TL;DR Shingles vaccines reduces chances of dementia by 20%. Yet, most countries health systems only look at the upfront cost of ~$300 and don’t recommend for all who could benefit.
This is common practice in much of developed world. Long ago, they used to have re-usable glass syringes that could be sterilized. Unfortunately, people switched to disposable syringes. The unit costs are...high in the US, unreasonable in developing countries.
It's not just this hospital, it's widespread ([1] report 38%)
A blast from the past! Pyscripter was definitely a top contender back in Python 2.3 days. Not sure when I stopped using it and why. Seems to be actively maintained. Will have to try again.
This seems like the story in "The Phoenix Project". If the outsourced software is critical to your operations, it seems it should be brought in-house. Software design is best done when the feedback loop is very tight. It never is with outsourced software.
As for how to go about building a team, you are better placed than I am to figure it out. Probably start with a small team with the most critical bits and build from there.
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