The role of the ACA in this trend is rather more nebulous than its effect on the pressures of medical bills, but the bulk of the improvement has occurred since the law's enactment, and may reflect initiatives for improving hospital care that were written into the ACA; among them is reduced Medicare reimbursements for institutions with high rates of readmissions.
Think of Teshigawara's pieces not as theatrical events but as sensorial experiences, more poetic than dramatic, interested in symbol rather than story, with nebulous meanings but vivid sensory effects.
The reasons are nebulous and vast, including fears about the effects on recruiting, worries over job security and a reluctance to create a public-relations nuisance for the college's administration.
In their conclusions, Spence and Wang admit the research still has some way to go and doesn't yet include such important components of a wine's structure as tannins, viscosity, oak, alcohol level (or the more nebulous "length" of the aftertaste or the effects of age).
The more nebulous, but arguably more important, is the long-term effect on the future of trade and the world economy.You might suppose that it would not matter much.
But the most damaging effect of the Trump campaign is more nebulous and less visible what are race relations going to look like when Trump leaves the stage?
The entire humanitarian movement and cacophony of NGOs it has spawned are, to melancholic effect, anchored to the myth of the poor nebulous "Other" (in deference to Ryszard Kapuscinski): Hurry, we must save them".
Some critics will undoubtedly criticize Arcade Fire for recycling themes (including their own), but the verdict on the band (or the album) shouldn't be weighed against some nebulous idea of "originality"; it should be about execution and effect.
Choosing the correct outcome and measure can be nebulous.
With Carrefour, the BNDES is seeking to fund a merger between two of the largest forces in retail perhaps to stop Casino from taking sole control of Pão de Açúcar, as it could otherwise do in 2012.A side-effect of such activity is complex corporate structures with nebulous state involvement.
