Ghana was...hard to describe.  Did I "enjoy" my trip?  Not really.  Did I have a "good time?"  That's not what I'd call it.  Would I do it again?  Definitely (with a caveat of needing family support).  It was an overwhelming, rewarding experience that I was priveleged to contribute to, in my meager way.

I hope to have a photo-essay up soon, but here's an amazing result from the trip.

Meanwhile, Susanne Madden released her Q4 2008 Managed Care Company Rankings a week or two ago.  READ IT.