Alma: Rita was my disease. She was a tumor, causing me no end of pain. Agony. So I had her removed.
Bertram: It's not the same thing!
Alma: There's so much suffering in the world because of cruelty and unkindness. Rich, beautiful people with power humiliating weak nobodies who displease them. Rita thought I was weak. So did I. You, you taught me that we all have power. If only we're brave enough to use it.