"A hospital patient can expect one medical error every single day of any hospital stay. Malpractice suits are numerous enough that one may reasonably conclude that there is certainly no guarantee of proper health care by contracting it out."

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Under the administration of George W. Bush, you will recall, federal spending grew pretty significantly. At the same time, the number of people directly employed by the federal government shrank. One of the factors that explained the difference was contracting.

— Thomas Frank