The whole secret to our success is being able to con ourselves into believing that we're going to change the world because statistically we are unlikely to do it.

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And it was back in the mid-1980s and as I point out in a piece that was when we are spending about eight percent of our gross domestic product on health care. And even then we had the impression that so much of the excessive aggressive medical treatment that took place at the end of life was not only unnecessary but it was cruel.