For me, haute couture is a necessity. I never would have done this job were it not for haute couture. It is a comfort, a security. I almost feel it is our duty to continue. Haute couture is France. We have to keep all the skills and craftmanship alive.
The bad things the U. S. health care system are that our financing of health care is really a moral morass in the sense that it signals to the doctors that human beings have different values depending on their income status. For example, in New Jersey, the Medicaid program pays a pediatrician $30 to see a poor child on Medicaid. But the same legislators, through their commercial insurance, pay the same pediatrician $100 to $120 to see their child. How do physicians react to it? If you phone around practices in Princeton, Plainsboro, Hamilton - none of them would see Medicaid kids.