"In coming into existence, we are guaranteed to suffer harms. The nature and magnitude of those harms vary from person to person. However, it is more common than not for these harms to include formidable ones: grinding poverty , chronic pain, disability, disease, trauma, shame, loneliness, unhappiness, frailty, and decrepitude. Sometimes, these mark an entire life. Other times, they begin to intrude into a life that was previously devoid of them. For example, no matter how youthfully robust one may be now, a time will come when one will become enfeebled, unless something else gets one first. Although there are some things we can do to prevent or delay some of these harms, our fate, to a considerable extent, is out of our control. We may attempt to preserve our health, but all we can do thereby is reduce, not eliminate, the risks. Therefore, we have some, but relatively little, control over whether these harms will befall us."
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