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Senators have been debating their own proposals, which include reauthorizing the provisions through 2013 but imposing greater safeguards on them, or making the provisions permanent without modifications.
Separately, the Senate Intelligence Committee chairwoman, Dianne Feinstein, Democrat of California, has proposed extending the provisions through 2013 without changes, and Republican leaders have proposed making the provisions permanent.
There was talk of the Republican leadership making the provisions for "pass through" businesses even more generous, and also of including a "trigger mechanism" that would roll back some of the tax cuts if revenues came in lower than expected.
However, Indian newspapers reported a low turn-out for Tuesday's vote, even though various parties had pledged their commitment to making the provisions in the bill become law.
And even then, Gawande observes, will the communities charged with making the provisions of the law work actually muster the creativity and thoughtfulness to do so?
The Supreme Court has also issued directions to the State in this regard, with a view towards making the provisions effective and enabling a citizens to properly perform their duties.
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Ultimately, the law is only going to be useful if there is political commitment towards making the provision happen.
Poor rural patients have difficulty accessing the drugs, making the provision of antiretroviral therapy inequitable.
Trials often have strict budget constraints making the provision of incentives an unacceptable additional cost.
However, its magnitude has not been studied at community levels, making the provision of appropriate services difficult in such countries.
These features contributed to making the provision of coherent and effective aid to all those who needed it difficult to achieve (23).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com