John Edward McCarville, is from an Irish farming family of eight born in Moorland, Iowa in 1926. Stricken with asthma he traveled to Arizona alone at the age of 17 years. After a draft and discharge from the Army, he graduated in medicine from Creighton University in Omaha, Nebraska in 1951. He set up general practice in 1953 next to an old-fashioned soda fountain pharmacy in Phoenix, Arizona. He ran a successful practice in family medicine for years before the advent of managed care. He warned the nation of the dangers of plastic bags, became an avid pilot and was Flight Surgeon for the Arizona Army National Guard. Still in practice today, he is one of the few First Class FAA Medical Examiners in the state of Arizona. This book describes his Irish heritage, but also details his experiences and the history of medical care, medicare,universal healthcare , insurance, technology and the market force dynamics of the healthcare industry from the depression era until present day.