It's not life or death it's a game and at the end of the game there is going to be a winner and a loser.
When I talked to my medical friends about the strange silence on this subject in American medical magazines and textbooks, I gained the impression that here was a subject tainted with Socialism or with feminine sentimentality for the poor.
America tends to worship the modest talent because it doesn't put us in an uncomfortable position vis-a-vis the artist.