The end of the year is a time for reflection. A look back at what's come before as we embrace each other (and ourselves) for the year ahead. And looking back at 2018, things weren't all that bad - as long as you don't look too close at the American Healthcare System. But rest assured, Seth Denson is back and ready to talk about it. And today, on the final 2018 episode of Somewhere in the Middle, we'll be looking back at what happened in the year, looking forward at what's next, and most importantly, talking about how we can fix the healthcare system.