Small Pox Champion

I found this lying around work. I really hope one of the kids I work with stole it from W and K, somehow. I know a lot of creative types end up in advertising making money for Coca-Cola, Kraft, Proctor and Gamble and on and on (the client list is scary) because they can't make a living with their own art. But I wonder, how they listen to this record and then live with this decision?