I discuss the changing face of American healthcare with new political leaders in DC and a larger voice on social media of people wanting something different. However, we must face the tradeoffs - there are no free lunches, there is no gain without loss. The yearned for days of yore had perhaps less processed foods, but also a less mobile lifestyle and less opportunity for women in the workplace. People want to live longer but may not want to sacrifice the daily comforts that are the price of a longer lifespan. I attempt to shine a light on the systemic issue of health, on a personal as well as a societal level.