""The Diagnosis" is by far my most ambitious book. I such great hopes for it... there was so much I wanted to do with the book. I was extremely insecure about it for several years. Just didn't know whether I would finish the book much less for it to come close to what I intended. I think that for any novel you never know exactly how the book is going to turn out..."

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In natural pregnancy, more than half of fertilized eggs fail to implant or are otherwise lost. Should we regard that as an instance of infant mortality? And if so, why are we not mounting ambitious public health campaigns to try to save and rescue all of the fertilized eggs that are lost in natural pregnancy? We would need a public health campaign of massive proportions if there really were over a fifty percent rate of infant mortality.

— Michael Sandel