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Managed care providers say that some limits, particularly in therapeutic classes that have several nearly identical drugs, do not harm care and can lead to great savings.
The alternative is to accept significant cuts to services that will harm care," said Ham, a former adviser to David Cameron on the NHS.
The introduction of "price competition" – allowing hospitals to undercut each other on the prices they charge GP consortiums – could harm care, Porter adds.
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But managers said setting arbitrary levels could end up harming care.
The majority said they were currently managing to make savings without harming care.
In fact a lot of that 15% or 20% does go for things of value like disease management, patient communication (online records, for example), information technology, figuring how to keep patients out of hospitals without harming care, and the construction of provider networks.
While the legislators likely improved their chances for on-time flights when they return to work next month, cuts that are harming care for cancer patients, closing children out of preschool and ending food programs for the elderly remain in place.
Over the years Haidt and his colleagues have surveyed the moral opinions of over 23,000 people from Western nations all over the world, and have found a consistent difference between liberals and conservatives: Liberals are high on 1 and 2 (Harm-Care and Fairness-Reciprocity), but low on 3, 4, and 5 (Loyalty, Authority-Respect, and Purity-Sanctity).
And that is the hidden harm: unnecessary care often crowds out necessary care, particularly when the necessary care is less remunerative.
"Industrial action will harm patient care.
However, that work is being held back by rules which harm patient care.
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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