The willingness to be self-critical in England is much greater than the willingness to be self-critical in America.

You think it matters to the kids whether they're learning to play on a Steinway or a normal piano?

Part of me thinks that innovation, real innovation in health care delivery, needs to happen from the bottom to the top.

So, it's a very, you know - maybe we're wrong in - you know, we go around thinking the innovator is the person who's first to kind of conceive of something. And maybe the innovation process continues down the line to the second and the third and the fourth entrant into a field.

More and more surveys in the US are indicating a change in values taking place among consumers, who become more concerned about quality of life, food, health and the environment.

We need strong public health institutions to respond to any challenge. We need to deal with critical infrastructure. The reality is that very little money has flowed to communities to help our first responders; to help our hospitals; to help the public health infrastructure.

There are a range of associated impacts related to increasing temperatures which affect both evaporation rates and river systems, which are already over stressed, and these will hit farming communities and the health of crop lands.

I focus on supporting high quality early childhood health care and education. By betting my resources on very young children, I know I'm making an investment that pays guaranteed dividends with a high rate of return.