as peter clarke terms it, you may encounter unexpected "potholes." peter clarke: well, the first pothole is being able to communicate effectively with a physician. we were in the examining room with an older woman who was coming to her physician for a routine post-adjuvant chemotherapy session. and she came in in a bright green jumpsuit, and she was vivacious and energetic, and her physician asked what she'd been doing. she said well, you know, i've just come from my jazzercise class. and he exploded in indignation that she, in her physical condition would do jazzercise. well, she fled the examination in tears and, as we learned, never again visited the physician. and, a number of months later, finally succumbed to her condition. that's such a pointless and needless... expression of deference to a physician, rather than standing your ground and saying, "this is why i'm doing this. this is keeping me alive emotiolly. this is providing the energy that i need to continue my life." barbara korsch: everett koop has made statements that 90% of the errors i

peter clarke: and these people are caught in a vise-- where rising rents, the high cost of good food, the need for medications and health care for children or themselves-- these are crushing factors. and the first thing that gets sacrificed in that trio is good eating, because it's the thing that you can sort of get along without as long as you have enough calories. marc shiffman: the indigent population faces day to day challenges that are formidable, from the moment they wake up, until the moment they go to bed. and so what we-- you and i-- may take for granted in our day to day running errands and doing this and that, and getting here and there, and going to appointments, and meals and taking care of family, and whatever other responsibilities most of which we may consider mundane-- these are all the issues that impact adversely on their health, because they can't all be sorted out properly. and so in every way, shape and form, the lifestyle impacts adversely on their health. the effects of poverty on health appear to strike hardest at those who are at either end of the age continu

will further what peter was saying where ukraine's interim prime minister says kiev will put pressure on moscow over the price through an international court u.k. based year listener clark believes care doesn't stand any chance of success if it continues with such strong rhetoric we say to russian gas prong a pretrial notification. s.q. russia. plea to revise the deal which is to be based on demarked of conditions. you fresher rejects these we will bring russia to court in stockholm well i guess i didn't think the earlier craig hutto let's call them what they are the one to the other illegal government i don't recall of a transfer of international or they have a leg to stand on because they've got to pay the gas bills you know i haven't paid my gas bill for several months and i have my gas being cut off i'm the one hand they're protecting provoking bush on a daily basis since february and other hand they seem to want to have cheaper gas from russia they got the money coming in from the i.m.f. and the e.u. let them pay their gas bills and pay the market price for gas and so i think there is a split now in the e.u. hierarchy between those people who want to carry on this