I'd make personal changes, although the changes I'd make would almost certainly make me wealthier, just not rich. As far as saving millions of lives, the butterfly effect could result in your effort being in vain, or even counterproductive. Best to stick to making small changes that matter to you.
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And you believe Bush and the liberals and divorced parents and gays and blacks and the Christian right and fossil fuels and Xbox are all to blame, meanwhile you yourselves create an ad where your kid hits you in the head with a baseball and you don't understand the message that the problem is you.
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