A physician heard a broadcaster use the term byzantine to describe the current health care system, and wonders about the origin of this adjective. Martha notes that the Byzantine Empire, which began in the 4th century A.D., was notable for its convoluted system of government officials and titled nobility. Additionally, Byzantine art is known for its intricacies and elaborate details. Thus, the word has come to refer to anything exceptionally complicated or intricate. This is part of a complete episode.