Quality isn't only sacrificed due to mismanaged loss in the pipeline. It's also at odds with delivery speed, feature breadth, cost, and itself. Quality is at odds with quality, because quality is not single dimensional!
If anything, low quality is what increases cost and delivery time, by adding expensive inspection, re-work, warehousing of defective product, missed returns on development time, customer disappointment, loss of feedback.
Quality achieved by exhortation ("Try harder!") is at odds with all sorts of things. Quality achieved by straightening out a process designed to produce defects in large numbers -- not at odds with anything, except perhaps office politics.