Surely enough when an economic crisis hits, the first to feel the impact will be the ones losing their jobs and their health insurance. As this group grows, because bad situations can only get worse before they get better, reform will eventually require everyone’s participation. Economic crises create a domino effect of people losing jobs and healthcare until changes are made. Private insurance companies, doctors, and pharmaceutical companies that have resisted reform will have to give in to compete with the financial crisis. Prices will have to be lowered so people can afford the product/service, and the services will have to be altered so they appeal to the users among competitors. Changes will have to be made even if they are not the changes we hope for. As far as not letting a good crisis go to waste; how many more crisis will the U.S. have to undergo, and how much more ruthless must a crisis become before everyone realizes that universal health care reform is necessary?