When Department of Health and Human Services administrators decided to base 30 percent of hospitals' Medicare reimbursement on patient satisfaction survey scores, they likely figured that transparency and accountability would improve healthcare.

Meaning: The saying pictures agues arriving on horseback and departing on foot. It contrasts a rapid onset with a slower imagined recovery through two ways of travelling.

Meaning: Unpleasant early weather is linked with a pleasing later display of flowers. The sequence can express hope that present conditions help prepare a later benefit.

Meaning: The saying asks for steadiness when conditions become less favourable, rather than enjoyment only when things go well. Its complaint about deserving a good market should not imply that suffering earns success or that someone must tolerate an unfair arrangement.

Meaning: An imperfect resource is compared with losing the underlying capacity altogether. The saying can encourage appreciation of what remains useful, but its bodily comparison must not become a demand that someone accept inadequate support or feel grateful for hardship.