I think it's realistic to have hope. One can be a perverse idealist and say the easiest thing: 'I despair. The world's no good.' That's a perverse idealist. It's practical to hope because the hope is for us to survive as a human species. That's very realistic.
A common misconception is that the costs of health care are cheaper in rural America when in fact the reality is that they are more expensive and more difficult to access.
