On Tuesday, manager Terry Collins said Rauch would no longer be the primary setup man to closer Frank Francisco.

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Losing the primary setup man to Mariano Rivera for any length of time would be a huge blow to the Yankee bullpen.

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Likewise, primary care doctors are seeing similar phenomena and increasingly there are organizations such as Physician Care Direct and the American Academy of Private Physicians which are setup to transition a primary care practice into a model that can be described as two parts Marcus Welby, one part Steve Jobs.

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