However, critics, including many doctors, say that H.M.O.'s, in effect, practice medicine, by putting pressure on doctors to keep the cost of care within limits set by a distant corporation, without regard to the needs of a particular patient.
How, in effect, practices of moralization are necessary to make tolerable the intolerable.
Earlier on Wednesday, at a Democratic retreat in Annapolis, Md., he had hinted at a potential filibuster of Mr. Brennan's nomination by vowing to "pull out all the stops to get the actual legal analysis, because without it, in effect, the administration is, in effect, practicing secret law".
In effect, therefore, practice based commissioning has resulted in very "soft" budgets for practices, with few penalties for overspending practices or rewards for underspending.
In effect, the practice stole money from the fund shareholders -the Drexel customers - and gave it to the brokers.
In effect, the practice of italicization allows the presentation of a language to become a part of the language itself.
These mitigated skeptics thus changed the status of argument on either side from a critical and, in effect, destructive practice into a positive method for rationally confirming and, indirectly, teaching philosophical conclusions.
A noon-to-5 p.m. study hall was still in effect, and practices took place later.
In effect, these practices, by artificially inflating reported contributions, make it seem as if expenses consume a smaller portion of donor dollars.
As such, it might not only prove to be valuable in effecting improved practice in physical activity promotion in the future, but it might also be applicable to some extent to policy development in other health promotion contexts.
Barack Obama in effect ended the practice of candidates taking general election public financing in 2008, when he chose not to accept it.
