The answer was that in Burundi having a clean bill of health has taken on a very particular meaning: unless and until you have paid for your hospital treatment you simply can't leave you are in effect a captive.
The voice collects and translates your bad physical health your emotional worries your personal troubles.
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The national debate on health care once centered on improving access to quality care yet the effect of Obamacare will be the exact opposite resulting in the shameful degradation of care for the neediest individuals.