On the other hand, it has deeply committed adherents who approach the procedure with an almost religious zeal.

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Adding to the confusion was the fact that the Philippines has never before conducted an impeachment trial, so there is a distinctly ad hoc approach to procedure.

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In one of the biggest shifts in two decades, dozens of hospitals have started offering the new approach, a less invasive procedure that entails making five or six keyhole incisions through which instruments and a tiny camera are inserted.

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We have entered an era now where much health commentary has swung, I would argue, too far in direction of the Dartmouth Atlas or Peter Orszag approach of assuming that every costly, innovative procedure is evidence of how wasteful our health care system can be.

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She emphasized that in situ preservation is a logical procedure and a basic principle to deal with various risks at underwater sites whenever a scientific approach is not applied to interventions.

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