This book charts my experiences of both the medical and social aspects of living and nursing in America. After training in England as an RN I continued my career in the States. This was 1965 just before Medicare was enacted. For the next 43 years I worked and lived in 9 different states, in a wide variety of medical facilities including an Indian reservation, Airforce and VA hospitals. My experiences will shock and horrify you as I reveal a mountain of medical incompetence and misdemeanors. Sadly, much of this was generated by greed. You will read how different states demonstrated different levels of care. There are both heart-warming and humorous stories. It additionally describes what adjustments a young married English woman with two infant daughters had to make, dealing with temperatures of 115 deg, black widow spiders, cotton mouth snakes and tornados that was just in Oklahoma!