A woman’s mother has a fall. What begins as a medical event becomes, within a week, something considerably larger. There are appointments to arrange and a pharmacy to visit twice a month. Her own working hours change, which changes her income, which changes what she can comfortably cover this month. Transportation turns into a recurring problem rather than a one-time one. Her employer needs to know something about the situation, though not everything. Her insurer needs a different set of facts. The hospital needs a third. Meanwhile her son still has practice on Tuesdays and a school fee coming due. … Continue reading Ecosystems Revisited: The Pressure Behind The Shift