The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the peculiar roles of producer or “provider” and purchaser or “consumer” in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various appealing factors of price, quality, and use, and it is the buyer who makes the decision. Such condition, however, is not common in most of the health-care industry.

    In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician — and even then there may be no real choice — it is the physician who usually makes all significant purchasing decisions: whether the patient should return “next Wednesday”, whether X-rays are needed, whether drugs should be prescribed, etc. It is rare that a patient will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.

    This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of the decisions, but in general it is the doctor's judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real “consumer”. As a consequence, the medical staff represents the “power center” in hospital policy and decision-making, not the administration.

    Although usually there are in this situation four identifiable participants— the physician, the hospital, the patient, and the payer (generally an insurance carrier or government)— the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for the most part the patient plays a passive role. We estimate that about 75-80 percent of health-care choices are determined by physicians, not patients. For this reason, the economy directed at patients or the general is relatively ineffective.

    Augusto Esquivel is a sculptor who, in his own words, is “crazy with comparisons of reality and potential and the balance between them.” Perhaps the best example of what he's talking about are his most famous creations: the suspended(悬挂的) button sculptures.

    Made entirely from buttons hanging on various lengths of string, Esquivel's sculptures are made to look like common objects: a piano, a gumball machine, and even a toilet. If it wasn't for the clear string hanging above, these objects, these sculptures, would look solid, yet you can put your hands right through them. The process starts with him deciding on a subject and setting the acrylic （丙烯酸树脂）from where the buttons are being suspended. He buys buttons of different shapes and sizes, paints them with spray paint, and carefully hangs them. After that, it's a manner of hanging each individual button, which takes a lot of time. For his piano, for example, he individually hung over 60 pounds worth of tiny buttons.

    Esquivel's sculptures, while mostly housed inside art galleries, perfectly capture one of the main principles of street art: something that is eye-catching and something that invites interaction. Often the best sculptures outside the art galleries aren't the ones behind guards and fencing, but the ones people can go right up to and touch. In Vancouver, a series of laughing old men are attracting people for pictures and to just generally hang around, but the people who simply walk by and see the sculptures almost always leave with a smile on their face. That's good street art: it draws the viewer in rather than relying on a gallery to draw in an audience and point them to certain pieces.

    Esquivel's art is not only a presentation of talent, something that mentions larger philosophical questions, like the ones he stated above, but also just the right combination of interesting idea and painstaking work. One can look at his work in a critical way, or simply appreciate his idea and execution(艺术品的制作).

    Every year there is a Spring Festival in China. Usually it is in January or February. It is the most important festival in China. So before it comes, everyone has to prepare things. They buy pork， beef, chicken, fruits and many other things. And they often make a special kind of food—“dumplings”. It means “come together”. On the day before the festival, parents buy new clothes for their children. Children also buy presents for their parents. On the Spring Festival Eve (除夕)，all the family members come back to their hometown. This is a happy moment. Some sing and dance, some play cards and others get the dinner ready. When they enjoy the meal, they give each other the best wishes for the coming year. They all have a good time.

    Recently some American scientists have given a useful sincere piece of advice to people in industrialized nations that they would be much healthier if they ate more of the same kind of food eaten by humans living more than 10,000 years ago.

    The scientists say that the human body has changed very little since humans first appeared on the earth, but the way we live has changed greatly. Our body has not been able to deal with (处理,对付)these changes in life style and this has led to new kinds of sicknesses. These new sicknesses were not known in ancient times, so they are called "diseases of civilization". Many cancers and diseases of the blood system, including heart attacks and strokes (中风) are examples of such diseases.

    Scientists noted that people in both the Old Stone Age and the New Stone Age enjoyed very little alcohol (酒精) or tobacco (烟草), probably none. Ancient people also got a great deal of physical exercise, but a change in food is one of the main differences between life in ancient times and that of today.

    Stone-age people hunted wild animals for their meat, which had much less fat than domestic or tame ones (家畜). They also ate a lot of fresh wild vegetables and fruits. They didn't have milk or any other dairy products, and they made very little use of grains. But today, we eat a large amount of these. We eat six times more salt than our remote ancestors (祖先). We eat more sugar. We eat twice as much fat but only one third as much protein (蛋白质) and much less vitamin C.

    People today probably do not want to live the way people thousands of years ago did, but scientists say that we would be much healthier if we ate much the same way as remote ancestors did, cutting the amount of fatty, salty and sweet food.

    People living in the country enjoy several advantages that people living in the city cannot enjoy.

    They are in close contact (接触)with nature. They make friends with trees and stones. They breathe fresh air. They fight with strong winds. They listen to the song of birds. This contact with nature is good for health. There are many diseases that are common in the city, but are not to be found in the country. For example, near­sightedness is almost unknown to country people. Because of the absence of cars, one can walk more freely in the country than in the city. There are no rules of the road nor traffic signs to obey. People living in the country can easily get fresh vegetables, fresh fruit and fresh milk, and they get them at lower prices than in the city. Country life is economical (节俭的)in other ways, too. There are practically no temptations to waste money.

    Country people are mostly honest. They say what they mean, and make and keep promises with sincerity (诚意). They do not put on air (摆架子). They do not pretend to have those ridiculous (荒谬的)manners which are necessary in what we call polite society.

There are so many choices when you go shopping. You have to check the sell — by dates so that you know how long you can store and use the food you are purchasing.

But do you know that the best sell — by dates on food packaging don't really tell you if the food is safe to eat. The food may not last as long as it says if it isn't stored correctly at any point of the distribution chain. Now there is food packaging that can detect and change colors if the food has gone bad.

Each American wastes 103 pounds of spoiled food out of the refrigerator every year. The new smart packaging from Primitives Biodesign—a new company that operates out of a lab at Indibio, a biotech accelerator in San Francisco-can help to reduce this huge waste of food.

The basic material that doesn't contain sensing material is made from algae and can block oxygen more effectively than regular film, so the food stays fresher for a longer time. Since it is made from a natural substance, it can also break down in nature.

Making the film smart is the thorny part. Luckily, the team managed to use a process that is like the way nature responds to changes in the environment. The mechanism responds like the way flowers emit compounds to change colors.

"It could be supplement packaging that indicate when it's been tampered with by changing color to tell you that it's no ledger safe," says Kan. She explained that the new packaging can be used on food products to fell if the food has turned bad before someone has to smell or taste it.

The company has proven in lab tests that the technology works and now they are working on how to develop commercial uses for it. The added safety features will come out later. Helping to control food waste in products like meat or cheese which have high greenhouse gas emissions will also help to reduce climate change.