The episode fed criticism that the specialist system is antiquated and needed to go.
This is a illustration of why a new specialist system wouldn't save any money, of course, but it could have a big impact on patient outcomes.
With new regulations favoring automation-- and indeed the NYSE has its own plan to push greater automation on the trading floor-- the future of the specialist system has been called into doubt.
Richard Grasso, the former chairman of the NYSE and a proponent of the specialist system, was forced out in September 2003, at about the time the specialists investigation was intensifying, adding fire to criticism that the system was antiquated and unnecessary.
Trading in share certificates was more costly for brokers who needed to set up a specialist clearance system in their back offices.
"For many patients who would have a favorable response to treatment now, it doesn't make sense to me to put their treatment off, " says Mitchell L. Shiffman, a liver specialist with Bon Secours Health System's Liver Institute of Virginia.
WSJ: Hepatitis C Dilemma: Treat Illness With Interferon Now or Wait?
Amazon's figures also point to a happy holiday season for Nintendo, Apple and global positioning system (GPS) specialist Garmin.
Amazon's figures also point to a happy holiday season for Nintendo, Apple (nasdaq: AAPL - news - people ) and global positioning system (GPS) specialist Garmin (nasdaq: GRMN - news - people ).
The way to improve care for this group, it's said, is to move to a system of fewer but much more specialist emergency departments.
Jonathan Anderson, a China specialist at UBS, calculates that under the current pension system the government could face unfunded liabilities of up to 6% of GDP annually a few decades hence.
New specialist routes will be developed further to improve the visa system for short-term business visitors and entertainers, as well as a "young talent" scheme to encourage the entrepreneurs and scientists of the future to immigrate.
"This is very much an honor system, " said Paul Boyce, a public affairs specialist with the Army.
"If you wanted to design a system not to use this vaccine, that's the system we have, " says Vanderbilt University infectious disease specialist William Schaffner.
But the hybrid system means far fewer specialists are needed, and many specialist firms and banks have been firing floor brokers or reassigning them to trading desks off the floor.
Critics of the idea also point out that, unlike America, Britain already has a reasonably standardised exam system, which is designed to instil the sort of specialist knowledge that British undergraduate degrees tend to require.
The proposed but long-delayed Specialist and Critical Care Centre for Gwent would be a model for the new system, but the price tag has so far been a major impediment to its introduction.
Speed is certainly the reason by NYSE bought Archipeligo Holdings last year and made changes that have meant the elimination of most of the specialist brokers who once crowded the floor in favor of a new electronic trading system that only pumps trades to human brokers when there is high volatility.
Eventually Wright found a specialist and was diagnosed with multiple sclerosis, a debilitating disease that involves the immune system attacking the central nervous system.
Epic Systems, a data-backup specialist it bought in 1993, helped EMC add the world's fastest open- system backup technology to its arsenal.
This is a remarkable saving, and although she is a small, specialist vessel, many of her features, particularly the new bow and the more efficient system of propellers, could help reduce fuel consumption and emission levels in larger ships as well.
The consequence is the system we have, with plenty of individual transactions procedures, tests, specialist consultations and uncertain attention to how the patient ultimately fares.
Specialist firms used to be hot property on Wall Street, but that was before the whole market making system came under scrutiny.
When the big movie studio system broke up in the 1930s it fractured into a large number of what were essentially small specialist firms and freelancers.
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