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It is flatly refusing to engage with junior doctors, has done nothing to halt industrial action and is wilfully ignoring the mounting chorus of concerns over its plans coming from doctors, patients and senior NHS managers.
The carefully worded NAO report adds to a growing chorus of concerns about the reforms, with nearly every group representing doctors and other healthcare workers warning against the scale of the changes.
Yesterday's three winners of the 2013 Nobel Prize in medicine, two of whom are ASCB members, have added their voices to the chorus of concerns about budget cutbacks at NIH.
Speaking to BBC World, former Federal Reserve governor Prof Randall Kroszner explained the Fed's global influence and said there had been a "growing chorus of concerns raised about Larry" although, he added, many were not well-founded.
Ratings agencies and pensions funds have added their voices to the chorus of concerns.
In the end, Napolitano bowed to the chorus of concerns even as she told regents that the shortfall would affect UC's renowned quality.
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Even Joe Namath joined the chorus of concern last week.
Now a new voice has joined the chorus of concern.
As a result, the chorus of concern about budget deficits is rising in the Senate.
Cameron's condemnation came amid a growing chorus of concern over intolerance and hostility.
Adding its voice to the chorus of concern over televised violence, the National Council of Churches Thursday urged voluntary curbs, but rejected censorship.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com