History of No. Carolina Medical Practice Act Changes 'Those who cannot remember the past are condemned to repeat it.' (George Santayana – 1905). In a 1948 speech to the House of Commons, Sir Winston Churchill changed the quote slightly when he paraphrased it: 'Those who fail to learn from history are condemned to repeat it.' Following is a transcript of a recording by John Wilson, MD of Asheville, North Carolina documenting the history of the changes to the Medical Practice Act of North Carolina. My most