What a week readers! A new President-Elect, who promises change. Dallas passed a bill to renovate Parkland Hospital to better serve the community, it is a time for us health care workers to have hope that we can provide better care for all. But as health care provider's we also know that change takes time and is often difficult. In Present-Elect Obama's address Tuesday night he spoke to the crowds that change may take time, "it may take this administration to implement the programs..." As we saw with prior administrations Health Care reform may or may not happen. I wish this and any administration the best when trying to tackle this issue. The health of our citizens is paramount to the health of our nation. With that said, I hope we as nurses, and health care provider's will continue to support organizations that offer low cost health services, and those who look at innovative ways to promote health. Last week I discussed Minute Clinics, this week I would like to spend a minute discussing the charity work of hospital based systems. Last week Presbyterian Dallas and Plano published an article in the Dallas Morning News about Presbycare a charitable system that helps covers the costs of indigent patients who cannot cover their hospital charges. During my internship at Baylor University Medical Center Dallas (ED) I have learned about the Worth Street Clinic. A low cost clinic that offers medical care and medications for the uninsured. They also have walk-in hours Monday-Fridays in which patients can be seen for acute illness and medication refills all at a very low cost for service. So as our new government tackles health care reform, I ask you to support organizations such as faith-based clinics, low-cost clinics, hospitals providing charitable services, and innovators such as CVS. They are all working hard to deliver quality care, with easy access to all, at little or low cost. So all Americans can afford health care. Together I believe we can make a difference.