After water to drink, food to eat and a roof over our heads, the next major concern for most of us is affordable and effective health care. Right now we are not headed in a good direction with any of the above. There is every reason to be concerned, but not for despair. Human ingenuity and capacity for effective co-operation can, if we are smart, find solutions to these problems. It’s a big “if”, however, and looming above it all lies the biggest question of them all, climate change.