In my business if I get too close to you and you die it hurts me. And so you develop a natural inclination not to be close to the patient so that if things don't work out ideally you can still get up the next day and care for the next patient.

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In the sense that you're not at the centre of power like a president or prime minister of a major power everyone is marginalised my position doesn't isn't unique in that respect. I think there are different sorts of relevance in different contexts.