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John Whiting, tax policy director of the Chartered Institute of Taxation, explains that there is a sound principle behind it: to provide administrative simplification.
The worry is that the current perturbations are motivated less by evidence, or the lessons of international experience, and more by a desire to curb spending, reduce head count and deliver a rather superficial form of administrative simplification.
Read Secretary Shalala's proposed regulations at HHS's Administrative Simplification Web site.
Specifically portions of the Privacy and Security Rules of Title II, known as the Administrative Simplification Provisions (ASP) have been adopted.
Such transparent policies could assist program directors in dealing with the deluge of IMG applicants, so that categorical refusal to considers these applicants is not used for administrative simplification.
Possibilities include additional educational burden and costs imposed on programs by IMGs, conflict over goals for medical and post-graduate medical education, protectionism for USMGs, concerns about image, administrative simplification, and discrimination based on xenophobia, country of origin, chauvinism, or other factors.
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Administrative simplifications, such as the availability to oral penicillin suspensions during meals, may help shift the trend away from broad-spectrum antibiotics.
The overall trend was towards a simplification of administrative infrastructure.
It will facilitate "the incorporation of the best international practices for evaluation, the accountability of allocated grants, and the simplification of the administrative processes," the government assured.
5 9 However, the CTD failed to achieve its intended impact on the simplification and harmonisation of administrative provisions governing clinical trials, 9 and thus on the level of European clinical research activity.
Examples include reductions in the administrative procedures required for conducting collective dismissals in Belarus, Central African Republic and Georgia or simplifications of the requirements needed for employers to modify working hours unilaterally in Greece, Lithuania and Poland (see Fig. 4).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com