In many discussions over what is ideal primary care, it occurs to me that there is a bit of a definition problem worth certain words people throw around. I am not taking about Patient Centered Medical Home, Care Cycle, and Quality measures. Rather, I am referring to three very simple words: Need, Want & Would like. I would like to propose operational definitions for each of these words, to better guide solution design for health care. And perhaps other things about which I am less qualified and therefore less apt to comment.