We believe unbelievable progress can be made, in both inventing new vaccines and making sure they get out to all the children who need them.

It's OK for China to invent cancer drugs that cure patients in the United States. We want them to catch up. But as the leader, we want to keep setting a very, very high standard. We don't want them to catch up because we're slowing down or, even worse, going into reverse.

We all sort of do want incentives for creative people to still exist at a certain level. You know, maybe rock stars shouldn't make as much; who knows? But you want as much creativity to take place in the future as took place in the past.

We all need people who will give us feedback. That's how we improve.

People always fear change. People feared electricity when it was invented, didn't they?

In ninth grade, I came up with a new form of rebellion. I hadn't been getting good grades, but I decided to get all A's without taking a book home. I didn't go to math class, because I knew enough and had read ahead, and I placed within the top 10 people in the nation on an aptitude exam.

My broad sense of this is that authors like Smil really paint the clear picture, and once you see that, it's kind of Oh, of course. That's such a primal thing to all these physical services that we take for granted.