Charities struggle with this, but even some ambitious private providers complain that crude price wars are damaging quality.
Generally, illegal facsimile of high-quality multimedia products such as DVDs, MP3s and AACs is possible without damaging quality.
The £259m deficit facing East of England hospitals poses a "genuine risk of damaging quality of care", it has been warned.
"We've reached a point where we're at genuine risk of damaging quality of care for patients," she said.
The BMJ is committed to opening up its peer review process, providing that it can achieve this without damaging quality.
For people living with type 1 diabetes, the daily challenge is to strike an acceptable balance of self-care activities to achieve optimal glycemic outcomes without damaging quality of life (QoL).
I believe the BBC should have been brave and should have said we are not going to damage quality.
If you are struggling with choices that weigh hope in potential medical advances that damage quality of life against non-treatment and the acceptance of a terminal diagnosis, this may not offer much comfort, but for me, as with so many of Ehrenreich's books, Natural Causes is a much-needed tonic.
Patterson's model of rapid-turnover fiction, what you might call 'fictchurn' (after the similar journalistic process of 'churnalism'), has great potential to damage quality.
"It would damage quality care by spreading GPs so thinly, and replace continuity of care with impersonal shift work, and will reduce our availability for older, vulnerable patients".
