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For patients, the transition away from small private practices is not all bad.
"Contract error and mismanagement amounts to tens of billions of dollars' worth of contracts a year being diverted away from small business," he added.
But analysts expect that most of us will gravitate to the big systems, just as we have moved away from small pharmacies to CVS and Walmart.
Those things are still important, but what Apple really did was change the game away from small hardware tweaks to the software platform.
The trend away from small private practices is driven by growing concerns over medical errors and changes in government payments to doctors.
Still, changes in delivering medical care are taking hold, including a move away from small doctor practices that were predominant for more than a century.
Alderman Proco Moreno (1st Ward) has sought to keep graffiti taggers away from small businesses by commissioning them to paint designated walls.
Keep away from small children.
They shy away from small caps unless they see a slam-dunk.
Capital is being channeled away from small businesses toward big government.
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Enforcement of laws against possession has been uneven, to a point where New York leaders want to move away from small-scale pot arrests.
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