"Last night, John McCain said that under the Democratic health care plan, a bureaucrat would stand between you and your doctor, as opposed to the Republican health care plan, where an accountant would stand between you and your health care."

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We are not utopians, we do not “dream” of dispensing at once with all administration, with all subordination. These anarchist dreams, based upon incomprehension of the tasks of the proletarian dictatorship, are totally alien to Marxism, and, as a matter of fact, serve only to postpone the socialist revolution until people are different. No, we want the socialist revolution with people as they are now, with people who cannot dispense with subordination, control, and "foremen and accountants".

— Vladimir Lenin