Despite the fact that our time with the CBCI has been brief, I have learned to appreciate the diligence and hard work that goes into these policies and relationships. Of the various groups that will take part in the 2014 annual report, it seems to me that the Healthcare group has worked diligently to produce a powerful and impressive report for this year. To date, the Healthcare section focuses on four main areas of health; Mental illness, malnutrition, hepatitis C and end-stage disease. For each of these areas, it is clear that the health team has done extensive research and has made very vital recommendations for some of the issues identified. For the Mental Illness section, the health group says there is a staggering 61.5 million adult citizens in the United States who suffer from serious mental illness (SMI). The report explains that despite the popular belief that SMI only affects the individual involved, SMI affects the average American citizen tremendously. The report states that "...the National Alliance on Mental Illness reports that SMI costs America $193.2 billion in lost earnings each year..." This group's main message is that, ".. .the personal, social and economic effects of SMI virtually dictate that a cure for this disease be better developed…” They delve into the issues related to SMI by noting that there are many barriers that arise not when individuals initially receive medications but rather in receiving refills. The report suggests that "...Medicaid programs should consider the unintended consequences of medication utilization management practices for beneficiaries with SMI..." In addition to providing their own suggestions, some point out various methods... halfway through the document... ...community of communities it is certainly time for these reforms to take place Some of the recommendations proposed by the health group are things that should have been implemented a long time ago. Recommendations such as passing the “…Viral Hepatitis Testing Act, which authorizes critical federal funding for screening, education, and the development of public-private partnerships that help extend limited public health funding to address this epidemic ... (Healthcare)” The Healthcare group has done an outstanding job so far with this year's recommendation. They took a deep look at the overlooked issues and proposed ways to solve some of these problems. In addition to proposing some answers to these problems, they highlight methods that work well and should be expanded. Their proposal so far is impressive and is clearly intended to help people.