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But one thing is clear: The White House appears deadly serious about threatening an outcome that would leave many millions without coverage in the hopes of increasing its leverage, though it's not quite clear to what end.
That would allow Massachusetts to exclude certain brand-name drugs from Medicaid, increasing its leverage in price negotiations beyond what it can achieve through existing utilization management techniques like prior authorization.
If completed, the deal will begin a new phase in China's push into the global film industry by sharply increasing its leverage with Hollywood and creating the first theater chain to have a commanding presence in the world's two largest movie markets.
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In recent months it has pressed the Metropolitan Museum of Art and several other museums around the world to return objects and, to increase its leverage, it has refused loan requests to some.
The court's order suggested that Iran was willing to go to new lengths to increase its leverage in dealing with what it views as American-led hostility over the nuclear program, which Iran says is for peaceful purposes but the United States, the European Union and Israel regard as a cloak to attain a nuclear weapon.
Having a North Korean envoy meet with his South Korean counterpart about the North's nuclear weapons program is symbolically important for South Korea, which is trying to increase its leverage over the North and make it respect the South.
The merger helped HP cut billions in costs and certainly increased its leverage and buying power in the industry, but it hasn't done much to accelerate HP's growth.
Whitebox, a $3.1 billion family of funds, increased its leverage.
Another option is to increase its leverage, or borrowing.
On Iran and Syria, Putin will calibrate his moves to reduce Moscow's exposure and increase its leverage.
Syria increases its leverage inside Israel by weakening Fatah and strengthening Hamas.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com