You’ve got to be kidding!” Have you heard yourself saying these words more often than you used to? You hear about the latest cutbacks, reorganization or mergers and your first statement of disbelief is: “You’ve got to be kidding.” That reflex response provides a clue for how you can survive the stress and chaos created by managed care. Your sense of humour and an ability to laugh can nurture and protect your body, mind, and spirit during these times of rapid change. “A sense of humor can help you overlook the unattractive, tolerate the unpleasant, cope with the unexpected, and smile through the unbearable.”