Before beginning undergraduate studies at Grinnell College, I had lived in two successive small communities that were located in western Iowa and eastern Nebraska. Then there were 6 years of medical school for an MS (physiology and pharmacology) and an MD followed by 4 years of clinical residency. I retired in 2016 at the end of a 41-year career as a med-ped primary physician in Omaha, Nebraska. Another physician and I opened a small-group, private practice clinic in 1975 that variously encompassed 2-4 full-time physicians. Still together, we eventually closed the clinic, still located then at nearly the same location. During the last ten years of my active career, I began a steadily expanding avocation to study the paradigm paralysis of our nation's population health and its healthcare. This analysis eventually 'fueled' the publication of a book and a preliminary 'Design Epistemology' for the reconfiguration configuration of our nation's Population Health and its Primary Healthcare. See www.nationalhealthusa.net