"BD had released its own safety syringes some years earlier. But the ECRI Institute, the Consumer Reports of the health care industry, had rated its best-selling model 'unacceptable' (it was later upgraded to 'not recommended'), whereas Shaw’s product received the top rating."
<anecdotal evidence> I have a doctor and a nurse in my extended family that deal with Kaiser on a daily basis and I've heard horror stories that would make a battle hardened marine cringe. One that immediately comes to mind was a patient that literally died while waiting for some kind of approval (it's been a while since I've visited) from Kaiser for a kidney transplant. </anecdotal evidence>