Winning slowly is another way of losing. Americans are screwing up our health care system again right now. That's going to cause grave trouble for people over the next five, 10 years. There are going to be lots of people who die, lots of people who are sick. It's going to be horrible. But 10 years from now it will not be harder to solve the problem because you ignored it for those 10 years. With climate change, that's not true. As each year passes, we move past certain physical tipping points that make it impossible to recover large parts of the world that we have known.