And in the USA, President Joe Biden said just this week that “The trickle-down approach has failed the middle class” and “increased their debts” — and now it’s time to “grow the economy from the bottom up…”

Source: https://thevoiceslu.com/2023/07/caricom-climate-change-and-world-water-woes-part-2/

I'd say that the engagement that we have with IDNs does oftentimes help things kind of -- that are percolating from the bottom up get kind of move in a nicer fashion through the whole system.

Source: https://seekingalpha.com/article/4584393-stereotaxis-inc-stxs-q4-2022-earnings-call-transcript?source=feed_all_articles

It’s about our progress building an economy from the middle out and the bottom up, not the top down.

Source: https://milwaukeecourieronline.com/index.php/2023/08/19/president-biden-visits-milwaukee-to-highlight-the-economy/

“We started from the bottom up, pretty much, to get people to switch from smoking alternative cigarettes to vapor products, to a potentially safer alternative and save lives,” he said.

Source: https://miamivalleytoday.com/epic-vapes-opens-troy-location/