Also, dont think of them as competition. it was a funding issue and it was also that I was in major debt and was under a lot of stress and it was interfering with my work.
The building was so big that the heating bill alone ate up a lot of the budget, and the growing number of elderly patients put it under increasing strain.
In the present today, it was recognized that alienation does not mean that had been completely accurate understanding of it, not to say that there is sufficient justification to overcome it.