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A doctor in a large hospital schedules you for a surgery and requests that the hospital have ElbowMed brand screws for your procedure. She may

A doctor in a large hospital schedules you for a surgery and requests that the hospital have ElbowMed brand screws for your procedure. She may or may not get this specific brand, depending on the decisions of others in, or associated with, the hospital. In this situation, who might play the role of a "gatekeeper"?
Multiple Choice
The insurance company
The patient
The salesperson
The buyer
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