“American writers are too often only witnesses, tourists, to most human suffering and pleasure.”

“As often I have been a science fiction writer writing science fiction for the community of science fiction readers, I am also, for good or ill, an American writing American literature to an American audience. Most fundamentally, though, I am a human being writing human literature to a human audience.”

“The distinction often seems precarious. Both traveler and tourist are, by definition, separate from their environment. We like to think that the role we aspire to, the traveler, has that distance on the scene that implies vision and understanding, while the tourist suffers the alienation of the passive viewer, the "sightseer." At its worst, tourism is felt to represent a moral or spiritual failing. And in our hear we fear that we, too, are tourists.”

“In an almost totally insentient cosmos only human feeling is interesting or relevant to what the soul searches for...suffering is the most expensive of human emotions, but it is the most intense and precious of them, because suffering most efficiently humanizes the unfeeling universe.”

“But some natives--most natives in the world--cannot go anywhere. They are too poor. They are too poor to go anywhere. They are too poor to escape the reality of their lives; and they are too poor to live properly in the place where they live, which is the very place you, the tourist, want to go--so when the natives see you, the tourist, they envy you, they envy your ability to leave your own banality and boredom, they enjoy your ability to turn their own banality and boredom into a source of pleasure for yourself.”

“Here is the problem: Poor Americans consume too little healthcare, especially preventive healthcare. Other Americans—often rich Americans—consume too much healthcare, often unwisely, and sometimes to their detriment. The American healthcare system combines famine with gluttony.”