Another Breakthrough in Cost Containment

Dear George,

I finally understand why the United States in on the cutting edge of technological innovation. I recently wrote my HMO about my erectile dysfunction, and the good people were kind enough to send me one of their ED kits: two tongue depressors and a roll of duct tape.

Gotta run and get the splinters out. Man, is she pissed!

Your admirer,
Belacqua Jones