At the risk of stating the obvious, we must consider that 'knowing the problem and challenges” in Health & Wellness, at the Local/Regional/National/Global levels, only identifies the condition. Making large scale “course changes” requires a foundation that is free of agendas that prioritize financial gain as the defining guiding factor. Programs that face large scale changes are characteristically met with resistance during the initial development, for as we all know “We are creatures of habit” and commonly reject change in the inception phase.