This is a quote from the book "The Virtue Of Selfishness" by Ayn Rand
...nd penniless. Illness and poverty are not metaphysical emergencies, they are part of the normal risks of existence; but since the man is temporarily helpless, one may bring him food and medicine
, if one can afford it (as an act of good will, not of duty) or one may raise a fund among the neighbors to help him out. But this does not mean that one must support him from then on, nor that
one must spend one’s life looking for starving men to help.
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In the normal conditions of existence, man has to choose his goals, project them in time, pursue them and achieve them...