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Forgive me, V, I didn't express my concern well. The pressures brought to bear when health care is conducted as big business more than as a professional relationship have both intended and unintended consequences. The relationship can end up much poorer than it might otherwise be. But personalities play a role too, no matter what the structure of the interaction.
As I mentioned earlier, I am glad for the change in emphasis and type of evaluation that has taken place over the past 30 years.
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The greatness of a nation and its moral progress can be judged by the way its animals are treated. - Ghandi 
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