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It is also one of the poorest, with more than sixty per cent youth unemployment.
The government is doing what it can to help the poorest with a "social safety net".
Farmers, who make up 62% of the population, are the poorest, with a 57% poverty rate.
So this is an epidemic that will fall disproportionately on the poorest, with consequences that will last a lifetime.
Under current policy, the wealthiest earners are paying a higher tax rate than the poorest, with some Americans paying very little or no taxes.
In the early 2000s the state was considered to be among Germany's poorest, with high unemployment, especially in the former mining and chemical works regions in the south.
The keystone was China, the world's most populous economy and also one of its poorest, with huge scope for catch-up growth.
Only the very poorest, with no means of escaping, would remain.To say that in such circumstances no dialogue is possible might sound trivial or obvious.
And when it comes to reaching the world's poorest with safe water and basic toilets, the grade is mediocre at best.
Yet the opportunities have bypassed the poorest, with the percentage of people in the region claiming out-of-work benefits remaining constant.
In the absence of public services, Escobar won the hearts and minds of Medellín's poorest with his largesse – even as he terrorised the city.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com