The Arab world may modernize on its own separate path.
The problem was, Mr. Sisto added, that many hospitals lacked the capital to modernize on their own, and many came together through alliances and mergers "to share capital, consolidate data systems, and have more clout in negotiating with insurance companies".
If you're fiscally conservative but libertarian on social issues, then you've probably made the case that Todd Akin, Richard Mourdock and anti-immigrant yahoos took the focus off the economy, and that cultural conservatives need to pipe down and let the party modernize on gay rights, immigration and abortion.
And in their defense, transit officials point out that when you are bigger than everyone else, by far, when you use 4,473 kinds of screws and 829 kinds of electrical coils, by one count, when you transport as many people in 10 weeks as the American airline industry does all year, it is not so easy to modernize on a dime.
However, Alto's course of action is to modernize on the backend and onboard providers to use the startup's new pharmacy communications platform.
In a country trying to modernize on the fly and take its place among the world's superpowers, this massive yet unknown population presented a huge problem.
"[Eliot] has actually trained himself AND modernized himself ON HIS OWN", Pound wrote to Monroe in October 1914.
"He has actually trained himself and modernized himself on his own" was his famous reaction, in a letter to the editor of Poetry, Harriet Monroe.
Digital rights groups praised the decision and joined Microsoft and other technology companies in calling on Congress to modernize laws on electronic communications.
