Florence Nightingale published Notes on Nursing in1860, on returning to England from the Crimean War. Her book was written for the average person caring for family at home. Filled with principles of hygiene and health it was a success and became the fundamental work for her founding of Modern Nursing that the world knows today. This little book builds on those principles and carries new ways of living into the 21st century. Living in a war that has curtailed freedoms and a pandemic that has altered ways of working, traveling, and communicating, Dr. Ference provides a framework for redesigning personal health and wellbeing, living in harmony with nature, and allowing differentially in an ever more complex global society. Civic duty is essential to promoting a loving and caring community and for sustaining the strength of democracy.