Where there were once several competing approaches to medicine, there is now only one that matters to most hospitals, insurers, and the vast majority of the public. One that has been shaped to a great degree by the successful development of potent cures that followed the discovery of sulfa drugs. Aspiring caregivers today are chosen as much (or more) for their scientific abilities, their talent for mastering these manifold technological and pharmaceutical advances as for their interpersonal skills. A century ago most physicians were careful, conservative observers who provided comfort to patients and their families. Today they act: They prescribe, they treat, they cure. They routinely perform what were once considered miracles. The result, in the view of some, has been a shift in the profession from caregiver to technician. The powerful new drugs changed how care was given as well as who gave it.

My thought is me: that's why I can't stop. I exist because I think...and I can't stop myself from thinking. At this very moment, it's frightful, if I exist, it is because I am horrified at existing. I am the one who pulls myself from the nothingness to which I aspire: the hatred, the disgust of existing, there are as many ways to make myself exist, to thrust myself into existence. Thoughts are born at the back of me, like sudden giddiness, I feel them being born behind my head...if I yield, they're going to come round in front of me, between my eyes, and I always yield, the thought grows and grows and there it is, immense, filling me completely and renewing my existence.

No one is without Christianity, if we agree on what we mean by the word. It is every individual's individual code of behavior, by means of which he makes himself a better human being than his nature wants to be, if he followed his nature only. Whatever its symbol—cross or crescent or whatever—that symbol is man's reminder of his duty inside the human race. Its various allegories are the charts against which he measures himself and learns to know what he is. It cannot teach man to be good as the textbook teaches him mathematics. It shows him how to discover himself, evolve for himself a moral code and standard within his capacities and aspirations, by giving him a matchless example of suffering and sacrifice and the promise of hope.

Thanks to the centrifugal pump, places like Nebraska, Kansas, Oklahoma, and Texas had thrown on the garments of fertility for a century, pretending to greenery and growth as they mined glacial water from ten-thousand-year-old aquifers. They'd played dress-up-in-green and pretended it could last forever. They'd pumped up the Ice Age and spread it across the land, and for a while they'd turned their dry lands lush. Cotton, wheat, corn, soybeans -- vast green acreages, all because someone could get a pump going. Those places had dreamed of being different from what they were. They'd had aspirations. And then the water ran out, and they fell back, realizing too late that their prosperity was borrowed, and there would be no more coming.

“Faith based worldview explains how and why humans are different from other species in their strong sense of morality. It urges them to be thankful to their Creator and shun any pride because they too belong to the same Creator. It informs them that their free will allows them to choose the right and wrong paths in life. After they die, they will be held accountable for the use of free will in choosing goodness over evil, ethical over unethical and fair over unfair acts. It will provide them the chance to earn eternal blessing if they choose the righteous behaviour. Else, they will be held accountable if they choose evil over goodness, unethical over ethical and unfair over fair acts. Not only this worldview makes life meaningful, but fulfils the aspiration of seeing absolute justice not just for oneself, but for everyone.”

I keep finding myself confronted with the question, “What is the aim of man’s life?” and, no matter what result my reflections reach, no matter what I take to be life’s source, I invariably arrive at the conclusion that the purpose of our human existence is to afford a maximum of help towards the universal development of everything that exists.If I meditate as I contemplate nature, I perceive everything in nature to be in constant process of development, and each of nature’s constituent portions to be unconsciously contributing towards the development of others. But man is, though a like portion of nature, a portion gifted with consciousness, and therefore bound, like the other portions, to make conscious use of his spiritual faculties in striving for the development of everything existent.If I meditate as I contemplate history, I perceive the whole human race to be for ever aspiring towards the same end.If I meditate on reason, if I pass in review man’s spiritual faculties, I find the soul of every man to have in it the same unconscious aspiration, the same imperative demand of the spirit.If I meditate with an eye upon the history of philosophy, I find everywhere, and always, men to have arrived at the conclusion that the aim of human life is the universal development of humanity.If I meditate with an eye upon theology, I find almost every nation to be cognizant of a perfect existence towards which it is the aim of mankind to aspire.So I too shall be safe in taking for the aim of my existence a conscious striving for the universal development of everything existent. I should be the unhappiest of mortals if I could not find a purpose for my life, and a purpose at once universal and useful… Wherefore henceforth all my life must be a constant, active striving for that one purpose.

Advice? I don’t have advice. Stop aspiring and start writing. If you’re writing, you’re a writer. Write like you’re a goddamn death row inmate and the governor is out of the country and there’s no chance for a pardon. Write like you’re clinging to the edge of a cliff, white knuckles, on your last breath, and you’ve got just one last thing to say, like you’re a bird flying over us and you can see everything, and please, for God’s sake, tell us something that will save us from ourselves. Take a deep breath and tell us your deepest, darkest secret, so we can wipe our brow and know that we’re not alone. Write like you have a message from the king. Or don’t. Who knows, maybe you’re one of the lucky ones who doesn’t have to.

If you hold a candle close to you, its flame rises. And if you hold it away from you, its flame shrinks. The same way you hold a candle close to you, keep all your plans, aspirations, projects, and dreams close to you too. Do not share your plans or goals until you complete them, because as you hold your candle away from you, your goals will shrink in the eyes of others. Envy, jealousy, and resentment will put out your flame before it grows. Never reveal what you are doing until you have accomplished it. Resentment does not only come from those close to you, but also distant strangers. Therefore, fiercely guard the passions burning inside your heart, so that their flames can safely reach the highest ceilings of success without the eyes of envy.

It is not good for man to be kept perforce at all times in the presence of his species. A world from which solitude is extirpated is a very poor ideal. Solitude, in the sense of being often alone, is essential to any depth of meditation or of character; and solitude in the presence of natural beauty and grandeur, is the cradle of thoughts and aspirations which are not only good for the individual, but which society could ill do without. Nor is there much satisfaction in contemplating the world with nothing left to the spontaneous activity of nature...scarcely a place left where a wild shrub or flower could grow without being eradicated as a weed in the same of improved agriculture. If the earth must lose that great portion of its pleasantness which it owes to things that the unlimited increase of wealth and population would extirpate from it, for the mere support of a larger, but not a better or happier population, I sincerely hope, for the sake of posterity, that they will be content to be stationary...

In books I have traveled, not only to other worlds, but into my own. I learned who I was and who I wanted to be, what I might aspire to, and what I might dare to dream about my world and myself. More powerfully and persuasively than from the "shalt nots" of the Ten Commandments, I learned the difference between good and evil, right and wrong. A Wrinkle in Time described that evil, that wrong, existing in a different dimension from our own. But I felt that I, too, existed much of the time in a different dimension from everyone else I knew. There was waking, and there was sleeping. And then there were books, a kind of parallel universe in which anything might happen and frequently did, a universe in which I might be a newcomer but was never really a stranger. My real, true world. My perfect island.