To so many people, I am no longer just myself. I am a reminder of a thought that is difficult for the rational brain to accept: that the elements that constitute our bodies might fail at any moment. When I originally got my diagnosis at age 35, all I could think to say was, “But I have a son.” It was the best argument I had. I can’t end. This world can’t end. It had just begun. A tragedy is like a fault line. A life is split into a before and an after, and most of the time, the before was better.

Deprivation of the ability to speak is more like an attack of impotence, or the amputation of part of the personality. To a great degree, in public and private, I “was” my voice. All the rituals and etiquette of conversation, from clearing the throat in preparation for the telling of an extremely long and taxing joke to (in younger days) trying to make my proposals more persuasive as I sank the tone by a strategic octave of shame, were innate and essential to me. I have never been able to sing, but I could once recite poetry and quote prose and was sometimes even asked to do so.

So it affects my work in the sense that now I’ve been kidnapped twice. So now when I’m working in a place like Iraq — even if it’s northern Iraq and someone who hasn’t survived those two things would just drive on these roads and say, like, “Oh, this is great” — but of course, for me, all I see is ISIS around every corner. Or I envision the road filling up with insurgents because I’ve seen that, and I’ve been in that situation. So it affects my work in that sense, that I’m more paranoid than I ever was, certainly than I was in my 20s.

For me, school was probably the most traumatising and most difficult part of my life. I already was being bullied at the age of six. I think at the time, (at) that particular school, I was probably one of three kids of colour and just bigger, stronger, bullying kids were throwing me around a lot of the time.

I do think my mother had a lot to do with that. I mean, after all, you know her — it was not near as bad as having your husband die in a car wreck after — he survives World War II. They had a great life planned, and he gets killed in a car wreck, not because of a concussion, but because in a fluke, the tire blows out on his car. He’s thrown out of the car. He lands in a ditch in a field, and the ditch is full of water, and he can’t get out of the ditch before he drowns. There’s — it made it look a little whiny for me to be all bent out of shape about losing an election, and I realized that it was a weird deal. It was 1980. It was Reagan’s election. It was a period not unlike now, widespread resentment over the stagnant economy, the Iran hostage crisis, and I bet I had a hundred people coming to — I’m not exaggerating — coming to me and saying, “God, Bill, I didn’t know you were going to lose. I just voted against you to because I didn’t like some of the things you’d done.” And I remember once — one of the funniest things that ever happened to me. I was driving over to see my mother. I lived in Little Rock, and she lived in Hot Springs 50 miles away, and in the middle of the trip was a little country store owned by a guy who ran the elections in that area and was real smart, so I went in to get a Coke, and started talking to him. And this little boy came up to me in overalls, and he said, “You’re Bill Clinton, aren’t you?” I said, “Yes.” He said, “I helped to beat you. I cost you 11 votes, and it was no accident.” I said, “You did?” He said, “Yeah.” He said, “It was me, my wife, our two boys and their wives, and five of my friends. We just decked you.” I said, “Why’d you do it?” He said, “I had to because you raised my car tax. The car license.” And so we’re standing on the interstate. I said, “Look over there. You remember when I was governor? That highway broke wide open, and even big trucks were off in the ditch, and I had to send the National Guard down here to clean it up, and we had to fix it.” He said, “Yeah, I remember. I don’t care. I still didn’t want to pay it.” So I was laughing at the guy, and I said, “Let me ask you something.” I said, “If I ever ran again, would you vote for me?” He said, “Absolutely.” I said, “You would?” He said, “Sure. We’re even now.” And I went — and there were no cell phones, so I had a dime. I went and put it in the payphone, and I called Hillary, and I said, “You know, I’m not dead yet. We might have to run again.

Yeah, there were a lot of brave people who stood up. Then, you know, it cost Martin Luther King and Medgar Evers and the three civil rights workers in Philadelphia, Mississippi, and Viola Liuzza and a lot of the others their lives, but they were on the right side of history, and they believed if they made this sacrifice that it would work out. And whenever I get discouraged about everything they stood against rising up again, I realize there just are no public, or permanent, victories. You have to keep fighting for freedom.

Well, it wasn’t a game to me. We were taught, interestingly enough, given the current state of political affairs, that you should try not to hate anyone, that hatred was a sickness and a weakness, and that there were very few people who were completely evil, so you should go out of your way to figure out what makes them tick and see if you can find some way to communicate with them. I learned that more with my family — even before I was old enough to know what I was doing —when I was eating meals, my grandmother’s brother and his family had — they had four kids, and they always fed a lot of people, and we ate there a lot, and they would talk about whatever had happened that week. And the kids could talk, but they had to prove they could listen first, so before I could tell a story I had to recount what I had just heard, because if you weren’t listening, nobody wanted to listen to you. And it was like a primer in human nature, and I was fortunate in having people all along the way who tried to help explain other people to me, and I developed an obsessive interest in doing it.

We have all these interesting challenges now. No one knows whether automation and robotics, nanotechnology, will kill more jobs than it creates. If it does, that presents a serious problem. What are we going to do? Have a few of us work to support everybody else, or shorten the workweek for everybody? If so, how do we get from here to there? No one knows yet how we’re going to stop cyber terrorism from wrecking honest discourse in democracy and maybe putting our very lives at risk.

Yeah. I’m the luckiest person who ever lived, you know? I worked hard, like a demon. Some would say too hard from time to time, and I over-married, and I had a magnificent child. I have been incredibly fortunate, but I had the American Dream, and it didn’t matter to anybody that nobody in my family had ever been to college.

My job was basically to be a delivery boy for all kinds of things, but they also — because I was at Georgetown and studying international affairs, I was assigned to read six newspapers a day and clip the most relevant articles. This is the technology we used. You couldn’t scan articles. There was no “online.” There was nothing, right? So I would read the newspapers, clip the articles I thought they ought to read, put them on a routing slip, which had on it the names of the senior staff of the committee and all the senators who were committee members. And I would send it to the senior staff, and they would decide whether to send any of them on, but I don’t think I’d have won a Rhodes Scholarship if I hadn’t been a clerk on the Foreign Relations Committee. Nobody else I was competing with read six newspapers a day, and they actually paid me good money to read The Washington Post, The New York Times, The Washington Star, which existed then, The Baltimore Sun , The St. Louis Post Dispatch , and then we alternated — and — oh, and The Wall Street Journal . We read them every day. Those were the six papers we read. I did, and then that’s what the senators got.