The author provides a critical view on the prioritization of profit over the care of people, and the gross expansion of exploitation within medicine, writing: "This new 'medical-industrial complex' may be more efficient than its nonprofit competition, but it creates the problems of overuse and fragmentation of services, overemphasis on technology... and it may also exercise undue influence on national health policy. Closer attention from the public and the profession, and careful study are necessary to ensure that the 'medical-industrial complex' puts the interests of the public before those of its stockholders" (Relman, 1980).