Quotes of All Topics . Occasions . Authors
Medical need is an infinitely expandable concept. There is always one more marginal procedure that can be done. There is no end to the medical and surgical treatments that a technologically sophisticated and advanced society can give to aging bodies.
We spend billions on marginal and often unnecessary procedures on people who are in the final dying process, yet we leave millions of Americans out of the health insurance system, and America's kids have the worst dental health in the developed world.
Roads are necessary, but the fact that we don't fully recognize that when you build a road you're doing more than building a road - you're building the future development of your city. And, that's what's never dawned on people. It still doesn't, in a way.
I believe a nation does not maximize its health care until it starts to ask the hard question: How can we prioritize our expenditures to buy the most health care for the most people? We should not apologize for rationing; we should promote it and advance it.
Many seniors understand that Social Security is social insurance as opposed to a program where we put money aside for our own retirement. But most elderly individuals think they're getting their money back. So it isn't selfishness as much as a misunderstanding.
The bottom line is, until we're helping people to stop smoking, screening for breast cancer, giving Pap smears, giving prenatal care to pregnant women, we should not go into publicly paying for the artificial heart, which will benefit at great cost only a few people.
It was almost a desecration to put a building on the Boulder Turnpike, which is now U.S.-36 and is almost backyards and even junkyards all the way up. We didn't have to put development just cheek to jowl all the way up to Boulder. There's enough room in Colorado! But we did.
'Diversity' is a wonderfully seductive word. It stresses differences rather than commonalities. Diverse people worldwide are mostly engaged in hating each other - that is, when they are not killing each other. A 'diverse,' peaceful or stable society is against most historical precedent.
I feel very strongly that the Democratic Party has, in the past, been the party of the future. I think when you look at Social Security and Medicare, when you look at the civil rights movement, the women's movement, I think the Democratic Party has always been in the forefront of change.
Sprawl is the American ideal way to develop. I believe that what we're developing in Denver is in no appreciable way different than what we're doing in Los Angeles - did in Los Angeles and are still doing. But I think we have developed the Los Angeles model of city-building, and I think it is unfortunate.
We need to start training more primary health providers and fewer specialists. We will never be able to control health care costs unless we challenge the over-emphasis on medical research, specialists and technology and put more emphasis on delivering good, everyday basic medicine to those who now have none.
Modern medicine has presented us with a Faustian bargain: Our aging bodies can bankrupt our children and grandchildren. We have run into the 'law of diminishing returns' in health care, where we are often doing more and more, with higher and higher technology, at more and more cost, for less and less benefit.
Our globe is under new dramatic environmental pressure: our globe is warming, our ice caps melting, our glaciers receding, our coral is dying, our soils are eroding, our water tables falling, our fisheries are being depleted, our remaining rainforests shrinking. Something is very, very wrong with our eco-system.
The biggest challenge of public policy is to know when and how the world has changed. We are no longer an empty continent with endless absorptive capacity. We have a cash-wage economy that is having terrible problems finding jobs for its own people. The concern about immigration is not nativism but common sense.
Why give chemotherapy or even antibiotics to people with end-stage Alzheimer's disease? Keep them pain free and clean, love them but don't automatically try to get the last technology-produced breath from them. Start a preschool program instead or do something about the atrocious state of obesity in our children.
America with 4% of the world's population has 50% of the worlds lawyers .... tort lawyers love to point out that 1% of America's health care cost is used to pay malpractice insurance ... but most doctors practice defensive medicine to avoid malpractice litigation ... these costs are not included in the 1% number above.
Let me offer you, metaphorically, two magic wands that have sweeping powers to change society. With one wand you could wipe out all racism and discrimination from the hearts and minds of white America. The other wand you could wave across the ghettoes and barrios of America and infuse the inhabitants with Japanese or Jewish values, respect for learning, and ambition. ... I suggest that the best wand for society and for those who live in the ghettoes and barrios would be the second wand.