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happens in practice, what's happening in this country is that we are getting a series of decisions are cascading to more and more serious conditions so you have what I call a "cascade
of cormorbidities". You have one disease leading to the other disease leading to the next disease and this is the way most of us get sick and die in this country. In fact, seventy percent
of Americans die of chronic disease, so these are diseases that are not infectious diseases, these are not diseases that come out of the blue, they are diseases that slowly build
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