Forced to choose between limiting population or trying to increase food production, we chose the latter and ended up with starvation, warfare, and tyranny.

It invites a search for ultimate causes: why were Europeans, rather than Africans or Native Americans, the ones to end up with guns, the nastiest germs, and steel?

Ahead of me lies the familiar litany: weakening of the heart, hardening of the arteries, increasing brittleness of bones, decreases in kidney filtration rates, lower resistance of the immune system, and loss of memory. The list could be extended almost indefinitely. Evolution seems indeed to have arranged things so that all our systems deteriorate, and that we invest in repair only as much as we are worth.

Two types of choices seem to me to have been crucial in tipping the outcomes [of the various societies' histories] towards success or failure: long-term planning and willingness to reconsider core values. On reflection we can also recognize the crucial role of these same two choices for the outcomes of our individual lives.

The survival rate of Dr Burton's patients approximately doubled the maximum survival rate of conventionally treated patients. Had these findings pertained to a chemotherapy drug instead of IAT, massive amounts of funding would have been allocated to investigate the drug. Once again, the politics of cancer barred a potentially valuable treatment from reaching the public.

Measles and TB evolved from diseases of our cattle, influenza from a disease of pigs, and smallpox possibly from a disease of camels. The Americas had very few native domesticated animal species from which humans could acquire such diseases.

Put another way, the chimpanzees' closest relative is not the gorilla but humans.