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We have a system that is not impartial and often serves its own. To break any system down into its components, you have: If you change any one of those elements, you affect the system. Thomas fisher’s memoir, “the emergency: A year of healing and heartbreak in a chicago er,” offers a firsthand critique of the country’s unequal healthcare system. In addition to decreased productivity and dissatisfied customers, there are five specific warning signs you should be on the lookout for: When a system is. Adults with developmental or intellectual disabilities in the u. s. But hundreds of thousands of them are e.