So what's happening now is there's been a big shift in the way that people die, and most of what they're dying of now isn't as amenable to what we can do as what it used to be like when I was doing this in the '80s and '90s.
而最大的不同点是， 人们死亡的方式发生了巨大的转变。 而大部分让人们致死的疾病 已经和我们当年 在80年代、90年代处理的方法有了很大的不同了。