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I thought it would be a few years before that shift would happen.
We're going to make sure we're ready long before that shift takes place.
Before that shift, because state Medicaid officials have the legal authority to negotiate prices with drug makers, those 6.4 million dual eligibles had their drugs paid for by the government at deeply discounted prices.
"Before that shift can occur, there needs to be a clear and detailed plan for change, setting out what the future of the NHS looks like, what it will cost to deliver and the workforce numbers and skills needed to make it a reality".
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One reader wrote: "After the Karamazovs (and while reading it), I looked around in horror that everything went on as before, that the world did not shift on its axis.
Her elemental idea, which can be found in dozens of her scores, is an oceanic expanse of sound, one that shifts before one's ears and quivers with hidden life.
All this occurs before a set (by Robin Wagner) that shifts from two-dimensional vaudeville scrims to a sort of decrepit Gothic ballroom where the Addams Family might gather.
The trunkline turned back due east and crosses the Fox River before a set of curves that shifted the highway along the Schoolcraft Luce county line to pass north of Big Manistique Lake.
This reflects shifting, click-driven priorities of the global news agenda, but Google Trends echoed Beyoncé's role in that shift: before 2013 there were clumps of interest around album campaigns, but in December 2013 Beyoncé began prompting huge peaks in interest that wildly outstripped any that came before.
If a legal challenge to the new legislation arrives before the Supreme Court, that shift of power could be crucial.
But before we witness this latest evolution, what are the milestones we need to reach before we make that shift a reality?
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com