"Mister Garak, one doesn't stay in medicine long if they don't care. Is that a crime, to care?" An intentional jab here, knowing full well Garak has the authority to arrest anyone...essentially for whatever he wants.

"I stay here because people need me here. It's a simple concept. 'Where can I do the most good?' And the answer is outside of the inner circle." And he wishes it could be outside of the Company as well. At the very least, he can subtly try to change some of the more deadly traps to make them less agonizing, less painful in some way for those forced into the Quarry.