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" 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. "

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" 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. "

Richard Lamm

Children

Pain

Start

" American public policy is run on a myth. "

" Christmas is a time when kids tell Santa what they want and adults pay for it. Deficits are when adults tell the government what they want - and their kids pay for it. "

" I suggest that those groups whose culture and values stress delayed gratification - education, hard work, success, and ambition - are those groups that succeed in America, regardless of discrimination. "

" Everything we do in public policy prevents us from doing something else. To govern is to choose. "

Richard Lamm

Policy

Everything

" History shows, in my opinion, that no nation can survive the tension, conflict and antagonism of two competing languages and cultures. It is a blessing for an individual to be bilingual; it is a curse for a society to be bilingual. "

" Universal coverage, not medical technology, is the foundation of any caring health care system. "

" To me, the failure of liberalism - the tradition I come from - was not recognizing there has to be justice across the generations. "

Richard Lamm

Tradition

Justice

" 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. "

" 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. "

" We've got a duty to die and get out of the way with all of our machines and artificial hearts and everything else like that and let the other society, our kids, build a reasonable life. "

" Christmas is the time when kids tell Santa what they want and adults pay for it. Deficits are when adults tell government what they want and their kids pay for it. "

" I believe we all must face the fact of death. It is both gift and curse. "

" I believe for some high-technology medicine, like transplants and kidney dialysis, age should be a consideration in the delivery of that technology. In a world of limited resources, we have a larger duty to a 10-year-old than to a 90-year-old. "

" 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. "

" America does not need another political campaign based on denial and avoidance of some of our real problems. It needs a crusade to reform and renew our country, its institutions and political system. "

" I think we're rapidly approaching the day where medical science can keep people alive in hospitals, hooked up to tubes and things, far beyond when any kind of quality of life is left at all. "

" He didn't work for money. He worked because he loved kids and education. "

" Politics, like theater, is one of those things where you've got to be wise enough to know when to leave. "

" Aging bodies are fiscal black holes into which you can pour endless amounts of money. "

" The U.S. needs to do more than change presidents. It needs to change its political culture. "

Richard Lamm

Change

Political

" I do not believe you can have infinite population or economic growth in a finite world. We are living on the shoulders of some awesome geometric curves. "

" Amnesty is a big billboard, a flashing billboard, to the rest of the world that we don't really mean our immigration law. "

" I think modern societies have to ask a very basic question: What strategies buy the most health for people? Doctors can do so many marvelous things now. They can keep a corpse alive, almost. "