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Such companies, known as pharmacy benefit managers, can exert immense influence over what drugs are prescribed and dispensed.
But the true danger lies in the opacity that has resulted, which "undermines decision-making and dilutes the influence that managers can exert over the various parts of their firms". In a world of rapid technological change, IT fragmentation is a peril.
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Policymakers should not create protective measures to shield companies from these pressures but can exert constructive pressures on companies and managers, provided they have appropriate goals and information.
Still, they can exert powerful political pull.
"Public opinion is already exerting all the pressure that it can exert on government," Krosnick said.
Imagine the influence – over global tax wheezes – Amazon can exert.
China can exert enormous economic leverage on Iran.
SNP's, pronounced snips, can exert dramatic effects.
He can exert influence over another three, which the government controls.
Rats can exert a biting pressure of 7,000 pounds per square inch.
The government can exert subtle control in many ways short of outright censorship.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com