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So, how did I end up as the “Last Happy Doctor”? It was a series of responses I made as the insurance industry began to reshape health care as a for-profit efficiency driven business. The first choice was to resist reducing the time spent with my patients. When I refused to schedule less than one half hour per patient, it became obvious that I would need to start and manage my own practice. Because of my choice to focus primarily on caring for older patients, my revenue stream was approximately 96 percent Medicare funded. Unaware, I had wandered into a “Medicare for All” financed healthcare practice. (Marsha Fretwell, 9/26)

In 1978, I was on overnight duty in the pediatric emergency room at Los Angeles County Hospital. It had been a busy night and I was looking forward to the end of shift. At about 4 a.m., a man with a frantic expression came rushing into the ER carrying what looked like a small log wrapped in a blanket. His 4-year-old son had suffered an asthma attack and the man had bypassed several private-hospital ERs on the way to the public hospital. He’d previously been refused emergency care at the private hospitals due to lack of insurance. On this occasion, the father did not want to waste time and took the much longer drive to Big County. I took the bundle from his arms and rushed into the treatment room. (Steve Tarzynski, 9/27)

The Americans With Disabilities Act of 1990 is perhaps the most wide-ranging civil rights act in the world. After decades of political struggle by disability rights activists and their allies, the ADA gave new rights to one-fifth of the population. It was a proud bipartisan accomplishment, passed by huge majorities in a Democratic-led Congress and signed by a Republican president. (Lennard Davis and David Perry, 9/26)

The Los Angeles County Department of Public Health last week declared an outbreak of hepatitis A, citing 12 cases as of Monday. Only four are cases in which people acquired the disease locally, but that’s enough for officials to sound the alarm. And few populations are more vulnerable to acquiring it — and suffering more severe cases of it — than the homeless community. More than three-quarters of the cases identified here have been among homeless people. (9/27)

On the campaign trail, Gov. Bruce Rauner assured voters he had “no social agenda.” So why is he now considering expanding taxpayer-funded abortion access in Illinois? It was never any secret that Gov. Rauner and his wife, Diana, are longtime supporters of the abortions-rights lobby. (Brittany Clingen Carl, 9/26)

Some Iowa lawmakers have a creepy obsession with women's reproductive choices. Elected officials craft misguided laws to target abortion that result in limiting access to health care. And they never seem to learn anything from their mistakes. In the latest example, UnityPoint Health, one of Iowa’s biggest health systems, says the state is barring its hospitals and clinics from participating in a new family planning program because a few occasionally perform abortions in cases of severe fetal abnormalities. The state says the ban applies to all clinics and practices affiliated with UnityPoint, even those not owned by the health system. (9/26)

We reached Carol Bollacker on Tuesday afternoon at her place of business: Boz Hot Dogs on Ridge Road in Lansing, about 2 miles from the Indiana border. She and her husband also own a Boz Hot Dogs in Dyer, Ind. Which location pays less in taxes? No need to strike up the “Jeopardy” trivia music. You know the answer. (9/26)

When Los Angeles County supervisors describe the kind of person they want for a top department post, they often say something along the lines of, "We want a Mitch Katz type. "That certainly speaks volumes about Dr. Mitchell H. Katz, who on Friday told the supervisors he'd be leaving the county at the end of the year. His departure culminates a stunningly successful run as leader, first of the massive Department of Health Services and then of the new and even more massive county Health Agency, which takes in the formerly stand-alone departments of mental health and public health. Katz turned about a third of the county's operation and budget into a nimble human services organization that not only runs hospitals and coordinates clinical care, but also provides housing for the homeless and diverts the addicted and mentally ill from jails to clinics. (9/26)