Against the State against the Church against the silence of the medical profession against the whole machinery of dead institutions of the past the woman of today arises.
Finish last in your league and they call you idiot. Finish last in medical school and they call you doctor.
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What's important at the grocery store is just as important in engines or medical systems. If the customer isn't satisfied if the stuff is getting stale if the shelf isn't right or if the offerings aren't right it's the same thing. You manage it like a small organization. You don't get hung up on zeros.