ACKNOWLEDGEMENTS
I would like to gratefully acknowledge the expert assistance of Matthew Hamilton and Dr Sherilyn Goldstone in preparing this manuscript which is closely based on my actual address to the RANZCP in Auckland and modified in order to incorporate ideas which were included in my address to the National Press Club in Canberra in July 2010.
DISCLOSURE
The author reports no conflicts of interest. The author alone is responsible for the content and writing of the paper.