Provision of complex services such as cancer and trauma care could be hit as central planning, involving co-operation between hospitals, is replaced by a market-based system based on competition.
Or does Mr Trump's "put America first" mean replacing the commitment to co-operative internationalism with a narrower interpretation of US national interest, one based on competition?
"With T.D., the culture we wanted to create was one based on competition.
I disagree with only one observation you make, and that's that our society is based on competition rather than altruism.
Economic policy based on competition, not planning, is consensus.
An economy that is essentially based on competition will always perpetuate violence and hatred.
Social peace would be delivered by a system based on competition and envy.
The entire irrigation system is based on competition, not on sharing.
A successful post-war political system will be based on competition.
"An economy based on competition isn't just better for me," he added.
"Some services, such as accident and emergency and major trauma, will clearly never be based on competition.
