The vested interests are largely traditional practitioners, and more so pharmaceuticals. We are faced with a problem where we have a shrinking health pie - in other words, the money going into health care is being reduced - and our competitors, if we could call them that, would like to have a larger share of that shrinking pie just to maintain their financial status quo, so we really feel under siege.
Il semble que le gåteau de la santé s'amenuise - en d'autres termes, le budget des soins de santé diminue - et nos concurrents, si nous pouvons les appeler ainsi, aimeraient avoir une plus grande part de ce gåteau, ne serait-ce que pour préserver leur situation financière; nous nous sentons donc véritablement menacés.