"If it's not perfect produce they are not receiving it.
Yet about 70% of Africans who need treatment to survive are still not receiving it.
But he says he sympathizes with injured former players who need help with medical bills and are not receiving it.
Even so, there are reckoned to be about 9m people who need treatment but are not receiving it.
Like many reporters, Mr. Fineman is ambivalent about all this e-mail, perplexed by the tone and the volume but anxious about the consequences of not receiving it.
Surveys by the Census Bureau suggest that one-third of the parents entitled to child support under court orders or agreements are not receiving it.
Another is the extent and nature of unmet need for care and support among people not receiving it at the moment.
British Medical Association chair Mark Porter said: "It's incredible, one in three people who were receiving state-funded care are not receiving it today and that sort of thing ripples back".
"Yes, guys," he said, "Ghana needs support in the coming years, but in the not-too-distant future it can be giving aid, not receiving it; and you, Mr. Bono, can just go there on your holidays".
The administration argues these cost savings are bipartisan ideas that will help ensure Medicare can last for many years to come, but some argue it will result in people who need treatment having it delayed or not receiving it because of extra paperwork and hurdles.
Mark Greenberg, a senior staff lawyer with the Center for Law and Social Policy, an independent research group in Washington, said two broad issues were influencing the debate in Congress: the large number of children potentially eligible for assistance but not receiving it, and whether more states should focus more on quality child care.
