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But the litany of Nassau's scapegoats is long and keeps growing from within, like a tumor: deficit spending, inadequate tax increases, expensive union contracts, imperfect politicians, the political complacency that can come with privilege, and, surprisingly, a healthy economy that for years kept the problems from erupting.
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The oil companies, the proposition says, would not be allowed to pass the tax on to the consumer.Cue outrage from Chevron and its fellow oil producers: the proposition will mean higher petrol prices anyway they say, because it will depress Californian production and so increase expensive imports (last year, California supplied 37% of its own oil demands, Alaska 21% and foreign imports 42%).
Faced with a ballooning deficit that is becoming increasing expensive to finance in the face of rising long-term interest rates on Greek debt, Athens is expected soon to draw on a joint rescue package from euro-zone governments and the International Monetary Fund.
As the demand for better and more cost effective health care quality and delivery continues to increase – expensive, limited, and time consuming traditional research programs are put under greater scrutiny to produce outputs not necessarily consistent with their primary goals [3,4].
It became increasing expensive to produce iron in Coatbridge as raw materials had to be imported from as far afield as Spain.
Birth control is becoming increasing expensive and difficult to find, vasectomies are no longer free, and sex education clinics which used to distribute condoms are now "family planning clinics" espousing the virtues of children and child-care.
And with more than 10m pensioners, even small per-head increases are expensive.
Referrals to other physicians increased by 106 percent, which the authors said is a likely contributor to recent increases in expensive and often ineffective spine surgeries.
Some state officials fear that by the time tax collections rebound, the stimulus money will have run out, continuing a cycle of budget gaps that will have to be filled with cuts or tax increases or expensive borrowing.
Dental expenditures assume an increasing proportion of health care, which may be due to the increase of the number of dentists, 88% of whom practice solo private dentistry, the increase of expensive prosthetic operations and the significant decline of the public role in the provision of dental coverage.
But the research also shows that forgoing this outpatient care leads to an increase in expensive hospitalizations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com