--- title: "Meaning & Key Takeaway of: Certainly there was the Affordable Care…" description: "\"Certainly there was the Affordable Care Act part, then unaccompanied children [there has been a surge of children entering the country illegally and wi..." image: "https://sms4smile.com/quotes/i/cf4/sylvia-mathews-burwell-15780_affordable_certainly-there-was-the-affordable-care_1069584.jpg" --- # Certainly there was the Affordable Care Act part, then… ![“Certainly there was the Affordable Care Act part, then unaccompanied children [there has been a surge of children entering the country illegally and without parents, particularly in Texas], and things like, we find smallpox in an NIH lab, after 50 years? Why didn't you find it, like, five weeks…” quote by Sylvia Mathews Burwell](https://sms4smile.com/quotes/i/cf4/sylvia-mathews-burwell-15780_affordable_certainly-there-was-the-affordable-care_1069584.jpg) [Download](https://sms4smile.com/quotes/i/cf4/sylvia-mathews-burwell-15780_affordable_certainly-there-was-the-affordable-care_1069584.jpg) [Open image](https://sms4smile.com/quotes/i/cf4/sylvia-mathews-burwell-15780_affordable_certainly-there-was-the-affordable-care_1069584.jpg) > “Certainly there was the Affordable Care Act part, then unaccompanied children \[there has been a surge of children entering the country illegally and without parents, particularly in Texas\], and things like, we find smallpox in an NIH lab, after 50 years? Why didn't you find it, like, five weeks ago or three years ago? There was thing after thing. But the big ones were \[dealing with\] the Ebola \[outbreak\], the unaccompanied children. \[It was\] perhaps a bigger challenge than I had calculated on my yellow pad as I was thinking about this role.” [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. The speaker describes multiple crises—healthcare, immigration, disease outbreaks—highlighting the complexity and unpredictability of public health challenges. **In simple terms:** Multiple crises strain public health systems. Key Takeaway Prepare for varied, unexpected health emergencies. Themes public health crisis management policy immigration disease control Mood analytical concerned Type policy inspirational When to use this quote - government planning - hospital preparedness - immigration policy - outbreak response Key Concepts systems thinking risk assessment leadership Questions to Reflect On - How can health systems improve rapid response? - What policies balance immigration and public health? A Different Perspective Resources are limited; not all crises can be anticipated. ★ ★ ★ ★ ★ No ratings yet [Care](https://sms4smile.com/quotes/about/care/) [Challenges](https://sms4smile.com/quotes/about/challenges/) [Children](https://sms4smile.com/quotes/about/children/) [Country](https://sms4smile.com/quotes/about/country/) [Ebola](https://sms4smile.com/quotes/about/ebola/) [Labs](https://sms4smile.com/quotes/about/labs/) [Outbreaks](https://sms4smile.com/quotes/about/outbreaks/) [Parent](https://sms4smile.com/quotes/about/parent/) [Smallpox](https://sms4smile.com/quotes/about/smallpox/) [Texas](https://sms4smile.com/quotes/about/texas/) [Thinking](https://sms4smile.com/quotes/about/thinking/) [Week](https://sms4smile.com/quotes/about/week/) [Yellow](https://sms4smile.com/quotes/about/yellow/) ## Related quotes > [True religion is like the smallpox. If you get it, you give it to others and it spreads.](https://sms4smile.com/quotes/anonymous/true-religion-is-like-the-smallpox-if-you-get-it-you-give-it-to/) [Anonymous](https://sms4smile.com/quotes/author/anonymous/) > [They ought to find out how to vaccinate for love, like smallpox.](https://sms4smile.com/quotes/leo-tolstoy/they-ought-to-find-out-how-to-vaccinate-for-love-like-smallpox/) [Leo Tolstoy](https://sms4smile.com/quotes/author/leo-tolstoy/) > [ \[AIDS \] is not a short-term emergency but it is something that, just like smallpox was many decades ago, we should aim for complete eradication. ](https://sms4smile.com/quotes/bill-gates/aids-is-not-a-short-term-emergency-but-it-is-something-that-just-like/) [Bill Gates](https://sms4smile.com/quotes/author/bill-gates/) > [El Salvador, Guatemala, Honduras have all agreed to send additional consular officers from Guatemala, from Honduras, from El Salvador, send them to the U.S.…](https://sms4smile.com/quotes/joe-biden/el-salvador-guatemala-honduras-have-all-agreed-to-send-additional/) [Joe Biden](https://sms4smile.com/quotes/author/joe-biden/) > [Before I became a SEAL, I'd done humanitarian work around the world - with refugee families in Bosnia, with unaccompanied children in Rwanda, with…](https://sms4smile.com/quotes/eric-greitens/before-i-became-a-seal-i-d-done-humanitarian-work-around-the-world/) [Eric Greitens](https://sms4smile.com/quotes/author/eric-greitens/) > [“And she knew Life well enough to know that if one person in a house gets really miserable for any length of time, the…](https://sms4smile.com/quotes/jenny-wingfield/and-she-knew-life-well-enough-to-know-that-if-one-person-in-a-house/) [Jenny Wingfield](https://sms4smile.com/quotes/author/jenny-wingfield/) > [“Someone can tell you all your life that you’re inferior, but it doesn’t matter until you accept it and allow for validation. Once validation…](https://sms4smile.com/quotes/m-b-wilmot/someone-can-tell-you-all-your-life-that-you-re-inferior-but-it-doesn/) [M.B. Wilmot](https://sms4smile.com/quotes/author/m-b-wilmot/) > [We are absolutely clear: when these unaccompanied minors have a family link in the United Kingdom, then they must go to the United Kingdom.…](https://sms4smile.com/quotes/francois-hollande/we-are-absolutely-clear-when-these-unaccompanied-minors-have-a-family/) [Francois Hollande](https://sms4smile.com/quotes/author/francois-hollande/) > [“Morning and lunchtime are times when anyone can appear alone almost anywhere without this giving evidence of how the person is faring in the…](https://sms4smile.com/quotes/erving-goffman/morning-and-lunchtime-are-times-when-anyone-can-appear-alone-almost/) [Erving Goffman](https://sms4smile.com/quotes/author/erving-goffman/) > [I will never ever support a people swap where you can send a 13 year old child, unaccompanied to a country without supervision. Never,…](https://sms4smile.com/quotes/joe-hockey/i-will-never-ever-support-a-people-swap-where-you-can-send-a-13-year/) [Joe Hockey](https://sms4smile.com/quotes/author/joe-hockey/) > [“I’m not letting my woman of salvation travel around the dangerous streets unaccompanied. #chivalryaintdeadbaby #sendhelp #sendshrimp #hashtagsgoneinsane #hashtagsdonotbelonginatext #whatever I’ll pick you up at…](https://sms4smile.com/quotes/jessica-park/i-m-not-letting-my-woman-of-salvation-travel-around-the-dangerous/) [Jessica Park](https://sms4smile.com/quotes/author/jessica-park/) > [“No one goes anywhere alone, least of all into exile—not even those who arrive physically alone, unaccompanied by family, spouse, children, parents, or siblings.…](https://sms4smile.com/quotes/paulo-freire/no-one-goes-anywhere-alone-least-of-all-into-exile-not-even-those-who/) [Paulo Freire](https://sms4smile.com/quotes/author/paulo-freire/) > [I have been a frequent air traveler since I was a few months shy of my sixth birthday, when my parents packed me off…](https://sms4smile.com/quotes/shashi-tharoor/i-have-been-a-frequent-air-traveler-since-i-was-a-few-months-shy-of/) [Shashi Tharoor](https://sms4smile.com/quotes/author/shashi-tharoor/) > [“Adam frowned. "What possessed you to come to Newgate? 'Tis no place for a woman, especially one as young as you, and unaccompanied to…](https://sms4smile.com/quotes/susanna-calkins/adam-frowned-what-possessed-you-to-come-to-newgate-tis-no-place-for-a/) Susanna Calkins > [Money is like a child—rarely unaccompanied. When it disappears, look to those who were supposed to be keeping an eye on it while you…](https://sms4smile.com/quotes/anonymous/money-is-like-a-child-rarely-unaccompanied-when-it-disappears-look-to/) [Anonymous](https://sms4smile.com/quotes/author/anonymous/) ## More by Sylvia Mathews Burwell > [Across the globe, regardless of nationality or financial status, there is a common dream every mother has for her children - for them to…](https://sms4smile.com/quotes/sylvia-mathews-burwell/across-the-globe-regardless-of-nationality-or-financial-status-there/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [ I had to sign the paper to shut down the government. It's terrible… \[But\] what the shutdown showed many, many people is the importance… ](https://sms4smile.com/quotes/sylvia-mathews-burwell/i-had-to-sign-the-paper-to-shut-down-the-government-it-s-terrible-but/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [In one month, the Small Business Administration does $1 billion of loans and guarantees for businesses; many of those are women-owned businesses.](https://sms4smile.com/quotes/sylvia-mathews-burwell/in-one-month-the-small-business-administration-does-1-billion-of/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [First of all, women inherently, I think, are quite capable of having lots of balls in the air. And so, like, it's all those…](https://sms4smile.com/quotes/sylvia-mathews-burwell/first-of-all-women-inherently-i-think-are-quite-capable-of-having/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [No innovation in the past 200 years has done more to save lives and improve health than the sanitation revolution triggered by invention of…](https://sms4smile.com/quotes/sylvia-mathews-burwell/no-innovation-in-the-past-200-years-has-done-more-to-save-lives-and/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [I kind of have never thought about a career path, which is an unusual approach.](https://sms4smile.com/quotes/sylvia-mathews-burwell/i-kind-of-have-never-thought-about-a-career-path-which-is-an-unusual/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [Somewhere in Rwanda, a rural farmer is dreaming of providing an education for her children. Not just high school, but maybe even a university…](https://sms4smile.com/quotes/sylvia-mathews-burwell/somewhere-in-rwanda-a-rural-farmer-is-dreaming-of-providing-an/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [We owe an enormous debt of gratitude to those who serve or have served in our countrys military, as well as to the families…](https://sms4smile.com/quotes/sylvia-mathews-burwell/we-owe-an-enormous-debt-of-gratitude-to-those-who-serve-or-have/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [Walmart's Global Women's Economic Empowerment Initiative is working to create opportunity and empower women and girls in markets around the world.](https://sms4smile.com/quotes/sylvia-mathews-burwell/walmart-s-global-women-s-economic-empowerment-initiative-is-working/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [Where the federal government and the taxpayer has had funds misused, we need to use the full extent of the law to get those…](https://sms4smile.com/quotes/sylvia-mathews-burwell/where-the-federal-government-and-the-taxpayer-has-had-funds-misused/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [While we've made progress with our numbers, this will be a harder-to-reach group, and we have less money to do it… Many people don't…](https://sms4smile.com/quotes/sylvia-mathews-burwell/while-we-ve-made-progress-with-our-numbers-this-will-be-a-harder-to/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [Legislation is about three fundamental things - affordability, access, and quality. That's what the American people want.](https://sms4smile.com/quotes/sylvia-mathews-burwell/legislation-is-about-three-fundamental-things-affordability-access/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [To get the most from agricultural resources, poor farmers' needs must come first, guiding investment strategies and forming the yardstick for gauging results.](https://sms4smile.com/quotes/sylvia-mathews-burwell/to-get-the-most-from-agricultural-resources-poor-farmers-needs-must/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [I have been fortunate to work in places where people have a passion for their work. At HHS the passion sort of exceeds passion…](https://sms4smile.com/quotes/sylvia-mathews-burwell/i-have-been-fortunate-to-work-in-places-where-people-have-a-passion/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) > [Banks can't recoup the costs of serving customers who save in small amounts and transact frequently.](https://sms4smile.com/quotes/sylvia-mathews-burwell/banks-can-t-recoup-the-costs-of-serving-customers-who-save-in-small/) [Sylvia Mathews Burwell](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) [Explore all 42 Sylvia Mathews Burwell quotes ](https://sms4smile.com/quotes/author/sylvia-mathews-burwell/) ## More Affordable quotes > [At LearnVest, we're working to make financial planning both accessible and affordable so that everyone has the opportunity to get on track financially.](https://sms4smile.com/quotes/alexa-von-tobel/at-learnvest-we-re-working-to-make-financial-planning-both-accessible/) [Alexa Von Tobel](https://sms4smile.com/quotes/author/alexa-von-tobel/) > [Along with a livable wage, many parents are desperate for quality affordable child care.](https://sms4smile.com/quotes/kirsten-gillibrand/along-with-a-livable-wage-many-parents-are-desperate-for-quality/) [Kirsten Gillibrand](https://sms4smile.com/quotes/author/kirsten-gillibrand/) > [Building great public schools and universities, a strong health care system, including keeping the Affordable Care Act, and then an economy that works well…](https://sms4smile.com/quotes/joaquin-castro/building-great-public-schools-and-universities-a-strong-health-care/) [Joaquin Castro](https://sms4smile.com/quotes/author/joaquin-castro/) > [ Senator \[Tom\] Cotton has campaigned on wanting to kill Obamacare. He voted to repeal the Affordable Care Act back in January, but he now… ](https://sms4smile.com/quotes/rachel-maddow/senator-tom-cotton-has-campaigned-on-wanting-to-kill-obamacare-he/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [To protect our country's economic future and the health and well being of all Americans, we must find a way to rein in out-of-control…](https://sms4smile.com/quotes/michael-bennet/to-protect-our-country-s-economic-future-and-the-health-and-well/) [Michael Bennet](https://sms4smile.com/quotes/author/michael-bennet/) > [To the millions of Americans whove attempted to use HealthCare.gov to shop and enroll in health-care coverage, I want to apologize to you that…](https://sms4smile.com/quotes/marilyn-tavenner/to-the-millions-of-americans-whove-attempted-to-use-healthcare-gov-to/) Marilyn Tavenner > [ \[Tom Cotton\] has been an absolute champion of the idea of getting rid of Obamacare, scrapping the Affordable Care Act. ](https://sms4smile.com/quotes/rachel-maddow/tom-cotton-has-been-an-absolute-champion-of-the-idea-of-getting-rid/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act,…](https://sms4smile.com/quotes/atul-gawande/my-biggest-fear-that-27-percent-of-americans-under-65-have-an/) [Atul Gawande](https://sms4smile.com/quotes/author/atul-gawande/) > [The White House approved an exemption in Obamacare coverage for Congress and members of their staff. Members complained that the Affordable Care Act will…](https://sms4smile.com/quotes/jay-leno/the-white-house-approved-an-exemption-in-obamacare-coverage-for/) [Jay Leno](https://sms4smile.com/quotes/author/jay-leno/) > [The people who are working, paying their taxes are put into the system so that affordable housing could be built in neighborhoods that they…](https://sms4smile.com/quotes/eric-bolling/the-people-who-are-working-paying-their-taxes-are-put-into-the-system/) [Eric Bolling](https://sms4smile.com/quotes/author/eric-bolling/) > [There's a major underlying idea as you grow up that you need to just save your money and get that affordable housing at the…](https://sms4smile.com/quotes/conor-oberst/there-s-a-major-underlying-idea-as-you-grow-up-that-you-need-to-just/) [Conor Oberst](https://sms4smile.com/quotes/author/conor-oberst/) > [Whatever it is that you're successful at, that has to be the No. 1 goal. In my case, it's accessibility. So all of my…](https://sms4smile.com/quotes/rachael-ray/whatever-it-is-that-you-re-successful-at-that-has-to-be-the-no-1-goal/) [Rachael Ray](https://sms4smile.com/quotes/author/rachael-ray/) > [The smart way to improve broadband is not to junk the existing network but to make the most of it. It’s to let a…](https://sms4smile.com/quotes/tony-abbott/the-smart-way-to-improve-broadband-is-not-to-junk-the-existing/) [Tony Abbott](https://sms4smile.com/quotes/author/tony-abbott/) > [So much for Obama's promise of 'quality, affordable health care.'](https://sms4smile.com/quotes/deroy-murdock/so-much-for-obama-s-promise-of-quality-affordable-health-care/) Deroy Murdock > [The Affordable Care Act has been designed to provide health security by driving competition, lowering premiums, and protecting families.](https://sms4smile.com/quotes/charles-b-rangel/the-affordable-care-act-has-been-designed-to-provide-health-security/) [Charles B. Rangel](https://sms4smile.com/quotes/author/charles-b-rangel/) Browse all 436 Affordable quotes ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "Certainly there was the Affordable Care Act part, then unaccompanied children [there has been a surge of children entering the country illegally and without parents, particularly in Texas], and things like, we find smallpox in an NIH lab, after 50 years? Why didn't you find it, like, five weeks ago or three years ago? There was thing after thing. But the big ones were [dealing with] the Ebola [outbreak], the unaccompanied children. 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