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"We want these labels to motivate people when they serve on juries and elect policy makers.
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"Now the institutional memory will be in the hands of the lobbyists and the legislative staff, when it should rest with the elected policy makers".
Because the U.S. is a democratic republic, citizens vote on candidates for public office and big issues, delegating most of their authority to elected policy makers.
Their job is to report truthfully to the elected policy makers so that they can make policy.
Elected policy makers control the action of municipal OHs, for example, resources and prices through municipal decision-making processes.
By simplifying, municipal managers are leading and organising municipal OH processes as acting as providers of the services, whereas municipal elected policy makers are acting as purchasers of OH services.
If Romney is elected, policies based on that philosophy may be put into action.
Municipal decision makers consisted of elected policy-makers and permanent municipal managers (municipal managers and health care managers).
A prerequisite for this cooperation is elected policy-makers' and municipal managers' knowledge of OH needs and possibilities and vice versa.
Municipal managers had a cohesive vision of the development of municipal OH, whereas elected policy-makers approached the development and change more pragmatically, and more variation was observed in their views of change.
It might, for instance, tend to improve elected officials' policy decisions.
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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