legal difficulties; bullying; or health problems. This is especially true for youth already vulnerable because of low self-esteem or a mental disorder, such as depression. Help is available and should be arranged. - American Association of Suicidology — Sue Klebold
For families across the UK who are income-poor, but more than that, whose lives are blighted by worklessness, educational failure, family breakdown, problem debt and poor health, as well as other problems, giving them an extra pound - say through increased benefits - will not address the reason they find themselves in difficulty in the first place. — Iain Duncan Smith
Bill and I both firmly believe that even the most difficult global health problems can be solved. — Melinda Gates
WITH GOD YOU CAN TURN YOUR impeaching importunities into optimal opportunities. Frightful frustration into fortifying fortunes. Humble attitudes into higher altitudes .Distress disabilities into affluent abilities. Incalculable incapacity into calibrated capabilities. Protracted poverty into pronounced prosperity. Subtracting adversity into multiplying advantage. Intimidating invalidities into valuable validities. Weeping profession into a winning prowess .worrisome weariness into wholesome health. Multiple miseries into a myriad of treasures. Possessive problems into progressive productivity. Earthly human co-incidence into heavenly divine "God-incidence". — Ikechukwu Joseph
I don't think it's ok to judge others and put people down. However, it should be ok to be concerned about the health of someone which could leader to major problems in their future. — Scott Herman
Some habits are internal, more than external. They live in our thought processes, our attitudes and our outlook. And if these mental habits go unchecked, it can cause us to live in a state of mental compression because our habits are living our lives for us. But the truth is, mental health is the beginning of all habitual health problems. If a habit, such as envy, lust, comparison, discontent, takes root in your mind, that mental habit is eventually going to be given the reins to the rest of your health if not taken care of. — Jarrid Wilson
It's paradoxical that, when you have better health, families choose to have less children, because they've been having enough children so that they can be sure that a few of them will survive and take care of them. So as health improves, then all the other problems are dramatically easier to tackle. — Bill Gates
We've taken on the major health problems of the poorest - tuberculosis, maternal mortality, AIDS, malaria - in four countries. We've scored some victories in the sense that we've cured or treated thousands and changed the discourse about what is possible. — Paul Farmer
Animal research is essential to tackling major 21st century health problems such as cancer and heart disease. Without the use of animals it would be impossible, in many cases, to develop drugs or any sort of medical treatment. — George Radda
The problem with having problems is that 'someone' always has it worse. — Tiffany Madison
Unbalanced and low levels of hormones have been associated with numerous chronic problems and age-related conditions. Along with many other actions, hormones are chemical messengers; they signal the cells to become younger or older, to slow or increase multiplication, to be immunologically responsive or lazy. — David Wolfe
Insomnia is an increasing problem. I've become swayed that sleep disorders are conceivably the most unnoticed, ignored, underrated reason of health as well as performance problems in the place of work. — Sean Sullivan
My approach is completely different. I approach complicated problems such as how to provide health care for most Americans at a price we can afford the same way I solve the toughest business problems. We should hire the most knowledgeable people in the world on this subject and lock them in a room - and not unlock the door until they've agreed on the steps we need to take. — Donald J. Trump
Being overweight and obesity are major risk factors for many chronic diseases for South Dakotans of all ages. When people are overweight or obese, they have more health problems and more serious health problems, in addition to higher health care costs. — Mike Rounds
Practicing regular, mindful breathing can be calming and energizing and can even help with stress-related health problems ranging from panic attacks to digestive disorders. — Andrew Weil
Unlike 'mere' medical or physical disorders, mental disorders are not just problems. If successfully navigated, they can also present opportunities. Simply acknowledging this can empower people to heal themselves and, much more than that, to grow from their experiences. — Neel Burton
Inequality and poverty, health and wealth are hand in hand.
And if we are all born equal that should be true in all lands.
We cannot divide the world between poor and rich countries.
It's like saying the ones are good, the others are junkies.
That can only increase more prejudice, miseries and sorrow.
Turning the wheel today it will lead to a better tomorrow. — Ana Claudia Antunes
Yoga talks about cat-pose, dog-pose, camel-pose, monkey-pose, bird-pose etc. Why there are so many animal poses? Animals release their emotions and tensions by movements based on their body sensations. But our amygdala in the brain is carrying the "fight or flight response"; it has forgotten the art of releasing the tensions. As human beings, when we are aware about the sensations, we can release that by aware, slow movements. If you do not give movements to the body parts, energy will be stuck and blood circulation will be disturbed. Gradually, that creates chronic physical and mental health problems. — Amit Ray
The problems of health care can be solved if we stop giving tax cuts to those who have the most, and start making health care affordable for those working harder and harder for too little. — John F. Kerry
Deliver me from all evildoers that talk nothing but sickness and failure. Grant me the companionship of men who think success and men who work for it. Loan me associates who cheerfully face the problems of a day and try hard to overcome them. Relieve me of all cynics and critics. Give me good health and the strength to be of real service to the world, and I'll get all that's good for me, and will what's left to those who want it. — William Feather
It is easy to slip into self-absorption, and it is equally fatal. When one becomes absorbed in himself, in his health, in his personal problems, or in the small details of daily living, he is, at the same time losing interest in other people; worse, he is losing his ties to life. From that it is an easy step to losing interest in the world and in life itself. That is the beginning of death. — Eleanor Roosevelt
Exercise is the single most powerful tool you have to optimize your brain function ... exercise has a profound impact on cognitive abilities and mental health. It is simply one of the best treatments we have for most psychiatric problems. — John Ratey
Health care organizations don't ask us to interface to every type of module because they understand that it could cause safety problems. — Judith Faulkner
The government has departments to deal with the special interest groups that make themselves heard and felt. A Department of Agriculture cares for the farmers' needs. There is a Department of Health, Education and Welfare. There is a Department of the Interior - in which the Indians are included. Is the farmer, the doctor, the Indian, the greatest problem in America today? No - it is the black man! There ought to be a Pentagon-sized Washington department dealing with every segment of the black man's problems. — Malcolm X
When it comes to owning the seed for collecting royalties, the GMO companies say, 'it's mine.' But when it comes to contamination, cross-pollination, health problems, the response is we're not liable. — Vandana Shiva
Getting kids moving is a key factor in tackling obesity and health problems among the young. — Magnus Scheving
What are your three most important business or career goals right now? What are your three most important family or relationship goals right now? What are your three most important financial goals right now? What are your three most important health goals right now? What are your three most important personal and professional development goals right now? What are your three most important social and community goals right now? What are your three biggest problems or concerns in life right now? — Brian Tracy
It was a place for people with mental health problems and not alcoholics; as though the two could be neatly divided like that; as though the world was black and white and not a murky grey. — Victoria Spry
Whether the task is fixing health care, upgrading K-12 education, bolstering national security, or a host of other missions, the U.S. is better at patching problems than fixing them. — Louis V. Gerstner Jr.
You have built a human relationship on the foundation of asbestos. — Greg Sestero
Our women are not incredible because they have managed to avoid the difficulties of life - quite the opposite. They are incredible because of the way they face the trials of life. Despite the challenges and tests life has to offer - from marriage or lack of marriage, children's choices, poor health, lack of opportunities, and many other problems - they remain remarkably strong and immovable and true to the faith. Our sisters throughout the Church consistently succor the weak, lift up the hands which hang down, and strengthen the feeble knees. — Quentin L. Cook
Many soldiers returning from Iraq and Afghanistan suffer from serious, long-term, physical and mental health problems, due to their service. It is unconscionable to cut the already limited health care benefits available to these brave men and women. — Mark Dayton
Over 120 Aboriginal communities run their own health services - some have been doing so for 30 years. They struggle with difficult medical problems. They also try to deal with counselling, stolen generations issues, family relationships, violence, suicide prevention. — Malcolm Fraser
The breakthrough study was done by Dr. Peter Elwood and a team from the Cochrane Institute of Primary Care and Public Health, Cardiff University, United Kingdom, and released in December 2013. For thirty years, these researchers followed 2,235 men living in Caerphilly, Wales, aged 45 to 59, and observed the impact of five activities on their health and on whether they developed dementia or cognitive decline, heart disease, cancer, or early death. The Cardiff study was meticulous, examining the men at intervals over the thirty years, and if they showed signs of cognitive decline or dementia, they were sent for detailed clinical assessments of high quality. It overcame study design problems from eleven previous studies (discussed in the endnotes). Results showed that if the men did four or five of the following behaviors, their risk for cognitive (mental) decline and dementia (including Alzheimer's) fell by 60 percent: — Norman Doidge
in 2008, shortly after being elected President, Barack Obama demonstrated to many academics and doctors that he had a clear understanding of the deep problems in health care, by committing to spend $1 billion on head-to-head trials of commonly used treatments, in order to find out which is best. In return he was derided by right-wing critics as 'anti-industry'. — Ben Goldacre
There are progressives primarily concerned with children and family issues, but such issues are child care, children's health, prenatal care for mothers, child poverty, education, the problems of minority children, child abuse, and so on. These very real concerns reflect the interests of the major groupings, but, to my knowledge, such groups are not principally concerned with the promotion of Nurturant Parenting itself. All — George Lakoff
Did you know that nearly one in three children live apart from their biological dads? Those kids are two to three times more likely to grow up in poverty, to suffer in school, and to have health and behavioral problems. — Tony Dungy
Putin wants to stay in power, but not so that he can finally solve our most pressing problems: education, health care, poverty. — Mikhail Gorbachev
A study at Cornell University found that low-level noise both lowered job motivation and increased stress levels. It appears as well that an open-office type of environment can contribute to musculoskeletal problems such as a stiff back or tense neck and even heart disease due to increased levels of epinephrine, a stress hormone. — Jeff Davidson
Everybody likes Johnny Cash. I think the sad part of it is his health is givin' him problems. — Merle Haggard
The biggest public health challenge is rebuilding health systems. In other words, if you look at cholera or maternal mortality or tuberculosis in Haiti, they're major problems in Haiti, but the biggest problem is rebuilding systems. — Paul Farmer
I believe that human beings are designed to be physically active and that not doing so creates energy imbalances within the body that ultimately contribute to obesity and other health problems. As evidence, over 500,000 people die each year from diseases linked to physical inactivity and obesity. Furthermore, rates of hypertension, hypercholesterolemia, type 2 diabetes, and certain forms of cancer have all tripled over the past 30 years corresponding to decreasing levels of daily physical activity and increasing rates of obesity. — Nina Cherie Franklin
Other pressing problems with the current medical model [of mental disorder] is that it encourages false epidemics, most glaringly in bipolar disorder and ADHD, and the wholesale exportation of Western mental disorders and Western accounts of mental disorder. Taken together, this is leading to a pandemic of Western disease categories and treatments, while undermining the variety and richness of the human experience. — Neel Burton
Animal intuitives can diagnose an animal's physical health problems by listening to the animals. — Bernie Siegel
A trade unionist - of course I am. First, last, and all the time. How else to strike at the roots of the evils undermining the moral and physical health of women? How else grapple with the complex problems of employment, overemployment, and underemployment alike, resulting in discouraged, undernourished bodies, too tired to resist the onslaughts of disease and crime? — Maud Younger
People with mental health problems are almost never dangerous. In fact, they are more likely to be the victims than the perpetrators. At the same time, mental illness has been the common denominator in one act of mass violence after another. — Roy Blunt
It is reasonable to expect the doctor to recognize that science may not have all the answers to problems of health and healing. — Norman Cousins
Mental health is such a complex thing and so difficult to diagnose. What is a mental problem? Who does have mental problems? What's the difference between mental problems and depression and sadness? — Tom Sturridge
Weight gain, mood swings, fatigue, and low libido aren't diseases that can be "cured" with a quick injection or a pharmaceutical. Most of these problems can't be permanently solved by eating less or exercising more. They are hormonal problems. They mean our bodies are trying to tell us that something is wrong. — Sara Gottfried
The people who are best at telling jokes tend to have more health problems than the people laughing at them. A study of Finnish police officers found that those who were seen as funniest smoked more, weighed more, and were at greater risk of cardiovascular disease than their peers [10]. Entertainers typically die earlier than other famous people [11], and comedians exhibit more "psychotic traits" than others [12]. So just as there's research to back up the conventional wisdom on laughter's curative powers, there also seems to be truth to the stereotype that funny people aren't always having much fun. It might feel good to crack others up now and then, but apparently the audience gets the last laugh. — Anonymous
I don't think anything good is happening. I think we're paying the price for it. I think while crime in general is going down, youth crime is going up. I think mental health problems of the youth are going up. You can't show causality. It's a hard stretch. — Edward Zigler
In this context, fear of toxicity strikes me as an old anxiety with a new name. Where the word filth once suggested, with its moralist air, the evils of the flesh, the word toxic now condemns the chemical evils of our industrial world. This is not to say that concerns over environmental pollution are not justified - like filth theory, toxicity theory is anchored in legitimate dangers - but that the way we think about toxicity bears some resemblance to the way we once thought about filth. Both theories allow their subscribers to maintain a sense of control over their own health by pursuing personal purity. For the filth theorist, this meant a retreat into the home, where heavy curtains and shutters might seal out the smell of the poor and their problems. Our version of this shuttering is now achieved through the purchase of purified water, air purifiers, and food produced with the promise of purity. — Eula Biss
The study also included the disturbing revelation that most of the troops who reported having mental health problems also reported that they did not seek or did not receive care for their problems. — John M. McHugh
It's not okay to be fat - not because of the way you look, but because it's unhealthy. I have experienced hormonal problems, bad skin, immense laziness, and back and knee pain. It's not fine to be too fat or too thin! Anything in extremes is wrong. I am afraid of putting on weight because I don't want to develop health problems. — Sonam Kapoor
The destruction of aquatic ecosystem health, and the increasing water scarcity, are in my opinion the most pressing environmental problems facing human kind. — Maude Barlow
I've never had any health problems and I'm Ruben, man, all the way through. — Ruben Studdard
Grief is not a one-time thing for people with chronic health problems. Just like people grieving the loss of a loved one find the sadness washes over them at holidays or family events or even unexpected everyday moments, we who are grieving the loss of ourselves, or our former lives, will find the feelings come at random - when someone mentions an activity we used to love, or even something as simple as spilling a glass of milk, or not being able to find our keys. It doesn't mean you're a failure. It means you're human. And it's okay. Then — Kimberly Rae
Hot, dry katabatic winds, like the south foehn in Europe, the sharav in the Middle East, and the Santa Ana of Southern California, are all believed to have a decided effect on human behavior and are associated with such health problems as migraines, depression, lethargy, and moodiness. Some scientists say that this is a myth. — Tim Cahill
In the ensuing chapters, we will look in some detail at particular manifestations of the modern scientific ideology and the false paths down which it has led us. We will consider how biological determinism has been used to explain and justify inequalities within and between societies and to claim that those inequalities can never be changed. We will see how a theory of human nature has been developed using Darwin's theory of evolution by natural selection to claim that social organization is also unchangeable because it is natural. We will see how problems of health and disease have been located within the individual so that the individual becomes a problem for society to cope with rather than society becoming a problem for the individual. And we will see how simple economic relationships masquerading as facts of nature can drive the entire direction of biological research and technology. — Richard C. Lewontin
I continually still fight every day for my life, not only still battling mental health problems but battling multiple sclerosis, which also has depression as one of its side effects. — Jennifer Holliday
working more than 40 hours a week was stupid, wasteful, dangerous, and expensive - and the most telling sign of dangerously incompetent management to boot," Robinson writes. Further, more than a hundred years of research shows that "every hour you work over 40 hours a week is making you less effective and productive over both the short and the long haul." Really! Even though most people think this makes intuitive sense, they are still surprised to hear that it is actually true. This common sense is so widely ignored that overwork - and the problems with health, happiness, and productivity that it brings - is epidemic. — Christine Carter
There are a lot of things we as individuals can't do much about. We can't solve global warming as individuals, or health care problems, but as individuals, most of us can get our kids reading. We can do that. — James Patterson
Recognizing and preventing men's health problems is not just a man's issue. Because of its impact on wives, mothers, daughters, and sisters, men's health is truly a family issue. — Bill Richardson
The effort to cure disease has been, without doubt, the greatest curse that has ever been perpetrated upon the human race. The idea that disease is something that must be cured, the idea that it is something that can be cured, must be eradicated from the human mind before we can hope to arrive at a rational solution of our health problems. — Herbert M. Shelton
Mental health problems do not affect three or four out of every five persons, but one out of one. — Karl A. Menninger
Instead of complaining about problems in your stomach, mind what goes into your stomach to cause the problems in your stomach. — Ernest Agyemang Yeboah
There are, in human affairs, two kinds of problems: those which are amenable to a technical solution and those which are not. Universal health-care coverage belongs to the first category: you can pick one of several possible solutions, pass a bill, and (allowing for some tinkering around the edges) it will happen. — Atul Gawande
I am upset and completely disappointed in the government, the millionaires and billionaires in the U.S. See what's happening to the country? Look at all the health problems, the economy, the recession and crime. — Maharishi Mahesh Yogi
Because of diabetes and all the other health problems that accompany obesity, today's children may turn out to be the first generation of Americans whose life expectancy will actually be shorter than that of their parents. The — Michael Pollan
The quickest and easiest way to improve your health and mood is by taking omega 3 supplements, in the form of fish oils or flaxseed. Add a good general multivitamin and mineral daily as well, as this will ensure that any trace deficiencies causing health or mood problems are addressed. — Liz Miller
There are other dimensions of biotechnology. If you think of biotechnology like the Internet, it's not a category - it's an infrastructure that can be deployed to sustain or disrupt. In health care, the most complex problems at the high end have to be dealt with in a problem-solving mode by the best, most experienced physicians you can find. — Clayton Christensen
Hate causes distress, potentially leading to mental and physical health problems. Adolescents — Graeme Simsion
Nobody wins when the police are sent to look after people suffering from mental health problems; vulnerable people don't get the care they need and deserve, and the police can't get on with the job they are trained to do. — Theresa May
As a doctor who took care of patients for 25 years, I saw the problems with America's health care system every day. — John Barrasso
One of my big revelations was that nobody cares whether you write your novel or not. They want you to be happy. Your parents want you to have health insurance. Your friends want you to be a good friend. But everyone's thinking about their own problems and nobody wakes up in the morning thinking, 'Boy, I sure hope Sam finishes that chapter and gets one step closer to his dream of being a working writer.' Nobody does that. If you want to write, it has to come from you. If you don't want to write, that's great. Go do something else. That was a very liberating moment for me. — Sam Lipsyte
The degree to which a surviving parent copes is the most important indicator of the child's long-term adaptation. Kids whose surviving parents are unable to function effectively in the parenting role show more anxiety and depression, as well as sleep and health problems, than those whose parents have a strong support network and solid inner resources to rely on. — Hope Edelman
Our health-care morass is like the problems of global warming and the national debt - the kind of vast policy failure that is far easier to get into than to get out of. Americans say that they want leaders who will take on these problems. — Atul Gawande
I told Ella Mae Cheeks Johnson, then age 105, that she was the only person over 80 who I'd ever met who never referred to her physical infirmities or health problems. To which she replied, I have my difficulties; I do not rejoice in them. — Patricia Mulcahy
From dear, dear Gloria Swanson, I learned how to live long, happy and free of health problems. I owe her my life. — Dirk Benedict
But after a sojourn in the Adirondacks restored his health, he became persuaded of the curative powers of the mountain air and devoted himself to the study of respiratory problems. He — Jennet Conant
A plant-based diet is more likely to produce good health and to reduce sharply the risk of heart problems, cancer, diabetes, osteoporosis, gallstones, and kidney disease. — T. Colin Campbell
That eating should be foremost about bodily health is a relatively new and, I think, destructive idea-destructive not just the pleasure of eating, which would be bad enough, but paradoxically of our health as well. Indeed, no people on earth worry more about the health consequences of their food choices than we Americans-and no people suffer from as many diet-related problems. We are becoming a nation of orthorexics: people with an unhealthy obsession with healthy eating. — Michael Pollan
I had patients who didn't die because they had too many pets to try to find homes for. It's why women live longer than men with the same health problems. — Bernie Siegel
One of the downsides of working in philosophy is that it attracts a lot of people with mental-health problems. — Joseph Heath
As problems like identity theft become more prevalent, now more than ever, Americans need to take their financial health seriously - and this information is of the utmost importance. — Ruben Hinojosa
Women are the victims of war ... as widows they've faced the trauma of being single parents and livelihoods of families are affected. A lot of gender-related problems come up in terms of health, education, domestic violence, etc. — Kumari Jayawardena
By enlivening this most basic level of life, Transcendental Meditation is that one simple procedure which can raise the life of every individual and every society to its full dignity, in which problems are absent and perfect health, happiness, and a rapid pace of progress are the natural features of life. — Maharishi Mahesh Yogi
The word antimicrobrial is a sales feature in soaps, skin lotions, cleaning supplies, food perspectives, plastics, and even fabrics. However, only about one hundred species of microbes are known to actually cause diseases in humans; the vast majority of the thousands of species that inhabit us do not cause any problems, and, in fact, seem to come with serious benefits. — B. Brett Finlay
Our society assigns us a tiny number of roles: We're producers of one thing at work, consumers of a great many things all the rest of the time, and then, once a year or so, we take on the temporary role of citizen and cast a vote. Virtually all our needs and desires we delegate to specialists of one kind or another - our meals to the food industry, our health to the medical profession, entertainment to Hollywood and the media, mental health to the therapist or the drug company, caring for nature to the environmentalist, political action to the politician, and on and on it goes. Before long it becomes hard to imagine doing much of anything for ourselves - anything, that is, except the work we do "to make a living." For everything else, we feel like we've lost the skills, or that there's someone who can do it better ... it seems as though we can no longer imagine anyone but a professional or an institution or a product supplying our daily needs or solving our problems. — Michael Pollan
A lot of people believe that mental illness does not affect our children within the school system. But the truth is that a lot of bullying stems from untreated or poorly treated mental and behavioral health problems. — Tamara Hill
To make others less happy is a crime. To make ourselves unhappy is where all crime starts. We must try to contribute joy to the world. That is true no matter what our problems, our health, our circumstances. We must try. I didn't always know this, and am happy I lived long enough to find it out. — Roger Ebert
I believe that if, at the end of it all, according to our abilities, we have done something to make others a little happier, and something to make ourselves a little happier, that is about the best we can do. To make others less happy is a crime. To make ourselves unhappy is where all crime starts. We must try to contribute joy to the world. That is true no matter what our problems, our health, our circumstances. We must try. — Roger Ebert
T.J. seemed older than seventeen. Reserved almost. Maybe facing serious health problems eliminated some of the immature behavior that presented itself when you had nothing more to worry about than getting your driver's license, cutting class, or breaking curfew. — Tracey Garvis-Graves
In short, bioethics investigates ethical issues arising in the life sciences (medicine, health care, genetics, biology, research, etc) by applying the principles and methods of moral philosophy to these problems. — Adele Langlois
But this book is about something else: what goes on in the lives of real people when the industrial economy goes south. It's about reacting to bad circumstances in the worst way possible. It's about a culture that increasingly encourages social decay instead of counteracting it. The problems that I saw at the tile warehouse run far deeper than macroeconomic trends and policy. too many young men immune to hard work. Good jobs impossible to fill for any length of time. And a young man [one of Vance's co-workers] with every reason to work - a wife-to-be to support and a baby on the way - carelessly tossing aside a good job with excellent health insurance. More troublingly, when it was all over, he thought something had been done to him. There is a lack of agency here - a feeling that you have little control over your life and a willingness to blame everyone but yourself. This is distinct from the larger economic landscape of modern America. — J.D. Vance
