Kismet is defined as fate or destiny. If you miss your train and then meet the person who turns out to be your spouse while you wait for the next one, this is an example of fate or kismet. fate; destiny. Origin of kismet.
fiefdom. 1  the estate or domain of a feudal lord. 2  Informal. anything, as an organization or real estate, owned or controlled by one dominant person or group.
We have a very similar problem in health care access as we do in media --television and radio-- access. Private fiefdoms have been set up on top of the public in order to enrich the feudal lords at the expense of the common people.