Mark Shields

George Bush is trying to play it both ways.

When the size of the group supporting your cause reaches a critical mass, any legislator or elected official has to pay attention.

The advantage that hospitals have over other institutions is that hospitals are community-based. You can't outsource your work; you can't move your emergency department to Pakistan.

In the successful organization, no detail is too small to escape close attention.

When large numbers of men are unable to find work, unemployment results.