Patch Adams is best known for his work as a medical doctor and a clown, and he is also a social activist who has devoted 40 years to changing health care. For 50 years, Dr. Patch Adams and the Gesundheit Institute have worked on a model of health care that puts care at the center of health. The Gesundheit Institute is a project in holistic medical care based on the belief that one cannot separate the health of the individual from the health of the family, the community, the world, and the health care system itself. Gesundheit?s model is designed to protect care as the core of the medical interaction. Our model is organized around these principles: 1. Care is free; no third party reimbursement is accepted; 2. Patients are treated as friends; 3. Ample time is given to the care interaction - initial interviews with patients are 3 hours long; 4. All complementary medicine is welcomed; 5. The health of the staff is as important as the health of the patients; 6. Trust is central to the care interaction (i.e no malpractice insurance); and 7. Care is infused with fun and play.