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This presupposed massive reforms in public governance.
In 2013, the NHIA was amended (72) to pave the way for massive reforms in benefit design and provider-payment mechanisms (such as shift from fee-for-service to case-based payments), as well as in reducing co-payments (such as through a 'No Balance Billing' policy for indigents) (73).
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In the early 1900s, scientists embarked on a period of media engagement driven largely by the efforts of the Progressives a term used to describe groups involved in a massive reform movement in the United States from approximately 1890 to 1920— who viewed research as the guiding force of reform [ 22].
The conjoining of political and economic ambitions during the movement for democracy in the 1990s led to the massive reform initiative in science education.
And the massive reform effort in New Orleans has failed that test.
Health care is currently facing enormous challenges across the globe with ageing populations, increased chronic diseases and workforce shortages in an environment of massive reforms and scarce health dollars [ 1- 3].
In health, the government is pushing through massive reforms despite substantive concerns raised by nurses, doctors and midwives about the impact on patient care.
In 2013, the current government embarked on massive reforms.
Let's posit that these massive reforms are motivated by the laudable social concern that high-risk individuals can't afford health insurance in a voluntary market.
Then you think of poor François Hollande, who came to power in France promising massive reform and redistribution of wealth, and promptly witnessed the flight of capital and talent, a rise in unemployment, and the precipitous decline of his popularity that was only reversed by the Charlie Hebdo massacre.
In this period of massive reform, when Ofsted inspection has become even more rigorous, secondary schools should be congratulated for their achievements.
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CEO of Professional Science Editing for Scientists @ prosciediting.com