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Neither should the financial and workforce issues associated with major structural reform should be underestimated.
With regard to Medicare, without major structural reform and studies to determine what works and what doesn't work, its costs will keep growing.
We have been through major structural reform, not always welcome by all, and have also been rocked by scandals as profound as Mid Staffs, Winterbourne View and Morecambe Bay.
As this will probably be the last Set of Six in this form for a while, I'm going to be a bit self-indulgent and return to the need for major structural reform in the domestic season – so for those who have had enough of the topic, look away now.
But what was then seen as the first major structural reform of Francis's papacy is facing stiff headwinds, despite a recent spate of embarrassing revelations about the alleged mismanagement of church funds by senior officials, including claims in two recent books that describe lavish living arrangements for senior clergy members in Rome.
"The only way to fix our broken intelligence system is to move forward on a bipartisan basis," said Representative Jane Harman of California, the ranking Democrat on the House Intelligence Committee, "and it is welcome news that most Republicans on the Senate Intelligence Committee favor major structural reform".
Similar(43)
It is willing to offer Ukraine a free trade agreement provided the government embarks on major structural reforms.
"This has all been achieved with no major structural reforms, through negotiation and a lot of goodwill from lots of parties," Bittar said.
He made clear in the Welt am Sonntag interview that Germany could not hope to emerge from the financial crisis stronger unless "there are major structural reforms".
Germany spent much of the past decade making major structural reforms to its labour markets, a policy shift that meant German joblessness was falling heading into the recession.
In Europe, politicians are aware of the need for major structural reforms, including those required to solidify regional integration; but companies lack adequate clarity about the components of such reforms.
More suggestions(15)
major institutional reform
major structural damage
major structural investment
major structural reorganisation
major structural difference
major corporate reform
major structural upheaval
major structural work
major structural overhaul
major military reform
major structural material
major structural protein
major structural change
major structural component
major structural obstacle
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com