Informant38

dealing from strength:

"And we market the hospital to the community. We meet with the managed-care people. They know that we are reliable. We give quality care. We haven't had problems like some others. If you follow the industry, you know of which I speak. The managed-care people rely on us, we have a good relationship with them, but we are dealing from strength.

"...we don't have any particular magic. What we do is attack sort of every area of the hospital. When we buy it or when we build it, it's the same thing."

Alan B. Miller/Universal Health Services interview with Forbes 29.Nov.05
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Maybe it's my currently possibly excessive state of cynical despair but it would seem pretty generally obvious that virtually every end-user of Universal Health Services' services would not be "dealing from strength", and would thus be at a pretty serious disadvantage in whatever negotiations were taking place.
People don't negotiate for the health of their loved ones, or themselves, not in the clinch.
Health care as a business is a disease.
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link Marsh/Huffington