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“Unfortunately, in rich-world health, innovation is both your friend and your enemy. Innovation is inventing organ replacement, joint replacement. We're inventing ways of doing new things that cost $300,000 and take people in their 70s and, on average, give them an extra, say, two or three years of life. And then you have to say, given finite resources, should we fire two or three teachers to do this operation?”

“If you let anything infringe on your writing time, it will. And you won't get the writing done. Taking one day off can cost me five days of getting back in the mood. Going out to lunch can cost me anywhere from five hours to three days. And for me it's not worth it. For my own sense of well-being I have to finish my work before I can play.”