"If you ask yourself who is paying for pharmaceutical innovation today, the answer is that it's the more affluent populations paying for still-patented advanced medicines at the pharmacy, for comprehensive insurance coverage or for a national health system."

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What worries some people about consumption (and I confess at the outset to be one of these ambivalent creatures, fat but troubled in paradise) is that the affluent, technologically advanced West seems more and more focused not on consuming to live but living to consume. The problem with consumption, and the consumer capitalism that has pushed it to feverish historical extremes, is that it has become so all-consuming.

— Rodney Clapp