"The allegedly 'classy' magazines often seem to be in an endless, undeclared competition to see who can climb furthest up the fundament of Gwyneth Paltrow or Jennifer Lopez."

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Competition makes things come out right. Well, what does that mean in health care? More hospitals so they compete with each other. More doctors compete with each other. More pharmaceutical companies. We set up war. Wait a minute, let's talk about the patient. The patient doesn't need a war.

— Donald Berwick