The markets that make up industries when they mature act differently as well.
They are also facing increasing competition from not-for-profit hospitals, which still make up 85% of the industry.
Although the US and Europe still make up 70% of the industry's exports - accounting for £2.4bn and £5.4bn of sales respectively - other markets are increasingly important.
But ratings are so pervasive that it is hard to see this being accomplished without great dislocation.A more practical approach might be to let the agencies get on with their house-cleaning while introducing a reform borrowed from the accounting industry: a board, made up of industry types, investors and academics, charged with policing the agencies' analytical techniques and governance.
The audience, made up of industry buyers, was wholly white.
The coalition is made up of industry associations like the American Advertising Federation, the American Association of Advertising Agencies and the Association of National Advertisers.
It is no coincidence that the committee that helped develop this process was made up of industry members.
It should be removed from political control and regulated by a super-trust made up of industry experts.
The institute's list will be decided by a jury made up of industry professionals, filmmakers, historians and critics.
They felt that arbitration panels -- made up of industry executives, lawyers and business people -- would be more conservative than juries of people unfamiliar with investing.
Citron is part of the movement promoting reform, as a member of a low-key, but influential body: the Anti-Cyberhate Working Group, made up of industry representatives, non-governmental organisations, academics and others.
