At length you reach a cemetery. We all know how deeply the Turks respect the graves of the dead — how they visit them and never permit them to be disturbed, as we do in Europe, after any number of years. In the abstract this is very grand, and when we imagine to ourselves a beautiful cypress grove with tall white monumental stones, and green grass beneath, it presents a stately and solemn picture. Now contemplate it in the reality. The monuments are overthrown, dilapidated, or awry — several roughly paved streets intersect the space — here sheep are feeding — there donkeys are waiting — here geese are cackling — there cocks are crowing — in one part of the ground linen is drying — in another carpenters are planing — from one corner a troop of camels defile — from another a funeral procession approaches — children are playing — dogs rolling — every kind of the most unconcerned business going on.
In 1951, Citation became the first horse to win one million dollars. In 1979, Affirmed became the first horse to break the two million dollar barrier,  finishing his career with earnings of $ million. Spectacular Bid broke this record in 1980, amassing career earnings of $ million.  Purses began to increase sharply soon afterwards thanks in large part to the Breeders' Cup. The next record holders were John Henry, who earned $ million by the end of his career in 1984 and Alysheba, with earnings of $ million by the end of his career in 1988. Cigar was the next to hold the North American earnings title, finishing his career in 1998 with earnings just shy of $10 million ($9,999,815). That remained the North American record until Curlin in 2008, who earned $ million.  California Chrome broke this record in 2016 with career earnings of $ million, and was in turn surpassed by Arrogate when he won the 2017 Dubai World Cup to take his career earnings over $17 million.
For all its flaws and the awful “ doctors are killing lots of patients ” reporting that it provoked, reporting that frustrated many of the investigators who carried out the IOM study because it distracted from the true message of the report, which was to encourage further investigation and a “culture of safety” in hospitals to improve the safety of patient care, the IOM report does deserve a lot of the credit for sparking the movement to improve quality and decrease medical errors over the last 17 years. At the time, I tended to agree with IOM panel member Lucian Leape, MD, who pointed out that, even if the IOM report did greatly overestimate the number of deaths due to medical errors, “Is it somehow better if the number is only 20,000 deaths? No, that’s still horrible, and we need to fix it.” Exactly.