Final Chapter 9 explains why ‘free’ market competition under regulatory capitalism underlies widespread unrecognized regulatory violence and argues that the cultivation of competitive desire (cf. Girard 2000) succeeds at the expense of what have become ‘sacrificeable’ patients. After a discussion of suggestions of altering the social contract between science and publics, and the observation of the prevalence of competitive desire in the context of political debate in the UK, I explain how, instead of regulatory capitalism based on competitive desire, a vision of caring solidarity applying the generative principle of creative desire (Adams 2000) would be more conducive to policies aimed at medical and public-health targets. I argue that guidelines rooted in ‘caring solidarity’ can largely prevent the violence of regulatory competition that has become endemic to regulatory capitalism. By avoiding high-risk strategies that are oriented on one-size-fit-all solutions expected to generate high-profit margins, the proposed vision of caring solidarity is more conducive to sustainable health. The rudiments of such a model, I suggest, would use the generative principle of creative desire, building on local notions of wisdom incorporating virtue ethics of prudence and justice.