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From the government perspective, efficiency implies budget discipline and an emphasis on lower costs.
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This would imply budget reallocations between programs and spending categories that can have general equilibrium economic and welfare effects.
The proposed case-mix implies an overall number of DRG points, hence an implied budget.
A "personal budget" is, as the word implies, a budget.
On top of all this, Scotland will set up a rainy day oil fund (which implies a budget surplus, of course).
That spending level, together with lost tax revenue, implies a budget deficit above $500 billion for 2016, according to my estimates, compared with $439 billion last year.
But that implies plans, budgets, personnel, reports, and these proved to be absent also.
For instance, our latest projections imply a budget deficit of around 9.4% of national income in the coming financial year, 2016-17, compared to 6.8% in our previous projections".
A similar rule in Australia would imply a budget surplus of 2% this year, argues Mr McKibbin.Chile's government adds to a "stabilisation fund" in fat years, and withdraws from it in lean.
That in turn will imply bigger budget deficits, and redefine next year's big domestic policy debates: whether to roll back George Bush's tax cuts for the wealthy, for instance, and how ambitiously to reform health care.
This implies preparing a budget for purchasing HIV diagnostic kits in case facilities run out of stock, and having a budget item to support the transportation of specimen from health facilities to the zonal laboratory and returning the results on time.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com