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High switching costs and high-touch service keep the surgeons closely tied to their primary vendor, and the surgeons bring in enough profitable procedures to keep hospital administrators at bay. Second, the firm aims to accelerate growth through innovative products and improved execution

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Goodman and Capitman 2000) and not the other way around

(There are also carryover bills in Illinois, Nebraska and New York that were introduced in 2017 and are still active.) In Tennessee, lawmakers are seeking a more modest increase with a bill that would raise its purchase age to 19 years old