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¡¡¡¡It is said that inEnglanddeath is pressing, inCanadainevitable and in California optional. Small wonder. Americans’ life expectancy has nearly doubled over the past century. Failing hips can be replaced, clinical depression controlled, cataracts removed in a 30-minutes surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death -- and our failure to confront that reality now threatens this greatness of ours. (2003ÄêÕæÌâ)

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