We are the intelligent elite among animal life on earth and whatever our mistakes, [Earth] needs us. This may seem an odd statement after all that I have said about the way 20th century humans became almost a planetary disease organism. But it has taken [Earth] 2.5 billion years to evolve an animal that can think and communicate its thoughts. If we become extinct she has little chance of evolving another.

I speak as a planetary physician whose patient, the living Earth, complains of fever; I see the Earth's declining health as our most important concern, our very lives depending upon a healthy Earth. Our concern for it must come first, because the welfare of the burgeoning mass of humanity demands a healthy planet.