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Improvement only occurs in an environment in which improvement is the only viable alternative.
Right now, neither business nor service professionals are subjected to any form of quality control. Businesses in every town are free to offer poor quality products and to mistreat customers with complete impunity. Physicians are free to misdiagnose patients, to offer them harmful and often useless drugs, and to insult them and humiliate them when they are sick and vulnerable, without any system of accountability. A Quality Control Center could be a single phone line with an answering machine, and a few people who would be willing to tally the complaints and make this information available to the public. If people in your area had a Quality Control Center, they could find out which stores had the most complaints registered against them and something about the nature of those complaints.