“Be civil to all; sociable to many; familiar with few; friend to one; enemy to none.” Benjamin Franklin As I write this regular update in this most irregular time, I can see on the horizon my 50th birthday. I find myself more eager than ever to discover life over that next hill. Perhaps that yearning for the future to “hurry up and arrive” is driven in no small part by the transformative forces now at work in America. The epidemiological forces which are working on us will si