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Last, there is the justification for reform.
Improving care is Lansley's main justification for reform, and giving GPs control over commissioning is meant to achieve that.
The domestic justification for reform could go like so: Kim Jong Il built the nuclear weapons that made his nation "strong", regardless of whether North Korea might choose to give them up; now it is the time make the country "prosperous".
But health secretary Andrew Lansley's recipe of GP commissioning, abolition of primary care trusts and strategic health authorities, with no coherent structures to replace them; the introduction of private providers into the NHS, and emphasis on cost rather than quality of service lays personal dogma before rational political justification for reform.
Islamic justification for reform makes opposition not only in Qatar but also in other Gulf states morally more difficult to defend.
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But he added: "These trends must challenge one of the government's key justifications for reforming the NHS".
The government seems to believe consumers can handle the difficulties; in stark contrast to the more paternalist line they have taken on auto-enrolment.One potential justification for the reform is that, by removing the annuity requirement, more people will be encouraged to save for retirement.
In October 2008, the World Bank and the Food and Agriculture Organization of the United Nations released a study on the economic justification for fisheries reform [1].
The Guardian reported on leaked documents showing Mayor Emanuel being positioned to lobby for the conversion of pensions into 401(k) plans at the Illinois statehouse in a scaremongering campaign to give justification for pension "reform," sung to the narrative of "out of control" deficits.
The justification for the reform was the improvement in young people's oral health, that had taken place between 1980 and 2000 and greater demand for dental care by the increasingly dentate middle-aged and elderly who had put pressure for wider access to the PDS on politicians.
Christine Blower, General Secretary of the National Union of Teachers, said: "Michael Gove's habitual simplification and half-truths about Pisa have for many years formed the central plank of his justifications for widespread reform.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com