protects everyone. The recent flood of persuasive ads in which doctors and nurses state that ‘America has the best system of health care in the world’ prompts the cynic to ask: ‘For whom?’ And just as society should hold itself responsible for giving a child a healthy start in life, so also should it provide some easy and honorable way to ease the ending of a person’s life. I do not mean the support only of nursing homes or retirement areas with nursing facilities; I mean the structuring of an entire society so that medical services and continued and loving care are kept available. I do not advocate any form of euthanasia, but I firmly believe that states should pass legislation making the thoughtful use of living wills available and operative. No patient should be obligated to undergo prolonged heroic measures to save his or her life when that life has deteriorated to the point when it is no longer meaningful. 5. Does the nation provide effective schools, colleges, universities and schools for industrial training? I shall also discuss this question of education more fully later; education is so important that every year I live I give it increased weight in my judging system. Put simply, a nation that allows its schools to become ineffective dooms itself to a secondary position when competing with the workforces of other nations, suchas Japan and Germany, that have not only maintained educational standards but improved them. An effective school system is a preeminent obligation for any society; children have enormous potential that can never be brought into effective use without the most careful and persistent training. The son of a Neanderthal family had to learn to make arrowheads and trail wild animals. And for the child born in America today it is essential that he master the computer. 6. Does the nation provide free libraries? Of vital importance is whether the nation provides free libraries at which adults can continue to educate themselves after graduation or to help them educate themselves if they have not finished school or college. I shudder whenever I hear that a community has closed its library. With the revolutionary changes occurring in our workforce, and with radically new demands being made by potential employers, the people young and old who do not continue educating themselves run the risk of becoming unemployed or unemployable. ‘Learn and earn’ could well become the mantra for the oncoming generations in all the nations of the world and especially in the United States. 7. Does the nation provide adequate employment opportunities for the young person as he or she approaches adulthood? Obtaining a first job is a crucial step in the maturation of a teenager who has just left high school or a young man or woman who has been graduated from college. The leap into adult citizenry starts with a job. Young people must not be deprived of the vital opportunity of working for a living, of actually supporting themselves and perhaps a family and of becoming contributors to the nation’s wealth as well as consumers of it. The Ph.D. scholar who cannot find employment can become a social menace; any young person who is denied work and a living wage can become a walking time bomb. It is the responsibility of a nation to provide employment for its young. The question of whether a nation enables its young to become producers and thus contributors to the nation’s wealth will be a major focus of this book. 8. Does the nation provide a financial/taxation system that helps keep the difference between the very rich and the very poor at an acceptable level, and does it encourage the development of a moderately well-to-do middle class of entrepreneurs? I deem this to be one of the crucial responsibilities of a society and I am appalled at nations like Mexico that generate considerable wealth but refuse to distribute it up and down the economic ladder. The failure to develop a sturdy middle class is a sign of