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But to conflate discussion about the limits of those entitlements with the need to combat fraud and abuse is damaging.
The system features compulsory contributions and uniform entitlements, with an element of consumer choice, and represents the socialisation of care as part of a social contract.
Four days later Mr Obama proposed a detailed deficit-reduction plan that combines token trims to entitlements with multiple extra taxes on the rich.
The result was a hanging curveball for President Obama, who spent last week posing as the Last Reasonable Man in Washington, contrasting his willingness to compromise on entitlements with the House Republicans' intransigence on taxes.
First, we assumed that permits would be shared out on the basis of equal per capita entitlements, with countries able to emit in proportion to their population (the "contraction and convergence" approach first proposed by the Global Commons Institute).
There was still "substantial" room, the administration said, to raise taxes on high-income Americans, to reform corporate taxes and to reform entitlements, with the aim of "balanced" deficit reduction.
Similar(44)
There's an underlying truth there — we do have a problem with entitlements and with freeloaders — and he inflated it beyond recognition.
"There's no sense of entitlement with him.
Constant reassessments often mean downgrading or removal of entitlement with significant loss of income.
"I think the Clinton team is getting into that zone, mixing frustrated entitlement with bafflement at their apparent fate.
There is a pervasive sense of entitlement, with massive lobbying efforts and virtually the same practices as before.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com