He’s sure that his competitors may disapprove of Running a hospital, but won’t say so to his face:
This blog is subject to disdain by my colleagues in some other hospitals. Really. You can see it on their faces when the topic is raised in their presence. They are deeply offended by it and think it unacceptable for the CEO of a Harvard hospital. Of course, they have never said anything to me directly. Then, they would have to admit that they read it.