It still crumbles in front of you.

For some of these patients, he's more important than the doctors.

The barrier can be the lack of a Xerox machine, or that they can't read or write English. It's not knowing what they have access to and not being able to navigate the system.

I don't know how that happens, but it just happens that way. I guess that is how the cookie crumbles.

We like a lot of legs on the table, so if one crumbles, the table still stands up.

It's a slippery cheese wedge, and if you lose one, then everything else crumbles.