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If history is any guide, the established high-end providers of products and services are likely to be articulate and assertive about preserving existing systems in order to ensure patient well-being.
For example, Medicaid will not pay for clinicians who provide "assertive community treatment" -- a system in which professionals work as a team, making home visits, checking on medication and helping patients with practical day-to-day demands.
Microsoft plans to begin a worldwide campaign today to promote the Windows XP operating system, carrying the assertive theme "Start something".
Together, the two systems produce questioning, assertive people driven by a strong sense of cultural identity and religious fervour.
John Rogers, a state representative from Birmingham and also executive director of minority programs for the Birmingham campus, said: "My real feeling is that sometimes when you are very assertive, you overshadow other people in the system, maybe even the chancellor.
Introducing his national security team on Monday, Barack Obama observed that "newly assertive powers have put strains on the international system".
In some health care systems there have recently been more assertive attempts to generate policies to influence the behaviour of health care professionals when conducting their clinical activities.
Never has postwar Japan needed strong, assertive leadership more — and never has its weak, rudderless system of governing been so clearly exposed.
It says China's increasingly assertive actions in the region – which include placing sophisticated weapons systems on artificial islands – coupled with growing domestic nationalism risks setting the US and China on "a dangerous collision course".
Thatcher loved to surround herself with assertive, self-made men who shared her disdain for the British class system.
Your health care surrogate must be assertive and willing to stand up to other family members and the health care system.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com