You just can't get anything done. You can't get hearings, you can't get legislation, you can't get responses by the regulatory agencies - you can't get anything done. I'm a realist. I don't work harder and harder to get less and less.
The quality of the medical care delivered, including the pharmaceutical industry, has improved a lot. I don't think it's crazy for a rich country like the USto spend 15% of GDP on healthcare, and if it rose to 16-17%, it's not a big worry.