health care – The Life and Times of Ben Weinberg

Stop Romanticizing Stories of Overcoming Adversity Due to Societal Dysfunction

“We all should be striving to succeed but if you find yourself cheering for a success story that could have been avoided in the first place had there been a stable safety net and to have prevented the problem from arising in the first place, that is where more of our attention should be focused on as people.”

Look, I love a feel-good story as much as the next guy. I like it when someone can pull themselves out of poverty or difficult circumstances to achieve wild success for themselves and their next of kin. This is the kind of positive story that is often reported on in American media and popular culture. We love the story of the underdog rising above challenges to achieve something great. It seems to be practically embedded in our national DNA. However, the Achilles heel that we often refuse to acknowledge or focus on as a nation is how dysfunctional it can be to rise above a broken or fractured safety net to escape poverty, homelessness, or even medical debt. We all should be striving to succeed but if you find yourself cheering for a success story that could have been avoided in the first place had there been a stable safety net and to have prevented the problem from arising in the first place, that is where more of our attention should be focused on as people.

I bring this issue up as this has been the kind of a ‘feel-good yet kind of messed up’ story that garners sympathy and appreciation from the average person throughout my life. For example, I was watching a nationally televised baseball game recently as I like to do sometimes and heard the television commentators for this game focus on the rags-to-riches story of one of the players on the field who has become wildly successful after going through tough times that involved both him and his family.

The baseball player in question had a newborn son arrive around the time of the COVID pandemic’s outbreak, who suffered from a series of seizures, which required a lengthy hospital stay and weekly checkups from the doctors there. The player himself could not play baseball due to cancellation of the MLB season at the time in 2020 and lost his health insurance at the same time his newborn son’s seizures started occurring. Because health insurance is tied to employment in America, the baseball player lost his health insurance at the worst possible time. They did not have enough money left over for housing after paying out of pocket costs for the medical care for their son. As a result, the baseball player and his family were rendered homeless for a while, living out of their family car in a Wal-Mart parking lot at one point in central Florida.

Luckily, even in this case of the dysfunctional health care system failing both this player and his family, having been left in the dust for a while, professional baseball, being the national pastime resumed a few months later in 2020, the baseball player regained his medical insurance and was able to pay off the medical debt due to his success in Major League Baseball over the past few years. I admire this player and his family’s resilience in the face of adversity and am glad his son is doing well now. The player is now a naturalized U.S. citizen also and visits children’s hospitals in the area where he plays to support families going through similar ordeals.

While this story in America had a happy ending after much sadness and anxiety for the family in question, I can’t help but think of the TV commentators’ from this baseball game’s lack of awareness about the societal dysfunction that leads to a whole family living out of their car in a Wal-Mart in central Florida with no safety net to speak of because one of them lost their job, through absolutely no fault of their own, which was tied to their health insurance coverage. It bothered me a great deal personally to not hear from the TV commentary to not mention at all the lack of universal health care in this country or the fact that you can incur thousands of dollars or more of medical debt so a son or daughter can get the treatments or surgeries needed to overcome seizures or other major medical issues.

While this story had a happy ending due to the player’s evolving skillset and MLB’s massive popularity, there are millions of Americans suffering out there currently due to a lack of a durable safety net to fill in the gaps in health and education. Come back stories to break through adversity are great and make for nice commentary but not everyone has had such luck and success navigating the American health care system.

Whether it’s GoFundMe or another online platform, many families have to rely on the kindness of strangers to help them pay down massive medical, educational, or other debt, which is never an enviable position to be in. We should not have to rely on complete strangers to fund necessary medical procedures or to get life-saving medications paid for in the United States. No one should have to forgo their home or apartment to go homeless to pay for medical bills either and be forced to live with their family in a car or on the street. I’m all for people striving to make the best of their abilities in their chosen profession but layoffs, firings, or other unfortunate events can happen leaving us jobless and without health insurance directly as a result.

I’m not going to discuss which kind of system to have regarding how insurance or how higher education can run in America but I do know that you shouldn’t have to rely on having a job at all times to get affordable health care and if you don’t have insurance when a procedure is needed, you should never go bankrupt trying to pay off your medical bills. We can argue forever about the size, scope, and scale of how a universal health care system can support the country while everybody pays their fair share into its functionality, but we should never reach the point where a platform like GoFundMe is needed to fill in the gap when it comes to someone’s health care coverage. The point of this article is not to discuss how such a new system would work or how it can be implemented but rather to address how this current dysfunctional system (or lack thereof) has been allowed to fester and continue without any solutions or improvements recently.

Lastly, feel-good stories are a good way for average people to relate to one another regardless of if you’re a professional baseball player or a janitor, but we should be taking the right lessons from these stories. We should be applauding the person and family’s resilience and their success in navigating the massive challenge, but we should also question on how we could let such dysfunction run a key part of our society or how we can allow this system to continue given that it bankrupts average people because they lost their job through no fault of their own.

Sometimes, in life, you must ask hard questions and those can include how we fix societal dysfunction and how we can be part of the solution in our own way as citizens. Asking these kinds of questions, holding our political leaders accountable, and focusing on the ‘why it happened?’ rather than the ‘how it happened?’ will help to cause some real change to happen and for these stories to become rarities in American society rather than sadly, all too common place, that we hear almost every day here.

Maslow’s Hierarchy of Needs and The True Quality of Life

“Maslow’s hierarchy of needs has always been a good reference for me in describing what exactly makes us have a safe, secure, happy, and fulfilling life. I do believe we need to have our hierarchy of needs in mind as people when we focus on what’s best for our fellow man or women and how to build a prosperous society.”

Everybody wishes to have a high quality of life but what exactly does that mean? We hear the term ‘quality of life’ a lot but what goes into the ‘quality’ of it and what makes for a satisfying ‘life’? Maslow’s hierarchy of needs has always been a good reference for me in describing what exactly makes us have a safe, secure, happy, and fulfilling life. I do believe we need to have our hierarchy of needs in mind as people when we focus on what’s best for our fellow man or women and how to build a prosperous society.

Source: SimplyPsychology.com

While I don’t wish to compare my own views on what true ‘quality of life’ is compared to Abraham Maslow’s ‘hierarchy of needs’ as shown in the pyramid diagram above, but it’s important to look at what makes a society flourish. I agree with Maslow at the base of the pyramid is the most important to ensure a life has some quality with it.

The societies that have the strongest base for ‘physiological needs’ usually are the happiest and satisfied with their quality of life. For example, you cannot focus on ‘safety and security’ as much as you can when you can’t even guarantee that the water you drink is clean and the air that you breathe is clean. Everything else on Maslow’s pyramid goes out the window if you are hungry, thirsty, don’t have a roof over your head or cannot clothe yourself or your family.

A lack or absence of ‘physiological needs’ is often found in the poorest or least developed of our societies and can still plague even our wealthiest and most developed societies. The key thing for all societies is that we should have an attitude of wanting to guarantee the ‘highest quality of life’ we can deliver to all people rather than just the few who can afford it financially. I do believe any society and its leadership is responsible for delivering on both ‘physiological needs’ and on ‘safety and security’ and once that is achieved, it will lead to better conditions whereas we go up Maslow’s pyramid, love, belonging, self-esteem, and self-actualization tend to be easier to achieve as well. True quality of life is knowing that if you fall on hard times, not by your fault, you’ll be looked after by your society and your government while you look to get back on your feet.

I don’t believe it’s anything farfetched or overly utopian to believe in everyone having the right to breathe clean air, drink clean war, have enough food each day, and have a roof over one’s head. I also think that while education and health care may not be on ‘physiological needs’, it ranks close in that regard to build that functional society. Everyone should be able to afford a good education and find good health care where they live and societies that accomplish this for their people are rewarded back and then some with citizens who are thriving as a result. Societies that are more educated, healthier, and with more opportunities to succeed tend to be those that have a true quality of life in my view.

You may be thinking that true quality of life is about having a big bank account, a bigger house, all the gadgets and electronics you could ever want, and all your material desires within reach, but to me, that would not go along at all with Maslow’s hierarchy. Having that stuff may make you happier but it doesn’t reflect a true quality of life in any society. If the roads are falling apart, people around you are suffering and in poverty, and you can go bankrupt for seeking medical care or a higher education, your quality of life will also suffer as a result even if you’re not directly affected by it.

When we are looked after or cared by others in the society who can ensure we have a good education, good health care, and to have affordable housing, the quality of life for everyone will go up. We are not islands unto ourselves alone and we are reflections of how we treat others. If you’re reading this article, think more about how your society or country could have a better quality of life not just for yourself but for the people living there too.

I ask that you believe in your ability to create change whether that’s advocating for more environmental regulations, prioritizing people’s access to basic needs including food and housing and thinking more about how we can include people in making them feel they belong in the society. We should collectively work towards providing more opportunities to everyone, so they don’t feel left out. Any healthy society has those public places to gather, discuss, and hopefully fix the quality-of-life issues going on in their community, town, city, or country.

I don’t judge a society by how wealthy it is, how big the houses people live in are, or how much they have in material goods and services available. I judge a society by how they treat the least well-off members, how they prioritize the public good or not, and what they are doing to improve the overall quality of life rather than ignoring it or having it steadily decline under their watch.

It’s important for us to start thinking about not just ourselves and our own quality of life but those of our fellow man and woman. When they are worse off than us, let’s lift them up and look out for them instead of shunning them or isolating them instead. We should always be advocating for a ‘true quality of life’ where everybody is given the opportunity to succeed, grow, live healthy and happy lives, and pursue their dreams.

We all will be better off for having invested in the basic tenets of civilized society such as education, health care, transit, housing, and healthy food supply rather than just guarantee them for the few who can afford it. The higher the quality of life is not just for us but for every member of our society, the more likely we will all flourish together and reach our highest fulfillment.

Restoring The Social Contract

“If everyone just decided to opt out, to not pay their share, to simply protect everything they have, not only would things generally decay quite quickly but the foundational trust that any society is built upon would crumble as well.”

When we are born, we start off with new responsibilities, commitments, or duties. We are purely helpless and rely on other people to assist us in everything from feeding ourselves to being clothed or to even how to be cleanly. Oftentimes, we rely on our first teachers and friends, our parents, to care for us. Of course, not everyone has the luxury to have both or one parent to care and nurture for them, which is why we rely on adoption, local and state services, and even foster care to make sure those who are young, vulnerable, and in need of care are provided for.

If you did not have parents around to guide and nurture you, it is likely that at one point or another, to prevent you from being hungry and homeless, you relied upon services provided by a local, state, or national government. In exchange for such services provided for in part or by whole by taxpayer funding, you would receive support as a child or teenager to receive public schooling, get publicly funded health care or subsidized health insurance to make it more affordable, and even food if you are able to get breakfast or lunch at no or low cost due to circumstances beyond your control. These different services, especially to the young, the poor, the homeless, or even the elderly are part of what I like to call the ‘social contract.’

By participating in the ‘social contract’, you receive certain necessities to live such as food, shelter, housing, and ideally, health care in exchange for later contributing back to the society either financially through taxes and even voluntarily through charitable donations, volunteering, or being active in the political process. The key thing to remember is that the better the taxpayer money is spent and the more accountable it is in those areas, the better those services will end up being.

Going back to the case of an orphaned or abandoned child, since their parent(s) were not there for them when they needed that love and care the most, who else should step in but society itself? Would it be better to abandon such a child to the streets or to an uncertain future to likely starve, to miss school, to be homeless, and to fall into despair or rather should we as a society remember that it could have been us in that situation as a child or a newborn and to ensure that the child will have the same opportunity or chance to succeed despite being born into uncertain circumstances?

Children or teenagers don’t pay taxes but by investing in them, we invest into the collective future of our society. Even if we use private health care, private schools, private roads, etc., the worse off the general society gets, everyone will be negatively affected by it even if those who are well off seek to shield them from such a deformed society. After using such services rather than not having had them at all, I find that it is much more likely that that child will grow a contributing adult to the general society rather than if we had not collectively invested in him or her at all.

Many such issues in adulthood involving joblessness, alcoholism, drug abuse, higher likelihood of prison can be avoided if there are safeguards in place because a home without parents can lead to a slippery slope of lack of opportunities and an eventual grim future if society through our provided services funded by each of us does not help to fill in the gap.

Now, that does not mean that personal responsibility should not be accounted for, and each person should work hard to achieve their goals and pursue opportunities if they put the effort in. You can’t just be given these services and expect them to give you an easy life. You still must be able to finish your schooling, find work in your field, and become part of the large pot of contributions that keep our society running. If everyone just decided to opt out, to not pay their share, to simply protect everything they have, not only would things generally decay quite quickly but the foundational trust that any society is built upon would crumble as well.

Any well-run society in any country always has two fundamental pillars going for it: accountability and trust. If you only have one and not the other, the society will be on shaky ground and be deteriorating in the other area after a while. If you lose both, the society will generally collapse until it can be built again after re-establishing at least one of these two fundamental tenets after it has taken hold in the general population again. Advanced societies are inherently fragile because if you can’t be held accountability regarding why certain services are not given when you believe you are paying a lot into the society and feel like you’re not getting much back in return that you can see, feel, touch, or enjoy, then there is a big issue at hand.

If there is no accountability given on behalf of those who provide such services like health, housing, defense, basic services such as water, energy, or even food production, then people will become increasingly distrustful of each other and seek to provide those services themselves outside of the state or society or focus on only having private means of acquiring such services, which due to the profit motive, may leave part of the society out in the dust if they cannot afford the private services and there are no public ones available as a substitute.

As U.S. Supreme Court Associate Justice Oliver Wendall Holmes Jr. once said about the means of taxation, “Taxes are what we pay for a civilized society.” As much as people will complain about their taxes, if we don’t have them, how else would we provide for clean water, clean air, reliable energy, good schools, safe streets, plentiful hospitals, etc.? The key idea to keep in mind is that if we don’t see our taxes going to these areas that improve upon society or advance it further for the well-being of the population, then there is a lack of accountability there that should be rectified.

Waste, fraud, and abuse of taxpayer money is a serious offense and so is an inability to break down for the taxpayer where their money goes to fund local, state, and national services year after year. Collectively, there should be a role in taxpayers demanding accountability from those in power to know where are taxpayer money is going, how can we make it more responsive to societal needs, and are we reaching enough of the population to justify the level of taxes we incur?

While it is seriously unlikely, we ever get a full accounting of where our tax money goes individually, it would improve the trust and accountability tenets of society to know which percentage of our taxes are spent on health care, housing, safety, defense, education, etc. and if we have that general idea, I do believe there would be more transparency to change those percentages at least at a local, state, or even national level to be more befitting with the priorities of the general public.

If we see that millions of people do not have access to public or private health care, perhaps our societal priorities can change to accommodate for that in the general contract. If we believe that economically, our roads, bridges, tunnels, airports, and public transit are not enough to compete in the 21^st century, that should change the calculations. If our schools are crumbling, our teachers are underpaid, and the schoolchildren with parents or no parents are growing hungry there because there is no free lunch or breakfast accommodated for, that should change the calculations.

These are all good examples of how our general societal contract can be expanded and adapted to. Everybody, regardless of their social class or economic upbringing should have basic dignity afforded to them. I believe that social contract needs to be upheld especially if we are paying into it but not getting enough out of it in exchange. When health care, housing, food, and even school are considered luxuries rather than necessities, that contract is fraying and needs to be strengthened.

If our society becomes complacent and does not allow for such public services including health care and housing to care for all, either it will be privatized or it will vanish from being accounted for. We should begin to account for the societal contract where if you work hard, play by the rules, pay your share, and invest back into your community and country, you should get back what you put in especially if you need a leg up when you fall on hard times. Public necessities like education, health care, housing, and good public transit should not at all be considered luxuries.

We should believe it to be absolutely absurd to hear about people with two jobs not able to afford housing, two hard working parents not able to afford to send their children to publicly funded colleges and universities, or even going bankrupt because you have taken on too much medical debt. The societal contract we pay into and hope to receive back in return is fraying when that becomes not only common place in the society but accepted by the population. There should be push back in terms of accepting that kind of contract, which has to be either rewritten or redone entirely.

U.S. President Franklin D. Roosevelt delivered a speech on January 6^th, 1941, titled the “Four Freedoms” speech. It addressed what should be what we would consider common sense for a social contract to be based on but during the era of Nazism, fascism, and totalitarianism on the march, it was a key historic event where he lined out what people around the world regardless of birthplace, creed, ethnicity, and background should be born with. They are the freedom of speech, freedom of worship, freedom from want, freedom from fear. Without addressing the whole of human needs from birth, Roosevelt argued that the general society in the United States and in countries around the globe would be worse off.

While FDR did not specifically mention health care, housing, education, or infrastructure in his speech, it can be inferred that economic security made up the ‘freedom from want’ part of the four freedoms. If we do not have a roof over our head, food in our belly, medicine, and care when we get sick, or school / work to give us opportunities to afford such needs as we age then general insecurity and the society itself will fray as a result.

Roosevelt understood that if the social contract does not include the four freedoms or the additional needs encompassed within these four freedoms of humanity, then our societies and the world at large will fall victim to another war, another depression, or general malaise and misery. FDR may have given this speech on the ‘Four Freedoms’ over eighty years ago but his words and his call to action remain as ever necessary in our society today. If there is a child without parents, we must be there to provide and care for his or her future, if a teenager can’t find work, we must provide that community college or technical education to give him an opportunity to succeed, and if that man or woman can’t find a way to get health care when they get sick and are in between jobs, we must step in to fill the void.

Simply put, the social contract is what we decide it is if we work together and find common ground on where it’s lacking based on what we pay into it and how we implement it to see the benefits of what comes out the other end. There is no doubt in my view that the four freedoms of FDR should be upheld and strengthened, especially around economic security or the ‘freedom from want’, which would eventually ensure that more and more of the general population would have the means to pursue their dreams, to be better able to succeed, thrive, and live their lives to the fullest extent.

Gross Domestic Product v. Gross National Happiness

“Most of us know what Gross Domestic Product (GDP) is having learned it at some point in high school or in college. The total value of all finished goods, products, and services produced within a country’s borders over a specific time period such as a quarter (three months) or a year. Economists commonly use GDP as a model for economic health when it comes to an individual country.”

Most of us know what Gross Domestic Product (GDP) is having learned it at some point in high school or in college. The total value of all finished goods, products, and services produced within a country’s borders over a specific time period such as a quarter (three months) or a year. Economists commonly use GDP as a model for economic health when it comes to an individual country. If GDP grows positively or increases over time, then generally you could assume that the economy is doing well or is at least maintaining its equilibrium. However, when the GDP of a country is declining or has been stagnant for multiple years, economists are likely to assume there is a problem of some sort.

There are economic terms related to Gross Domestic Product as a recession (two straight quarters of negative GDP growth) leading to an economy to contract rather than grow. We also know of an economic depression where an economy contracts for years and is often associated with double-digit negative growth and/or high unemployment, inflation rates. What is less talked about is how do we measure the health and well-being of citizens within a country’s borders.

What other measurement besides GDP could measure a country on a national scale? While GDP measures the economic health, the actually mental health of a country’s citizens has been measured by a little-known survey conducted by the small land-locked, mountainous country of Bhutan, which is a Buddhist kingdom that is located at the eastern part of the Himalaya mountains. This national survey is given out only every five years to the citizens of Bhutan, of which there are only 750,000 people living in the small country. Instead of a simple 0 to 10 survey on if you are happy on a scale, the survey is quite comprehensive in its questions.

The government of Bhutan asks over 300 questions in the survey and can take multiple hours to complete. Questions are compensated a day’s working wage to answer the questions and it strives to measure all forms of human capital and not just the economic capital measured by GDP. The survey has nine different domains, 33 social indicators, and hundreds of variables. The categories of the survey include education, health, culture, time use, psychological well-being, community development, environmental practices, and overall living standards. This GNH survey has become a cornerstone of Bhutan’s presence on the world stage and has gained notoriety since it was introduced in 1998 as a form of alternative human development.

About 8,000 households in Bhutan answer the survey every five years, which is conducted by the Centre for Bhutan Studies and GNH research. Questions can range from being general about prayer and/or meditation habits to being specific about if you ‘trust your neighbors’ to if you ‘fight with your family at all.’ The measuring of the country’s happiness began in 1972 when the fourth king of Bhutan, Jigme Singye Wangchuck, declared that the “Gross National Happiness is more important than gross domestic product” for the country.

Bhutan has seen numerous changes over almost fifty years since the movement towards measuring GNH began. The same king helped ensure a parliamentary democracy was established in 2008 with the constitution and political reforms putting him in a more ceremonial role. Bhutan has strived to actually use the survey to help improve certain aspects of the lives of its citizens such as having free education, health care, and getting electricity at no extra cost. Bhutan’s new democracy is messy like any young democracy would be, but Bhutan is known for attracting increased numbers of tourists before the COVID-19 pandemic began and for being largely self-sufficient in terms of food production and for being a peaceful, inwardly looking nation.

The concept of Gross National Happiness is related to the country’s prominent religion of Buddhism with the focus on being content with less, not being so concerned with materialism or economic gains, and to be calm, cool, and collected when facing life’s many challenges. Seeking harmony with one’s friends, family, and neighbors is also another key part of the GNH survey. Bhutan is a beautiful, land-locked country, which has provided its citizens with a number of basic needs such as education, health care, and peaceful relations with its neighbors with having a smaller GDP than many other nations.

The paradox of a country such as Bhutan is that it may be the only country to internally measure happiness in some formal way, but it still ranks in the median in terms of national happiness by outside surveys. Norway was ranked 1^st by the United Nation in its 2020 World Happiness Report, which had a different format and questioning style than Bhutan’s, but for which is a relatively new kind of survey that Bhutan’s GNH survey helped to inspire. While Norway topped the list, Bhutan ranked 97^th out of the 153 nations surveyed, which may not inspire much confidence, but the country does face ongoing challenges especially with its GDP.

Bhutan ranks as a ‘least developed’ country by the United Nations and is dealing with the effects of climate change, high income inequality, increasing youth unemployment, and an uncertain energy future due to the effects of environmental degradation. Bhutan’s GDP is only $2.2 billion and while material wealth and economic growth are not integral to the GNH survey, it likely has a role to play in affecting the happiness of its citizens.

The 2015 GNH Survey by Bhutan reported that “91.2% of people reported experiencing happiness, and 43.4% of people said that they are deeply happy.” From my reading of the survey, Bhutan is committed to improving the happiness of its people by having such an insightful and detailed survey and while their national happiness has room for improvement, they have taken that crucial first step to actually evaluating if its citizens are happy or not, which is quite unique when compared to other nations around the world.

The first step to solving the problem is realizing there is one. If a country focuses only on GDP as a measure not only for economic health but for the health of their citizens in other ways, then they are making a false dichotomy. Economies are naturally going to rise and fall in growth rates but the same can be said of people’s own happiness over time. The key is to first be aware of how happy people are by having a comprehensive yet accessible way to measure that elusive emotion as best as you can. Bhutan is a model for not seeing only its Gross Domestic Product as a sign of national progress.

Any nation can be wealthy and still be extremely unhappy and a nation can be poor but still be happy. The same could be also for a poor nation being unhappy as a rich nation being very happy. The key to 21^st century economics will be to figure out how to find that balance between economic success and people’s happiness. You can have the average citizen make a lot of money and be considered a ‘success’ but what if the schools in their town are lousy, the health care is too expensive and of low quality, and the community is distrustful of one another.

Bhutan has taken the initiative as a country for seeing happiness as being an important part of a nation’s well-being, which can be measured in various ways. While their GDP is very small, they recognize that economic growth is not simply everything that a country should be known for. If you have a certain amount of money in the economy, where are you putting the national product towards? How will you know how to spend the money gained from your citizens through taxes without knowing what their grievances are and what they unhappy with?

Having Gross National Happiness be part of a country’s consciousness involves asking difficult yet necessary questions from the population on different aspects of their lives. Bhutan has taken that crucial step towards asking their citizens what they are happy with, what they are not happy with, and what could be improved in their lives. When you have that necessary information coming in, the government can then take steps to allocate the tax money and other revenue they have available to put it towards where its’ needed most. If government services need to be improved, they’ll know from their citizenry that it’s a priority. If living standards need to be improved such as providing more housing, better food, or less pollution, they will have that awareness from knowing more from the GNH data that they are receiving.

Lastly, a government like Bhutan’s can work closely with the parliament, civil servants, non-governmental organizations, and civil society leaders to take the survey’s results and work together on a common set of facts and figures to start to improve the country in needed areas where people are unhappy about. If other governments can learn from Bhutan when it comes to Gross National Happiness, it’s that it can be measured from your citizens in a comprehensive way and that each government can learn from its citizens how their people’s lives can be improved and in what ways beyond just how much money their people are producing each year.

Sources:

https://www.npr.org/sections/parallels/2018/02/12/584481047/the-birthplace-of-gross-national-happiness-is-growing-a-bit-cynical

https://www.grossnationalhappiness.com

https://www.happiness-report.s3.amazonaws.com/2020/WHR20.pdf