In my hometown a well known rich businessman's wife broke her hip.

In my hometown a well known rich businessman's wife broke her
hip. The businessman got the best bone surgeon in town to do the
operation. The operation consisted of lining up the broken hip
and putting in a screw to secure it.

The operation went fine, and the doctor sent the business man a
fee for his services of $5000. The businessman was outraged at
the cost, and sent the doctor a letter demanding an itemized list
of the costs. The doctor sent back a list with two things:

1 screw $ 1
knowing how to put it in $4999
-----
$5000

The businessman never argued.
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