Seems to me that this business for actors anyway is not so much about whether or not you do good work. It's about whether or not you get the chance to do good work.
Some people want fame popularity and huge sales. I've always hoped to have a really long career. So I've tried to make each of my creative decisions and business decisions to allow for longevity. As a side effect I got really famous and really big. I didn't realize the two could go together.
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In my business if I get too close to you and you die it hurts me. And so you develop a natural inclination not to be close to the patient so that if things don't work out ideally you can still get up the next day and care for the next patient.