* As an example, to the extent that health, for kids, includes being adequately fed, this has motivated WIC, food stamps, reduced cost school lunch, and school breakfast. Take just the breakfast program. Studies show students who eat breakfast perform significantly better. Our choices include: (1) provide breakfast at school; (2) get families to provide it at home; or (3) tolerate substantial segments of the school population going without through no fault of their own (they're kids, after all). We can argue about the merits of (1) and (2), but the one that is truly unacceptable is (3). That, of course, is what happens by people who are process-oriented rather than goal-oriented, and put short-term gains first; and that is what I mean about effectiveness.