We spent a lot of time thinking about service-quality in relation to electricity and telecom services in 2012-14. We organized the 2013 SAFIR core training course around the theme of service quality. But the work has more to contribute. The current controversies around private medical education has brought to the fore many neglected issues related to service industries, including the question of service quality or standards. The op-ed seeking to respond some of these erroneous claims states: As shown by the example of automobile service above, the burden on the regulatory agency is much less when competition exists.