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This discussion was a fascinating insight to me. I have lived in many countries around the world and was always the hardest working soul in all of them. When giving the work/life balance speech in medical school these days, I am the only one left saying "Medicine is a calling: your work is your life. Other things you work in around the edges -- there are plenty of them so do not cry me crocodile tears." But these days residents walk out in the middle of a procedure if their shift is up. If the patient dies...oh well...someone else's problem. The loss of this work ethic will likely be the end of American hegemony and perhaps the end of America -- certainly the end of America as we know it. Who knew I could trace it all to those Puritans with feathers to tickle the sleepers...?

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