The very rich, very poor, and the very famous get the worst medical care. The very rich can buy it, the very poor can't get any, and the very famous can dictate it.

In this quote, Debbie Rowe highlights the disparity in access to quality medical care based on social and economic status. She points out that the very rich can afford the best medical treatments, but their wealth can sometimes lead to over-treatment or unnecessary procedures. This can result in a skewed relationship between healthcare and wealth, where money, not necessarily need, determines the level of care one receives.

On the other hand, the very poor often face the opposite problem, unable to afford basic healthcare or lacking access to it altogether. They are denied essential services, leading to a greater risk of untreated health conditions. The very poor's lack of resources and support from a healthcare system that is increasingly privatized contributes to their vulnerability in seeking necessary medical attention.

The very famous in the quote refers to individuals who are not necessarily wealthy but have fame and influence. Rowe suggests that fame often allows them to have their own dictated medical care, where their preferences or desires may overshadow the professional recommendations of healthcare providers. This results in personalized care that may not always be in their best interest but is tailored to satisfy their celebrity status.

Overall, Rowe's quote criticizes how economic and social status can distort the fairness of healthcare access, pointing out how the system fails to serve all equally.