Pretend that it's October, 2008. The ALS Registry Act has just been passed. You're working at the CDC to develop the registry.
There is a big box of hourglasses. Each represents the remaining life expectancy of a person with ALS on the day you start your project. They vary. None has as much sand as you would like. Pick one. That's your project timeline.
Most of the hourglasses would have run out of sand by now.
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