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Operational difficulties and a trust deficit between the public and private health sectors affect retention of private providers in the scheme.
Metro-North had fewer commuters than usual and reported no operational difficulties.
Perrin also points out that 2010/11 does present operational difficulties.
Vestas has responded to its operational difficulties with an overhaul effort that included selling factories.
The 9/11 conspirators confronted operational difficulties, internal disagreements and even dissenting opinions within the leadership of al Qaeda.
Separately Richard Jones, chief executive of GSTS, said: "There were operational difficulties in the early period of GSTS.
In the northernmost window on Broadway sits Santa himself, who was experiencing operational difficulties one morning last week.
But Mr. Parker has strongly disagreed, saying that America West was recovering after some operational difficulties last year.
Production fell at the Marikana mine in South Africa because of operational difficulties and poorer-quality ore.
However, the first incarnation of the service, the Marine Regiments, was plagued by structural and operational difficulties.
Two years later, the zoo closed for 10 days because of what media reports described as operational difficulties.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com