Rationalite Substantive Quotes

, Stanhope delayed a moment behind Miss Fox to add: "The substantive, of course, governs the adjective; not the other way round."
"The substantive?" Pauline asked blankly.
"Good. It contains terror, not terror good. I'm keeping you. Good-bye, Periel," and he was gone. ~ Charles Williams

When 'Men's Health' reached out and said, 'Will you be on the 'Today Show' and do a fitness challenge?' I said, 'OK. I'm not showing them anything they don't already know.' But I'm going to take what some would argue is a negative or not substantive and turn it into a substantive thing to hopefully do some good for people. ~ Aaron Schock

What I have called the internal morality of law is in this sense a procedural version of natural law, though to avoid misunderstanding the word "procedural" should be assigned a special and expanded sense so that it would include, for example, a substantive accord between official action and enacted law. The term "procedural" is, however, broadly appropriate as indicating that we are concerned, not with the substantive aims of legal rules, but with the ways in which a system of rules for governing human conduct must be constructed and administered if it is to be efficacious and at the same time remain what it purports to be. ~ Lon L. Fuller

The authenticity of a thing is the essence of all that is transmissible from its beginning, ranging from its substantive duration to its testimony to the history which it has experienced. Since the historical testimony rests on the authenticity, the former, too, is jeopardized by reproduction when substantive duration ceases to matter. And what is really jeopardized when the historical testimony is affected is the authority of the object.3 ~ Walter Benjamin

The genius of this system, and the reason it spread across the world, was that its provisions were procedural, not substantive. ~ Henry Kissinger

Customers do not want to "make friends"; they want to see results and substantive relationships provide those. ~ Paul Cherry

Keep focused on the substantive issues. To make a decision means having to go through one door and closing all others. ~ Abraham Zaleznik

And so we made our way across that heap of stones, which often moved beneath my feet because my weight was somewhat strange for them. ~ Dante Alighieri

There is no substantive, rational defense; I mean, the other side doesn't have a case. ~ Fred Phelps

A pivot is a substantive change in one or more of the nine boxes of the business model canvas. ~ Steven Gary Blank

The substantive issue is how to make appropriate choices about what to do at any point in time. The real work is to manage our actions. That ~ David Allen

Half of the interview is substantive and half of it I think is sizing the person up. ~ Jeb Bush

In duty the individual acquires his substantive freedom ~ Georg Wilhelm Friedrich Hegel

There is no substantive difference between being stabbed to death in the living beating heart with a physical knife and feeling the plunging stabbing pain of betrayal. ~ Stacey Scott Mae

At the end of the day, all the best negotiating techniques can't overcome the most substantive policy differences. ~ Rob Portman

When permitted to listen to alternative opinions and engage in substantive debate, people have been known to change their minds. It can happen. ~ Carl Sagan

Most of the time, you find that the smaller the budget, the more the project is about something substantive. ~ Robert Carlyle

Reading enables me to maintain a sense of something substantive– my ethical integrity, my intellectual integrity. ~ Jonathan Franzen

This understanding, underlying constitutional interpretation since the New Deal, reflects the Constitution's demands for structural flexibility sufficient to adapt substantive laws and institutions to rapidly changing social, economic, and technological conditions. ~ Stephen Breyer

If the history of medicine is told through the stories of doctors, it is because their contributions stand in place of the more substantive heroism of their patients. I ~ Siddhartha Mukherjee

I believe that presidential candidates actually have a responsibility to point out substantive differences: to point out perspectives that are different. ~ John Edwards

It is part of the work of education to have substantive relationships with your students. ~ Freeman A. Hrabowski III

The dumbing down of America is evident in the slow decay of substantive content, a kind of celebration of ignorance. ~ Carl Sagan

There was something fundamentally embarrassing about being a young woman ... [the] embarrassment of wanting to be more assured, more substantive, more whole, of moving to tap resources that simply weren't there. ~ Michelle Orange

In other words, people who had substantive discussions with their doctor about their end-of-life preferences were far more likely to die at peace and in control of their situation and to spare their family anguish. A ~ Atul Gawande

To argue about justice is unavoidably to argue about virtues, about substantive moral and even spiritual questions. ~ Michael Sandel

It is important to have a reliable and substantive publication such as World Screen available as a source for information. The magazine's reporting is always on the cutting edge of the global television business. ~ Jeffrey Bewkes

The rules of evidence in the main are based on experience, logic, and common sense, less hampered by history than some parts of the substantive law. ~ Oliver Wendell Holmes, Jr.

One of your tasks is to separate the 'personal' from the 'substantive.' The two can become confused, especially if someone rubs the President wrong. ~ Donald Rumsfeld

By way of personal instinct, I have an inherent distaste for grandiose rhetorical statements, which don't have any substantive dimension to them ~ Kevin Rudd

I know that trolls are fundamentally sad people; I know that I've already defeated them in every substantive arena - by being smart, by being happy, by being successful, by being listened to, by being loved. ~ Lindy West

The current state of knowledge remains vague when history is not considered, just as history remains vague without substantive knowledge about the current state. ~ Ludwik Fleck

This same habitual blindness to spiritual, substantive dimensions of every significant challenge continues to handicap Hollywood. ~ Michael Medved

I had many wonderful experiences, received beautiful letters, and my Christian books received substantive and thoughtful reviews. But there was always argument, dispute, questions as to what I "really" believed, lectures from here and there on "the real truth," etc. ~ Anne Rice

There is no substantive basis for predictions of sizeable global warming due to observed increases in minor greenhouse gases such as carbon dioxide, methane and chlorofluorocarbons. ~ Richard Lindzen

I would hope that we could have this in an adult fashion and stop demagogueing the issue anytime you talk about any substantive reforms that will actually save social security and save Medicare and save the system from imploding on itself. ~ Ben Quayle

In the first stage, the city is proposing to begin reviewing a zoning change for what it is calling the Vanderbilt corridor, from 42nd to 47th Streets along Vanderbilt Avenue. If approved, developers would be allowed to build taller and larger buildings than currently permitted in exchange for substantive transportation improvements. ~ Anonymous

The adjective is the enemy of the noun. Variant: The adjective is the enemy of the substantive. ~ Voltaire

Editorial cartoons should be smart and substantive, provocative and informative. They should stir passions and deep emotions. Editorial cartoons should be the catalyst for thought, and frankly speaking, if you can make politicians think, that is an accomplishment itself. ~ Michael Ramirez

To somebody like Obama, substantive opposition is not tolerable. The objective is to eliminate all opposition - be it a political party, be it media, or what have you. ~ Rush Limbaugh

Now is not the time for us to shy away from challenging ourselves to make substantive change for the better. We have the opportunity to raise the bar in the faith-based world by forging a culture in which inclusivity, diversity, and equality are paramount. ~ Lynn Schusterman

My fans are grown now. They are not expecting me to do the bubblegum pop I did 20 years ago, even though it was pretty substantive. It was saying more than bubblegum pop says today. I am continuing where I left off. ~ Irene Cara

Prosperity cannot be experienced by living detached from Nature. Everything else is only a gradation of materialistic, earthly ambitions. We came from the stars and there lies the path to our substantive evolution. ~ Grigoris Deoudis

Republicans and Democrats have used accounting gimmicks and competing government analyses to deceive the public into believing that 2 + 2 = 6. If our leaders cannot agree on the numbers, if 'facts' are fictional, how can they possibly have a substantive debate on solutions? ~ J. C. Watts

The symbolism - and the substantive significance - of planting a tree has universal power in every culture and every society on Earth, and it is a way for individual men, women and children to participate in creating solutions for the environmental crisis. ~ Al Gore

Arguably the most substantive domestic issue facing the republic is the fate of Social Security, with privatization the most frequently mentioned option. For the first time in history, a familiarity with the behavior of the financial markets has become a prerequisite for competent citizenship, apart from its obvious pecuniary value. Using ~ William J. Bernstein

The strength of the claims of formal justice, of obedience to system, clearly depend upon the substantive justice of institutions and the possibilities of their reform. ~ John Rawls

The dumbing down of American is most evident in the slow decay of substantive content in the enormously influential media, the 30 second sound bites (now down to 10 seconds or less), lowest common denominator programming, credulous presentations on pseudoscience and superstition, but especially a kind of celebration of ignorance. ~ Carl Sagan

I can't watch the news anymore. They have their priorities all out of whack. All I see is Natalee Holloway and Britney Spears and the war in Iraq. Where's the substantive news? Where's the Zach Braff coverage? ~ Zach Braff

Probably the single-most concrete and substantive thing an American, young American, could do to lower our carbon footprint is not turning off the lights or driving a Prius, it's having fewer kids ... we'll soon see a market in baby-avoidance carbon credits similar to efforts to sell CO2 credits for avoiding deforestation ... ~ Andrew Revkin

I'm not just a politician, I'm a guy who has a real deep, substantive, commitment to education. ~ Roy Romer

As the novelty of wearable tech gives way to necessity - and, later, as wearable tech becomes embedded tech - will we be deprived of the chance to pause, reflect, and engage in meaningful, substantive conversations? How will our inner lives and ties to those around us change? ~ Klaus Schwab

Small talk is incredibly important when building new relationships and is necessary to do when networking, provided it is not small minded...

Small talk helps to provide a bridge from saying "hello" to the substantive part of the conversation. ~ Timothy M. Houston

...our low regard for nostalgia often seems not to rest on some substantive standard of excellence, in light of which a preference for the past is seen as missing the mark, but rather expresses idolatry of the present. This kind of "forward-thinking" is at bottom an apologetic species of conservatism, as it defers to and celebrates whatever is currently ascendant. ~ Matthew B. Crawford

The expectation of substantive unity between natural science and social science has faded ... Gone is the cosmic intention of placing man in the universe. ~ Allan Bloom

But when other people criticise our own more exalted soul-flights by calling them "nothing but" expressions of our organic disposition, we feel outraged and hurt, for we know that, whatever be our organism's peculiarities, our mental states have their substantive value as revelations of the living truth; and we wish that all this medical materialism could be made to hold its tongue. ~ William James

A Colombia without coca and without conflict was an impossible dream just a few years or decades ago, and today I can tell you it is a real possibility. Just imagine it. We have already begun discussion of the last two substantive points: victims and the end of the conflict. ~ Juan Manuel Santos

I think it's very important for me to work on myself while I'm working on a character, and also it's important how I'm giving to and educating an audience. So I tend to go with people who are complex and substantive. ~ Judith Light

While we can learn or study techniques for almost anything we might want to accomplish, real understanding is not the mere accumulation of knowledge. Understanding cannot be realized by listening or reading about the realization of others. It must be achieved firsthand via substantive, direct perception in the moment. ~ H.E. Davey

I can give substantive advice to the administration, the president's campaign, or any campaign that would ask for it. And, of course, when I speak I can talk about my views on policy and I have been supportive of the president's policy on leading foreign-policy issues. ~ Dennis Ross

What finally emerges from the 'clear and present danger' cases is a working principle that the substantive evil must be extremely serious and the degree of imminence extremely high before utterances can be punished ... It must be taken as a command of the broadest scope that explicit language, read in the context of a liberty-loving society, will allow. ~ Hugo Black

I was being taken around by a press agent at the Venice Film Festival at age 18. Was it fun? Sure. But it was a dangerous path to be walking on as far as having a substantive life. Because the casualty rate at the Venice Film Festival for 18-year-olds? High. ~ Ethan Hawke

We have been making constant efforts, all the time, to start dialogue with the SLORC, but you know it takes two. We don't want a monologue. We would like a substantive political dialogue among the SLORC, political leaders including myself, and leaders of ethnic groups-exactly as stipulated in the U.N. General Assembly resolution on Burma. ~ Aung San Suu Kyi

Sometimes the lack of substantive freedoms relates directly to economic poverty, which robs people of the freedom to satisfy hunger; or to achieve sufficient nutrition, or to obtain remedies for treatable illnesses or the opportunity to be adequatley clothed or sheltered, or to enjoy clean water or sanitary facilities. ~ Amartya Sen

The more we serve our fellowmen in appropriate ways, the more substance there is to our souls. We become more significant individuals as we serve others. We become more substantive as we serve others - indeed, it is easier to "find" ourselves because there is so much more of us to find! ~ Spencer W. Kimball

If you covet fame, if you covet all the superficial accolades, you're gonna be miserable 'cause you're never going to get enough praise. If you covet contributing something substantive to movies, music, literature, then you won't be unhappy. ~ Ethan Hawke

Life is a moving target. So your vision needs to be an accurate objective, to give you direction for your actions. As you move toward your goal, the vision becomes even more substantive, more palpable. It becomes something you can't wait to share with others continually. The excitement is infectious. ~ Farshad Asl

Any contemporary political re-statement of liberal and socialist goals must include as central the idea of a society in which all men would become men of substantive reason, whose independent reasoning would have structural consequences for their societies, its history and thus for their own life fates. ~ C. Wright Mills

Faith in the biblical sense is substantive, based on the knowledge that the One in whom that faith is placed has proven that He is worthy of that trust. In its essence, faith is a confidence in the person of Jesus Christ and in His power, so that even when His power does not serve my end, my confidence in Him remains because of who He is. ~ Ravi Zacharias

So, the first things we must do is decide which it is: A
substantive and hidden thing that produces cultural symptoms or it is the meme "hypothesis" and testable. If it is not falsifiable it cannot meet the criteria of scientific fact, according to the very structure of the scientific methodology itself. This would put it in the latter category of faith-based belief systems ~ L.B. Ó Ceallaigh

Tis true what Hemingway says--if we're lucky enough to live our dreams in youth, as Ernest Hemingway did in 1920's Paris and I did with the Beat poets, then youth's dreams become a moveable feast you take wherever you go--youthful love remains the repast plentiful; exquisite, substantive and good. You can live on happy memories. Eat of them forever. ~ Alison Winfield Burns

It never really felt like I had a lot of substance in my life. I had broken up with my former husband (Ron Samuels) and I kind of looked around. I didn't have a lot of friends. I had become isolated by fame. I longed for a family and some substantive relationships. Fame is a vapor. You can't grab hold of it. ~ Lynda Carter

Bill Clinton gives the appearance of taking stands-for some sort of tax cut, some sort of welfare reform, some sort of balanced budget-but these are ploys, mirages: they exist only to undermine positions taken by the Republicans. He doesn't fight for anything substantive-except of course, re-election ... He has fallen into the dangerous habit of lip synching the presidency: he gives the appearance of leadership, but not the substance. ~ Joe Klein

From the time I took office as Chancellor of the Exchequer, I began to learn that the State held, in the face of the Bank and the City, an essentially false position as to finance. The Government itself was not to be a substantive power, but was to leave the Money Power supreme and unquestioned. ~ William E. Gladstone

The beginning of sense, not to say wisdom, is to realize that 'doing an action,' as used in philosophy, is a highly abstract expression
it is a stand-in used in the place of any (or almost any?) verb with a personal subject, in the same sort of way that 'thing' is a stand-in for anynoun substantive, and 'quality' a stand-in for the adjective. ~ J.L. Austin

The most stringent protection of free speech would not protect a man in falsely shouting fire in a theatre and causing a panic ... The question in every case is whether the words used are used in such circumstances and are of such a nature as to create a clear and present danger that they will bring about the substantive evils that Congress has a right to prevent. ~ Howard Zinn

The real difference between the United States and other nations lies not in the words of the preamble to the Constitution, but in the fact that the substantive clauses of that Constitution are enforced by individuals independent of and not beholden to the elected branches. ~ Harold H. Greene

When texting begins to take the place of substantive in-person conversations for any of us, we are training the language and speech centers of our brain for a new, unnatural, and superficial model of connection. When that training starts early, as it does now for young texters, they get so used to it at such a young age that, unlike the newborn baby who innately knows something is missing and complains about it, our older tech-trained children don't even know what they have lost. ~ Catherine Steiner-Adair

I believe that it's very important to get to know people with whom you can have a substantive dialogue about design and its development. In addition, read everything about fashion that you can get your hands on. A palpable point of view is what makes a designer, so you need to be confident about yours. ~ Tim Gunn

The reason for teaching history is not that it changes society, but that it changes pupils; it changes what they see in the world, and how they see it ... To say someone has learnt history is to say something very wide ranging about the way in which he or she is likely to make sense of the world. History offers a way of seeing almost any substantive issue in human affairs, subject to certain procedures and standards, whatever feelings one may have. ~ Peter Lee

...computer technology functions more as a new mode of transportation than as a new means of substantive communication. It moves information - lots of it, fast, and mostly in a calculating mode. The computer, in fact, makes possible the fulfillment of Descartes' dream of the mathematization of the world. Computers make it easy to convert facts into statistics and to translate problems into equations. And whereas this can be useful (as when the process reveals a pattern that would otherwise go unnoticed), it is diversionary and dangerous when applied indiscriminately to human affairs. ~ Neil Postman

Why doesn't anyone address the substantive question of why other states blatantly interfere in Israel's internal affairs? Israel does not meddle in the affairs of other states in a similar way, so why do other countries feel entitled to do this to Israel? These actions violate Israeli sovereignty and I expect European Union member states to act differently. ~ Ayelet Shaked

Whoever acquired any real or substantive intelligence from reading newspapers? I'm sure I have no in-depth comprehension of American villany; yet I can't leave the news alone! You'd think I might profit from my experience with ice cream. If I have ice cream in my freezer, I'll eat it--I'll eat all of it, all at once. Therefore, I've learned not to buy ice cream. Newspapers are even worse for me than ice cream; headlines, and the big issues that generate headlines, are pure fat. ~ John Irving

It is not just that it is profoundly offensive to the leaders and people of a democratic Germany to paint Hitler on the wall (or on the remnants of the Wall). It is also consummately counterproductive. Such sauce does not make the meat of substantive criticism more interesting. It means that the whole dish is pushed away. It does not mean that Britain's voice is listened to more attentively in the councils of Europe. It means that it is listened to even less. ~ Timothy Garton Ash

A definite view, by contrast, favors firm convictions. Instead of pursuing many-sided mediocrity and calling it "well-roundedness," a definite person determines the one best thing to do and then does it. Instead of working tirelessly to make herself indistinguishable, she strives to be great at something substantive - to be a monopoly of one. This is not what young people do today, because everyone around them has long since lost faith in a definite world. No one gets into Stanford by excelling at just one thing, unless that thing happens to involve throwing or catching a leather ball. ~ Anonymous

For the other end of the spectrum, the 50 to 85 percent of the world's population who are not the recipients of privilege, the world they know is almost certainly worse than any their earlier counterparts knew. It is likely they are worse off materially, despite the technological changes. In substantive as opposed to formal terms, they are more, not less, subject to arbitrary constraints, since the central mechanisms are more pervasive and more efficient. And they bear the brunt of the various kinds of psychic malaise, as well as of the destructiveness of civil wars. ~ Immanuel Wallerstein

I fully agree with all that you say on the advantages of H. Spencer's excellent expression of 'the survival of the fittest.' This, however, had not occurred to me till reading your letter. It is, however, a great objection to this term that it cannot be used as a substantive governing a verb; and that this is a real objection I infer from H. Spencer continually using the words, natural selection.
(Letter to A. R. Wallace July 1866) ~ Charles Darwin

She too looked like a regular lady, living in the world- didn't seem particularly with it or excitable or stellar. But that chicken, bathed in thyme and butter- I hadn't ever tasted a chicken that had such a savory warmth to it, a taste I could only suitably identify as the taste of chicken. Somehow, in her hands, food felt recognized. Spinach became spinach- with a good farm's care, salt, the heat and her attention, it seemed to relax into its leafy, broad self. Garlic seized upon its lively nature. Tomatoes tasted as substantive as beef. ~ Aimee Bender

There are black Christians, and black Muslims in Africa who are being slaughtered, they don't want to hear about the Jim Crow laws. There are Christians, there are other Muslims being slaughtered in the Middle East, they don't need a lecture from Obama about Christianity. The fact of the matter is Obama is not doing anything effective or substantive to stop genocide in our time ~ Mark Levin

There was only really one time that I had a substantive interaction with the president [Barak Obama] directly, and that was in 2013 when we were deciding whether to file a brief in the first gay marriage case, the Perry against Hollingsworth case. That was a weighty decision about whether the United States government was going to come in and say that heightened scrutiny ought to apply and some state bans on same-sex marriage ought to be unconstitutional. And that was the one time in my tenure where I thought I ought not make this decision without talking to the president. ~ Donald Verrilli Jr.

Does doing something old with new technology mean that I'm teaching with technology and that I'm doing so in a way as to really improve the reading and writing skills of the students in my classroom? (2007, 214). Her answer, as well as mine, would be no. When we simply bring a traditional mind-set to literacy practices, and not a mind-set that understands new literacies (an idea developed by Colin Lankshear and Michele Knobel, which I elaborate on later) into the process of digital writing, we cannot make the substantive changes to our teaching that need to happen in order to embrace the ... ~ Troy Hicks

When an individual or a group of individuals is kept in a situation of inferiority, the fact is that he or they are inferior. But the scope of the verb to be must be understood; bad faith means giving it a substantive value, when in fact it has the sense of the Hegelian dynamic: to be is to have become, to have been made as one manifests oneself. Yes, women in general are today inferior to men; that is, their situation provides them with fewer possibilities: the question is whether this state of affairs must be perpetuated. ~ Simone De Beauvoir

In this passage we are taught how hateful a thing is calumny in all free States, as, indeed, in every society, and how we must neglect no means which may serve to check it. And there can be no more effectual means for checking calumny than by affording ample facilities for impeachment, which is as useful in a commonwealth as the other is pernicious. And between them there is this difference, that calumny needs neither witness, nor circumstantial proof to establish it, so that any man may be calumniated by any other; but not impeached; since impeachment demands that there be substantive charges made, and trustworthy evidence to support them. ~ Niccolo Machiavelli

eRemember though, that happiness can never be achieved through the expectations levied on another; such a notion is not doomed to fail - but is just doomed! Happiness can never be achieved through the distress or destruction that one imposes on the other person. When a child, now grown-up, does not resolve their deep-seeded anger with a parent or parents, the "other person" plays Hell trying to make-up for it. Married, divorced or dead, the 'other person' can never replace what was lost so much
earlier in the life and soul of the oppressed. Forgiveness must be the course for any future, substantive relationships. ~ H. Kirk Rainer

You can't remember sex. You can remember the fact of it, and recall the setting, and even the details, but the sex of the sex cannot be remembered, the substantive truth of it, it is by nature self-erasing, you can remember its anatomy and be left with a judgment as to the degree of your liking of it, but whatever it is as a splurge of being, as a loss, as a charge of the conviction of love stopping your heart like your execution, there is no memory of it in the brain, only the deduction that it happened and that time passed, leaving you with a silhouette that you want to fill in again. ~ E.L. Doctorow

But the story of leukemia
the story of cancer
isn't the story of doctors who struggle and survive, moving from institution to another. It is the story of patients who struggle and survive, moving from on embankment of illness to another. Resilience, inventiveness, and survivorship
qualities often ascribed to great physicians
are reflected qualities, emanating first from those who struggle with illness and only then mirrored by those who treat them. If the history of medicine is told through the stories of doctors, it is because their contributions stand in place of the more substantive heroism of their patients. ~ Siddhartha Mukherjee

Emotions are given to us by God, so that we can fully experience our experiences. The only problem with emotions is that we get addicted or attached to them. We take them as final or substantive. Emotions do have the ability to open you to consciousness, but then they tend to become the whole show. Most human thought is just obsessive, compulsive commentary. It's "repetitive and useless," as Eckart Tolle says. I would say the same of emotions.
Contemplation allows you to see (contemplata means "to see") this happening in yourself ...
Contemplation and silence nip the ego and its negatives in the bud by teaching you how to watch and guard your very thoughts and feelings - but from a place of love and not judgment. ~ Richard Rohr

Please don't forget: I am my body. When my body gets smaller, it is still me. When my body gets bigger, it is still me. There is not a thin woman inside me, awaiting excavation. I am one piece. I am also not a uterus riding around in a meat incubator. There is no substantive difference between the repulsive campaign to separate women's bodies from their reproductive systems - perpetuating the lie that abortion and birth control are not healthcare - and the repulsive campaign to convince women that they and their body size are separate, alienated entities. Both say, "Your body is not yours." Both demand, "Beg for your humanity." Both insist, "Your autonomy is conditional." This is why fat is a feminist issue. All ~ Lindy West

The answer to information asymmetry is not always the provision of more information, especially when most of this 'information' is simply noise, or boilerplate (standardised documentation bolted on to every report). Companies justifiably complain about the ever-increasing volume of data they are required to produce, while users of accounting find less and less of relevance in them. The notion that all investors have, or could have, identical access to corporate data is a fantasy, but the attempt to make it a reality generates a raft of regulation which inhibits engagement between companies and their investors and impedes the collection of substantive information that is helpful in assessing the fundamental value of securities. In the terms popularised by the American computer scientist Clifford Stoll, 'data is not information, information is not knowledge, knowledge is not understanding, understanding is not wisdom'.9 In ~ John Kay

Two-thirds of the terminal cancer patients in the Coping with Cancer study reported having had no discussion with their doctors about their goals for end-of-life care, despite being, on average, just four months from death. But the third who did have discussions were far less likely to undergo cardiopulmonary resuscitation or be put on a ventilator or end up in an intensive care unit. Most of them enrolled in hospice. They suffered less, were physically more capable, and were better able, for a longer period, to interact with others. In addition, six months after these patients died, their family members were markedly less likely to experience persistent major depression. In other words, people who had substantive discussions with their doctor about their end-of-life preferences were far more likely to die at peace and in control of their situation and to spare their family anguish. ~ Atul Gawande