Business as usual in healthcare is broken and we've got to do something different. Zeigt, dass das Patentsystem in vielen Bereichen seit langem kaputt ist. Shows that the system has been badly broken in many areas for a long time.
Mumps is a plural noun but treated as a singular noun.
The word nan for grandma is a shortening of the word nana. Both of these words probably are child pronunciations of the word nanny.