Philosopher José Ortega y Gassett claims, "In short, the reabsorption of circumstance is the concrete destiny of man." Health care ethicist and physician Edmund Pellegrino links Ortega's claim to health care ethics by claiming that "each of us is engaged in a personal project to fashion a life of our own out of the circumstances in which we find ourselves. [In circumstances of illnesses, injuries, impairments, or disabilities] each person confronts the realities of his unique situation and humanizes it, attains his equilibrium with it."