You don't train someone for all of those years of medical school and residency, particularly people who want to help others optimize their physical and psychological health, and then have them run a claims-processing operation for insurance companies.
Take the great example of the four-minute mile. One guy breaks it, then all of a sudden everyone breaks it. And they break it in such a short period of time that it can't be because they were training harder. It's purely that it was a psychological barrier, and someone had to show them that they could do it.
A runner needs not just to be skinny but - more specifically - to have skinny calves and ankles, because every extra pound carried on your extremities costs more than a pound carried on your torso. That's why shaving even a few ounces off a pair of running shoes can have a significant effect.
We used to say poor people had lousy genes. Then we decided that wasn't OK, but we transferred the prejudice to upbringing. We said, 'You were neglected as a child, so you'll never make it.' That's just as pernicious.
Age-class running, as you know, is completely unreliable. It's based on this artificial thing, which is that people who are the same age have the same level of physical maturity. Which just isn't true.
When I go to my health club, and it's in the basement, you have to take the elevator down. And this drives me crazy. Why can't there be a stairway? At least make it as easy to exercise as it is to not exercise. It's in society's interest for me to take the stairs.
I don't understand, given the constraints physicians have in doing their job and the paperwork demanded of them, why people want to be physicians. I think we've made it very, very difficult for them to perform their job. I think that's a shame.
You don't want to be first, right? You want to be second or third. You don't want to be - Facebook is not the first in social media. They're the third, right? Similarly, you know, if you look at Steve Jobs' history, he's never been first.
You walk into the class in second grade. You can't read. What are you going to do if you're going to make it? You identify the smart kid. You make friends with him. You sit next to him. You grow a team around you. You delegate your work to others. You learn how to talk your way out of a tight spot.
In cross-country skiing, athletes propel themselves over distances of ten and twenty miles - a physical challenge that places intense demands on the ability of their red blood cells to deliver oxygen to their muscles.
Mainstream American society finds it easiest to be tolerant when the outsider chooses to minimize the differences that separate him from the majority. The country club opens its doors to Jews. The university welcomes African-Americans. Heterosexuals extend the privilege of marriage to the gay community.
In my mid-adolescence, my friend Terry Martin and I became obsessed with William F. Buckley. This makes more sense when you realize that we were living in Bible Belt farming country miles from civilization. Buckley seemed impossibly exotic.
Once you understand that Goliath is much weaker than you think he is, and David has superior technology, then you say: why do we tell the story the way we do? It becomes, actually, a far more meaningful and important story in its retelling than in the kind of unsophisticated way we've done it for, I think, too long.
What do we tell our children? Haste makes waste. Look before you leap. Stop and think. Don't judge a book by its cover. We believe that we are always better off gathering as much information as possible and spending as much time as possible in deliberation.