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Of course , to some , fooling voters into thinking it is just another penny is just like a game to them . Another remedy is to require insurance companies to broaden the risk pool by combining doctor specialties so that individual disciplines such as obstetrics / gynecology , where mistakes can be devastating , are not disproportionately burdened . Another error involves bundled payment codes for major procedures that include related follow-up services within a specified time period . Another exception seems to have been the Clinical Center of the National Institutes of Health in Bethesda , Maryland , which opened in 1953 . When another party uses IP without permission they infringe the rights of the owner .