I critique market-based medicine not because I haven't seen its heights but because I've seen its depths.
If you want to be a rock star or just be famous, then run down the street naked, you'll make the news or something. But if you want music to be your livelihood, then play, play, play and play! And eventually you'll get to where you want to be.
The only rock I know that stays steady, the only institution I know that works, is the family.