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We can't know the answer to that, except that maybe it wouldn't be as good as it is for many people, especially those needing health care. I hope that if she didn't spur on the nursing profession and bring it up to a level of respectability that it has attained that other people would have figured out how important nursing is and how it makes a big positive impact of the level of care that patients receive. Either way, we should be grateful for her contribution to the world.

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